35202_GENT, BILL_20030916

❑'CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New l❑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
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) Fax # ( ) Subdivision
Authorized Agent City ZIP_
Affected CW i EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
ElOEA ❑ HHF ❑ IH ElUBA ❑ N/A
AEC(s): Adj. Wtr. Body_ _
PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
O Rules attached.
nkn
Type of Project/ Activity / /
5 Xio 0•i �- Q►x� �� fC/Z CpVCneo� d4��*V (Scale: )
Pier (dock) length
(
Platform s �Or
❑d
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards Spy
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
1 t
Shoreline Length ie
SAM not sure yes no�-
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
--Vit�'F I-c_I
Agent orApplicant print dd Name
Signature Please Lrea
)d compliance statement on back of permit
Application Fee(s) Check #
C 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
El Tar - Pamlico River Basin Buffer Rules ❑ Other:
tCl 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 / 1-888-4RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 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
NEW BERN, NC 28564
PAY
TO THE
ORDER OF cam- -
-�� CCU —
2624
66-85/531
DATE 04 1 b
I $ Q oo . oo
DOLLARS @ E—
RBC
= Centura
BBC Centura Bank
M_ t
M • New B n, NC 28560
FOR _ - C L ��� - �_" _ m''
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09/11/03 08:41 FAX
201
TO: Tracey Wheeler (Cama)
Fax#: [phone]
Date: September 11, 2003
Page#: 3
From: Foley & Foley (Sandy)
Phone#: [phone]
Customer Work Sheet
Customer Name: Bill Gent Date: September 11, 2003
Mailing Address: 1611 Cooper Rd. Alliance, NC 28509
Job Address: Phone: 7455U9
Adjacent Property Owners
Left Side: Jones Right Side; Keel
Job Type Description
Bulkhead
DockJWalkway 5'fit wide 150'ft lone
Platform end of dock "L" 8'ft wide 16'ft lone
Boathouse over dock 81ft wide 8'ft lone
Boatlift/jet ski
hmp/je"
Dredge
Rip Rap

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Complete items 1, 2 and 3. Also complete
Item 4 it Ae6hicted Deliver), Is deslmd.
■ Pr -d your name end address on the revar9e
so that we can return the card to you.
■ Attach this csfd to the back of the maRplaoe,
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-fir__ 285�. � .
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09/11/03 08:41 FAX
.FROM FAX NO. : 7579SE2M3
Z03
Sep. 09 20M 00:2t3AM Pi
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOOR INC, PILIN(-.S✓BOATLIFTIBOATHOU SL)
I hcrcby certify that 1 own property adjacent to Q. � �, ��.,i`T' s
(Name of property owner)
property located at ga%- )Rf 13 y y sR
(Lot, block, road, etc.)
on S..7k �ila� s , in ���-i�,� r. .N �' �$ , L c a , 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, l have no objections to his proposal- I understand that a pier/mooring
..pilings/boatliftlboathouse must be set back_ a a±inimum distance-ef fifiecn feet (15') from
- — my area of riparian access unless waived'by me.
t/ I do not wish to waive the setback requirement_
I do wish to waive that setback requirement
DESCRIP'UON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be UZed in by Indlvidual proposingdeiAel } `
So ETC �asr 1' r �a u> 1
Foley & Foley Contractors, Inc_
Phone#: [phone]
Fax#, [phone]
ature
Print or Type Name
Telephon�17um�bcr d ate