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Home My WebLink AboutJackson, JerryCAMA A ❑ DREDQE & FILL iN �NN G2218 � CGENERAL PERMIT Previous Permit# New ❑Modification ❑Complete Reissue rtial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources -11 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC // _0 Rules attached. Applicant Namr� Project Location: County i, < Address )f^A t t <' Street Address/ State Road/ Lot #(s) City State ZIP ;� U� ��, ��f Sh utr ,Phone (�` ) {-� 1"�� .Fax #' ) ` Subdivision Authorized A¢enF'2- 6' �rf C t! -P City 4 CA r t ZIP Affected ❑ CW 21EW i�FPTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FQ ORW: yes no PNA yes /('1 Crit.Hab. yes / no Phone # ( ) River Basin 61,111, Adj. Wtr. Body ((.`IC Cil4/r J AnTis an unkn Closest Maj. Wtr. Body Ui SC' `" A r./ 3 Type of Project/ Activity (Scale: G ) Pier (dock) length Finger pier(s)_ Groin length. number Bulkhead/ Riprap length avg distance offshore_ max distance offshore (B ,)nl, channel 1 X6t1 cubic yards `'f `'` Boat ramp Boathouse/ Boatlift Beach Bulldozing Other ;Shoreline Length — —� i SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes n Photos: yes Waiver Attached: yes n 6 A building permit may be required by: Notes/ Special Conditions r ❑ See note on back regarding River Basin rules. • r f f 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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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) 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 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 Cf MC:le. 5/,j r Pat McCrory Governor � SM, 1,3j;Ir 'A CDEN North Carolina Department of Environment and Natural Resources Division of Coastal Management Braxton C. Davis Director Date Applicant Name :5' Mailing Address eA S 46f-f.' V Q � &-7LtAAf-r/'� John E. Skvarla, iii Secretary RECEIVED MAY 17 2013 DC:12 :� HO CITY I certify that I have authorized (agent) ea C- - to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 7� SA S6g 6 R-e— D9. , at (location) 77iLsg/v ,'c NC This certification Signature thru date)_ I" I— 2- D X 4 400 Commerce Ave., Morehead City, NC 28557 Phone: 252-808-28081 FAX: 252-247-3330 Internet www.nocoastalmanagement.net An Equal OppodwrilyIAUrmatIve Action Employer AlwdilY oneCarolina ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ::5�eV-Rq s C - (Na of o Property Owner) property located at 436 JP -A 5htYz-_ 'g2"LrQ (Address, Lot, Block, Roast, etc.) on <sbf Ro ►S A , in P+4- l C tyC N. C. (Waterbody) J (City/Town and/or County) The applican as described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) RECEIVED fir•l. l 1'� � � V � l ...„ 013 ;ITY WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum di nce of 15' from my area of riparian access unless waived by me. (If you wish to waiv a setback, you must initial the appropriate blank below.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Si gtune / Qlarl Print or Type Name 7o Se -A .Srf�K� p OVO Mailing Address /4^i ,L 81z' IC 1i C City/State/Zip 2�2- ,26,9 Telephone Number Z6l3 Date (Adjacent Property Ow ation) Signgture G��S PrPr—�� Type � Mails ddress NoX fib/f� ��N �SSc� city/ /7' 6 T ephone Nugiber Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to -le.e-EUi^ CY,. s i^ -- (Ni me of Property Owner) property located at (Address, Lot, Block, Road, etc.) on y-/ , in 4ZI,4nrTi C M C, , N.C. (Wate ody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locati� I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) RECEwM AAY 17 2013 DCM-MHI} CTf y WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) fib Signature ChAkIt?5 • Pti`,qt or Type Name 4M SeA S dr e & v e Mailing Address f�fiL. nr�i r C �e City/State/Zip Telephone Number .57r S - 26 /3 Date (Adjacent Property Owner Information) City/State/Zip �c'2� LA d (o Telephone Number s /o- 20/3 Date (Revised 611812012) 6&(,40t, ow,