47806_NORRIS, ROBERT_20070308

• ❑dAMA / DREDGE & FILL
G a>l
GENERAL PERMIT Previous permit #
11New ❑Modification ❑Complete Reissue ❑Partial Reissue % Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resou ce
and the Coastal Resources Commission in an area of environ ental concern pursuant tp 15 N C
/ j�,Q G�P�`'�'�`1 G i-Cj N-rZi1 (�f ❑Rules attached.
1
Applicant Name 1`p�2s f1Dt=t�C`S,f ' Project cation: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (—) Fax # O Subdivision '
Authorized Agent City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # () River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Mal. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s) i
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes
no
Sandbags: notsure yes
no
Moratorium: n/a yes ..no
Photos: yes
no
Waiver Attached: yes
no.
A building permit may be required by:
Notes/ Special Conditions
(Scale: )
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name Permit Officer's Signature
Signature Please read compliance statement on back of permit Issuing Date Expiration Date
Application Fee(s) Check # Local Pianningjurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that [)prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

12/26/2013 21:22 FAX 0 002
ADJACENT RIPARtA.,N PROPERTY OWNER STATEMENT
(FOR A PIERMOORING PIEINGSIBOAUIFTIROATito USE)
I, hereby certify that I own property adjacent toktE
(Name of property owner)
property located at I Z--ua , AT('FK , d ru„ +► c ,
(Lot, block, road, etc.)
on /)soft R�.'n , in k F-/JW .f J3F c.
(Water body) (Town and/or county)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/moo
pilings/boatliffi/boathouse must he set back a mihimum distance of fifteen feet
my area of riparian access unless waived by me.
I do not wish to waive the setback requirement. FEE 2 7 ZUU1
✓ I do wish to waive that setback requirement. &40r19heaC1 Ci
ty DCM
DESCRWTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be frlfed in by individual pro osing deveioprnent)
lie�o
Foley & Foley Contractors, Inc_
Phone#: [phone]
Fax#- [phone]+��
Sri
t or Ty Name
a.J •- "7
Telephone Number and Date

12/26/2013 21:22 FAX
ADJACENT MARIAN PROPERTY OWNER STATEMENT
(POR A PIE)WOOMG PILMSMoATLImwoAmov )
I,hereby certify that I own property adjacent toka:!L Eo444 hbwg„aax f'
(Name of property owner)
property located at
(Lot, block, road, etc.)
on NFE,u4 R E„rf , in AE-N4C F c.11 .' � c e N.C.
. (Water body) (Town and/or county)
a 003
1- --:)
Ile has described to me, as shown below, the development he is proposing at that
Joe-ation, and, I have no objections to his proposal. I understand that a pier/mooring
piltsi /boatlift/boathouse must be set back a minimum distance of fifteen feel (I5') from
my area of riparian access unless waived by me,
I do not wish to waive the setback requirement. s
!/ I do wish to waive that setback requirement_ FEB 2 7 2001
��d .City pM �
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPM7:
(to bulled in by Individual pro}osing development)
��Cu FL )C, ufi►,
Fewu� i
Foley & Foley Contractors, Inc.
Phonc#: [phone]
Fax#: [phone]
r
j QAQ+,
igna re
a E"4 V T-ZN-z--C-BZ
rent or Type Name
2 Z— �-4ci r 0(0oc"(
Telephone Number and Date
-2 -21 -6 r?

12/26/2013 21:22 FAX Z 004
North Carolina Department ofFnvironment and Natural Resources
Division of Coastal Management
Charles S. Jones, Director
Michad F Easley. Governor y
i William G Ross Jr., Snerelnry
Date 0 -
FEB 2 7 2007
Applicant Name_ Ki-tiop4 k -13 e#c,(i &wft d w§-�fr^j VIOr_
ead City DCM
Mailing Address b r.� ,�' ,J � J� �i�eA
I certify that I have authorized (agent) Foley & Foley Contractors, Inc. To act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) D d C L Z � d� 1 LL .
at (location) ���,,aIJ�J�_` 1912-y��aft' �U.0
This certificationja valid thru (date)
400 Commerce Avenue, Morehaed City, Notth Carolina 25557
Phone: [phone]/ FAX [phone]/ Internet: ww,,v.nccoastalma;lagcmcnt.net
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