40766_JACKSITS, LOUIS_20050113

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LAMA /'J DREDGE & FILL
GENERAL PERMIT m `'
Previous permit #
❑New !Modification Complete Reissue -IPartial 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 I SA NCAC
3 Rules attached.
Applicant Name L L" `s �c �'� Project Location: County_
Address ��'`' Street Address/ State Road/ Lot #(s)
City State �y ZIP �f
Phone # Fax # O Subdivision %
Authorized Agent " " (� `% '- J {" Y City ti, ' " i ZIP
El Cw E�C*TA ❑ ES ❑ PTS Phone # ( ) River Basin 'V=`�'"� c
Affected
OEA ❑ HHF ❑ IH 0 URA ❑ N/A /<
AEC(s): Adj. Wtr. Body_ /�' :Fiat' man /unkn)
i7 PWS: ❑FC: t' ,
ORW: yes / no, PNA (jes / no Crit. Hab. yes / no Closest Maj. Wtr. Body ('
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/ oatli /
Beach Bulldozing r
Other f -1. 1:
Shoreline Length
SAM 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
t J f-�,J 4
Applicant
(Scale. )
I
I
I
i
--� ee note on back regarding River Basin rules.
/ - 1-3 -.)
L/ r-
4_.,.
Signature Please reid com
Application Fee(s)
permit
Check #
Issuing Date
Local Planning Jurisdiction
Expiration Date
Ii3/3i�
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 ; _' Other:
F i 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 / I-888-4RCOAST
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

FOLEY & FOLEY CONTRACTORS, INC. 1115 a
MATERIAL ACCOUNT
[phone] 7
1810 OLD AIRPORT RD.
NEW BERN, NC 28562 s� 112
DATE �- .S� -- - oiso i
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ORDER OF_ _ —_ _ —
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BRANCH BANNING AND TRUST COMPANY 't?
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TcI<- NEW BERN, NORTH CAROLINA
FORGc,r'f-✓� �Sn�_ F�d Y /''�fTv�
11'00 1�11SO 3 1011 211:S 2900S 21S911,
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To: Stephen Lane (Cama)
Fax#: [phone]
Date: January 10, 2005
Page#: 3
From: Foley & Foley (Sandy)
Phone#: [phone]
Customer Work Sheet
Customer Name: Lou Jacksits Date: January 10, 2005
Mailing Address: 511 Neuchatel Rd. New Bern, NC 28562
Job Address: Lot# 2 Mitchell Harbour Phone: [phone]
Adjacent Property Owners
Left Side: Utter _ Right Side: Incognito
Job Type Description
Bulkhead
Dock/Walkway
Platform end of dock
Boathouse
Boatlift/jet ski 10,000# Boatlift on existing dock
Piling (4) piling
Ramp/Jetty
Dredge
Rip Rap

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
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I hereby certify that I own property adjacent to Lou Jacksits 's
(Name of property owner)
property located at 116 Windtide Ln. Lot# 2 Mitchell Harbour Section 1 ,
(Lot, block, road, etc.)
on Mitchell Creek in Havelock/ Craven , 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.
1 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be filled in by individual pro.posing development)
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Foley & Foley Contractors, Inc.
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Fax#: [phone] //
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Print or Type Name
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Telephone Number and Date

Jan„09 05 04:27p Orbital Sciences 480-el4-0072
ADJACENT RIPA.RYAN PROPERTY OWNER STATEMENT
(FORA PIERIJlIDORMGPILVVG, 0ATLMTA t,ATWOUSE)
�{ I hereby certify that I own property adJacent to LOU daekaits 's
(Name of properly r woer)
property located at 116 V{an tide Ln L aW x MiftheU Harboaf Sectiou I
(I,at, block, road, etc.)
an Mitchell Creek , in Havelock/ Crave2 , N.C.
(Water body) (Town andfor county)
He has described to me, as shown below, the development he is proposing at that
location, and, f have no objections to his proposal. I Understand that a pim/mooring
pilings/boatlii'Tboathouse must be set back a minimum distance of fifteen feet (15-) from
my area of riparian access unless waived by tne.
J do zwe wish to waive the setback requirement.
_v/� 1 do wish to waive that setback requU mrnt
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to bye oiled to by individual prgposAg derelapnrt)
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Foley & Foley Contractors, Inc.
Phone*: [phone]
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Point or Type Namt
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Telephone Number and Date
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