36689_MILLER, CHRIS_20031030

❑ LAMA / ❑ 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.
Applicant Name_ Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (,) Fax # ( ) Subdivision
Authorized Agent City ZIP
Affected Li CW ❑ EW PTA [I ES ❑ PTS Phone # (�) _ River Basin
AEC(s): Ll OEA C HHF ElIH [IUBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
El PWS: I =] FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
IType 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
(Scale: )
_' See note on back regarding River Basin rules.
Permit Officer's Signature
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules
[ NTa/euse River Basin Buffer Rules
❑ Other:
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 / 1-888ARCOAST
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)
www.nccoastalmanagement.net
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.
RBC
4452
DATE I1 �( ]- 3 66-85/531
$ aoo.(Do
DOLLARS 8„"
Centura
RBC Centura Bank
FOR --
New Bern, N
1180000 4 4 5 211' i • � - - - — -- ----- —------- "�
_ -
.0 5 3 lOOB 501.0 3 900 L 6 2 SOne

10/20/03 08:50 FAX 01
TO: Tracey Wheeler (Cama)
Fax#: [phone]
Date: October 20, 2003
Page#: 4
From: Foley & Foley (Sandy)
Phone#: [phone]
Customer Work Sheet
Customer Name: Chris Miller Date: getober 20, 2003
Mailing AddressFairfield Harbour
Job Address: Lot# 173 S4ection: 5 Booty Ln. Phone: [phone]
Adjacent Property Owners
Left Side: Moore Right Side: Todd
Job Type Description
Bulkhead
Dock/'Walkway
Platform end of dock
Boathouse
Boatlift/jet ski
Piling 5) new _
Ramp Jett
Dredge Slip 161ft x 40'ft Approx.110 cubic Yards
Rip Rap

10/20/03 08:50 FAX
Z02
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIE"OORIIYG PILINGS/BOATLIFTBOArNOUSE)
,I hereby certify that I own property adjacent to i- 4 0. l 111. LZ E.t I
(Name of property owner)
property located at -'�- Or 1 i 3 SEA s FFN
(Lat, block, road, etc.)
on 4 CREW,( in A) F a JEEe, .0 X, C R90G-1 A)=)61. , 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 (15') from
my area of riparian access unless waived by me.
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 be filled in by individurl/ proposing development)
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax##: [phone]
Signature
L►oy6 A, 41oore
Print or Type Name
I19. V46,34-!S 8 10113lz003
Telephone Number and Date

10/20/03 08:50 FAX
AD-VACENT RIPARIAN PROPVRTV OWNER STA7'f,WN i'
(1m,1 rIER/,1 OORIA I'II.IIV(;.S/11OA7TIF B0.47710t,l,VIi)
1 hcrcllV ccrtI . 111,11 i ciwri t,r„herty �cliaccrll tc� 4 f c
(NHme of prollwrly otynrr)
properly leralccl mi
0 r►t, bloc It, rnarl, ew.) — ��oY� •_ _ ... _--.
nn R C RtFW r c . in /i7 Cw ISF rfno .t_1 JC C IZBlj� F;�-�/._ N
0, ater hodv) ('I'nwn and/nr county)
Ile has described to me, as shown below, 111c devclklllnlenl he is propming at Thal
location, and, i have no ob.iections to his proposal. i understand thal a pier/mooring
hilings/boatli(Ubclathomc must be set hac:k a rllinirrlurn dislancc of Itllcen fccl (15') frrm
Illy g1te l of nipnrlati nccecF rinlccq wnlvcd by nx:,
j/ I do plea wish to waivc the selhack requiremenl
I do wish In lvaive Ural sclhac.k requirement.
DESC'RiPTION AND/Olt DRAWING OF PROPOSED DEN/F' OPMEN 1:
(to he filled in hp ind!vidual proposing dri,elopim-w)
Foley & Foley Contractors. Inc.
Phone#: [phone] S
Farb: (252) 636-31'27
Signature
not ctr Type Name
Telephone Number Intl I ):iir
[a0s