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Home My WebLink About42957_JACKSON, CHARLIE_20050920CJCAMA / DREDGE & FILL GENERAL PERMIT Previous permit# LJNew L,Modification ❑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 ❑ Rules attached. Applicant Name Address---__- City—__- State ZIP Phone # O Fax # ( ) Authorized Agent Affected r CW ❑ EW ❑ PTA AEC(s): -' OEA L-; HHF F IH -� PWS: E! FC: ORW: yes / no PNA yes / no 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 cubic yards__ ____ _ Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit. Hab. yes / no Project Location: County_-_—__ Street Address/ State Road/ Lot #(s) Subdivision City----- ---------- ZIP -- Phone # River Basin Adj. Wtr. Body_ __ _ -___ _-Jnat1m_an_/unkn) Closest Maj. Wtr. Body _- (Scale: - r --------- - I f. c i 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: Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expi ti n Date 1 Local Planningjurisdiction Rov r File Name Application Fee(s) Check # N 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 Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 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) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888-4RCOAST 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 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 06/29/05 Sep 06 05 09:50a Gwen G. Jackson 252.393.2651 p.1 1 CHARLES H. JACKSON 494 BREEZY POINT ROAD SWANSBORO, NC 28584 SEP 062005 252.393.2651 Morehead City ®CM FACSIMILE TRANSMITTAL SHEET r0: FROM: Ryan Davenport CharlieJackson COMPANY: DATE: CAMA 9/6/2005 FAX NUM151;R: TOTA1, NO. 01: PAGFS INCLUDING COVER: 252.247.3330 3 PHONL NUMBER: SENDER'S Rr,FL:RL'NCF, NUMBTIR: 1LF;c YOUR REFL:RF.NCL NUMBER: T Boat Lift Permit ❑ URGI;NT ❑ I -OR RLV11-'1W ❑ PLh:ASE COWNfLNT ❑ PLFASl: REPLY' ❑ PI.r.AS1:: RECYCLE: NOTliS/COAFN1LNT—',: Ryan, Here arc the two Adjacent Riparian Property Owner Statements that are needed to complete my application for a permit for the boat lift. As we mentioned, IT be happy to come get you the first of next week if your travel continues to be "on hold." Talk with you later. Charlie [CEJCK HLRli AND TYPE? RETURN ADDRESS1 Sep 06 05 09:50a Gwen G. Jackson 252.393.265 i� R ADJACENT RIPAR AN PROPERTY R STATENIENff P 0 6 2005 (FOR A PIERIMOORLVG PILLVG �TLIBOATHOUSE) Morehead City DCM I hereby certify that I own property adjacent to6wqw Qxm &0, (Name of Property Owner) property located W/ ri l L-" , Lot, Block, Road, etc.) onr--�� , in �Q�E?�TPi`'c A�J�� N.C. (Waterbody) (Town andlor County) 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 piling tlif aoathouse must be set back a minimum distance of fifteen feet (15') from my area of iaran; c.,, --c Ce-1-1i uil."...SS k,--i : ed b y me,---- _ I do not wish to waive the setback requirement. /VA I d4 wish to waive that setback requirement. DESCRIPTION AND/OR DRAWL tG OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) - 8`----------------------- °T--�---�- ------------------ 5)Q�y+�tJ ---------------------------------------------------- ',atu. Print or T rpe Name % L- J13'0' Telephone Number Date; � q Sep 06 05 09:50a Gwen G. Jackson 252.393.2651 p.3 ADJACENT RIPARIAN PROPERTY OVVNER STATEMENT (FOR APIERA1IOORING PILI,VG B ATLI /BOATHOUSE)' yj' 6 2005 Moreheav 0!�Y ®CM I hereby certify that I own property adjacent to G4; cew e1�a, r i s c .f A c. SO . s (Name of Property Owner) property located at Br ee z y v Lot, Block, Road, etc.) on�ei� � r� �re��C , in ei 641y-r- ZCRh�c t'� , N.C. (Waterbody) (Town an or County) 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 pilin th oaboathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by nie. I do not wish to waive the setback requirement. I iW wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPivfENT: M ` (To be filled in by individual proposing development) -_" A - U;? e t tom, �pe- -------N j---------,----------------- - Signature Print or Type Name Telephone Number Date: _y v Charles 1Y GzueJackson NC DL 327040 - n¢'olyn G. Ph 252 393- 265I NCDL 1871392 494 Breezy point Rood 66-30/53, Szmnsboro, AMC 342 2as84 1935 C /V DS ;- !mac �%—/� -- --- $ i e o x: Micro Pnnt si `-_ Q _ / O �y' '�ttP%�j�jytcry�,k i izrrrs KrFir�'l 'iZ '� .S J (�f�yJx��JJJ�J �Vh Uank lob on back. if nat presrnf d _ /��1.!" R. (� Citiz° o rot cash. t C ap C. nto oBN k8 7ry� Company 342 c,a C 28584 � edtizenr,ppm FOR >t; p=—�� 3 O O r; 003t, 17&307 +, 2 n 0 19 3 5