40781_MUNOZ, JAMES_20050203

_JCAMA / ❑- DREDGE & FILL
GENERAL PERMIT
IJNew IModification DComplete Reissue ]Partial Reissue
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___
Address
City ; / c,, State
Phone # (� ��I) / J Fax # ( )
Authorized Agent
Affected ❑ Cw EW o PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA 11 HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
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 v
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
ZIP
pb�4�
Previous permit #
Date previous permit issued
❑ Rules attached.
Project Location: County _
Street Address/ State Road/ Lot #(s)
Subdivision
ZIP
Phone # (_}. _ River Basin
Adj. Wtr. Body 413at /man �/unkn}
Closest Maj. Wtr. Body
(Scale: )
r '
Shoreline Length ' 7 0 /r
SAV: not sure yes no 1--
Sandbags: not sure yes no
Moratorium: n/a yes Q
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
14l
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
See note on back regarding River Basin rules.
Permit Officer's Signature
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, 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 f7 Other:
_L-�' use 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

FOLEY & FOLEY CONTRACTORS, INC.
MATERIAL ACCOUNT
[phone]
1810 OLD AIRPORT RD.
NEW BERN, NC 28562
PAY
TO THE .�✓ �y, �/ / �
ORDER OF • - - ----
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1122
66-112/531
DATE_ — r - 01901
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkhead/rip rap)
I hereby certify that I own property adjacent to � Amy d IZoN !�'�uh,a A 's
(Name of Property Owner)
property located at��, S-T7.,Elr
(Lot, Block, Road, etc.)
on /34" C u,6;1 , N.C.�trEw
(Wate body) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(to be filled in by individual proposing development) 'D 2FJ) E
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Phone#: [phone]
Fax# [phone]
Print or Type Name
Telephone Number
Date

V.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkhead/rip rap)
I hereby certify that I own property adjacent to T� A d IZo w ri A 's
(Name of Property Owner)
property located at��, � cr .' ?-rL._
(Lot, Block, Road, etc.)
on c c in / .)F-,W 13" N.C.
(fate • body) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(to be filled in by individual proposing development) -D 2FJt E 1,
igbXllvX 3-��� r%/ya
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax# [phone]
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Signatur
Print or Type Name
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Telephone Number
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