34023_JONES, DOUGLAS_20030605

1.71 CAMA DREDGE & FILL
GENERAL PERMIT
Previous permit #
EINew ElModification ElComplete Reissue ElPartial 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 I SA NCAC I 7 /,?CO
0 Rules attached.
Applicant Name !�;� tA ( le I
Address— IC
VC State
City
—ZIP
Phone # (1, Fax#
Authorized Agent t�c
Affected El Cw El EW JT PTA El ES [-1 PTS
AEC(s): [I OEA El HHF El 1H El UBA El N/A
El PWS: El FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County ro , 4 f, -
Street Address/ State Road/ Lot #(s)
Subdivision
City zip
Phone # tj4' 1, r k
River Basin '�p
Adj. Wtr. Body 1, 1( /'J Y4 ffi t Yman /unkn)
Closest Maj. Wtr. Bocly—,�i /, /' rr Fr
Type of Project/ Activity < Y � 2 C- 0, V f r t4 :7 1
r— Vic 4..,k � ),4 g 'k I? t'11111 Vill Id (Scale: A,),
Pier (dock) length Ji X 12 I/ J
Platf
Fing
ENE
ME
GroiNOMINEE
Bulklnumber
ead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boat iouse/ qatJift 1, f C ft
BeaSBulldozing
Oth r
121.
WWI
ME
M
EMOME
MEMEM
EMMEM
MEMMEM
MOMMEM
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MENNEN
ME
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ENE
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ME
11
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Nit
EM
a
0
NEMENE
ME101WEEMM1,16101
MWAHN
T
ShorSline Length t/ i
SAM not sure yes Ad
Sand ags: not sure yes
Molorium: n/a yes T-9
Phot)�S: yes
Waiv(,--r Attached: te s lhov�
A building permit may be required by:
Notes/ Special Conditions
MEN
MEMECIUMMOMMEMEM
MEM
MMNMM1r-=MMMMMMM
Mo
10NI
Now,
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See note
w
on back regarding
d
River
Basin
rules.
01'rnd"d
11
■
1111A(
rS1Jp;Zur%e- lease read't pliance statementon back of permit
12 el -7
Application Fee(s) Check #
7
Issuing Date Expiration Date
(o v 4 t, r 4 c c vs2,-,A
Local
Rover File Name
Permit Officer's Signature
Planning jurisdiction

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 thatthis 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 (910-395-3900) 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / I-888-4RCOAST
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 Hwy. 24
Hestron Plaza 11
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

1r
DOUGLAS JONES
PHYLLIS JONES
309 JONES RD
RT 1 BOX 32
JACKSON SPRI", 1
27281
BRANCH BANKINGAND T COMPANY
ABERDEEN, NORTH CAROLINA
j:053 101 1 2 1':5 2008? 1? 31'
(/)"/ I - e �/C/v 3
4247
66-1121531
gms
$ f 00, 0O
WP

ADJACENT RLPARUN PROPERTY O� iI -ER STATEMENT
(FOR A PIER/MOORING PILINGSIBOA TUFTIBOA THOCSE)
I hereby cendfy that I own property adjacent to DU61A4Joyce s 's
(Name of Property Owner)
prope. Ty located at 0-9) , L1i-a-D i n;6 � o
(Lot; dock, Road, etc.)
t/' Uvw- o ge— Tou wSN r P - C A n- ce F7 C�
on f��K�Y� CR l�- , in Fi-LF 21CIC , N.C.
(Waterbody) (Town and/or County)
He has described to me, as s*:own below, the development he is proposi- at that location,
and, I have no objections to his proposal. I understand tha: a pier/moorInE
pLngs'boarEifuboathouse must be se: back a minimum distance of free fec: from my aver
of r�p-&*an access unless waived by me.
I do not wish to ware the setback requirement.
I �n wish to waive t".a.t setback re-uiremenc.
DESCRrPTION AND/OR DRAWLNG OF PROPOSED DEVELOPNrEN-':
(To be filled ir. by individual proposing development)
w� N
Q
Signature
Print or Type Namne
Te'ephone Numbe-
Date:

ADJACENT RIPARUN PROPERTY OWNER STATE-N EN7
(FOR A PIER/MOORING PILINGS✓BOATLIFTIBOATHOCSF)
I hereby ce:&y that I own property adjacent to DQCLa LLS c� VtE<1 Is
(Name of Property Owner)
prone..;y located at 0 t S b o 4 -0
(Lot, Block, Road, etc.)
CJY
on 57T-Ak kFLj S in
(W'aterbadv) own and/or County)
He has described to me, as sinown below, the deve!opme:t he is proposir. a: tat locadon,
and, I have no objections to his proposal. I unde.st<nd tha: a pier/mooring
pLi::g,qtoarjiMoarhouse must be se: back a minimum distance of f reel f=: (i;') from my area
o.pa=i.an access unless waved by me.
I do rant wish to wale'- the setbac!< requireme
I 'n wish to waive t�.ac setbac recuirement.
DESCRIPTION AN-D,OR DRAWD G OF PROPOSED DEVELOFI-E""T.
To be,611ed it by individual proposin; development)
� 0�6 '
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Ian3t1J
Print r Type Name
Te!ephone Numbz-
Dace: _d