HomeMy WebLinkAboutZimmer, Brent®IS�CAMA / ❑ DREDGE & FILL No. 75793
--. A B - C D
GENERAL PERMIT Previous permit#
BNeW ❑Modification []Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality _
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
.t ['JRules attached.
Applicant Name j )rI/ Project Location: County 1 -
Address `) '% I �> Street Address/ State Road/ Lot #(s)
City /l 1 Pa'; \
State ZIP
Phone # (' r) /' - t- r
E-Mail -_
Authorized Agent
LiCW DEW
[.PTA El ES ❑PTS
Affected
AEC(s): ❑ OEA El HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS
ORW: yes / no PNA
yes / (fio
City ZIP
Phone# O River Basin i '' ! f
Adj. Wtr. Body \ c < \. na('/man /unkn)
Closest Maj. Wtc Body —
Type of Project/Activity 1 -� �_t /_a �,V �- f -;• �L
c
(Scale: )
Pier
Fixe
Float
Fing
Groi
ll
Bulk
Basil
Boat
Boat
Bear
Oth,
Shor
SAY
Mor
Phoi
Wai,
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ng Platform(s)
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avg distance offshore.
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max distance offshore
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Is
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Emommosoms
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A building permit may be required by: P
( Note Local Planning jurisdiction)
Notes/ Special Conditions
._i
l bhlll-1
Agent or Applicant Panted Name
r
Signture Plea IIse read compliance statement on back of permit'r*
Application Fee(s) Check #
[/]\ See note on back regarding River Basin rules.
Permit Officers Printed Name /
Signature
IssuirigDate Expiration 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
Iandowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythatthis 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 (9 I 0-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-8884RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow, -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
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://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06117
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Brent Zimmer's
(Name of Property Owner)
property located at 4813 Morton Road
(Address, Lot, Block, Road, etc.)
on Wilson Creek, 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
locatn.
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)
0
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z
I�
O
POIOAI�Htrl
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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 towaivethe setback, you must initial the appropriate blank below.)
/ !-S I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
S,ignature
bf�ENi Z�n��c>�
Dare
(Adjacent Property,9wner Information)
FVA
Mailing Address
Cily/Slalelip
�s� ?v—,7yy
Telephone Number
I�-a'i- M
Dare
(Revised 611812012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Brent Zimmer's
(Name of Property Owner)
property located at 4813 Morton Road
(Address, Lot, Block, Road, etc.)
on Wilson Creek, 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)
�OF�I;
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.)
I do wish to waive the 15' setback requirement.
CS fit-- I do not wish to waive the 15' setback requirement.
(Property Owner Information)
SJ,''�nalu
R�
O/NI 7 i✓nlYl�l�
Pr' Type Name
7 ior l�laRTory Rajiv
SEW AV RN N� '� torv6�
Cit /State/Zig
Tele hone N tuber
Date
(A 'acent P pyerty JJwner Infor ation)
(/1� u'
Stgn I
PType Name
MRM,1)4Ioa Rah,
Mailing Ad re
N Ew p
Cijy/Stat ip
a zf
elephone Numumb
l� a -y -%
Date
(Revised 611812012)