48413_TOWN OF RIVER BEND_20070405

. ❑CAMA / ❑ DREDGE & FILL W13
GENERAL PERMIT Previous 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
❑ Rules attached.
Applicant Name , C-\ `' '. fiv Project Location: County
Street Address/ State Road/ Lot #(s) (;
Address �=
City - State ZIP
Phone # O - Fax # O
Authorized Agent
❑CW ❑EW ❑PTA
Affected AEC(s): [IOEA ❑ HHF ❑ IH
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no
Type of Project/ Activity
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
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
Agent or Applicant Printed Name
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Subdivision
City ZIP `
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
1 _7
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/ 1-888ARCOAST
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

Date
Applicant Name Lo-yi of —Rinh- &nj
Mailing Address�Je
I certify that I have authorized -(agent) _ [Arr77rY1 e% ['r tS L40, to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) &dk6aJ Le An ; y-
at (location) 0o rr\ rr10 �A 4r e u n 4P
This certification js-7alid. thru (date) 3 .2& - aoog
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: vwvw.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Rec/cled 110% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Town of River Bend 's
(Name of Property Owner)
property located at Common Area Channel Run
(Lot, Block, Road, etc.)
on Inner Canal , in New Bern, Craven County , N.C.
(Waterbody) (Town and/or County)
He has described to me as s o n below, the development e is proposing at at location,
and, I have no o i s, o isloposal. I understan ta p r/mooring
pilings/boatliftlboat o ss i_t etacka minimum distance of i of f/et - ')f m my area
of riparian access u less waive by m
wish to waive the setback requirement.
vN jvXh f setback requirement. IN/A
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Reface Bulkhead
John or Cheryl Lawrence
Print or Type Name
' 3 7- 3 0 C,
Telephone Number
Date: 3 ` Z 0 - e 7

MAR-20-2007 11:24 ERRC ARS USIA - _ 215 233 6777 P.002
a. �., •ter ��.��r. ..,,e W.�..,,,.,_.
ADjA.CEN'T WARYAN PROPERTY OWNER STATEMENT
(FOR A PIMMOORMG PIUNGS/BOAT"FTIBOAToo USE)
I hereby certify that I own property adjaccnt to Town of River Bend 'S
(Name of Property Owner)
property located at _ Common Area ha^A 1_Run - -
(Lot Block, Road, etc.)
on ___--Inner Canal , in Tiew Bern Craven tyounry , N.C.
(Waterbody) (Town and/or County)
He reno
desc i e to me as s to n below, the development a is Propos- at at location,
and, I hao R� possal. I understanda p' r/mooring
piiingslboa#Iif/ k a minimum distance of 1TWA, m my area
of riparian access less wary by to
I do not wish to waive the setback requirement
I �rAthf setback requirement. N/A
Tj$SGRIP CIQN AND/OR DRAWING OF PROPOSED DEVELOPMENT
C.ro be filled in by individual proposing development)
Reface Balkhead
gjjpde or Marcella Crawford
Print or Type Name
Tclephonc N7S/i
Date;
TOTAL P.002