59673_DUNCAN, REBECCA_20120104

vCAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New El 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 I SA NCAC
Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
Ci ry St t ZIP
ae
Phone # (i) Fax #
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body jnat /man /unkn)
Closest Mal. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s) tJ
Finger pier(s)
(Scale: r )
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
I
_
(;*
A
—
i
Shoreline Length r
SAV: not sure yes o�
Sandbags: not sure yes no
Moratorium: n!a yes no i
Photos: yes no .:
Waiver Attached: yes ono
r
A building permit may be required by: } f { �'
Notes/ Special Conditions
, I
/
:�, .� if' ; ,: i G j
' XF
i1. i
❑ See note on back regarding River Basin rules.
ft r.
Agent or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date
Local Planning Jurisdiction
Expiration Date
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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

Serial Number
- Year,. Month, Day 'Post Office U.S. Dollars and Cents
TWO NIJt�iC+I�c�}_DOLLARS.
Amount
Pay to '�j N'"'. ,y / • �� •
� Clerk
Address
From
f J
Address
Memo y�� tv X �"
azooeUMW Slat�PWalSe�.All Flights A•seti•d.
SEE REVERSE WARNING • NEGOTIABLE ONLY IN THE U.S. AND POSSESSIONS
li:00000a00 21:
a 9 2 t, ? 40 ? 3 1"211,

viooais n dv-e�
REBECCA DUNCAN N
•,• „ Craven County does NOT warrant the information shown on this map 1 inch equals 190 feet
and should be used ONLY for tax assessment purposes.
1712

North Carolina Department of Environment Resources - Division of Coastal Management
Charles S. Jones, Director
Beverly Perdue, Governor William G. Ross Jr., Secretary
Date 2 '/U
Applicant Name
Mailing Address T,� I w&- - GvFrtl D il
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 or construct
(activity) C�
at location S2 / 4/f 4j?.(xj ce rdr , /7
This cer
Signatu
400 Commerce Ave. Morehead City, North Carolina 28SS7
Phone:[phone]/ Fax[phone]/www.nccoastalmanagement.net
An Equal Opportunity/Affirmative Action Employer
Sno/ Rarvrlarl/1no/ Dnctrr%nc,imcr Danar

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I hemby comfy dw I OWn prlxny adjacent to ze_A . -hJAi eft
(Nam of prop mly Uwncr(s))
Property located
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on 461 "CM ell- - gJ Ar ,yCFAMIC
im
(Wg= body) {Town aatilor )
He has dsm7bed to M as shown below, the dt vekpmmt k is prqx" at tht 1"tiM arA I have W
objections to his propoW. I undtrstand dot a boaftusdbeallifttainoring pilingalpier rnuum be set back a
minnnM di Uw= of 15' frarn my arm of riparian a= unim waived by me.
I do mt wish to waive tt setback rcquimmcnt.
I t!o vwiQh to waive the setba& rcquirt�
DXSf MON ANiNM DRAWING OF rROPQSFD -DjIM .f31sMM:
fTo be filled In by person proposing development)
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