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HomeMy WebLinkAbout61038_JACKSON, JERRY_20120814NO. 61038 DCAMA J C DREDGE & FILL GENERAL PERMIT Previous permit # DNew ❑Modification CComplete 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 15A NCAC ❑ Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City State_ .. ZIP Phone # (_ _) Fax # ( ) Subdivision Authorized Agent City_ ZIP Affected a CW ❑ EW O PTA ❑ ES I PTS Phone # (___) `G7�Fi" River Basin AEC(s): C1 OEA D HHF D IH C, UBA ❑ N/A -1 Adj. Wtr. Body-- _ (nat /man /unkn) PWS: FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body — Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel " 4 "A' t cubic yards 770, Boat ramp Boathouse/ Boatlift Beach Bulldozing Other_ _ Shoreline Length ' SAV: not sure yes no Sandbags: not sure yes no j Moratorium: n/a yes no I� (Scale: ¢ o �� ) I _{ L- ' I Ail — I 6- Photos: yes no 1— Waiver Attached: yes no -- A building permit may be required by: { Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # —.Rai See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Local Planning Jurisdiction Expiration Date 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 I) 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 (910-796-7215) for more information on howto complywith these buffer rules. Division of Coastal Management Offices Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 9 19-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above 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 -below New River Inlet- and Pender Counties) 30 I -,o 0 -r Aria - NC North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date Ca - Name of Property Owner Applying for Permit: '104 Mailing Address: ®��I:y rT, 1-170 5 efi �r 26 �'k I certify that I have authorized (agent) �t ` k I ` to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) f at (my property located at) This certification is valid thru (date) UN if + c O. re Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper 241- q;W �-��jo'j 1q -1 g�q ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 's (Name of Property Owner) property located at L/c--� 76 5Slane ./fir, , (Lot, Block, Road, etc.) on tIRA, , in N.C. (Waterbody) (Town and/or County) Applicant's phone #: 2 ' 2(9 5- 20qo Mailing Address: `y ZO 52,f 5 1) R- He has described to me, as shown below, 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 property owner proposing development) ��Ai�Z)o OQ-/-[) ?-P�* 'I N� ^TrA6 eL (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Mailing Address Signature City/State/Zip 25-'Z- 26 � - ZN9 Telephone Number Signature Date I� 1 �hctr e1 E"s 1 4fq m � 1+cy, •� r Print or Type Name zrZ- zzf -a-?v to Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent t �SL 's (Name f Property Owner) property located at \ l D JV `� V� T) r (Lot, Block, Road, etc.) on V ��lt ( , inL L I , N.C. (Waterbody) Qp (Town and/or County Applicant's phone #- l d - OS Mailing Address: He has described to me, as shown below, 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 property owner proposing development) C- kcLu,, (Information for Property Owner Applying for Permit) 0 S cv16 4oaL;- VP -- Mailing Address M-L4-7,T 6 L I\1 C' City/State/Zip C2552- .26q- ZB�� Tel e Number 1W1JJ,6aJ, SiEffre Date (Riparian operty caner formation) Signature S��-- 4 ?0-0t� 75��PS �� a Print or Type Name Telephone Number 9'--&- 1 Z Date (-Q �a ,'Vo-A Hoose 3� ALhav-LC-5 Pic sa-a�9-a8�9 IN Svc 1� V�CS1