37588_PURIFOY, DAVID_20040315

j ❑ CAMA / ❑ DREDGE & FILL1�
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
ules attached.
Applicant Name_ /�//, / - Ui Project Location: County
Address T�cJ!>.�,^ Street Address/ State Road/ Lot #(s) ,/(� y;
City A& ,./ A State_&C, ZIP '29 aO
Phone # ( t ') ,33- Vial Fax # ( )
Authorized Agent "C.—let f�•�f/
Affected - CWLw :PTAES ❑ PTS
AEC(s):
1 OEA ❑ HHF ❑ IH ElUSA ❑ N/A
_
-1 PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) lengt
Platfc
Finge
Groir
Bulkh
Basin
Boat
Boatl
Bead
Othe
Shon
SAM
Sandl
Mora
Phot(
Waiv,
Subdivision , 1," ;u lei- I, U-
City_ 1(-4, e_, ,c�./ ZIP 'P i f'7/
Phone # (_—) -1. )- ./ River Basin
Adj. Wtr. Body gnat)/man /unkn)
Closest Maj. Wtr. Body
(Scale:,.- )
Li
rrm(s)-
r pier(s)
i length
--
-�}}
k(ST,y
:
t
4ii
I
I
number
lead/ Riprap length
avg distance offshore-
max distance offshore
-
,channel
} e nil
cubic yardsaviw
ram p
r
-CY:$
louse/ Boatlift
t�1 ^
c�
I
,
I
i Bulldozing
r
--
dine Length
no
-
-
-
L
— — �t
_
-
i
not sure yes
)ags: not sure yes no r
Rorium: n/a yes nois: yes no�1-r Attarheri• vac nn
7-1
+
T
A
t,
A building permit may be required by: ( (/C See note on back regarding River Basin rules.
Notes/ Special Conditions
� / J
Agent or App can P n ed me Permit Officer's Signature
i
V b S / /
Signature *Please read c mpliance statement on back of permit * Issuinglssuing-- DAte Expiration Date
Application Fee(s) Check# 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 / 1-888ARCOAST
Fax:[phone]
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)
www.nccoastaimanagement.net
Revised 10/05/01

2855
FOLEY & FOLEY CONTRACTORS, INC.
MATERIAL ACCOUNT
1810 OLD AIRPORT RD. PH. 252-636-2515 I 66-65/531
8I P.O. BOX 3482
NEW BERN, NC 28564 DATE
PAY $ 3�Jd a�I TO THE
ORDER OF_ -I CJv p,
DOLLARS lJ��
kd- --
p
RBC r
Centura 3 7 S87o
RBC Centura Bank /• n
41J ' New Mn. NC 8560
FOR J -- --- `-�'L - ■
000 cSPL3/u■ 28 5 5�I �:0 5 3 L008 50I:0 3 900 b 6 3 6 511
_ mrzcmnt

03-15-2004 09:10AM Superior Land&Timber,N.B. 919 633 0064 P.03
ADJACFNI' RWARUN PROPMTY OWNER STATEMENT
I hereby certify that I o-o m property adjacent to k . rj'; L' 'S
(Name of Property D er-)
property located at oll 40- jr r ,v
_ (Let, Block, Road, etc.)
on /I,,
A) CIZ e- e-k in aLJ�Q,,o t� CdaLze-'t�2 , N. C.
(Waterbady) (Town andfor County)
He has described to me as shown below, the development he is proposing at that l,ocadon,
and, I have no objections to his proposal.
DESCRII'' ON AND/OR
Flo be JWed in
-i
OF 32RCJPOSED DEVELOPMENT
! rrapasi devedvpmJ rj II- , ; ..0
Signatu
Print or Type Name
3©3-
Telepbone Number
Date:
TOTAL P.03

03-15-2004 09:17AM Superior Land&Timber,N.B. 919 633 0064 P.02
ADJACEN'r RIPARiAN PROPERTY OWNER sTATEmENT
I hereby certify that I own property adjacent to J r : 's
(Name of Property Qwier)
property located at /6 ,Il 60 -
_� f 1 a-vvt, Block, Roam, etc.)
in
(Waterbody) (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.
DE5CRIMON AND/OR D G OF PROPOSED DRVELOPMEW
{To be JTIkd in b i yrv► mszng deYe cent/
r-,
t2
t
/Y
1
i
-
Signatue
Print or Type dame
s�z- 9/9 3+0 1
Telephone Number
Date: 3 /'