HomeMy WebLinkAbout69897C - Jackson, Clayton
FM
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:
❑ 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
Washington District
400 Commerce Ave
943 Washington Square Mall
Morehead City, NC 28557
Washington, NC 27889
252-808-2808/ I-888-4RCOAST
252-946-6481
Fax: 252-247-3330
Fax: 252-948-0478
(Serves: Carteret, Craven, Onslow -
(Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico
Tyrrell and Washington Counties)
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)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/ 14
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THIS PAGE WAS INSERTED BY
ONE SOURCE DOCUMENT SOLUTIONS
THE FOLLOWING DOCUMENT(S)
ARE OF POOR QUALITY
EVERY REASONABLE ATTEMPT
WAS MADE TO IMPROVE THE
QUALITY OF THE DOCUMENT(S)
14
4
AW MR
North Carolina Department of Environment and Natural Resources
- Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director
Date %
Applicant 1®Tanae C/G,/ J cllG /61-'0
Failing Address
C
John E. Skvarla, III
Secretary
I certify that I have authorized (agent) to act on my behalf, for the
Purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
at (location)
This certification is valid three (date)AIZ 0-0-
3
Signature
RECEIVE®
MAR 10 2017
DCM_ MHO CITY
400 Commerce Ave., Morehead City, NC 28557 One
ww e
Phone: 252-808-28081 FAX: 252-247-3330 Internet: wriccoastalmana C E I\/E D NorthCaarglua
An Equal Opportunity 1 Affirmative Action Employer LltlCl?Cl`�
. MAR 0 8 2017
DCM- MHD CITY