21466_JORDAN, JAMES_19990317

CAMA AND DREDGE AND FILL
GENERAL `p 021466 '
PERMIT 0)
as authorized by the State of North Carolina 60< J
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 1 tl
Applicant Name r ' ' S 7/ yr" " Phone Number �J 1 3 l
Address
City Y
Project Location (County, State Road, Water Body, etc.) —
Type of Project Activity
I hem? �`/3 !ri'
PROJECT DESCRIPTION SKETCH,
Pier (dock) length
Groin length
number
Bulkhead length '�` ,Q 6
max. distance offshore �v
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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,
imprisonment or civil action; and may cause the permit to be-
come 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) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
State
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applicant's signature
d
permit officer's signature
issuing date
attachments - t / /
ik / tt
application fee
expiration date

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JAMES W. JORDAN
105 ANNAGREY CR.
CARY, NC 27513-3809
66-112/531 1440
5115634250 '�51
13201
20o EAST CHATHAM�STREET
/'� CARY, NC 27511
A:0S3101121i:S11S6342S0111 ;

ADJACENT RIPARIAN STY OWNER STATEMENT
(R1R A PnWWORM rZUNGSMQAUjMYB0AT U0USjp
T hereby tia I Own propifty aci =t to t-j'qme-5 w , Jo go 09"V 's
(Norme of Propffty Owner)
Y bcated i4 L v `r 13(_.00C 77- , i qG _6A4ve lG -P 7'7Y %?d • '`? A� C
i � i/YfiL ]lilt r1.2/ /�/y�[z � / c' N.C.
(W' arty) (Town awyer Go
He has dav=Aped to mc, as shown below, the dPvelbpment he 7s rig at that
loca , and, I - bave no obje ,s to his P'oPowl_ Y =dentand tbax a pier/mooring
pilingstboadiftAmabouse must be set bncic a minimum distance offiftm %t (151) f m my area
of r4mriasi mans unim waived by me,
1 vtrish sv waive the setbuk ngwement
I can visit to waive that waark Twain,
MSCRUMON ANWOR DRAWING OF PROPOSED DEVI LWF i'.
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Z-17—dt�
pe bnory 17, 1999
1?F, Ronald Shelley
clo Nationsbanik Real Est_ Service
P, 0. Box 25718
Richmond, VA 23261
Dear far. Shelley,
My name is Jimmy Jordan, propeM, owner of 196 Salter Path Road, P.K S., NC {i.ot $,Block 2).
The purpose of tins letter is to inform you of my intention to install a boat lift at the r�rick
(cuueldly ) located an the Nilkhead on isy property. The N.C. Department of Environment
and Natural Resources (13ruwn of Coastal Management) mgwres adjacent property owners
to be notified prior to issuance of a CA NEA, perattit.. This proposed boatlicit will not encroach
the rturturrum set back of fifteen feet (15') fram }our area of .riparian access. Therefore a waiver
of the minimum setback is not rfxtuested. This lift will be smidar to others located on the canal
in P'K S..
If you are in agreement please sign the attached form and return it to me. Your MIp will be
greatly appreciated Please call or write if you have any further questions andlor comments.
Sincerely yours,
James W. Jordan
105 Annagrey Circle
Cary, NC 27513
[phone]
[phone]
Attacbment
SENDER:
aCampfeteilemImow 2foradOf Mulaervfaea_
■ COmplele RWM 3, 4a, and 4D,
s also wish to receive the
fa1I0Wl servlogs((or8n
a PM yOtS hems &d aka an they P Mtsp of 0& fbnR so trot was Can reWM tNt.
• AteadlEottia form to Uu tW of the ma7piem, ew on 6he 4et�ft R space does not
SAM t89):
7. ❑ Addt�98ee's Addrr
8
parna.
■ Write Rarum Roca# aagv*#arrcn the rnailplece below the erneae number.
. The Ftftm Rsceipt will thaw to whom ltv a+t7cle was delivered and the deft
2. 0 Restricted DeFivary
postmaster for foe.
deliverm.
IConsult .
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3. Artide Addressed to:
4a- Ar de Nuns
