48131_RICHNES, GARY_20070315

❑ CAMA / ❑ DREDGE & FILL n
GENERAL PERMIT V''I Previous permit#
❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natur4l Reso es
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name ' - s i' ti ^� (� Project Location: County
Address -'f�' .� : [. - Street Address/ State Road/ Lot #(s) > 0 II \ k.k + .14 y'v .
City . �,�._ State ZIP
Phone # ( ) {tF > �// Fax # (,) Subdivision
r
Authorized Agent City -k,t' ZIP -
Affected ElCW ElEW ElPTA ElES ❑ PTS Phone # O / River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body /man /unkn)
El PWS: ❑ FC:
ORW: yes / no PNA yes / no ` Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s) ' I J
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
SAV: 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
VC --Al
_.
Agent or Applicant Printed Name
CJ
Signature Please read compliance statement on back of permit
7 .T
Application Fee(s) Check #
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature )
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, certifythatthis 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
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

10
Date �s
Applicant Name
UAL y � i c, JZ x,
Mailing Address
I certify that I have authorized (agent) /i� i��/ TiM i " EIS to act on my
behalf, for.the purpose of applying for and obtaining all CAMA Permits Necessary to
install or construct (activity) K -A& cm
at (location) S Pr van
This certification ' v lid thru (d;
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Intemet: www.nccoastaimanagQment.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Gary Rickner 's
(Name of Property Owner)
property located at 550 Madam Moores Lane ,
(Lot, Block, Road, etc.)
on Trent River , in New Bern, Craven County , N.C.
(Waterbody) (Town and/or County)
He has desc ibed to me as s o n below, the development ie is proposing at I hat location,
pnd,gl have no o NswaZiveAby
oposaL I understand)r/moyring
ilin s/boatlift/boat et ack a minimum distance of if m m area
of riparian access u lm .
wish to waive the setback requirement.
vN ova' e that setback requirement. IN/A
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
DOCK REPLACEMENT
( Same Footprint )
Signature
Edgar or Dorothy Barwick
Print or Type Name
T� E53 2
Telephone Number
Date: 3 - 114.. 0 7

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Gary Rickner 's
(Name of Property Owner)
property located at 550 Madam Moores Lane
(Lot, Block, Road, etc.)
on Trent River , in New Bern, Craven County , N.C.
(Waterbody) (Town and/or County)
He has desci -ibed to me as s o n below, the development I e is proposing at I hat location,
and, I have no o i s o is oposal. I understan Ne
a p r/mooring
pilings/boatlift/boat o ss i st etlack a minimum distance of if�et - ) f m my area
of riparian access u less waive by m .
I do not wish to waive the setback requirement.
votXh f setback requirement. IN/A
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
DOCK REPLACEMENT
( Same Footprint )
61
Print or Type Name
&?12--9r76S
Telephone Number
n
Date:�1�/ `

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