49831_BLACKERBY, MICK_20070802

OCAMA / El DREDGE & FILL g � � � .: 4 c.s. �
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous per t 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 i W a o J Street Address/ State Road/ Lot #(s) 0
City «_- ��f State - ZIP
Phone # O 3' ►j Fax # (�)
Authorized Agent ', - -":k
Affected ❑ CW ❑ EW 9 PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no") PNA yes / not Crit.Hab. yes /• no
Type of Project/ Activity
Pier (dock) length r
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 r f f X 3 J r
Beach Bulldozing
Other
Shoreline Length s-
SAY: 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"
-S � i)
Application Fee(s) Check #
Subdivision
City ZIP
Phone # ( ) River Basin i`'
Adj. Wtr. Bodi /unkn)
Closest Maj. Wtr. Body
t4
(Scale: �; )
u
_.�C,( __
0 See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date
Expiration Date
L V CA .IeK
L 0�o.;2-0IC.
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 [)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 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

JUN-28-2007 10:27A FROM:S N BLACKERBY
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behalf, for the purpoxe ofapphin^ forand t,btainin all C_AAIAPerin its neeessary to
at (location)
T pis ecrtificatioo is valid thru (date) Xrq�!®g —
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5
ADJACENT 71777AP-IAN PR07-ERT Y UIVN ER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Nick Blackerby Is
(Name of Property Owner)
property located at 5315 Trent Woods Dr.
(Lot, Block, Road, etc.)
on Trent River in New Bern, NC / Craven Co. , 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. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
- - - - --------------------------------------------------------------------------------------
-------- >iD>Ek&iPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
I (To be filled in by individual proposing development)
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Sign ture
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Print or Type Name
033- 3otz (4), 633-8bt4
Telephone Number
Date:

f
AIDJAC ENT 7,17AP,IAN PROPI IERTY 077N1ER STATEM EN,
(FOR A PIER/MOORING PILINGSBOATLIFTIBOATHOUS'E)
I hereby certify that I own property adjacent to
property located at
on Trent River
(Waterbody)
Nick Blackerby Is
(Name of Property Owner)
5315 Trent Woods Dr.
(Lot, Block, Road, etc.)
in New Bern, NC / Craven Co. , N.C.
(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. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (l T) from my area of riparian access unless
waived by me.
V I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
- ----------------------------------------------------------------------------------------
dDlE�CkIP'I ION AND/Ohl DRAWING OF PROPOSED D EVELOPP SENT:
(To be filled in by individual proposing development)
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Signature
7tcCt J K-z 65 -/
Print or Type Name
vk�2 2('� `f rG v
Telephone Number
Date: % - I c, -y �]

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