41387_JONES, MIKE_20050524

CAMA /' 'DREDGE &FILL /�/ �_ ?
GENERAL PERMIT Previous permit #
L New 1Modification L.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
Applicant Name / Project Location: County _
Address_ '� `-�'~ ( Street Address/ State Road/ Lot #(s)
City i✓ State ZIP
Phone # (" ) Fax # ( ) Subdivision
❑Rules attached.
Authorized Agent Jf^!e " ` % ( ZIP City_ 1✓P ... ' . V
n
❑ L —"A ❑ES D-PTS Phone # (_ ) _ River Basin
Affected CW W
AEC(s): i OEA HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body J (nat /man -Junkn�
PWS: ❑FC:
ORW: yes / no PNA yes / 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/ Boatlift
Beach Bulldozing
Other_
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
Agent or Applicant Printed Name f Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
(Scale: )
DSee note on back regarding River Basin rules.
Permit Officef'sSignature
r _ i f ,'
Issuing Date Expiration Date
dos"yleA
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:
j Tar - Pamlico River Basin Buffer Rules I 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
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.nccoastalmanagement.net
Revised 10/05/01

OwNEg ST A,�EMENT
Ag1AN pgOpEg,T rap)
ea�nP I
NT R� ulkh o
AD38CEOffer)
adjacent to (sameo f ProPe�
certify that I own Property
l hereby
0 ( oc� Road, etc.)
B
ted at �
Property locate
�. in N Town and°r Counnl)
Oil S ivr odY) nert he is prop°sing at the
(W ate the
d developI
shown below'
to me a5 to his Proposal.
He has dnobjections
location' and, es e
I l »tent)
ANDJORPI" dal proposing �'e vp
LON rued in by ind _ A Flaw
(to be f- r .. .
\0 t l0 1
le Vole- Con 2515 rs' mac.
F° y 252) 636
yh �252) 636.3127
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yo1
I �.
Si�na�e
nn e
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Print or Type Nanm
ber
Telephonne ��
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkhead/rip rap)
I hereby certify that I own property adjacent to/'1� 1 /49 SowEj 's
(Name of Property Owner)
property located at(rn! 1 1, R ( CT FF14 A / AP�
(Lot, Block, Road, etc.)
on S(ktu-t er IC in &—fZA.)� cJ , N.C.
(Water ody) (Town and/or County)
He has described to me as shown below, the development he is proposing at the
location, and, I have no objections to his proposal.
ESCRIPTION AND/OR DRAWIN E
(to be filled in by individual proposing development)
Av,7-
I kr
Ao%
Foley & Foley Contractors, Inc. Signa
Phone#: [phone] 'L'f
Fax-4 (252)
[phone] 4 , 142" a+;
Print or Type Name
Telephone Number
{. I` o S
pe7r �� ate
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FOLEY & FOLEY CONTRACTORS INC. 1776
PH [phone]
1810 OLD AIRPORT RD.
NEW BERN 8562 66-112/531
DATE Q�L-Q 01901
PAY
TO THE
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MIMI ELITE US4 ESS
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