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Home My WebLink About45127_JONES, BARRY_20060331 (2)E AMA / ,DREDGE & FILL GENE L PERMIT Previous permit # New ❑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 15A NCAC J Rules attached. Applicant Name ` 'ts S " `' ` ,, { ' ` ` ' Project Location: County Address =� z' ')� Street Address/ State Road/ Lot #(s) State ZIP -7f ,a -T S City! ,..j,,, , Phone # O Fax # ( ) Subdivision Authorized Agent City " -, ' r ZIP ElCW ❑ EW O PTA ❑ ES ElPTS Phone # (9) ' 1% ",;O River Basin Affected El OEA ❑ HHF ❑ IH O USA ❑ N/A AEC(s): Adj. Wtr. Body _ fi_'''T - (nat /man /unkn) ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity ' (Scale: ) Pier (dock) length Platform(s) Finger pier(s)- -�' -� Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore . . _- Basin, channel cubic yards 7TO 4 Boat ramp Boathouse/ Boadift) ✓ Beach Bulldozing Other� ---�- - - - _- -- --- - — - --- _ - -- - - --- - -- --,- Shoreline Length SAV: not sure yes no v Sandbags: not sure yes no ' Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no - — A building permit may be required by: See note on back regarding River Basin rules. Notes/ Special Conditions I all Ageneor-Applicant/Printed Name' ' O Permit Officer's Signature Signature : Please read corm liance stateme I City D ng Date Expiration Date Application Fee(s) Check # ' Local Planningjurisdiction 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: [J Tar - Pamlico River Basin Buffer Rules [_l Other: L_] 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 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 Fax:919-733-1495 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOA/TuH2OUSE� I hereby certify that I own property adjacent to (Name of Property Owner) property located at /y�' S'`� 77-/ �7/21L-z'% I (Street Address, Lot, Block, Road, etc.) on 6 /'/ 1,� , inli'�'''%`i d4� 't"/ , N.C. (Waterbody) (Town and/or County) He/she has described to me, as shown below, the development he/she is proposing at that location and I have no objections to this proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I have indicated my intentions by initialing below: I do not agree to waive the 15' setback requirement. (initi ls I do agree to waive the 15' setback requirement. (initials) DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) 'Liu' Signat re /1-6Piht`Al k , K AJZ) Print or Type Name %/`9-61% /'6r'y9 Telephone Number Date: S`l 2 - r -1, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATL BOATHOUSE) I hereby certify that I own property adjacent to 1'41 4J 1-t-/ /,-'e' property located at (Name of Property Owner) <�- i T/� s; I (Street Address, Lot, Block, Road, etc.) on e'fr14N, oN ,in 4, �� ,N.C. (Waterbody) (Town and/or County) He/she has described to me, as shown below, the development he/she is proposing at that location and I have no objections to this proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I have indicated my intentions by initialing below: I do not agree to waive the 15' setback requirement. (initi I do agree to waive the 15' setback requirement. (initials) DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) /% 9411, %' _ J� Print or Type Name Step-S"J 5 _ Telephone Number Date: -5�7co — 06 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOA TLI�OA THO USE) hereby certify that I own property adjacent to / 4 W %1 s (Name of Property Owner) property located at IU L �i / /f� (Street Address, Lot, Block, Road, etc.) f on C,'Y9-i- 6' &V.I- , in /f/4-77 'Cf— % 1,� N.C. (Waterbody) (Town and/or County) He/she has described to me, as shown below, the development he/she is proposing at that location and I have no objections to this proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I have indicated my intentions by initialing below: I do not agree to waive the 15' setback requirement. (' ials I do agree to waive the 15' setback requirement. (initials) ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) Print or Type Name Telephone Number / Date: 7r ?1 0' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to%'�"y lY) �°�� Is (Name of Property Owner) property located at 76 (Street Address, Lot, Block, Road, etc.) on /` r, (��,, in �4- ,N.C. (Waterbody) (Town and/or County) He/she has described to me, as shown below, the development he/she is proposing at that location and I have no objections to this proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I have indicated my intentions by initialing below: I do not agree to waive the 15' setback requirement. (' itials I do agree to waive the 15' setback requirement. (initials) ------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) r Signature Print or Type Name Telephone Mitnber Date: -��_-- --- — �' -fir �- ��. �- ��' ', STATE EMPLOYEES' CREDIT UNION MONEY ORDER GREENVILLE BRANCH REMITTER BARRY JONES DATE 03-30-06 66-7704/2531 PAY TOTHE NCDENR I $ 200.00 p z ORDER OF DOLLARS 8 VOID AFTER 160 DAYS State Em loyees' Credit Union- AUTHORIZED SIGNATURE 45/c, G�@nv� g tliq Carolina -- II■ .�1??0491:0860451?40 21� I1006869 ' .253