33942_FOSCOLO, GLONA_20030502

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DGE & FILL
PERMIT
L INew 1 ]Modification ]Complete Reissue L iPartial 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_
. l"bd 1 i
Previous permit
Date previous permit issued
I❑ Rules attached.
Applicant Name (> 2A F0S(-010 _ Project Location: County-_______
Address (` ',(; Street Address/ State Road/ Lot # s
City y , t , a `,f C State ---- ZIP i y._• - ---
Phone # (i } �t Fax # (_) Subdivision
i
Authorized Agent 1+tii i t<.. K-4' City_ __ _ __ ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) _ River Basin
AEC s : [IOEA ❑ HHF ❑ IH ElUBA ElN/A Adj. Wtr. Body,------
_gnat /man /unkn)
El 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)
or Applicant Pring6d Nafne
Signaturkl Please read compliance statement on back of permit*
Application Fee(s) Check #
0241, 4 5 7- 'Co
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:
❑ 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 Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
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

OANKS MARINE CONSTRUCTION
1501 FIRST AVE p Q Q
MOREHEAD CITY NC 28557 BRANCH BANKING AND TRUST COMPANY 5 8 8 9
[phone] MOREHEAD CITY, NC 28557
66-112/531
6 PAY TO TH
4/28/2003
ORDER OFb.E N R.
One H n re n 00/100********* * ** 400.00
*********************** ********
D•E.N.R. DOLLARS
< I
MEMO �CSI`0� 1 Used h
111005BB911° 1:053 1011 211: 1 23 10 15 29511l

. 04%Z4.; 03 16: 43 FAX [phone] bL4NNING FIrLTOV& S*'T`-�T`R C�001
ADJACENT RIPARLLN PROPERTY OWNER STAMIENT
(FOR A, PIER/MOORING PILmGSIB0Anm-rlBOAmouL ,E)
I hereby certify that I awn proper ry adiacent tot 4Z6 Y�, coc t;§
(Name of Propertv Owner)
property located at
(Lot, Mack, Road, etc_)
on r , in 1�� 1 (.�1� �► �u , N. C.
aterbody) (Town and/or County}
He has described to me, as saown below, the development he is proposir.a-, that location,
! and, I have no objections to his proposal. 1 understand tha_ a pier/mooring
pilinQs<bozdift/boathouse must be ser back a minimum distance of fiiteerf feet (lJ�-) from my arem
of rpa_rm, access unless waived by me.
I do not wish to wa to the setback requirement.
I d_Q wish to wove teat setback requirement.
DESCRIFftON ANIVOR DRAWENG OF PROPOSED DEVELOP`fEN-T:
(To be filled i`nrby individual proposing deveropraent)
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Print or Type Name
Telephone Number
Date:

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�� 04/24/Oa 16:44 FA.X 919 781 0811 bi91VNING FLrLTON & SKIh-NER . 002
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1501 First Avemm.Moteh-ead City, ?4C.28557
052) 240-2525
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Cs�oSs
(Name of Property O ner)
property located at
(Lot, Block, Road, etc.)
on �� � in
imnN.C.
( aterbody) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
I I 10 0� in
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-------------------------------------------------------------------------------------------------------------
Signature
1441's the. ?le-Q S4Lnt1
Print or Type Name
?? ?34- 913-7
Telephone Number
Date: