36792_DOHERTY, PATRICK_20040308

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GENERAL PERMIT
Previous permit #
New ❑Modification ❑Complete Reissue
Partial 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 I SA NCAC
❑ Rules attached.
Applicant Name
Project Location:
County jt + b ` `
Address M o jK %� n l "`/ n
Street Address/ State Road/ Lot #(s)
City N,w �' r State N ZIP
Phone # O Fax # O
Subdivision
Authorized Agent �' i �c• .1 K" , .
City_
ZIP
Affected ❑ CW ❑ EW ❑ PTA DES C PTS
Phone # ( )
River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
(nat /man /unkn)
PWS: ❑ FC:
Closest Maj. Wtr.
Body IVIV i r
ORW: yes / no PNA yes / no Crit. Hab.
yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length I
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no-' t`
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no,
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent:or Applicant Printed
6�,
Signature Please read compliance statement on back of permit
(Scale: , ) I
h WL .
See note on back regarding River Basin rules.
Permit Officer's Signature
r-I F I
Issuing Date Expiration Date
r,vyl
Application Fee(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 ❑ 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 (910-395-3900) for more information on howto complywith thesebuffer 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

MEDFORD MARINE CONTRACTORS
ROBERT N. HASKINS, SR.
410 CHURCH RD. NEW BERN, NC 28560
252-635-5242 NC DL= 444-033
PAY ONE HUNDRED AND XX / 100 Dollars
00 00 �\hCITIZEN" 1028
66-30/531
00001028
n
c
v
DATE AMOUNT o
03 /08 /04 *******$100.00
v
TO THE DENR
ORDER 8
OF
AUTHORIZED SIGNATURE
Permit 6Pc 3(.-7gZ�hNGry
11,00 LO 28ii' i:0 5 3 L00 3001:00 L L L 24 3499E-11'

Medford Marine Contractors
P.O. Box 3562
New Bern, N. C. 28564
Phone: [phone]
Fax: [phone]
Trent River
New
204' Water Front
Mr. Patrick Doherty
412 Madam Moores Ln.
New Bern, N. C.
Phone: [phone]
I Existine Boat R
Existing Bulkhea(

ADJACENT RIPARLAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Mr. Patrick Doherty 's
(Name of Property Owner)
propertyy ioc amd at 412 Madam Moores Lane
(Lot, Block, Road, etc.)
Ori Trent Rlver . in Ne.. Ncrn Craven , N.C.
(Waterbody) (Town and/or County)
He line descn'bed to me as shown blow, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
(See the attached drawing)
kiglature
.Lyle- t•
Print or Type Name
ASS►- In 33 • A 9 3 !;�
Telephone Number
Date: L- 7- O -

ADJACENT RIPA,RLAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Mr. Patrick Doherty _ 's
(Name of Property Owner)
pr%XM locamd at 412 Madam Moores Lane ,
(Lot, Block, Road, etc,)
on Trent River _, M New NM Cravrn , N.C.
(Waterbody) (Town and/or County)
He ties deacn1x4 to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DFSCRnMON AND/OR DRAWING OF PROPOSED DEVELOPMWNT
(To be filled in by individual proposing development)
(See the attached drawing)
a
Print or Type Name
llephone Number