HomeMy WebLinkAbout33144_JONES, J F_20030129Y.
CICAMA / E DREDGE & FILL S 11 44
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑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 J J r�FS
Address f )1.1
rl j 2:j
City NF�F�w State ZIP 't `
Phone # ( L) ? ° 2 50 Fax # ( )
Authorized AgentGcIW•t fC
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
ElOEA ElHHF ElIH ❑ UBA ❑ N/A
AEC(s):
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision - ( • jet- �
City t i ' ZIP 1 ��
Phone # ( ) River Basin 5, jet y6r
Adj. Wtr. Body % wt r 4 Ole rtaii /man /unkn)
Closest Maj. Wtr. Body /1, e k
Shoreline Length
......1
—
twellip
SAM not sure yes
(ip
1,•'
Q. SFt FX'
t
1�
tl
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Sandbags: not sure yes
Moratorium:
� I
n/a yes
Photos: yeso
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Waiver Attached: yes
Cd
A building permit may be required by:
l r ('le►t `i to.
® See note on back regarding River Basin rules.
Notes/ Special Conditions
P t
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J o r-O ► ♦ Cre-
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7-1 ) i
Agent or Applicant Print dName }
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
C .
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
Lr] 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:919-733-1495
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)
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
ROBERT D. HODGES
169 CREEK RD.
BEAUFORT, NC 28516
Pay to the
Order of_
BB&T
BRANCH BANKING AND TRUST COMPANY
MOREHEAD CITY, NORTH CAROLINA
',pp�,eT HoA6ES �,'o zJ 33��5
For `TF .JogfS
i:0 5 3 10 1 L 2 1,: 12 3 30480 5011'
[�Cloi4r /In�erkm�
1226
66-112/531
02302
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S+�iM A�vn II
Dollars 8:m�
MJARDIAW WETY BLUE DEBL
�,..,�. eNwvmTirT C1TA'T'TEiNIEN{'
ADJACENT RIPAR1Aty PKcUY�,K 1 Y v yr 114�." v A _
I hereby certify t15ai; own property adjacent to
°s
;*�T :: �nfrnrprty Owner)
property located at
(Lot, Block, Road, etc.)
'e&TCr,f. /—
(Town and/or County)
nc nai dESC<<�ed to Tte as shown below, the development he is proposing at that location,
and, I have r,o objections to his proposal.
DESCRIPTION AND/OR DRAW[NG OF PROPOSED DEVELOPMEN T
,(o IV, efil fled ;ty.by ind v;dual proposine development)
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�—
Print or Type Name
Telephone Number
Date: 0/ x j
�i t ri►Tr+TI A TL'A A ILA' NJ
VL�I\ n:ADIACENT RIPARIAN MOPE "�O'
fiiL: y1
I hereby certify that Is own property adjacent to ��= -1 2''�� s
i r, a of ;Pry er' Owner)
�l�uii€., .�a �.,.
property located at CV. cc
- 1� -7gd-
(Lot, Block, Road, etc.)
c1i� S r �e C , in
('Town and/or County)
(VVdiCt,.iG 'ji
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be,illed in by individual proposing development)
fiM Rec
Ro c l�
d
n ure
Print or Type Name
Telephone Number
Date: /— /S —'� F
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