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fib. �rvica Type
❑ Registerad CO
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tortireed.>:
❑ Express W — Insured :.k,
❑Return Receipt for Ntertflandist 0 COD 3
7. Date cd Delits
,
5. Received By. Mtint ►tma)
8. Addresme's Addreee (only if fa%sstaen
and foe is paid]
6. Signature: or a
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PR Fnrm M11. narromfior 14Gd RRttlm Ftarmint
7 419 054 952
Us PosW service M8"t1
Receipt for Cered
No Insurance Ca"130 Provaded_
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CE1�'i�7� MAIL * REIM RECUU-REQU."am
]] "XON OF COASTAL MANAGEMENT
ADJACENil P-WAJRJkN MOPMT-Y OWNUt NOTMCATION/WAMM F<)RM
Name of Ilndivid6W applying for Permit:
f
Address of Propirrty.
i
(f oh or Street #, Street or Road, City & Glumly]
I herehy ccrtify that I own propeaty adja=t to the above referenced propeAy. The individual
applying for this �=it has dewn-bed to me as shown on the attached drawing the development
they are proposi7g_ A description or drawing, with dimensions, should be provided with this
letter_
i
I have no objections w tMs proWsal_
I_f YOU i¢aw olvec&= to what is big proposed please wr&e fie Division of Coastal
IVA449,m id, Hes0va Nary A 15I-B, Hwy. 24, Uorehead My, NC, 28557 or cold (2S2) W&
'n IO di{vs of rece4t of ft native. No response is eon dered the gwne as no obje dwn
4'You have beffn I no4rw by C'ert(fted Afaf1,
WAIVER SFCMON
I understand that A prier, dock, mooring pilings, brealcwwltr, boat house, rift or sandbag must be
set back a minimOrn distance Of I5' from my area of riparian access unless waived by rne. (If-yw
whir W waive the i,sedXcic, you must irdtiW the appropriate blank hpJc r.)
F Ida wish to waive the 15' setback requirement,
i
I'IdO not wish to waive the 15' setback requirement.
i sanmc Date —
Print Name
Telephone Number With Area Cede
TOTNL P.02
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February 1, 1999
Dr. Ronald Shelley
c/o Nationsbank Real Est- Service
P. O. Box 25718
Richmond, VA 25261
Dear Dr. Shelley,
My name is limply Jordan; property owner of 196 $after Path Road, R-K.S-. NC (Lot 8, Block 2).
The purpose of this letter is to west your permissmn to itrstall a boat lift at the dock (currently)
located on the bnUead oo nny property. The N.C. Department of Emironment. and Natural
Resources (Division of Coastal Management) requires approval. fro7rt 4aecot property owners
prior to ism=cc of C.A.KA. penxit, This proposed boat lift will not encroach the minimum
set back of fifteen feet (15) from your area of riparian access.. This lift will be similar to otfiem
that are located on the canal in R.K.S..
If you are in agreemetu please sign the attached form and return it to me. Your help will be
greatly apprgciatcd. Please ca11 or write if you have any Anther questions and/or comments.
Sincerely yours,
James W- Jordan
105 Annagrey Circle
Cary, NC 27513
[phone]
(9I9) 467-0139
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l hereby fir that I awn propeatp adj zt to t-JRMC6 k1• JQ P_m oq,v 's
(vA= -or Property o )
fl,C. , 7Rrf/u� .'i£iikG1r, %r �i%C�7 CIe N.C.
acdru04�'�f
(WBke. 4d3'3 {Town wwor )
I3e ilas dc$QjW to me, as *ov; x bdm, ft &elqatem m is bra at that
1o=m, anti, T' fMW nO objee&W tier his oW- i mwlemtmd that a pierfmoormg
PAin9W lXtiboathouse must be set back a minimmn distance of fift= fcd (15' ) frtma Iny area
of x4mian acoess unless waived by me,
149 wish to waive the setback requirement
I da wish to waive that setba,cl- requlrmmt.
DMC JPMN ANDIOR DRAWMG OF PROPOSED DEVEL0I T;
(To be frWd ilt jy i"Yhfud propud ag d&wZapnWnf)
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