43567_ALBERTINI, FRANK_20051114

17- CAMA / DREDGE & FILL
GENERAL PERMIT
tlNew 'JModification ❑Complete 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 NO
Previous permit #
Date previous permit issued
C7 Rules att2
Applicant Name �x�RA- kl r/k°�"7.1/i(1 f Project Location: County__-_ _
Address _ _ ��-'�,r�C/ .�-.� �� " t' Street Address/ State Road/ Lot #(s)
City /i%t".r t.= &Y w State ZIP s
Phone # (^) - �Z)0 Fax # ( ) Subdivision f'/r -
7
Authorized Agent City ZIP__
iJ CW MEW . -PTA ❑ ES ❑ PTS one River Basin
Affected �� OEA � HHF `❑ IH ❑ UBA ❑ N/A �
AEC(s): A j. Wtr. Body z nat man un{<n
-' PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
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 i
Moratorium: n/a yes
k
Photos: yes %a&
Waiver Attached: yes f nd'
A building permit may be required by: ' .[ ) See note on back regarding River Basin rules.
Notes/ Special Conditions t
Agent o plicant Printed Nam
Signature '�* Please read compliance statement on back of permit"
Application Fee(s) Check #
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 ❑ Other:
E] 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

1
CAMA / L_! DRE11GE fie. FIE.L.
G NERAL PERMIT
New ❑Modification ❑Complete 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 �/�/��k//���ry//U/ _ Project Location
N° 4356'7
Previous permit #
Date previous permit issue(
County
o,7//-/ZDD
[-SRules attached.
ew#ki �641
Address 11 `% a%�! GUI' �����' ifStreet Address/ State Road/ Lot #(s)
City__Q&4200- /1/ State_ ZIP � 6� ,e9J���
Phone # ( �2) 19�P� Fax # () _ Subdivision _ 12�i�<� `%�glwlC,
Authorized Agent _ City__ 11 mac) /4 :J/ILLdf �7 _ ZIP -AgA-Q_, 4?? �
Affected _
CW �W , PTA - ES ❑PTS Phone # (� 2) 63l0 6! River Basin 6
O OEA ❑ F ❑ HHIH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / Crit. Hab. yes I no Closest Maj. Wtr. Body�e�� tJCY _
Type of Project/ Activity 1j 1-J`fi-6/ `7 _ �1G���' �C�C�7 �� T / A,) G�ivc �1G S�i�
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards
I
Boat ramp J
Boathou e/ Boatlifc
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes Tye
Waiver Attached: es
9' /7 �rooK40:�: Creek Or
(Scale: iN% j )
A building permit may be required by:
p 61 See note on back regarding River Basin rules.
Notes/ Special Conditions /� / P-/r� .y
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Permit Officer's Signature
Issuing Date Expiration Date
Z-///}/3B
I nrnl PInnnina It iricrlir•rinn R- P6 Ne

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
November 15, 2005
Frank Albertini
917 Crooked Creek Drive
New Bern, NC 28560
Enclosed is General Permit #43567C to install a 4 pole boatlift in an existing slip located at 917
Crooked Creek Drive, Fairfield Harbor, New Bern, NC
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Mark Hardeman
Coastal Management Representative
Isb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

/-0 1
ilk-------
01-
. 13YSy & k
NC.
a �nQ
APPROVED FOR FAIRFIELD HARBOUR
BY PROPERTY CONTROL COMMITTEE
SUCJ, TO #5F DECLARATIOIV OF REST11ICTIONS
NAMB DATE
n1r � S��k' z�• � a ,

CERTIFIED MAIL -- RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: 21qly / � 41- /-7/3 /7 F 1 v /
Address of property: !/ °% fi-7oy /cte /) p-elz /C
1
(Lot or street#, street of road)
(city & C—ty)
I hereby certify the 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 whit 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, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of the 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 riprap
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 requirements
lc' i r�S
Signatu D e
-��'Vx , .�- ?C-6gL
Print Nam
Telephone number with area code

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: q /u / ( / Z L /.3 r /2
Address of property: 9 % � Cz �� /�
(Lot or street#, street of road)
All,
(City & cowtty)
2>
I hereby certify the 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 whit this letter.
1 have no objections to this proposal
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 the 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 riprap
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 requirements
Signature � Date
Print Name
/-F - S?� - 3j .� �v 3
© - - ? 0
Telephone number with area code

FRANK ALBERTINI
CAROLYN G ALBERTINI
Ph 252-636-5007
917 Crooked Creek Drive
New Bern, NC 28560
Pay to the
Order of _
yr
1641
66-21/530
1 f BRANCH 77620
/ Date O
Dollars
WACHOVIA
Wachovia Bank, N.A.
yF�chovia.com iyp
For 4yf
e;0 5 3000 2 19': I0 580 7 L008 3 1