32327_THOMAS, JIFF_20020717

N5
CAMA / DREDGE & FILL
GENERAL PERMIT
New Modification Complete Reissue Partial Reissue
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Applicant Name k' 410mo S
t
Address
City rjr _fi
r,,
State ZIP
Phone # (_ )
33 —4 :,21 Fax # ( )
Authorized Agent
CW
ES ❑ PTS
Affected
to
`*" ❑
AEC(s): OEA
HHF
❑ IH ❑ UBA ❑ N/A
PWS:
❑ FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / no
4ei. s permit #
Date previous permit issued
L Rules attached.
Project Location: County_____
Street Address/ State Road/ Lot #(s)
Subdivision ;' ;`(:.:.: ,; 4_
City_ ZIP
Phone # ( ) River Basin
Adj. Wtr. Body T ;. i,C i- r t.0 (nat /man /unkn)
V
Closest Maj. Wtr. Body-
Type of Project/ Activity
(Scale: i )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel----
cubic yards
{
i {
--._-
Boat ramp
-
-
Boathouse/ Boatlift
j
--
---- ---� �—
Beach Bulldozing
Other
I
- -
x' 1
c u v
Shoreline Length
I �
T
y; J+
_
SAM not sure yes no
-- -
Sandbags: not sure yes no
-
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes noi`
A building permit may be required by:
(r,
See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed, Name
Signature Please read compliance statement on back of permit
^j
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction 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 1) 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, certify that 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax:[phone]
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 10/05/01

FOLEY & FOLEY CONTRACTORS, INC.
1810 OLD AIRPORT ROAD PH. 252-636-2515
P.O. BOX 3482
NEW BERN, NC 28564
PAY
TO THE
ORDER OF.
Centura Bank®
New Bern, NC 28560
Jl—Fr �� 0000 38 7 31I' u�:0 5 3 L008 50l:0 3 900
3873
DATE 0 _V Q 66-85 / 531
s L�b0.00
DOLLARS 8,.MM
m

07/16/02 14:02 FAX Q 01
TO: Tracey Wheeler (Cama)
Fax#: [phone]
Date: July 16, 2002
Page#: 3
From: Foley & Foley (Sandy)
Phone#- 636-2515
Customer Work Sheet
Customer Name: Jeff Thomas Date: July 16.2002
Mailing Address: 2423 Tram Rd -New Bern, NC 28560
Job Address: Olde Towns Phone: [phone]
Adjacent Property Owners
Left Side: Zavtoun Right Side: Delaney --
Job Type Description
Bulkhead
Dock/Walkway
Platform end of dock 6'ft wide 17'ft long _
Boathouse
Boattift/jet ski
Piling (4) Piling Steel New & Remove Old
Ramp/Jetty.
Dredge_
Rip Rap—

07/16/02 14:02 FAX
Z02
ADJACENT RIPARIAN PROPERTY OWNF;R STATEMENT
(FUR A PIE RIM 0017I1VG PILINGSBOATLIITIBOATI{OUSL)
I hereby certify that I own property adjacent to�
(Nome of property owner)
property located ato-RYA �tzAm JU _
([At, block, road, etc.)
on QI�rQ_ �„i �? Irl_. in _N_F__ lr3&-4y__ ' fZA_? N.C.
(Water body) (Town And/or County)
Fie has described to mc, as shown below, the development he is proposing at that
location, find, t have no objections to his proposal_ I understand that a Pier/mooring
pilings/boatlitt/boathouse must be set back a minimum distance of fifteen feet (15') from
my area of riparian access unless waived by me.
_V<'
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement_
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEWPHENT:
(to beJlited in kv individual proposing development)
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Foley & Foley Contractors, Inc.
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Print or Type Name
Telephone Number and I3a e

07/16/02 14:02 FAX
Z0s
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING P.LL17VGSBOA77,IFIBOATHOUSE)
I hereby certify that I own property adjacent to T�( ( e1ei,�41 I
(Name of property owner)
property located at,2YM `r2A,., ZQ_
(Lot, block, road, etc.)
on a,&_rA,,#j 4gLkd , in ' t , N.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/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (157) from
my area of riparian access unless waived by me.
4"k-,
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to beJilled in by it Nvidual proposing development)
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Foley & Foley Contractors, Inc.
Phone#-. [phone]
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Telephone Number and Date