42917_JACKSON, BURWELL_20050921

JVCA.❑ DREDGE
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9Tewv41RAL PE M kTP 2 gm . Previous permit #
Modification ❑Complete Reissue artial Reissue Date previous permit issued
As authorized by the State of North Carol' o �y � m rural Resources �7 Oy �M r
and the Coastal Resources Commission in � 0 i eft T9 ant to I SA NCAC l 2�
❑99Rules attached.
Applicant Name (�„�1n�feIL �'++� Project Location: County OA Slty✓
Address o� f (i Veep A ,J
City SiLr7ir State, ZIP"I
Phone # ftJ0) 32-b" `Wqy (2re) S3'1 _630
Authorized Agent
Affected C Cw
AEC(s): ❑ OEA
❑ PWS:
ORW: yes
XEW ❑ PTA XES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes /n Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s) ga,/ggt
Subdivision Deer # SW
ci�0 to zIP Zu S9�
Phone # (a) -5a6 _ -qOqO River Basin (/✓r'!I'-f-4
Adj. Wtr. Body 4 nat man unkn
Closest Maj. Wtr. Body —
Type of Project/ Activity R p at a/l,0, P 41 ap, IQVA S of S tA�d ��b �0 H 1''�✓✓ /
�� ��Ittilft�— ©�E� (Scale )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length 1j�ro �� �tf—��� (9 �A (0'0 — - --�
avg distance offshore —
max distance offshore Q1 tj 1j S1 iJL �s Kn W �r TU I-�
Basin, channel �O 1
cy I
n��ncubic yards
Boat ramp 1 S) . A S� 1 a�
_ dt! "� �
Boathouse/ Boatlift
Beach Bulldozing a^ 4�Q L/A 0�— *L-
Other 1L C� n " " .T� 1 C.,5 0<3 �7D —
(4p OV\ c�f 0
Shoreline Length-
SAM not sure yes_ -
Sandbags: not sure yes /Fib
Moratorium: n/a yes (/®
Photos: yes
Waiver Attached: yes
F
A building permit may be required by: __ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name Permit Officer's Signature
Signature "Please read compliance statement on back of permit Issuing Date Expiration Date
---------------
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— -- -- — --- — -- — -- - -- ----- -- ---� � _ � �= —_ _---------------
Application Fee(s) Check # Local Plan ningJurisdiction Rover File Name

HCDENR
North Carolina Department of Environment and Natural
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director
September 26, 2005
Burwell Jackson
240 Deer Island Rd
Swansboro, NC 28584
Attached is General Permit #42971 C
Resources
William G. Ross Jr., Secretary
In order to validate this permit;, please sign all three (3) copies as indicated. Retain the white
copy for your files and return the signed yellow and pink copies to us in the enclosed, self-
addressed envelope. If the signed permit copies are not returned to this office before the initiation
of development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Richard Weaver/lsb
Cc Ryan Davenport
Coastal Management Representative
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer— 50% Recycled \ 10% Post Consumer Paper

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