51069_CHAPMAN, JIM_20070911

O CAMA / I DREDGE & FILL
GENERAL PERMIT Previous permit #
9N-4-w ❑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
J. two.
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Address
City Got
State <`��
r`•- ZIP
Phone # ( ) '� `% �7 t/�/ Fax # (
)
Authorized Agent 1 ,z; j\j\
Affected ❑ CW IOW
p.PTA [TES
❑ PTS
AEC(s): ❑ OEA ❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no PNA
yes / n0D
Crit.Hab. yes / no
Project Location: County.
Street Address/ State Road/ Lot #(s)
Subdivision
i. ZIP •'- i1
City \ Jil L t
Phone # (`) River Basin L�
Adj. Wtr. Body (nat.'/man; /unkn)
Closest Maj. Wtr. Body
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IMMEMEMEMEMSEENON
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Pe it Officer's Signature
Issuing Date Expiration Date
L U9//aSA
Local Planning Jurisdiction Rover File Name

01
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 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.
Raleigh, NC 27604
919-733-2293
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

behalf, for the purpose of applying for and obtaining all '''AINIA Permits necessary to
install or construct (activity) ETA( if X-* 6 /+L L
at (location)
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Intemet: www.nccoastaimanagQment.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Jim Chapman is
(Name of Property Owner)
property located at 101 Sextant Court ,
(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 hat location,
and, I have no o i s o is o osal. I understan t a r/moorin
pilings/boatlift/boat o s i t et ack a minimum distance of 1 of f�et - )f m my area
of riparian access u less waive by m .
I do not wish to waive the setback requirement.
NN jva' e that setback requirement. I N/A
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Bulkhead Repair
Signature
William or Virginia Cam
Print or Type Name-3 /�, C�
Telephone Number
Date: 913 /0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Jim Chapman 's
(Name of Property Owner)
property located at 101 Sextant Court ,
(Lot, Block, Road, etc.)
on Inner Canal , in New Bern, Craven Counter , N.C.
(Waterbody) (Town and/or County)
He has described tome as s o n below, the development e is proposing at I hat location,
and, I have no o1q, i s o is o osal. I understan t a r/moorin
pilings/boatlift/boat o sit et ack a minimum distance oI eff�et - ')f m my area
of riparian access u less waive by m .
wish to waive the setback requirement.
AN fva' e that setback requirement. I N/A
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Bulkhead Repair
� � '�
Signature
William or An Merica
Print or Type Name
Telephone Number
Date:

139
66_71621253A 11
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