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JCAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous perm it#
❑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
JaA4 El Rules attached.
�_
Applicant Name Project Location: County 1
Address �a` / F f
� / Street Address/ State Road/ Lot #(s)
City`}, fState :i ZIP
Phone # (� ) Fax # (i) Subdivision
Authorized Agent"' �.y City �� `' ZIP
Affected ElCw ElEw El PTA [I ES OPTS Phone # ( ) River Basin l J E", G� .
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Ad Wtr. Body
f
❑ PWS: El FC: nat'/man /unkn)
AEC(s): j y
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) r'
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, Ii
Waiver Attached: yes,=
no
A building permit may be required
by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compk
r �),f 0(7 i'
tatemerit.on back
(Scale: )
See note on back regarding River Basin rules.
Ic Permit Officer's Signature
'ems
Issuing Date
r1, U6
Expiration Date
Application Fee(s)
_ Local PlanningJurisdiction
IYC
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:
❑ 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:919-733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05
AMA / ❑ DREDGE & FILL M 47393
GENERAL PERMIT Previous permit# -- - C
�ew []Modification ❑Complete Reissue ❑Partia Reiss Date previous permit issued
As authorized by the State of North Carolina, Department of Environment d Na ` ral Resources )
and the Coastal Resources Commission in an area of environmental concern ursua ` to I SA NCAC / d
f�R'ules attached.
Applicant Name �d �'� roject Location: County-______✓t��
Address Street Address/ State Road/ Lot s)
#
City o /�frState ZIP ��
Phone # (?«) �Y3 Fax # ( ) Subdivision
Authorized Agent �y �' f City__. l�v1 f/" C ZIP_
Affected �W El EW 91!rTA Li Es F-,lrTs Phone # () _ River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA El N/A 1 / y -�,/- f i�
[I PWS: ❑ FC:
AEC(s): Adj. Wtr. Body- /" a _ at man unkn)
���
ORW: yes / ® PNA yes / ,d Crit. Hab. yes / no Closest Maj. Wtr. Body_ -
Type of Project/ Activity
Pier (dock) length t I
Platform(s) /Y
Finger pier(s) y
Groin length _
number
Bulkhead/ Riprap length
v A tanc offshore
a g is a �r
max distance offshore - -1
Basin, channel _ - _ i� C - �b } I �r-
:.
cubic yards -
Boat ramp
Boathouse/ Boatlift
�I
Beach Bulldozing '
Other `'
lkJ.
Shoreline Length J C'� .70f
SAM not sure yes�y-
Sandbags: not sure yes
Moratorium: n/a yes t
Photos: y
��.
Waiver Attached: es no -___ l- --r. - -- -- -- -- - - -- - - -- — -- - — -
A building permit may bemired by: mote on back regarding River Basin rules.
Notes/ Special Conditions (D
'L' Y1-'7
Agent or Applicant Printed Name
f.� �✓W /�y � .c � L�-�� � �i r r
f_y1�wt
Permit Officers Signature
r-1'-0 C
n/tr'Jj�
Signaturerl Please read compliance statement on back of permit* Issuing Date Expiration Date
_Jr/ 0 0 , h 0 .4-,-t34)00o `2V/7_ //'w✓--, 6,
RCDENIt
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director Wiliiarn G. Ross Jr., Secretary
August 9, 2006
Foley & Foley Contractors, Inc.
1810 Old Airport Rd
New Bern, NC 28562
Attached is General Permit 47394C, 47393C AND 47385C
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,
tep en Lane
Field Rep
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net
An Equai Opportunity \ Affirmative Action Empioyer — 504k Recycled \ 10% Post Consumer Paper
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
_1
I hereby certify that I own property adjacent to /d O2 .6PA1t4 ✓ 's
(Name of property owner)
property located at SOo A 0Az 17A
(Lot, block, road, etc.)
on �vy ei k wR ► Ot lc in %Cu) /3,cof-4 0 /U,)/z , 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.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be filled in by individual proposing development)
Foley & Foley Contractors, Inc.
Phone#: (252) 636-2515
Fax#: (252) 636-3127
Si ature H.
Print or Type Name
Telephone Number and Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to ✓
—� ! 's
(Name of property owner)
property located at Soo;- �� z r' "' '
(Lot, block, road, etc.)
on ti 2 h wR ' C9Ic, in /JtuJ /32') r ��ii , 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.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be filled in by individual proposing development)
Foley & Foley Contractors, Inc.
(252) 636-2515 Skg-
Phone#:
Fax#: (252) 636-3127
Print or Type Name
Telephone Number and Date
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FOLEY & FOLEY CONTRACTORS, INC. 3412
PH. (252) 636-2515
1810 OLD AIRPORT RD. 66-112/531
NEW BERN, NC 28562 BRANCH 01901
DATEPAY
TO THE 12
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BRANCH BANKING AND TRUST COMPANY
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