32366_WILLIAMS, JOHN_20020801

,CAMA / DREDGE & FILL
GENERAL PERMIT
Previous- permit # '!
New Modification Complete Reissue Partial Reissue Date previous permit issued
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
Rules attached. 3
Applicant Name
5 _
Address
City "
:. ! .,
State •y ZIP _. %-'%r✓-C`,
Phone # ( --)
,�,"�;�(_� Fax # O
Authorized Agent
Affected CW
F- EW
Q-PTA ❑ ES ❑ PTS
AEC(s): OEA
F , HHF
❑ IH ❑ UBA El NIA
❑ PWS:
❑FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes ! no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
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: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Project Location: County_________ ----
Street Address/ State Road/ Lot #(s)
Subdivision
City- ---------- ---- ZIP -- -----------
Phone # () _ _ _ _ _ - River Basin
Adj. Wtr. Body _ --_ _ _ _ _ _ _ gnat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
- See note on back regarding River Basin rules.
Permit Officer's Signature
-ry
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, 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 (910-395-3900) 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B 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
DATE
66-85/531
-_,__
PAY
TO THE \
ORDER OF_ob
DOLLARS LJ
Centura Bank®
New Bern, NC 28560 Gf-7[ 3`-
FOR00 Lc �C� �. iw
II'0 38�� II i:0 5 3 1008 50�:0 3 900 16 2 5011'
J -

07/31/02 12:57 FAX Qj01
TO: Tracey Wheeler (Cama)
Fax#: [phone]
Date: July 31, 2002
Page#: 4
From: Foley & Foley (Sandy)
Phone#: [phone]
Customer Work Sheet
Customer Name: John Williams Date: July 31, 2002
Mailing Address: 5011 Trentwoods Dr. New Bern, NC 28560
Job Address: Same Phone: [phone]
Adjacent ProperM Owners
Left Side: Baaeett Right Side: Barden
Job Type Description
Bulkhead
Dock/Walkway.
Platform end of dock
Boathouse
Boatlift/jet ski Aluminum Boatlift
Piling 4 Pilings
Ramp/Jetty
Dredge
Rip Rap

07/31/02 12:57 FAX
902
PIMITION OWNUR ,STn'I•I..MI".NT
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f a',r•.l�„1, } (1 �n,r nmr•ry r'rnmrt•)
fir fins de.c,;drd In 111e, '-I,c Shawn belr,w, 01c developli t w Ile is Illoposing al Ihni lornlimi, mid, 1
have, no oblec•limis 1O Ilk Itlrtlut.gal I undclsland Ih,,l a pier/mom-Mg It;li„Kn1(tallinnxlalh(luse
must he sel hart( m111111111111 (11sl111r•('' (11,11fleell reel 0 ') 11.0111 111y area c,(',i11a6a11 acres rinlcss
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v/ 1 do wish to waive, lhal sclltac k tegi iirmcnl
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07/31/02 12.57 FAX
la 03
ADJECENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILING/BOATLIFT/BOATHOUSE)
I herehv ccrlify Ihal i o%vn property adjacent to MkAO _4041;0- i s
rNi%mr. nrprnprrny mvvr)
Property lacated atb'Cll �i�l�WaOA -.
(I.ot. nlmk, R,Q, to )
on !15'1�21��.LtF�. inAF4 .,Jr N� V-Adhg4N.C.
(1�+n�erMdy} rrmrn n1011W Crwnty)
(le has decrided to me, ns shown below, the development he is proposing nt that lucation, and, 1
have no objections to his proposal. I understand that a pier/mooring piiing/boatlift/boalhouse
must be set back +minimum distance of fifteen feet (I S') from my area of riparian access unless
waived by me.
1 not wish to waive ylie setback requirement.
I do wish to waive that setbRck requirement.
i)i?SCK113'1-ION AND/OR i)RAWING OF PROPOSED DEVELOPMI=NT:
( To be filled in by individnal proposing development) lr.�
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