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Home My WebLink About34032_JONES, ROBERT A_20030514OCAMA / 1:1 DREDGE & FILL .� 'q��' 5 GENERAL PERMIT 2-J, Previous permit # ONew ElModification LIComplete 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 .— 0,Rules attached. Applicant Name(_l') Jlv. Project Location: County Address Street Address/ State Road/ Lot #(s) City Stat zip Phone # Fax # Authorized Agent Affected El Cw Ll JEW El PTA El ES El PTS AEC(s): E OEA El HHF El 1H El UBA [I N/A El PWS: 1-1 FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Subdivision City— Phone # (—) ZIP River Basin Adj. Wtr. Body (nat /man /unkn Closest Maj. Wtr. Body INEM MEMEMOMMEM OMEN OMEN ME No ■■■■■■ M. ■MONIMMEMEM mmomm■■=■■■=Nmm MWEEMN EMOMMIM EMEMIN MWEE MENNEN ■ ■■�■■ �■■■■■■ 0 MEE ■ MEMOMMIN EM M IN =4 ■mom MEMNON mom ■MMEMEM ■■ MOMME ■NEEME■ ONE MEMNON MEN!"AM LMEMEMEM■M■0 MwWMM MOMMIMMEMERAMEMEMMEME MEN WA WR EMEME am ■ MEMEM■ENE ME ME MOM�i■■■■■■■■■■■■■■■■■■■■■■■■■ OEM i■�� MWEM IMMMMMMUI NONE M= M110MMMENE EMEMEMEMOMMEMME ■MEi■ii■i�■ NEMMUM MEME3 MORMEM MEMEME r4- Agent or Applicant Kinted Name Signature Please read compliance statement on back of permit Application Fee(.,) Check # Permit Officer's Signature ) "I-, � Issuing Date Expiration Date Loa 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, certify that 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 (910-395-3900) 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 / 1-888-4RCOAST 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 a � mm - ri w-09-03 09:ze AM LANIER SURVEYING COMPANY 1910.4SS9941 P.02 BUB Offic PRODUCTS 1im001 • ;� ADJACENT RIp • ARIAN PROPER TY OWNER $TATEMENT (FOR A PIE RIiJNC av ERED SOAT LIFT) G � I hereby certify that i own property adjacent I (Name of P rry Owner) Property located at "t, ock, Roger. ele.) •vo (waterpodl) inow NC. (Town and/or Cvurity) Be hay dacr W to shown below, aad I bare no o ecciaas to nti iu the dwelvpenenr he to Propels;*Q At that locatkn, proposal, i waderatand that z pier/uncovered boat lift roust be set bash at a winioum Aro of flRaen MP) al my area orrlparian eecess unless wilived by me, 199jW wish to waive the setback mquirerneist t ilk wish to wAlve IkAt setback requirement. DESCRIPT'IO AND/OR DRAWING OF PRb S DBE L VPMENT: (To be led i by in ividual proposing development) �y P ka� i 1 i 1` `' �4AY f V-V l- r C7� r Si�iwture Print or Type Name /3f'rJr3J !� � rt'YLo Telephone Number --�" Date —�'L�..---.�..•" '--- Ihtv1 �N y ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIUNCOVERED BOAT LIFT) 1 /g/ V-3 23 �-o I hereby certify that I own property adjacent 's (Name of Pr erty Owner) property located at _ (Lot, -lock, Road, etc.) on in NC. (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/uncovered boat lift must be set back at a minimum of fifteen (15') from my area of riparian access unless waived by me. .1 do not wish to waive the setback requirement. 2003 I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: To be filled in by individual proposing development) t� \_JV e� J Signature Telephone Number eo r = 1 0(-L) at/ Print or Type Name 5I 710 3 Date