41180_BURNS, CHARLOTTE_20050405

_CAMA / !- I DREDGE & F.'wtL V� �� "•�,
GENERAL PERMIT `� "
Previous permit #
IMEI New LIModification L 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 I SA NCAC
/ ❑ Rules attached.
Applicant Name !_ 11�2 r , T1.4 ,d �, ; ,t,; Project Location: County_ r_
Address / 7 ! f r' A,/ c C <' S ��� _ Street Address/ State Road/ Lot #(s)
City A40 it �,c ' Y ,V' State .06 ZIP
Phone # (__) Subdivision
t� Xlo { 4 City— ��' S Ci <� --
Authorized Agent � _ ZIP_
1-1 CW PW p'PTA ❑ ES ❑ PTS J::Phone # ) i' ' r; l River Basin
Affected
L_ OEA ❑ HHF E IH ❑ UBA ❑ N/A
AEC(s): C] PWS: ❑FC: Adj. Wtr. Body--------- n man/unkn)
ORW: yes / no PNA yes / no ; Crit. Hab. yes / no Closest aj. Wtr. Body
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
ramp
louse/ Boatlift ►' % 7
Beach Bulldozing
Other
Jh7 i /
A_ (Scale:
--7--
if t
Shoreline Length I
SAM not sure no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no i
Waiver Attached: yes ` no -
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions f
Agbnyfor A Iicant P inted Vame
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
- '% - 5
Issuing Date Expiration Date
L-Z)3-?b-12�
Local Planning)urisdiction Rover File Name

q
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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / I-888-4RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER /MOORING PILINGS I BOATLIFT /BOATHOUSE)
I hereby certify that I own property adjacent to Mr. & Mrs. Charlton Burns +s
(Name of Property Owner)
property located at
5217 Trentwoods Rd.
(Lot, Block, Road, ect.)
on Trent River , in Trentwoods Craven , N.C.
(Waterbody) (Town and / or County)
He es b to , as shown below, the developm a pr osi at that
locatio h e n "ections to his proposal. I unde a Alf,,
ring
pilings bo t o must be set back a minimum ist a (15')
from rea o ri 'a ess unless waived by me.
w Avt
the setback requirement.
N/A
s to setback requirement.
DESCRIPTION AND / OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by indii+idual proposing development)
( See the attached drawing )
Print or Type Name

Oliver
Property
Medford Marine Contractors
410 Church Rd.
New Bern, N.C. 28560
Phone: [phone]
( Scale: V = 20' )
Trent Rivt-r
P/L 1 ,V L.1'. VV i IIC;l 111 11 I1
Mr. & Mrs. Charlton Burns
5217 Trentwoods Dr.
New Bern, N.C.
252-634-9550
ri1,
Johnson
Property'

ADJACENT RIPARUN PROPERTY OWNER STATEMENT
(FOR A PIER /MOORING PILINGS I BOATLIFT /BOATHOUSE)
I hereby certify that I own property adjacent to Mr. & Mrs. Charlton Burns is
(Name of Property Owner)
property located at 5217 Trentwoods Rd.
(Lot, Block, Road, ect.)
on
Trent River
(Waterbody)
in Trentwoods Craven , 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 (15')
from my area of riparian access unless waived by me.
I do not wish to waive the setback requirement.
X Isla wish to waive that setback requirement.
DESCRIPTION AND / OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by indh dual proposing development)
( See the attached drawing )
x �..*;l�• ..� �CJyll�� �i
Print or Type Name
x )s-Z- 637 3122 Z
Telephone Number
k5
Date

Oliver
Property
Medford Marine Contractors
410 Church Rd.
New Bern, N.C. 28560
Phone: [phone]
( Scale: 1" = 20' )
Ri avian Lin Trent River Ri avian Lin
Mr. & Mrs. Charlton Burris
5217 Trentwoods Dr.
New Bern, N.C.
252-634-9550
Johnson
Property

MEDFORD MARINE CONTRACTORS
ROBERT N HASKINS , SR.
410 CHURCH RD. 252-635-5242
NEW BERN, NC 28560
NC DL#-444-033
PAY
TO THE
ORDER OF---.
09-03 384
DATE ` 150 66-30/531
112
$
e DOLLARS e
FIRST CITIZENS,,,
BANK
NiI FirsrLilizons Bank d Trust Company
j�1 A Naw Barn. N.C. 28562
Ile
www.firstcitizens�-1 FOR `
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