46062_FOSTER, CLIFF_20060720

7 2 S-Uro
❑LAVA / ❑ DREDGE & FILL
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
,C'' �C �0 fe✓ El Rules attached.
Applicant Name
S
Address ` (.Ci
ijJUt c 1, C /
City
r i State ' _. ZIP ,
Phone # (`)7
• /C�� Fax # ( )
L�f C-M
Authorized Agent
4r,1
Affected ❑ CW
❑ EW ❑ PTA ©ES ❑ PTS
AEC(s): ❑ OEA
❑ 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_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozi
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
Project Location: County Ca
Street Address/ State Road/ Lot #(s) I
� 1 S6 / o✓ 2J / f ! N o 1' 'i'.
Subdivision
City a0 Pc ecA/PC ZIPZ�J"/
Phone # (�) River Basin
Adj. Wtr. Body % a uc- J ° u `^ d (man /unkn)
Closest Maj. Win Body §0.7v'c --O u n
(Scale: )
- -- -
- 1
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name FFrmit Officer's Signature
_ JUL 2 4 2006
Signature Please read compliance statement on back of permit` Issuing Date Expiration Date
Moreh j�ity DCM P i u-_/.
Application Fee(s) Check# Local Planningf urisdiction 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 L 1 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 (910-796-7215) for more information on how to comply with these buffer 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
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
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

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DATE
PHONE/
MOBILE X
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" RETURNED YOUR CALL
PLEASE CALL
WILL CALL AGAIN
❑ CAME TO SEE YOU
SIGNED WANTS TO SEE YOU

ADJACENT R.IPAMA.N PROPERTY OWNER STATE MTNT
r
I hereby certify that I own property adjacent to _ is
(Name of Property Owner)
property located at _ 2 1 0
(Lot, Block, Road, etc.) —
on G� `�©�J'► , in-z�� �"r`C (�je (� cr �e� I N.C.
Waterbody) (Town and/or County)
6,,has descnb�d tp me. as shown;below, the development fie is prapa
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
A4�
le�c'e_ s�J
e
47" / rJ
wo:, .04
off'
S' nature
Print or Type Name
(�2�6
Tele hone umber
Date:

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MA AGENIENT
ADJACENT RIPARIAN PROPERTY 0);V1iER NOTIFICATIONAVAI`TR
FORM
Name of individual applying for permit:C-��/
Address of property:
reS -/- l<' n 61 t DK
/ (!ot or street #, street or oad)
(City & County)
I hereby certify that i own property. adjacent to the above'referenced pioperty.%e
individual applying for this permit has described to me (as shown on the attachecfi�js 7
drawing) the development they are proposing. A description or drawing, with ��Q, 06' G
dimensions, should be provided with this letter. C"
I have no objections to this proposal. Cn—
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within .10 days of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, 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.
Si afore Date'
r tit )i 1 l t4� s
Print Name
& . ('-z' 3 -/z/o
Telep one N er With Area Code

ADJACENT RIPARIAN PROPERTY OWNER STA`TEIYiEN1
•
I F
I hereby certify that I own property adjacent to-� 1,40r�
i-���
(Name of Property Owner)
property located at21(
0 O1��7 �'�o �� �`''T /�`►�C IJE�
(Lot,
,I Block, Road, etc.)
on �L �t1h C� , in
terbody) (Town and/or County)
descn*�ta,me as shown below, the development.he is proposing at
d T h b ctions to his ro osal
, N.C.
JAL"
uL"
an ave no o pe p p
--------------------------------------�-r' - -- ✓��:---
---------------------------------------------------- --
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMEN;FQ.e0 6'
(To be filled in by individual proposing development) /y - .
c o�
N
Qa�ar 111 y .
T / N I� d v.
'
----------------------------------------- - -- - -----------------
----- j-��Rc r C Vic. n r c�
Signature
a-&-o X- 7 C-:-- Z�, P" A/
Print or T e Name
113y�
Telephone Number
Date: Z�'

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
•
•
DIVISION OF COASTAL MANAGEbIENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION VAB1R
FORM
Name of individual applying for permit: C— /'r�l �►�� � ���`� ��Y
Address of property: to Kes`f
(lot or street ., street or road)
l3, "_J' , '�_ ,
(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 tched X..Yv
drawing) the development they are ro osin�o. A description or drawin , A
<
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,��`i"
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, 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.
Sigma l--o ���� �� LL Date
Print Nam�%e J
Telephone Number With Area Code

ISLAND MARINE CONSTRUCTION
1286 ISLAND ROAD
To: HARKERS ISLAND, NC 28531
252-728-3419
From:
Re: Authorization Letter
A-
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�heei
ey
►Z� authorize Q
Z-$ 2-'n� mC C— S to act as my agent for the sole purpose of
obtaining/signing permits to perform work at
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Sincerely,
Signatur 1
Print Name �-�Q rd ^ �DSle `� �r

2041
!SLAMD MARINE CONSTRUCTION LLC 66-21/530
BRANCH 77585
1286 ISLAND RD V
HARKERS ISLAND, NO 28531
PHONE! 252-7284-3419 DATG
PAY TO THE
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