31612_KIBBE, CECILIA_20020508

CAMA DREDGE & FILL ✓
d Iff N2 31612C
GENERAL PERMIT Pre sous permit#
New 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
D Rules attached.
Applicant Name _L�C
Address -` C, 9 ur,, r
City ] -,� � ( A Statet,—V ZIP ,;�5e-,
Phone # Fax #
Authorized Agent
Affected 0 CW EW D PTA LJ ES El PTS
AEC(s): [:1 OEA El HHIF El 1H D UBA [I N/A
E PWS: F- FC:
ORW: yes / no PNA yes / no Crit. Hab. yes no
Type of Project/ Activity
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
ZIP
Phone # ( River Basin I " :, C-
Adj. Wtr. Body Cr, r t"tz', -(nat-/man Junkn
Closest Maj. Wtr. Body
(Scale:
Pier (dock) length_
Platform(s)__
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore.
Basin, channel
cubic yards__
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM notsure
yes
no
Sandbags: not sure
yes
no
Moratorium: n/a
Photos:
yes
no
yes
no
Waiver Attached:
yes
no
A building permit may be required by: El See note on back regarding River Basin rules.
4,
Notes/ Special Condition, (� —�-- - 'I
Agent �Iicant Print Name
'fu
Signaturi" "Please read complial4ce statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
J
Issuing 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 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:[phone]
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)
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)
Revised 10/C

MARY ZW E (a-rtr s 1 WS 3794
C-4-61LIA 9f88c GG?WS14917-
FOLEY & FOLEY CONTRACTORS, INC.
1810 OLD AIRPORT ROAD PH. 252-636-2515
P.O. BOX 3482
NEW BERN, NC 28564 66-85/531
DATE
PAY _ TO THE $ u ? Q Q Qv
ORDER OF ` r+
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�= Centura Bank®
New Bem, NC 60
FOR 444a�� m
II'0000 3 7 9 411' l:0 5 3 LOOK 50':0 3 900 L 6 2 501I■
Fay.
DOLLARS

ADJECENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERWOORING PILING/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent .t _ s C r (,I-, r�
(Name or property owner)
Property lacated at 3 6 9 Dr')(oA) DDike ✓Z°
(Lot, Block, Road, ect )
on in —VA/U2&%1l�:iQ8 N.C.
(Walerhody) (Town and/or County)
He has decrided to me, as shown below, the development he is proposing at that location, and,
have no objections to his proposal. I understand that a pier/mooring piling/boatlift/boathouse
must be set back minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me.
I do not wish to waive yhe 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)
T, -Q, iqq--k
Sot
I
Print or Type Name J
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Telephone Number
/I; I.0 l-
Date Foley & Foley Contractors

ADJECENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILING/130ATLIF'T/I30ATIJOUSE)
I hereby certify that I own property adjacent too'eC. { 1& -P..'
,L _kE;s
(Name 4pml,my mvncr)
11toperty lasted al -D I, X010 D&I-vim
(I.M. Block, Road, ect )
441(5&�XeJ4 IN C
\ a c h.chl JoN�n an'V'm
He has decrided to me, as shown below, the development 1}e is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring piling/boatlift/boathouse
must be set back minimum distance of filleen feet (15') from my area of riparian access unless
waived by me.
I do not, wish to waive yhe 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)
�cet- at 444E t5fid C4(fe
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CJt�'o��'fRuc7 � � �w
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Signatu�eo —
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Print or Tylk Name
76-7-3yd- q /91"
Telephone Number
Dale
Foley & Foley Contractors