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Home My WebLink About40337_HARRISON, JEROME_20041115A/ ,,,:�CAMA / I— DREDGE & FILLA v'v GEN RAL PERMITPrevious permit # ❑New C`lodification 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 0 Rules attached. Applicant Name �Tt, r r: d �% f ," I h G Project Location: County AddressStreet Address/ State Road/ Lot #(s) City �U[.cl � � �� State 't'�C ZIP ,F 5'5 5k0 1,50 (o A,-e I- Phone # ( 7-/7- 9C -5;� Fax # ( ) Subdivision Authorized Agent City �" 1' r q� ! ZIP r % ❑ CW ❑.EW PTA I ES 7 PTS Phone # ('� �` ^ " `f ( River Basin Affected ❑ OEA ❑ HHF ❑ IH I UBA ❑ N/A AEC(s): Adj. Wtr. Body (nat /man_[unkn C PWS: El FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity /4e " /�L5 Pier (dock) length Platform(s) __ Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore_ i Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAM 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: Notes/ Special Conditions Agent or Applicant Printed Name (Scale: ) K"J oI'�,rv�- �. 6"X -01\ Signature ** Please read compliance statement on back of permit Application Fee(s) Check # See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration Date 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 Iandowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythat 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 how to comply with 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: 919-733-1495 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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 910-395-3900 Fax: 910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 4 L4 P- y cl� I -ke- c 13-06 r I So i 0 c I Lot � s I moo? # I Ley A� /I c fA L JEROME D HARRISON OTC USN RET THE NCDL 3040167 PH 919-747-9088 1490 JJi0 CLTCIQ SSN 239-48-9785 W HILL, HILL AD SNOW 66-7704/2531 SNOW HILL, NC 28580 �=� �7 DATE PAY TO THE 1 ' ORDER OF $ oo D 0 RS State Employees' Credit Union ll8 Snow Hill, North Carolina FOR 1, 1:253L7701,91:01362532L0 1 L490 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to (Name of Property Owner) �'/� property located at e/ /S1..6 Or - (Lot, Block, Road, a .) 1 � in / (� /JG N.C. on C.� [� C,�'�'C t (Waterbody) (Town and/or Cou y) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimLim distance of fifteen feet (15') from my area of riparian access unless waived by me. low, I do not wish to waive the setback requirement. -I/ I iQ wish to waive that setback requirement. -------------------------------------------------------- DESCRIPTION AND/OR DRA`1'ING OF PROPOSED DEVELOPMENT: (To be filled in by indi�,idual proposing deg-elopneenl) --------------------------------------------------------- /'� :�f Signature Print or T}pe Name Telephone Number Date: /o - 7 �U `f STATE OF NORTH CAROLINA COUNTY OF CARTERET IN THE MATTER OF THE APPLICATION OF JEROME D. HARRISON FOR A PERMIT TO CONSTRUCT A PIER AT 1506 AVERY STREET MOREHEAD CITY, NC Fred W. Harrison, Attorney for Jerome D. Harrison being first duly sworn, deposes and Says that, he caused a copy of the attached Notification/waiver form to be severed upon H. C. Bell via of certified mail, returned receipt requested, at 820 Miller Street New Bern, North Carolina, as evidenced by the attached, signed receipt indicating that the Notification/waiver form was served on the 28 day of October, 2004. r Fred W. Harrison NC Bar Number 1940 Attorney at Law 1007 Clifton Terrace Kinston, NC 28501 Sworn to and subscribed before me This the 'L day of f ()✓ , 200 F� (2tthc�. �-- otary Public My Commission Expires: J't'& Ud'i ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: H. C. Bell 820 Miller Street New Bern, NC 28560 A. Rgeived by (P1, Pnjt Clearly) I ate of Delivery' . C , 1�1C�. C. §ignature X ❑ Agent Addressee D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. SS Ii Type ;Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Copy from service label) I_ 7019 3%06 io 6153 PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 UNITED STATES POSTAL SERVICE Ftr,;t-Class Mail Postage & Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Fred W. Harris -on Attorney at Law 1007 Clifton Terrace Kinston, NC 28501 Lrs ��f{s��fi�=.Fi:�:i�s�4:��i::�E��3�f��j��►i=.�i+ti��r�i+:�� DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit: Address of Property: j D f y 6 fly y S (Lot or Street #, 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, Hestron Plaza II, 151-B, Hwy. 24, 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, boat house, lift 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.) Signature Print Name I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Date Telephone Number With Area Code RIC;,�- NOV 1 � zaa4 iVMorehe Cot CERTIFIED MAIL FUNRECEIPT REQUEST y DCNj DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Individual applying for Permit:-+jc?Rc��v?C —&A Cel S / Address of Property: �! o- S (Lot or Street tf, 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, Hestron Plaza II, 151-B, Hwy. 24, 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, boat house, lift 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 1 aie,tl setback, you must initial the appropriate blank below.) j��---- KI'04 I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. 9211 Signature D t i r, rr�e�i�J eA, er Pri�rtt Name 252 z5 5gO�� oY 5��-��y Telephone Number With Area Code NOV 1 6 TOgd Head City DCM