54153_CITY OF NEW BERN_20090825

❑ CAMA / ❑ DREDGE & FILL �j P
GENEkAL PERMIT ( Previous perr�it0
[-]New ❑Modification ❑Complete Reissue ❑Partial Reissue y 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 Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) Fax # ( ) Subdivision
Authorized Agent �__....�.
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platf
Finge
Groin
Bulk
Basii
Boat
Boat
Beac
Othi
Shor
SAV
Sanc
Mor
Phoi
Wain
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: ; ( i : c )
orm(s)
r pier(s) _ _— — _ —
length i
I
number
lead/ Riprap length /
avg distance offshore _.
max distance offshore-
,channel— i
— C I'
cubic yards Cao�
1 1111//
ramps
louse/ Boatlift Iv
n Bulldozing —I — �ar CQi f `G7�' -
r
Bline Length
not sure yes no
nags: not sure yes no
Corium: n/a yes no
x: yes no
er AttarhPd ves nn
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Nan)e ;i /
Signature 4 Please read compliance statement on back of permit
Application Fee(s) Check #
See note on back regarding River Basin rules.
Pet ficer's Si nat ure
�i
Issuin Date J Expirathn Date
Local Planning Jurisdiction
Rover File Name
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Nan)e ;i /
Signature 4 Please read compliance statement on back of permit
Application Fee(s) Check #
See note on back regarding River Basin rules.
Pet ficer's Si nat ure
�i
Issuin Date J Expirathn Date
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, 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/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604 New River Inlet- and Pamlico Counties)
919-733-2293
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)
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

Nct or
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C/rx o`t cui A?ouI s
/ ((Name of Property Owner)
L
property located at ffwSC� IT %�'/T�
(Lot, Block, Road, etc.)
on in %V Pik &44' , N.C.
(Waterbody) (Town and/or County)
1pplicant's phone #: 3��� S g9� Mailing Address: /4 A!nL 11,2?
J(l e4,1 /Q22sJy & Cam.
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 property owner proposing development)
AqleL
�ti r
�-IL
(Information for Property Owner Applying
for Permit)
Mailing Address
AJ z") , rv&
City/State/Zip
Telephone Number
griatur _ i Date
(Riparian Property Owner Information)
Signature
Print or Type ame
Tele hone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C/ry 0'1' Y nu7 PJezIJ s
N meamea of Property Owner)
property located at
i clteo'�-
(Lot, Block, Road, etc.)
on _1_ 404 Nt ll�1Z — ��t g. in I � W N.C.
(Waterbody)Q '/ (Town and/or County)
Applicant's phone #: .31// ' S g9`7 Mailing Address: f4 .
Ne4.✓ ry L.
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 property owner proposing development)
-0--/ �Alvo-f— G&/
y�4 N ewtz- 0zC)
�0'F
w �w NO 'F
s S L c- y
-- N- _--------U---- -L ---�_
(Information for Property Owner Applying
for Permit)
k gax //z 9
Mailing Address
AJ et") 9.e� , yyc a�'s'6 3
City/State/Zip
Telephone Number
gn ture � �j / Date
(Riparian Propert er Information)
J Signature
Print or Type Name
-0 3S 1
Telephone Number
?I I a--cr /60r---
Date

CITY OF NEW BERN 1541
NFIRST CITIZENS BANK
NEW BERN, NC 28563
fiistcitizens.com
66.301531
111
DATE 06 l 18l09 CHECK NO. OO 1557783
c-5��7 8 3
THIS DISBURSEMENT HAS BEEN APPROVED 1"
AS REQUIRED BY THE LOCAL GOVERNMENT
BUDGET AND FISCAL CONTROL ACT.
AMOUNT OF
WO Hundred & QO/100*#tt##�r**�r*+rarr�r#�r�r+ter#****�r�►**+t+�a�*�r
PAY TO THE
ORDER OF
NC DEPT ENVIRONMENT & NATURAL RESOURCES
DIVISION OF COASTAL MGMT
ATTN: ARTHUR STADIEM
400 COMMERCE AVENUE
M%RA�-:9I9si19AygITY NC 28557
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DOLLARS o
F'„"'$t �!(C 0--IEii.'Lij
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-- - -� k 4�"O. 00 USD
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CITY MANAGER OR ACCOUNTING MANAGER
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Afl�,v 6 ,SCAIRECTOR OF FINANCE
AUTHORIZED SIGNATURE
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11■ 15 7 78 3110 +:0 5 3 100 300':00 1 1 1 240 548 211■
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