56001_CORICE, DREW_20100621

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❑CAMA / ❑ 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 cx- I ` !j t } Street Address/ State Road/ Lot #(s)
City ��� �.{N State ZIPS^
Phone #( Fax # Subdivision _
Authorized Agent` ^ '-City�'(i ZIP �(f1
❑ CW -N PTA El ES ElPTS Phone # ( 7 River Basin
Affected j 12 N f �/
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body .(_nat'/man /unkn)
❑ PWS: ❑ FC:
ORW: yes) no PNA yes / no.' Crit.Hab. yes / no
Closest Maj. Wtr. Body `(` t t { �A
Type of Project/ Activity 1`1
0 U C,;
) I
(Scale: CJ
Pier (dock) length
Platform(s)
Finger pier(s) .�
.-
Groin length
-
-
number
—
--
Bulkhead/ Riprap length
avg distance offshore
-
max distance offshore
-, —
—-----�y
Basin, channel
cubic yards
Boat ramp
_e
Boathouse/ Boatlift:
Beach Bulldonng
i �
-'!.
�js✓ �
:j � : ^ a
Other f a
r JS
� i
IL
Shoreline Length
SAV: not sure yesrnp
Sandbags: not sure yes)
_..
Moratorium: n/a yesno
t
Photos: yesno
7-
Waiver Attached: yes , Y
A building permit may be required by:
See note on back regarding River Basin rules.
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Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permi �f ���
' /f'!� J- f i'
Application Fee(s) Check #
r cnnwuiycpis �� c
Issuin Date Expiration Vate
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Local Plannine lurisdiction 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
Iandowner(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 consistentwith 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

North Carolina Department of Environment Resources
Division of Coastal Management
Charles S. Jones, Director
Michael F. Easley, Governor
Date
Applicant Name
Mailing Address 1 �2
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)
,,- -
at (location) 'c` e
This certification is valid th (date)
SignaturV
William G. Ross Jr., Secretary
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]/ FAX: [phone]/ Internet: www.nccoastalmanagement.net
An Equal Opportunity/ Affirmative Action Employer-50%Recycled/10% Post Consumer Paper

ADJA;ONT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A 'ERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Dd2.rz&L
(Name of property owner)
property located at Ry , 4 b
(Lot, block, road, etc.)
on (� f'�-� 1� - , in _ _ r_ V �..�.c� 'J � ✓ �/�9 BIZ- 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, 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.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be filled in by individual propo,�ing development)
1L
v�
AS,
t-lour q
d- 4 4
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax#: [phone]
Signature
Print or Type Name
Telephone Number and Date

ADJA4NT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A AJER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to / may? Gtp 's
(Nime of property owner)
property located at 166 V1 ���1h-w
(Lot, block, road, etc.)
on , in ,/%J h-�'isiy Csc�/� 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, 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.
JI do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be filled in by individual proposing development)
Q'U
4 �
— % --F-
YXlx6"\
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax#: [phone]
Signaturt-
Print or Type Name
Z(ti (3i - 7-1,37
Telephone Number and Date

411-%-& Vivision of Coastal Mgt, Habitat Impact Computer Sheet
Applicant: Drew Corice
Date: June 21, 2010
General Permit #: 56001 C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts) —impact
amount)
temp impacts)
amount
OW
Dredge ❑ Fill ❑ Both ❑ Other ®
420
420
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
MB 8- B .. 1- -4' .. www.nce tat a t. at revised; OZ031110

Serial Number
17346636821
Memo
02008 Ueited Slales Posted Service, All Rights Reserved.
1:000001300 21:
L 73466 368 2 I'll
U.S. AND POSSESSIONS