38094_FULCHER, BRENT_20040406

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10 1.11 A
LCAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
QNew ❑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
DRules attached.
Applicant Name J `. %1,e,✓
Address
State X,iC
ZIP
Phone # 3'7. U i S Z Fax # ( )
Authorized Agent/
Affected ❑ CW ❑ EW
k"A ❑ ES
KPTS
AEC(s): ❑ OEA ❑ HHF
❑ IH ❑ UBA
❑ N/A
❑ PWS:
❑ FC:
ORW: yes / 'no PNA yes / no Crit. Hab. yes / no
Project Location: County �'�'/�✓ „i
Street Address/ State Road/ Lot #(s)
Subdivision
City 'V-<J /ae, ZIP ?f t
Phone # (" C Z) S'' RiverBasin
Adj. Wtr. Body iiN :: ,�i -✓".- ati/man /unkn)
Closest Maj. Wtr. BodyJ'f
Type of Project) Activity ­ J-141 [,,.•r./ 4)4-
r (Scale:
Pier (dock) length 6
Platfc
Finge
Groir
Bulkl-
Basin
Boat
Boati
Bead
Othe
Shory
SAM
Sandi
Mora
Photo
Waiv
�1t
r pier(s) 5 Y =' s
'
I
ilength
number
lead/ Riprap length
avg distance offshore
!.___..
'`
�I
_
�,Si
max distance offshore i
_
_
_
__
_i_
—A.
—I
,channel
-
cubic yards
ramp
1
louse/Boatlift
or
ry
1 Bulldozing77
f
Ir
-line Length 106
no
E
r
--
not sure yes
Sags: not sure yes no
torwm: n/a yes no
>s: yes no
ar Attarhed- ves nn _
r ,I—
T
Ii—
1
-
_----
'
A building permit may be required by: /,�ii`_. ',�•
i
Notes/ Special Conditions
(Agent or Applicant Printed Name ft
Signature * Please read compliance staten5e on -ackof permit
Application Fee(s) s" d u K - 00 Check#
ASee note on back regarding Rives/ Basin rules.
Permit Officer's Signature
Al %/< v
Issui Date Expiration Date
Local PlanningJurisdiction 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 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 (910-395-3900) 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

2913
FOLEY & FOLEY CONTRACTORS, INC.
MATERIAL ACCOUNT
1810 OLD AIRPORT RD. PH. 252-636-2515 66-85/531
P.O. BOX 3482
NEW BERN. NC 28564 DATE
PAY
TO THE
ORDER OF --
DOLLARS
0
L�M RBC
Centura
A
RBC Centufa Bank 6-pl r 093
NP
B NC 2856tf
tau
38095
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00000 29 1311' 1: A

Apr 01 04 10;54p Kim Fink 1-252-633-0191 p.1
04/01/04 08:27 FAX zaf
ADJACENT RVAWAN PROPERTY OWNER STATEMENT
(FOR A PIER MOORMG PHJWGTi/BOAT LIFIY,BOATHOUSE')
I hereby certify that I own property adjacent to Brent & Cathy falcksltr 's
(Nacre of property owner)
Property located at 642 Goose Creek Rd
(Lot, block road, eta)
on Trent River , in New EMEM t • N C
I M
Meter body) ('re" =W"r co"ity)
lit has deseribed to tne, ss shown below # the damelopss u% be is prop"M% at that
Ircatiog and, I -have ao objections to his prt poss). I u ndemtand that a pier/mooring
p'ilings/boatli&/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 requitement.
i I do wish to waive that setback mquitement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be JJlled in by in&vUUW proposing sing doWbPrreMI)
'Foley &'Foley Cant w"Aors, Im.
Phow* [phone]
Fwc* : (?.52) 636-3127
�'�a k"-x- (1- *
si
(A AESN )t\�' -- V:: �'- � �
Print o7 Type Name
Z'=Z-
Telephone Number and Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
y ' (FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Brent & Cathy Fulcher 's
(Name of property owner)
property located at 642 Goose Creek Rd.
(Lot, block, road, etc.)
on Trent River , in New Bern/Craven , 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 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 proposing development)
Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax#: [phone]
Signature
Print or Type Name
4/7-jo¢
Telephone Number and Date

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