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HomeMy WebLinkAboutCity of New BernZ�CAVA XDRED GE&F ILL GENERAL PERMIT Q'YNew A B '��)D Previous permit # ElModification El Complete Reissue 01'artial 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 le� 11 Rules attac"d. Project Location: County X4 Applicant Names Address Street Address/ State Road/ Lot #(s) State ZZIP,_-2 City�—� S t Phone #(,' Subdivision Authorized Agent city. El CW 'S�TA VES El PTS Affected t r7;) Basin Phone # J 1: _,t 1�iver B A 0 OEA El HHIF El IH 0 UIBA 0 N/A AEC(s): Adj. Wtr. Bodye4Wa , man /unkn 'Body 1-1 PWS: /'---% If) f) Closest Maj. Wtr. ORW: yes /i n?J FNA yes no, Type of Project/ Activity (Scale: Pier Fixe Float Fing Groff `Bulk Bash Boat Boat Beac Othi Shor SAN Mor Phoi Wail N WMIMM mom length OMEN MEMEN MOMMONE oMEEMEM nymbero," avg distance offshore MENNOM 1 2 01 NMI MENN max distance offshore MIRRIMEMEM mom MENE ILI] MUMN channel cubic yards MENNEEMEMMEN IMMEFAMEM iouse/ Boatlift Bulldozing MEN= OEM MEN MISM M M Mm112HAN OMEN A building permit may be required by: k t El See note on back regariinllg'fRiverrVa'in r\u%fdfg-." Note Local Planning Jurisdiction) Notes/ Special Conditions Agent or Applicant Printed Name Perm itoffice s Printe ame Signature "Please read compliance statement on back ofp wmit" Signature/, L( c 1, —J ' Check# IssuingDate Application Fee(s) Expiratioi Date 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, certifythat 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) http://www.nccoastaimanagement.net/ Revised 08/27/14 'c+�. , ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to the City of New Bern's (Name of Property Owner) property located at Batts Hill Road (Address, Lot, Block, Road, etc.) on Tributary of Trent River , in New Bern N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) Construction of timber bulkhead parallel to Batt's Hill Road for purposes of road embankment and existing utility stabilization. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) RECEIVED 1;7�h- I do wish to waive the 15' setback requirement. FEB 2 5 2015 do not wish to waive the 15' setback requirement. k�LIJRH (Pro erty Owner Information) Signature 3o pdRN 03_ u vt-qgs G t-11 EA1kU(C f, Print or Type Name A C. , 13v)c ►t2h Mailing Address NF by 1; £12A1 , AJW- 2-19S US City/State/Zip T (Zsz) L;3ci-7 SZ7 Telephone Number 2/23/ /- — Date (Adjace t Property O /Infrmation) Signa ure Print or Type Name Mailing Address /vf W &UeA/ , Nc, Z9YC- City/State/Zip (Z521 637 - 38 Telephone Number 2/z5// r Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to the City of New Bern's (Name of Property Owner) property located at Batts Hill Road (Address, Lot, Block, Road, etc.) on Tributary of Trent River , in New Bern N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location/ I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) Construction of timber bulkhead parallel to Batt's Hill Road for purposes of road embankment and existing utility stabilization. RECEIVED FEB 2 5 111h WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank belowr.) ,cF FC421, 9 -s L I do wish to waive the 15' setback requirement. 2A1p I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Signature Signature -3-44A,— rj. 14Jr.14E5, Crry f—GWJ�rlL 01- SAMC-S LQIUCWT2�nJ Print or Type Name Print or Type Name P. f3�x It zy 711 Co vr Pag actt- Mailing Address Mailing Address ni0w rS�rt�t.,�/� 2�sG3 ly�� ,_i5gr2•v f N c 29r62- City/State/Zipp (2 r2) G,5q- 7S Z7 City/State/Zip L2�z� 63y- 96 Z1 Telephone Number Telephone Number I&-3t/S- I Zloslts Date Date (Revised 611812012)