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Home My WebLink About55077_JEPSON, JIM_20100106❑ CAMA / D DREDGE & FILL / -ZO it, GENERAL PERMIT 4 1 Previous permit # ❑New ❑Modification El 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 Address i City ` ^„ State ZIP ; Phone # (,) Fax # (�- — -- Authorized Agent Affected ❑ CW ❑ EW OPTA �jES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ NIA AEC(s): ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County " iV , i G' Street Address/ State Road/ Lot #(s) Subdivision I City ZIP Phone # (,) River Basin Adj. Wtr. Body U`?_�� ' \1 i a (nat /man /unkn) Closest Maj. Wtr. Body r Type of Project/ Activity ®fokcem (Scale: Pier (dock) length Platform(s) Finger pier(s) Groin length el — — I\ number Bulkhead/ Riprap length T- avg distance offshore _ ! !, max distance offshore L --- _ n Basin, channel i - 1, cubic yards Y I I i Boat ramp -- _ Boathouse/ Boatlift Beach Bulldozing T' Other - Shoreline Length - SAV: not sure yes no Sandbags: not sure yes no Moratorium: j n a yes no - 1- } I i I -- i- Y. f - - - }- Photos: yes no Waiver Attached: F� -- A building permit may be required by: See note on back regarding River Basin rules. Notes/ Special Conditions 2 S c �okwJa eAA e� —I Agent or Applicant Printed Name Signature ** PIMse r , compliance statement on back of permit Application Fee(s) LlCheck # 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 landowner(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 (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) 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) 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 08/09/06 O O O O O O U $a O O O O O O Existing 0 0 Existing Bulkhead 0 Groin O O 0 O O 0 0 4' X 10' Panels 0 0 Typical 0 10,000 Lb 0 Boat Lift O 00 0 Proposed Dock Plan 0 0 Total Dock Area 0 � 542.09 SF 0 4' X 10' Panels Typical James K ". MA Anft.d R..K/1IIC DOa AiO arvia WD WeM O..kFP* Ra.lda�ca ioe►I.tl aF L.1 D'IF.9Jb' M.P*— T—ft M1 P..*. Da W �A 2.0 'I A&wp NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date Applicant Name/ Mailing Address I certify that I t "a'� have authorized (agen2�&14 �� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) `A6_-r,e_ at (location) This certificahon,is valid thru (date) G�q Signature 4� 1ci� ;:< %i c 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal opportunity \ Affirmative Action Employer- 50% Recycled l 10% Post Consumer Paper CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RVARL4N PROPERTY OWNER NOTTRICATIONIWAIVER RM Name of individual applying for the permit:y �P`�/� Address of property:. 'S/ AyAoaA (Lot or strmtf strcet of roaa) /U C_ llh7iLle-i') (City & county) Property adjacent to the above referenced property- The I hereby certify that I own individual applying for permit has described this pto 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 objeetions to this proposal Please write the Division of Coastal If you have objections to what is being proposed, P NC 28557 or call (252) 808-2808 Management, 400 Commerce Ave, Morehead City, within 10 days of receipt of the notice. No response is considered the same as no objection if -you have been notified by Certified Maid. Waiver Section I understand that a pier, dock, mooring pilings, breakwater, boathouse, 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.) I do wish to waive the 15' setback requirement I do not wish to waive the 15' setback requirement S' ture Date ,gnuv l��ffi Print Name �2'C6- g g0 Telephone number with area. code �/ LSE /UEi� �Ov��JK% �j�SorJ V Gaon aE ,Bo z,73 NTs a JAW2d 5r�}\JAW25 JAW26 c yet t? '11Yp62 12YStt I A ' JAYr;i7 - c>. REMOVE OH POLE JAW35 INS'YALL UG TRANS /o �75' JAW29 115 ?� UG'SERIIJCE BORE PRIMARY JAvr39 n/ J JAW3a ,4 WE ARE GOING TO BORE ON RIGHT SIDE OF BRIDGE OPPOSITE SIDE FROM POLE JAW37 �— JAW3d JUAW31 �., .. JAW 32 Revision ClryRown, State: `' y Progress Energ y t Work Request r Pp-- 1 1 Date of 2/3/2010 Scale 1 t in = t OS tt Signature Z/cPAPD F , O r PRANT Print or Type Name zsz- 393ac) �D Telephone Number 2 -- / r-/0 Date Ll MARGARET G. JACKSON 240 DEER ISLAND RD. PH. 910-326-4090 SWANSBORO, NC 28584 66-7489/2531 1090000143573 3503 Dare /% T= PAY TO THE 02DER a r i ne Federal Credit Union ww11m, Nn28MI_l.oig Jacksonville, NC 28591-1551 MEMO j ,,7 M. �. 1:2S3 L748931: LD90000 LL,3S7311"03503 � J JA" JAW32 o jAW35 INSTALL UG TRANS 1116G- PRIMARY BORE JAW38 JAYOJ9 WEARE GOING TOBORE UNRIGI, SIDE OFBRIF)(:r- 0PPOS!-f F SIDE FROM POLE JAW37 'AW3. cayrr.wm sw.; V,;0'4 Progress Energl, Svc Copal. t W— Approved Huffman. DaUUIAS IAllanl it Checked C3aW - Center int 105 ft- ----------------------------------------------------------------- ,Signature IYA el Print or Type Name Telephope Number Date CAC, 55Z& 7 c Describe below the HABITAT disturbances for the application. All vaivas should match the narne, and units of measurement found in your Habitat code Sheet. t laigat Parrtc DIST•URS T YPIF'. Choose One TOTAL Sq. Ft. (Applied for. Disturbance toial includes any anticipated restoration or temp im acts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet ' (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Peet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount DredgeX. Fill [IBoth ❑ Other ❑ r—NA 20 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 3 .. i0" r. #.. _:.._.._.__ "__.._ .__. .._ ._ .........� _