HomeMy WebLinkAboutCity of New BernZ�CAVA XDRED GE&F ILL
GENERAL PERMIT
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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)