44501_CITY OF NEW BERN_20060216 (2)

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CAMA / -' DREDGE & FILL
GENERAL PERMIT
Previous permit #
-]New ❑Mod!fication .]Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by tip 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
p r D Rules attached.
Applicant Name! j�l/ '3/ /1! oLV' ge r A-; Project Location: County
i
Address 1/0 Street Address/ State Road/ Lot #(s)
City �N State NL ZIP
Phone # 7> `�' KyU Fax # ( ) Subdivision
Authorized Agent 1 )4 v X'o% y City _ < r 1%� ZIP__
Affected -' Cw 4FEW +LiPTA {$ES ❑ PTS Phone # ( ) � f �Zy River Basin
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
AEC s : ❑ PWS: 'I FC: Ad). Wtr. Body L (nat./man /unkn)
ORW: yes / no PNA yes / no ,% Crit. Hab. yes / no
Closest Maj. Wtr. Body � 't -,- f `
Type of Project/ Activity
Pier(dock)length .� i '•: i
Platform(s)-
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
oat ram
Boat ouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes (no
Moratorium: n/a yes (Llo
Photos: yes -no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
(Scale: )
See note on back regarding River Basin rules.
w.. AR 2 1 2006u�w�----
Agent or Applicant Printed Name Permit Officer's Signature
Signature Please rd co tnplian3taeit� ssuing Date Expiration Date
ApplicationFee(s) Check# 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, 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 F_ J 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
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:
Fax: [phone]
Parker -Lincoln Building
(Serves: Camden, Chowan, Currituck,
2728 Capital Blvd.
Dare, Gates, Pasquotank and Perquimans
Counties)
Raleigh, NC 27604
919-733-2293
Morehead City District
Fax: [phone]
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

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property located at ' r
(Lot, block, road, etc.)
in New Bern/ Craven , N.C.
(Water body) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be filled in by individual proposing development)
�'
Print or Type Name
Telephone Number and Date
7-
k-

07 31-1110 05:16 FAX
L� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIE&MOORLVG PILP GSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent
ame of property owner)
property located at k A �f1L
(Lot, block, road,. etc.)
-- '�
in New Bern/ Craven N.C.
(Water body) (Town and/or county)
He has described to Inc, as Shown below, the development he is proposing at that
location, and, 1 have no objections to his proposal. I understand that a pier/mooring
p11mgs/boatJJVboathouse 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_
DESCRIPTION AND/OR DRAWING O pPR O O�p E 'ELOPMENT:
(to be filled in by indh dual P P _
V /�/ -- �_
Phone#: [phone] Signature
Fax#: [phone] �)�✓r i i
Print or Type Name �C�d
Telephone Number and Date
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