55076_ANDREWS, OWNER_20100106

❑ CAMA / ❑ DREDGE & FILL / /7 49
GENERAL PERMIT Previous permit#
❑New .0Modii1cation ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural i.sources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name v s f;�'.` (�`l�'\rJ Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ''�� ZIP
r`
It�
Phone # ( ) Fax # Subdivision
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
❑ OEA ElHHF ElIH ❑ UBA El N/A
AEC(s):
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
City
ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: ;7 Y'ik - )
Pier (dock) length - --- - -
14
Platform(s) 'r
n
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift i
Beach Bulldozing
Other
I
i
/
=
h
t
Shoreline Length H=L±
SAV: not sure yes no -
Moratorium: n/a es noj
Y
Photos: yes no
Sandbags: not sure yes nowby':�ew
Waiver Attached: yes noA building permit may be required
Notes/ Special Conditions i r r '
.10
j
River Basin
ex
" ^`
❑
���
See
note on back
C
regarding
rules.
(
t•
Agent or Applicant Printed Name - 1 Permit Officer's Signature
Signature t*; Please read compliance statement on back of permit" Issuing Date I Expiration Date
ApplicationFee(s) Check# 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, 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/ 1-888ARCOAST
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

ADJANT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATIIOUSE)
I hereby certify that I own property adjacent toO &�"V 's
(Nitme of property owner)
property located at
(Lot, block, road, etc.)
o -E.0 r , in XV6.0 95enN (22605'J .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 proposing development)
o u 6 � �v
i
L
Foley &Foley Contractors, Inc.
Phone#: [phone]
Fax#: [phone]
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�11UIMRI
Al A -R rN A S: lc 16 R D
Print or Type Name
7 Y3 V�tzej
Telephone Number and Date

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North Carolina Department of Environment Resources
Division of Coastal Management
Charles S. Jones, Director
Date November 18.2009
Applicant Name Owner Andrews
Mailing Address 103 Trent Shores Dr
New Bern, NC 28560
I certify that I have authorized (agent)_Folev 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) Same
This certification is valid thru (date) —(I) year
Signature
William G. Ross Jr., Secretary
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]/ FAX: [phone]/ Internet: www.necoastalniana�zement.net
An Equal Opportunity/ Affirmative Action Employer-501/oRecycled/t 0% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTBOATIIOUSE)
I hereby certify that I own property adjacent to Owner Andrews 's
(Name of property owner)
Property located at _ 103 Trent Shores Dr. ,
(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 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)
Drawing Attached
(Applicant Information)
103 Trent Shores Dr
Mailing Address
New Bern, NC 28562
City/State /Zip
_252-633-3197 _
Telephone Number
December 8. 2009
Date
Foley Contractors, LLC.
252-229-6467
[e-mail]
or
Date T
Owner Information)
3T ---1)--4'`7z'

ADJAONT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A '�ER/1VIOORING PILINGSBOATLIFTBO��ATHOUSE)
I hereby certify that I own property adjacent to 's
(Name of property owner)
property located at
(Lot, block, road, etc.)
in r4t) /�i jU CZ4401;'J .s 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/boatlifdboathouse 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 belledin by individual proposing development) '
r-
zo
j�
�s
Foley & Foley Contractors, Inc. ✓ 2 Q
Phone#: [phone] Signature
Fax#: [phone]
/11A-ft� A S' ltJf)R i�
Print or Type Name
Telephone Number and Date

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Serial Number
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16871373797
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