47185_CITY OF NEW BERN_20070112

❑ CAMA / ❑ DREDGE & FILL -- }
GENERAL PERMIT Previous permit#
[]New ❑Modification []Complete Reissue ❑Partial Reissue j Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Reso res ]
and the Coastal Resources Commission in an area of environmental concern pursuant to 15 N AC —' /300
J [�l Rules attached.
�1
Applicant Name o N C- Project Location: County iv ( ck if-^
Address (i i� O X ! ] % Street Address/ State Road/ Lot #(s) .7 / r & rr, C-
City 'k1( W (--f n State - ZIP 2 8 S 6CD L- X �+ //tv y -) &
Phone#(�``)',35-�yb�
Fax#(_)
Authorized Agent
f 01 t
pod,x roc tl
❑ CW
❑ EWU
❑ PTA ❑ ES ❑ PTS
Affected
❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
ORW: Yes / no
PNA
yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length i /
Platform(s) ' r
Finger pier(s) _
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp v 0
Boathouse/ Boatlift
Beach Bulldozing _ _
Other
Shoreline Length
SAM not sure yes 0-0-./
Sandbags: not sure yes �nol
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:" cW &Vt Co
Notes/ Special Conditions
Agent or Applicant Printed Name 1 j
Signature Please read compliance statement on tuck of permit
Application Fee(s) Check#
Subdivision L' 1-0 S 0- L f C, f ca r ✓—
city Iq e i.0 0-e c n ZIP? 8 S 6a
Phone # (�� ) S " ' Oa River Basin 1, lE i r
Adj. Wtr. Body 4 f c- ('na1/man /unkn)
Closest Maj. Wtr. Body Jc u
(Scale:
R See note on back regarding River Basin rules.
Rer- mitOfficer'sSignature
Issuing Date Expiration 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
landowners).
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
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
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
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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Date
App}{eant Nag
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I,hereby certify that I own property adjacent toc l(" t3 4 10tc,J I34M 's
\ ^,� (game of property owner)
property located at kawro u C12" k 19i4 R k ,
;�• (Lot, block, road, etc.)
onl12�,.� K � u t'&. , in /U tick (3&oj CRAB" , 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 DRAWIN OF I
(to be filled in by individu prof
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Foley & Foley Contractors, Inc.
Phone#: [phone]
i Fax#: [phone]
coaek �Pr
USED DEVELOPMENT:
development)
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Print or Type Name
Telephone Number and Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
' (FOR A PIER✓MOORING PILINGSIBOATLIFTBOATHUUSE)
X~ I,hereby certify that I own property adjacent to � i' -�C K s�J 's
r(j (game of property owner)
fi
v
property located at 0 C k Q Q k
(Lot, block, road, etc.)
on ., l in CRAU" , N.C.
('Water body) (Town anal/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
pilitigs/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 DRA
(to be filled in by ins
�d
71
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2
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Foley & Foley Contractors, Inc.
Phone#: [phone]
Fax#: [phone]
k
OF
USED DEVELOPMENT:
development)
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Signature
Rr�a� G 'V &Rr?T
Print or Type Name c D aT
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Telephone Number and Date
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