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Home My WebLink About57934_JONES, EMMETT M_20110520❑C°AMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue EJPartial 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 Address City State ZIP Phone # (4) Fax # (^ ) Authorized Agent Affected ❑ CW ❑ EW ❑ PTA �JES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # O River Basin ?` Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body NONE � w M. ME Ilium !!!!F i■■■!■[■■!■■!■■■!■■■!!■!!!!■■! I1■■!■■■■■u!!■■■■■■■■■■■!■■!!!■!■■!■!!■■■ ■:��d�::::�::■:■ :::::::l:::::::: ■■!■■■■■turd■■■■Iri�`L'OI�fL71■YW ■■!■■■■■■■■■■ Agent or Applicant Printed Name PermitOfficer's Signature Signature ** Please read compliance statement on back of permit ** Issuing Date Application Fee(s) Check # 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 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 (910-796-7215) for more information on how to 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:919-733-1495 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) Revised 08/09/06 Applicant. I ► \.�, Date: j Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or tern im acts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ z',_i.i,'M3' 22;—%. .., mw.t rsae.a: =�.-7= �:.J I•�a .I J" Ar4cijet?) �h RECEIVED NCDENR MAY 17 2011 North Carolina Department of Environment and Natural Resources Division of Coastal Management DCM- HD CITY Michael F. Easley, Governor James H. Gregson, Director William G, Ross jr., ecretary Date 51_ Applicant Name /r - 0 � Mailing Address Y� �'b- 300 `61s4 T certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA, Permits necessary to install or construct (activity) at (location) This certification is w 'd thru (date) 2a Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net l' d L O ti E' I N An Equal Opportunity 1 Affirmative Action Employer - 50% H N C 31 N y 1 S S dOsume(A V 6 l: l l l l 4 Z' L l' A P W RECEIVED MAY 17 2011 (FUR A PIE,. INIAIURING PILINGS/BOATUFT/BOA.THO USB) 3- J �M- DC. CITY I hereby certify that I own property adjacent to mot/, , ti (Name of Property Owner or Applicant) Mailing address if different from location address (town, state and zip) phone numbers you can be reached at. 2_5'2- 713 . Property located at 5-'�3 c (Lot, Block, . on e 1 in 1�` e r (waterbo�ly) (Tow and/or Coynty) c' r He has described to me, as shown below, the deveTo-pment he is ,proposing at that location, and, I have no +objections to his proposal. I understand that a pier/mooring pilings/6Qakliftlboathouse must be set back a minimum distance of fifif6h feet (1Mom my area of riparian access unless waived by me, I dodo Mot wish to waive the setback requirement, inifl�ls ZJ` I do wish to waive that setback requirement, LnidiU DESC',UPTION AND/OR DRAWING OF PROPOSED D - ------•----LQPMNT ------ +---., (To be filled in by Individual propo ng development) 1-t 5--37 -------- -- -- ...-..c ------_ -- - - - - - - - - - - - - - - - - - - - - - - - - - - ........... slgnaiUfC prin�or Type Name Z 'd 0�8 'IN Telephone Humber Nd31Nd1 SM8 AVE :: l Ml 'L 0M RECEIVED -"I (x'ux A PIERIMOUllING PILINGSIBOATLIFTIBOA TH'DUSE) Y 17 2011 f I hereby certify that I own properly adjacent to u /j� , -m Crrxor ®c,e (Notue of Property Owner or Applicant) Mailing address if different from location address (town, state and zip) phone numbers you can be reached at 2-5- "-1 �•, cy�� property located at 5-3 -1,- r,� J /� (Lot, Block, koddi etc.) `A (Wnterbooy) N• . . ('roxa nQ/or County) lie. has described to me, as shown below, tho development he is _ptoposing at that locatio and, I Have no objections to his proposal, I understand that a pier/mooring pilin, ngs/boatllft/boathousc must - back a Minimdistance of fifffe feet (X�`ttorn my area of riparian access unles,, waivedd byy me, I do n,ot wish to waive the setback requirement. initials I do wish to waive that setback requirement, lnitials ------ --- ---- •----------------- ---- ------ ------------------------------ DESC:RPT - ------------•------------ ION AND/Olt DRAWING OF PROPOSED DEVELOPMENT: - (To be filled in by lndfvldual proposing development) �` ... ......... S 'd L0S'IN P NfliNVI SSU2 hb'61: 11 1lH Il 'A�h t [AE METT M. JONES, D.D.S. 6685/531 1662 MELA S. JONES NEPTUNE DR. PH. 252-393-2265 -- -2� E CARTERET, NC 28584 DATE �� ` }C^•,BCB BankTM 8 501:0 26 1 5 L L L 2i1° L66 2 l