31610_KIRK, JERRY_20020507

, i CAMA / DREDGE & FILL
GENERAL PERMIT
New Modification Complete Reissue Partial Reissue
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
Applicant Name ryC'r r _.t f<k r L
Address r lr
C-� '� e-,
City _ __
t r ;
State I`,I— ZIP
Phone # ( ) _
_ `� :.
.- Fax # O
Authorized Agent
u CW
a&
LWtA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
ElHHF
[IIH ElUBA ElN/A
❑ PWS:
❑FC:
ORW: yes / no
PNA
yes /`no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number i---- - -- ----
--
Bulkhead/ Riprap length !
avg distance offshore '
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
Previous permit #
Date previous permit issued
Project Location: County -
Street Address/ State Road/ Lot #(s)
Subdivision
City
Phone # ( )
Adj. Wtr. Body _
Closest Maj. Wtr. Body
Rules attached.
ZIP
River Basin
( at /man /unkn)
(Scale: , , :_.._ )
See note on back regarding River Basin rules.
Permit Officer's Signature L� '
Issuing Date Expiratio ate
Local Planning Jurisdiction 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 / 1-888-41RCOAST
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
151-13 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

FOLEY & FOLEY CONTRACTORS, INC. 1601
MATERIAL ACCOUNT
1810 OLD AIRPORT RD. PH. 252-636-2515
P.O, BOX 3482
NEW BERN, NC 28564 %�_ _ 66-85/531
DATE
AY
TO THE �� ` �-
ORDER OF C4k /
N , . . _� _ „ � 1 $
RBC
Century
RBC Centura Bank
New Bern NC 2656
FOR
II10000 J60 Jill 1:0 5 3 1008 501:0 3900 J6 36 Sill

TO: Tracey Wheeler (Cama)
Fax#: [phone]
Date: April 23, 2002
Page#: 3
From: Foley & Foley (Sandy)
Phone#: [phone]
Fay Ua3 3\a�
Customer Work Sheet
Customer Name: Jerry Kirk Date: Aril 23 2002
Mailing Address: 106 Cypress Rd.
Job Address: Same Phone: [phone]
Adjacent Property Owners
Left Side: White Right Side: Buschhaus
Job Type Description
Bulkhead _ Replace 117'ft long
Dock/Walkway
Platform end of dock
Boathouse
Boatlift/jet ski
Piling
Ramp/Jetty (1) Jettie 20' ft Long
Dredge
Rip Rap
AXE �

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to -r— ' ! is
(Name of Property Owner)
property located at / 0
Block, Road, etc.)
L J R �'t Jiiy► , in �� kj C 9'A,va, , N. C.
(Waterbody) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
2f2
i
ter_
Signature
Print or Type Name
2-52z- `7--47- 7S56-2,
Telephone Number
Date: _ .3 -- .7- Ss — ;L� o v X,

r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _1iKz es rc. ) c 's
(NAme of Property Owner)
property located at
Block, Road, etc.)
on _ /V E, ,iig ; �� u6}� in A)A -j 1, g"Coi N CRAW,), N.C.
(Waterbody) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
N F kc, Lo e,
1� 13
In (f 0
`g - IAJ .✓Z' l'-c�--
Signature
Z . W � --9
Print or Type Name
Z5Z• 1-f 7 - 7-14-V
Telephone Number
Date: �`:-'
Z �' Z Q �'