HomeMy WebLinkAbout51272_JACKSON, JERRY_20080829D CAMA / O DREDGE & FILL
GENERAL PERMIT
New ❑Modification ElComplete Reissue ❑Partial Rei:
As authorized by the State of North Carolina, Department of Environment an
and the Coastal Resources Commission in an area of environmental concern p
Applicant Name n. t
Address
City
Phone # (; )
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State, ZIP
Fax #(
❑EW El PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
"'7 2 .
Previous permit #
Date previous permit issued
15A NCAC
E] Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (,) River Basin
Adj. Wtr. Body i ' I % e-' %1 1 , Oat /man lunkn)
� v y� r
Closest Maj. Wtr. Body r� f!)'t
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
y
`
(Scale: )
I I F
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp i
Boathouse/ Boatlift
Beach Bulldozing
Other
{
IV
i
I
I
/fin
Shoreline Length ? too
SAV: not sure yes no'
Sandbags: not sure yes no - ---
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no —
A building permit may be required by: % h r� f / O f See note on back regarding River Basin rules.
Notes/ Special Conditions r 'r 4
Agent or Applicant Printed Name
i t.
Signature "Please read compliance statement on back of permit��
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
s-
Local Planning Jurisdiction ; 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 comply with 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/ 1-888ARCOAST
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
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual applying for Permit: T- i-Ky P . J-P 6/z; ON
Address of Property: 1 Z Q M p L Lfqfl-f7 C o U L
C. atq632 (252 -
(Lot or Street k street or Road City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
y/ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (252) 808-2808 within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags
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.)
JI do wish to waive the 15' setback requirement.
�0 4
I do not wish to waive the 15 setback requirement.
(Applicant Information) (Riparian Propert Owner Information)
�Q 80X to ;k5
Mailing Address Signpture
City/State/Zip Print or Type Name
Q6Q - � 600 r.5- G (t - ,-'( -) -z.-
Telephone Number Telephone Number
Date
-h - i 7 - C'; 5'
Date
Aug 27 08 01:14p Osprey Builders, Ina
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiONIWAIVER FORM
Name of Individual applying for Permit: rK �7"l C&i
Address of Property: �� Q p I-� Co L/9 _
. C- 9.6�32 (_252 -�
(Lot or Street k Street or Road, City & County)
i hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
if you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28W orcaU(252) OW2808 within
10 days of receipt of this notice. No response is considered the some as no objection if YOU
have been notified PZ Certitled Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, twatiift or sandbags
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.)
t do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Applicant Information)
'406 AD( /o ;k6
Matting Ad"ss
ity/state/Zip
Telephone Number
Date
(Ripa�ia aperty O ner Information)
re
Tint or Type Name
elephone Number
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ISLAND MARINE CONSTRUCTION LLC
1286 ISLAND RD
HARKERS ISLAND, NC 28531 2646 a
PHONE: 252-728-3419
66-21/530
p _ _ BRANCH 77513
PAY THE A l c DATE
ORDERER OF ' V
DOLLARS
Wacxov� ��k°d •°
Wachovia Bank, N.A.
\/wachovia com
FOR .�,A'c
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