54313_HAGGETT, DENNIS_20090806

C'CAMA / ❑1 REDGE & FILL
EN L PER
MIT RM T Previous permit #
❑New odification ❑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
❑ Rules attached.
Applicant Name
Address
CityState ZIP
Phone # O Fax # O
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA i HHF IH
❑ PWS: ❑FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
UBA i] N/A
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn�
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date , E#ation Date
Local Planningjurisdiction 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
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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 08/09/06

North Carolina Department of Environment Resources
Division of Coastal Management
Charles S. Jones, Director
Michael F. Easley, Governor
Date June 8.2009
Applicant Name Dennis & Christine Haggett
Mailing Address 1305 B St
Bridgeton, NC 28519
I certify that I have authorized (agent)_Foley Contractors, LLC to act on my
behalf, for purpose of applying for and obtaining all CAMA Permits necessary to
install of construct (activity) Dock ,
at (location) (1) vear
This certification is valid thru (date)
Signature.
William G. Ross Jr., Secretary
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]/FAX: [phone]/Internet: www.necoastalmana<temeiit.net
An Equal Opportunity/ Affirmative Action Employer-50%Recycled/10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to N11, 15 f C6;!s irlf, d� 2� T� 's
(Name of Property Owner)
property located at i305_R, s� • �3rl�aei NG a 5J9
(Lot, Block, Road, etc.)
on RIUei , in _ C' Yh cw"44 N.C.
(Waterbody) (Town and/o4 County)
Applicant's phone #: �21• 00 Mailing Address: 1505 a - s t
J3_ 1 as Qiv►� JV C. � 4s SI �
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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
/I do not wish to waive
�-1`6LJ V I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
. t c ice'`-
1
(Information for Property Owner Applying
for Permit)
,6 � 0y+ 9J
Mailing Address
pew 5&- N c. a S3bg
City/State/Zip
a sa- a;LI - i 7
Telephon tuber
4/
Sign Date
------ ---------------------------------------------
(Riparian Property Owner Information)
Signature iGtfl S filctl br
13\ DV L511 a Nam
2, Co3q , 3(q 11
��Teleph e Number
Wnn 710
Date

02/28/2009 08:11 1 /b/12811441 VA NU SE -UUD 1NU Nate 01
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(POPA PIERIMOOJUNGPILINC,"oAnznmoATmou L) il'y tha'i i own property adjacent to tj p. alAiAnC. �1e4 's
(Name of Property OW tr)
ley locate at 57R N
(LOt, Blocks lftax►d, etc.) -
onG'td3,p l�li in-- N,C.
(Waterbody) ('i'awa a,��tro eras )
Appiicant'a phone #:, MMajlling Addcew: 1305' a, ST
life has described to try:, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. f understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (i 5) from my area of riparian ssz unless
waived by me. (if you wish to waive the setback, you roust initial the appropriate blank
Wow.)
I © ant wish to waive -�---.--
1 !k wish to waive that setback requirement.
DESCRIMON AND/OR DRAWING OF PROPOSED
DEVELOPMENT. —(To befltled In by ladh►ldaal proposing deMop►wW)
rL
� �d
0h
(INformadon for Property ONaer Applying
tar Permit) g
A10yl A;Tt-!-
Mailing. Adddress
P � 'V
City/State/Zip .—..
2 S4- A29.44(1
Telephono4ft.mber
Sign p,
J \^
(Riparisn Properly owner in%mation)
sigasttir0
- Print or Type Name
asS ' 38Y'-/
Tekphme Number
its

DANIEL JOSEPH FOLEY JR. 5239
GLENDA T. FOLEY 66-21/530
300 Fort Rd. q BRANCH 776 e
New Bern, NC 28560
Date
gto
irder of e $ a 00, 0c) Dollars
WACHOVIA
Wachovia Bank, N.A.
wachovia.c
F,.
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I:053000 2 191: 10 10 1968? 23 1 5 239
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35i30/1999 20:48 17577280441 VA NC SEAFOOD INC
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PAGE 02
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01/30/1999 20:48 17577280441
r ;
ADJ NT RIPARIAN P1tO�PER'TY OWNER STATEA�NT
(FORA.RAIOORING Ply)7VG►SB6ATLIF IBOA7"Hi USA)
T hereby c4irfify that I own property Iliddjexxnt to -� 's
(Ndme of propft owner)
pmpe ty located at l�
1.1A NC SEAFOOD INC
rand, etc,)
o in A)Lam.& . N.C.
(Water body) (ra wrn anwer county)
He has describer) to me, as shown t elow, the .developtnent he is proposing at that
location, and, I have no objections to his Ooposal. I understand that a pier/mooring
pilings/boatlift/boathouso must be set back a minimum distance of flfb mn feet (15') from
my ma of rip um access unless waived b� me.
I �nish to waive the ack requimment.
I do wish to waive that setback requimment.
DF,SCR MON AND/OR DRAW*G OF PROPOSED DEVELOPMENT:
(to be, filled I by bWi►udpmposfn$ 'ram) T
Foley & Foley Conb'actc o' Inc.
Phone#; [phone]
Pax#:[phone]
Fjdry
Print or Type Name
Telephone Number and Date
PAGE 01