33125_DEMBART, GARY_20030131

� ^ '❑ CAMA / ❑DREDGE &FILL
GENERAL PERMIT Previous permit'#
❑New ❑.Modification ❑Complete Reissue CPartial 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
Applicant Name
Address i„
i � r-. t 7
City ! Ni r ,
State ZIP
Phone # ( )
Fax # ( )
Authorized Agent
Affected ❑ CW
❑ EW D-PTA DES ❑ 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/ Rip
avg dista
max dist
Basin, channel
cubic yas
Boat ramp _
Boathouse/ Bc
Beach Bulldoz
Other
Shoreline Leni
SAM nc
Sandbags: nc
Moratorium:
Photos:
Waiver Attach
❑ Rules attached.
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
(Scale: tom,, c_ )
A building permit may be required by: �_ f fit- \i('r-� } n [ See note on back regarding River Basin rules.
Notes/ Special Conditions ` I y f <<
btu 1k�1e n/ (Y1Ci.�t LX t��CICC� %iU ))(ir C / 17i _� L('4 �PILC �: !� / . N (t Il J
rc,;r`o-l!?r�; G pJl�s
Agent or Applicant Printed Name!
Signature ** Please read compliance statement on back of permit
Issuing Date Expiration Date
Application Fee(s) Check # 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, certifythat 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 (910-395-3900) 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
1810 OLD AIRPORT RD. PH. 252-636-2515
P.O. BOX 3482
PAY
NEaBERN, 564
TO THEORDERF
2146
DATE
66-85/531
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01/21/03 11:10 FAX 01
TO: Tracey Wheeler (Came)
Fax#: [phone]
Date: January 21, 2003
Page#: 3
From: Foley & Foley (Sandy)
Phone#: [phone]
Customer Work Sheet
Customer Name: Gary Dembart Date: January 21, 2003
Mailing Address: 1616 Madams Moores Ln. New Bern, NC 29560
Job Address: phone: 63,7.9552
Adiacen t Property Owners
Left Side: Bob Mattacka Right Side: Clew Bern
Danny Meadows
Job Type Deseriptioa
Bulkhead 4561ft see attached Drawing
Dock/Walkway
Platform end of dock
Boathouse
Boatliti/jet ski
Piling
RampUctty
Dredge
Rip Rap.
o 1 3I l0 P\,

01/21/03 11:10 FAX 02
A - o�rl- F�61D)�
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkhead/rip rap)
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at I (a I% )3 jj:!�cA_ _-cy_rfRle ,Q,Q
(Lot, Block, Road, etc.)
on , in (3a ,CZAyBi-� , N.C.
(Water 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) Al
a'
Foley & Foley Contractors, Inc_
Phone#: [phone]
F'ax# [phone]
rnnt or i ype Name
( J t -y z )
Telephone Number
1 r
Date

01/21/03 11:10 FAX
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