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Home My WebLink About34090_JONES, BERNICE_20030617CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # ❑New ❑Modification El Complete Reissue El 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 f ❑ Rules attached. Applicant Name r, 1�, r, 3 c WO s Address j/ C c• 1 u 4 r / c, w t A City J't,i f' A f State ;k ZIP 7 Z .5'70 Phone # ( ) -i [ - � SGti Fax # ( ) Authorized Agent A,,1c Id Affected I -I CW ❑ EW X PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A C' PWS: El M ORW: yes / no PNA yes / no Crit. Hab. yes / no Project Location: County le , f f . Street Address/ State Road/ Lot #(s) Subdivision City ZIP_ Phone # (_) _ River Basin vT K Adj. Wtr. Body -,. rr (nat /man /unkn) Closest Maj. Wtr. Body fi` (A " .. �_■■ �■�� el®iat�;�rleenerse� iirl�iiirr�■ ■■■irl�Emu ■iiilii■■■■M■0'.4i��■! ��■■�■�■ Mulms ■ ■■ �► v■B■■�Ir7iY1■1®■■■■■■■ ■ ■il!-- _- ■■A ■■■■■■■ ■■■'■■■■% ■■■■■■■ � ■ ■■■■■ MOM ■ij a■W■■■■■■■■OM ME■ ■Cal®1a■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■M■M■■ ■■ti�i■t WAKAiSii ■■■■■■■■■■■■■■■■ ■■EN INM�■■■■■�■�M�■■■■■■■■■■E■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■.■■EEMEN ■■ ■■a■■■■■■■■■■■■■MON i■■ .■■■■■■■■■■■■■■■■■■■■...■.ME ''■■■■■■■■■■■■■■■■■■■■■■■■■■■ \■■■■■■■■■■■■■■■■■■■■■■■■■ ►�. �■■■■■■■■■■■■■■■■■■■■■■ 1■■■■■■■mom■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■ Agent or Applicant Printed Name Signature Please read compliance statement on back of permit t V, )Ills Application Fee(s) Check# Permit Officer's Signature j {3 Issuing Date Expiration Date 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, certifythat this project is consistentwith 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 (910-395-3900) for more information on how to comply with thesebuffer 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 / 1-888ARCOAST Fax:919-733-1495 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 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 910-395-3900 Fax: 910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 BERNICE R JONES 4!!�IP02T0 90 OLIVIA R JONES 172 S Guthrie Lane Newport, NC 28570-5069 AY oausRltrme or CAP 1143 Asset Manage ent count 66-21/530 BRANCH 98204 DATE $ vim/ —qOLLARS WACHOVIA SECTTRiTIES First g 0 n'R% NOSJt�o000 Ba k J FOR --- G0 5 3000 2 L 91: 90709131281112 CODE= 1143 ADJACENT RIPARL-�N PROPERTY Ow NIR STATENII-N-T (FOR A PIER/MOORING PILINGSIB OA TLIFTIE OA THO USE) I hereby certify that I own property adiacent to J 4L6t (Name of Property Owner) propery located at C/ (Lot. Block, Road, etc_) on � spy , N.C. (Waterbodv) (Town and/or Countvf He has described to me, as s<<own below, the developmCn: he is proposi-_ at that location, and, I have no objections to his proposal. I understc:-d tha: a pier/mooring pdi.ngs aoat, lAoathouse must be s..: back a minimum distance of f:i—Leen ftt: (' 5) from my area of riparian access unless waived by me. I do rint wish to wa v_- the setback requireme:11. I Si_n wish to waive t.at setback recuiremient. DESCRIPTION A.N-D/OR DRAWr G OF PROPOSED DEi ELOP%fEN_T: To be filled in by individual proposing development) ;V& 4'lez 7 11AI., -------------- ---- --------- Si�na[ur� 7S Print or T p` Name ,j g - Tao Telephone Numbe7 Dace: ADJACENT RIPARIAN PROPERTY OW NTR STATEMENT (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to�%�A) C� prot}e.-ry located at (Name of Property Omer) ZAVe, (Lot. Block, Road, etc.) on (firp , in al-VL-7-1, , N.C. (Waterbody) (Town and/or County) He has described to me, as s<<own below, the deve'.opmer.t he is propos -_ ar that location, and, I have no objections to his proposal. I understa:.d t i-at a pie n'moorr-inQ pilings, GoatlirJboathouse must be set back a minimum distance off peen fe~: (11 5) Fom my are: of rpa-,an access unless waived by me. ./ I dn nnt wish to wave the setback requireme:^t. I �n wish to waive t .at setback r cuireme:it. DESCRIPTION AND/OR DRAWD G OF PROPOSED DEVELOPNIE\-i: (To be filled ir by individual proposing developmerzt) J --------------- --- _ _ ______________ SIR'ia re Print or Type Name zrz - ?zG - 91s f r- Teleohone Dumber �� 6s Date