27824_LONG, CLAYTON_20010306

Your project is subject to the NC Division of JVJ
CAMA and DREDGE AND FILL Water Quality Neuse River Buffer Rules due to its location within the Neuse River Basin. 27824
GE N E R A L Please contact Deborah Sawyer at W�
PERMIT 252-946-648
as authorized by the State of North Carolina � P5# _i o 3o(dI +-
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number _' `/V/'Zz'/`/
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State /�/ i
Zip 2853Z
AIIt, t+ i l t:
PROJECT DESCRIPTION SKETCH tw(, i "T
Pier (dock) Length I s s /i,
Lengthnumber <( r
yt,
S•
(SCALE:
J"J: r'
)
<
�s
4Groin
y
..
ce
F'c
"
Bulkhead Length4J( (
max. distance offshore
'
Basin, channel dimensions
cubic yards
I
u P.
Boat ramp dimensions
Other
'
01
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?G
f Gil
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and j �I
may cause the permit to become null and void. ��+/
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they `'-'
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee

FOLEY & FOLEFY2CONTRACTORS, INC.
•� 1810 OLD AIRPORT RD.
P.O. BOX 3482
NEW BERN, NC 28564
PAY
TO THE
ORDER OF
66-11851531 11
DATE—,V 1
to 0�..
DOLLARS 8��.

03/02/01 09:11 FAX Z of
FAX
Number olops Indud! cover sheer
to;
IV
CC:
FOLEY & FOLEY
CONrRACtORS INC.
1816 OW AIPPOPt RD.
aw atem I N. C. 29966
pAeM�
252-W�.�s 1
At Phase
2U-#AJlV
Awfi1ts: I >=a� v R Asap
b/eea/1 r AMMeHf

03/02/01 09:11 FAX
rms
Customer Job Requirement Worksheet
Customer Name j �, lcDate - -
Mailing Address PykAr s Pa-W. Job site Address
Phone# qL. z Lj L Fax#
Adjecent Property Owner
Left aide Right side l\r " R sP.r-
�,�C.►
Date Mailed Returned Date Mailed 3. a Returned-
Cert. MailedjD:QC)L_Returned Cert, Mailed Returned
State
City
County r
Fairfield Harbour
Permit Required
Job Type
Reeived
Recieved
Recie,ved
Recieved
1011" Install walkway over marsh 4'ft wide app 36'ft long with piling left
up app. 3'ft each side. -
2 Install dock over water 6'ft wide app;- 24' ftJbng with piling left up
3'ft on each side,
Dredge ____� Repair

03/02/01 09: 11 FAX Z 03
Owl'
ADJACENT RIPARIAN PROPERTY OWNER STATmENT
(FOR A PIER/MOORING PHJIVGS/B0AMJFT1R0ATH0USE)
I hereby certify that I own property adjacent to �'�,,�y,��.'s
(Name of Woperty Owner)
party located at s o - •l»; r crcic Pam_ ,
(Lot, Block, Road, etc.)
on GG k , in _ hi-OlUxlod, , C' itr , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have rd 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 aces
of riparian access unless waived by me.
''-� I do pot wish to waive the setback requirement.
I ffa wish to waive that setback requirement.
DESCREMON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
---_---------------------------- -------- ----- ---------------------
Signature
e Bed F_ r',,"FZ
Print or Type Name
z.z- 5-14- 47/4
Telephone Number
Date: mAk _ cZ. Zao1

03/02/01 09:11 FAX 004
IIa1 DI ow in 1 o Do tui► la _1 ,-J--V 1
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying For Permit:
1
ITTFIL�rz-CHI �7,af --
(L at or Street It, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza H, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
U'you have been notMed by Certified Mail.'
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15'setback requirement.
Signature Date
u•
Print Name
Telephone Number With Area Code
0

03/02/01 W 11 FAX
Map
of
Page 1 of 1 Z 06

03/02/01 09:11 FAX 07
i
r
15 NCAC 7H .1102 has p _ - _ _ _-,been csed' _ pro ,to be emended a9 follows:
.1102 XPFRovhh PROUDUREs -
(b) The applicant crust -provide: ,
I1 confirmation that a written statement has•been obtained
signed by the adjacent riparian property owners
Indicating that they have no objections to, the proposed
work, or,
(Z confirmation that the adjacent riparian property owners _..
have been notified by certified mail of • the proposed' ,
work. such notice should instruct ,adjacent property.:,, .
owners to provide , any comments',on 'the proposed
development in writing for consideration - Permittin4
officials to the Division of Coastal TIariagement within
10 days of receipt of the notice, and, indicate that no.: ;
response will be interpreted as, no obiection. DCN,
staff will review all comments and 'determine, based;bn�
their relevance to the potential ,impacts of the
proposed , project, - if the proposed .project can . be,
approved by a General Permit. if DC14 staff finds that
the comments are worth3E of more in-depth review, the
applicant will be notified that he must- submit an,
application for a major development permit.
History Note: Statutory Authority G.S. 113A-.107(a);
' 11'3A-107(b),' 113A-113(b); 113A=�18.,1; 113A-124'z;.
Eff. March 1,' 1984;
Amended Eff. January 141990;� December 1, 1987.,,

03/02/01 00: 11 FAX [a 08
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Uj4jjtD STAfis P&TAL SERVICE
Parmit No. GAO
0 print your name, tid MO. i fri this box
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North
lill Jill 111111111 1011111A III
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03/02/01 13:22 FAX
fA
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
0 Name of Individual applying for Permit: -�� % Ln i'—y
Address of
(Lot or Street N, Strers or Road, City & County)
J
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
L ,' I have no objections to this proposal.
If you have objections to what is being proposed, please write the Ifiv lion of Coastal
Management, Heshvn Playa II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been not fled by Cert{fied Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you mast initial the appropriate blank below.)
I do wish to waive the 15' setback requirement -
I / I do not wish to waive the 15' setback requirement_
1•" r!' — d
st� 2lture Date
Print Name
Telephone Number With Area Code

03/02/01 13: 22 FAX Z 02
ADJACENT RIPARIAN PRoPERTV OWNER STATE TENT
(FOR A PIER/MOORING PII.INGS/BOATuPTBOAnfouSE)
I hereby certify that I own property adjacent to IJ I+9
(Name of Pr rty Owner)
property located at
(Lot, Block, Road, etc.)
on dduff-Z-a4r
(Waterbody) in (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have ndi objections to his propr«aal. I understand that a pier/mooring
Pilings/bmtlift/boathouse must be set back a minimum distance of fifteen feet (15') hvrn my area
Of riparian access unless waived by me.
I dg aI wish to waive the setback requirement.
L----- I dg wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(TO be fined in by individual pmposing development)
Sig ature
y i4 YL6R
Print or Type Name
Telephone Number
Date: __' - 1 -- C) /