44757_JACKSON CURTIS_20060409

0 CAMA / _- DREDGE & FILL
f� r7 ��
� 7
GENERAL PERMIT
permit
Previous #
C•New OModification ❑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
❑ Rules attached.
Applicant Name
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City-- — --- --- State ZIP.
—--
Phone # (_ ) Fax # O
Subdivision_-__- _
Authorized Agent
City _ _. ZIP_
- CW - EW _ PTA ❑ ES ❑ PTS
i
Affected
Phone # River Basin
(---) —-- — - — 3
_
OF�4
AEC(s): HHF IH ❑ UBA N/A
Adj. Wtr. Body_-_— gnat /man /unkn)
—
PWS: FC:
ORW: yes / no PNA yes / no Crit. Hab.
yes / no Closest Maj. Wtr. Body
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
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
(Scale: )
❑ See note on back regarding River Basin rules.
Ocl
Agent orAppiicantPrinted Name - } r _ AFR — 20 LPermit Officer's Signature
Signature "Please read compliance statement on baclApqF`ead (it Iss O Expiration Date
tir
ApplicationFee(s) Check# Local Plan ningJurisdiction 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:
El Tar - Pamlico River Basin Buffer Rules 0 Other:
El Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmen _al 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: [phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(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: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

0, ar, M-N
.LEH
M4R 2 7 2006
Moreh
Jackson Builders, Inc.,1608 Hwy, 70 West, PO Box 148, Goldsboro, NC 275 �AsQtY DCM
Telephone: [phone] Fax: [phone] _
FAX MESSAGE
Date:Number of Pages Including Cover Sheet: S
Company: CA M A -` D T. o ' w i) rLrp A L ��o
Recipient:—KYOkN Pv�� T Fax Number: (ZS� Z4
From: cU T�`it 1.02
Reference: ! i"+4L7y .Skf� rig- T %3aPP�Si�T� P&�f?T T-�aCK�
REMARKS; _Ugeat _For Your Review Reply ASAP Please Cotrtment
. J
EO/TO 39dd S63TWE NOSADVf V8OT9EL6T6 ZO:ZT 900Z/LZ/E0

W-P . 14 wL}ip
Z
mxtsr.,
-71
IN
EO/ZO 3DVd Sb3Q-lInE NOSADVr
MAR 2 9 2006
NMoreheaq City pCM
jk#,d�j
b80T9EL6T6 ZO:ZT 900Z/LZ/E0

03/27/2006 12:02 9197361084 JACKSON BUILDERS PAGE 03/03
:;fit ... -
'twit
6N -: FW
W
N
WHO Ain P�aya�oW
900Z L Z bbW

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent t�z4z'l Z— Is
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
cf 7
on/t)/ --L /, N.C.
(Waterbody) (town and/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
pilingslboadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I & wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWPi iG OF PROPOSED DEV-ELOP�IENTT:
(To be fi�llJd in by individual prog deve present)/r
Signature
Print or type Name
/��zz
Te!eph ne Number
Date: / 0 . % • o SS

ADJACENT RIPARIAN PROPERTY tWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to �s,Q�i' S �J/aC��o�% 's
(Name of Property Owner)
property located at
(Lbt, Block' ad, etc.)
��%on _�- , in e l 0 we'e zL"�zv, N.C.
(Waterbody) Town and/or County)14
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/boadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I wish to waive the e
Mgr � setback requirement.
I da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual p, 0 ng d velopment)'
14
Sign re
Print or Type Name
Telephon Number
Date:

SALTY.S�S
C'p_N-____TRIV
m
o�
N a
OIL—
5 00600'0Q ",C Z B7. 80
5oa000160"E l4s,00'
z
-a
0
0
0
0
0
a
W
CD
I Rrc-SIP�1 ��.2�1
-----
N oQ°vs'W"F- Z90. ig7
s1 r�Ct�! GE
�1NsIr.FS FOutitT �
Zoo
U1 a ! 5 ,
T ti
°'
e.
V.
C;
rz.xL'5�lr..5tc(, WALL S
-- -- - -
s c 00 cos' ZS' 1�! / 4 6. // 1 N
U'
'N
e
SCALE: APPROVED BY DRAWN BY
DATE: J
DRAWING NUMBER
Ni �-1

CrftS B JACKSON
LYNE7TE J JACK9pNcl
103 MOSS HdLL DR
GOLDSBORO, NC 27/���� <�
8 PAY TO TH lb
ORD OF
a �
cmwkgc
-ttury
Bain
-27
Fort
1:053 L L 23301: 30 290 2 20'
iw//Am
2055
66-12331531
DATE
L-DOLLARS 1,�1 o••u..,,
im u