Jackson, Robert

®�/JCAMA / ❑ DREDGE & FILL No. 73957 %j B C D
GENERAL PERMIT Previous permit# / /%1 CJ
❑New [-]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued-' I /`%///'
As authorized'by'rthe State of North Carolina, Department of Environmental Quality �/ f i✓
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC -
❑ Rules attached.
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PNA yes / no
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A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
❑ See note on back regarding River Basin rules.
Signature *• Please read compliance statement on backof permit" Signature j
Application Feels) Check# Issuing Date Expiration Date

Robert W Jackson
12231 Chapel Rd
Clifton, VA 20124
202-468-6369
Coastal Management Offices
400 Commerce Ave
Morehead City, NC 28557
252-808-2808
Re: Extension for CAMA Permit No. 73193
Mr. Davenport,
Per our phonecon, attached is a check for $200 for extension of my CAMA permit for 120 days to
complete my dock construction contract. My contractor needed more time due to other demands
created by Hurricane Florence damage to coastal infrastructure.
Thanks for your kind assistance,
Robert W. Jackson
End: CAMA permit
RECEIVED
MAR 15 2019
DCM-MHD CITY

'/CAMA L : ; DREDGE & FILL
No. 73193 A B D
U
6 ENERAL PERMIT
Previous permit#
111 New '. _:Modification I Complete Reissue CPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality %'1 ' a Gf.l
/
and the Coastal Resources Commission in an area of a vironmental concern pursuant to I SA NCAC
to
i�fiules attached.
ot.4
�
Q�A Applicant Name `` C _C'J
Project Location: County _ � �14rlk-4
Address s!r�
Street Address/ State Road/ Lot #(s
0r
City_ - —State ZIP_ pt i�1�t�
J GVr
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Phone#(b�_ 1E-Mall --- -
Subdivision
Authorized Agent _ _-Q�✓l✓1e%.u✓"f --.
City_ _C)(Ja'c/J/c-^t/ ZIP
Affected i-1 CW �W *-PTA LIES ❑PTS
/:_]HHF I;IH JVBA ❑N/A
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Phone# ()__- _____I_ River Basin%�ji"-V,A�
1&-JG-dd.'/t!� '-
AEC(t):
Adj. Wtr. Body_____ _ - -_� Lman [unkn)
f ; PWS:
ORW: yes-� no PNA yes /1:15�
Closest Maj. Wtr. Body. __-__- SOU/ Qtit eL Ll -_-
Type of Project/ Activity 6X 31Ut do C 1t 16 X
13 x i"S l Tra-
Pier (dock) length )) 3/ ()
Fixed Platform(s) O Y.
Floating Platform(s)
Finger pier(s)_ _
Groin length
number
Bulkhehd/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp �(�r
Boathouse BoatL( /`_( J
Beach Bulldozing.-
Other- [ --
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Shoreline Length -7(.j
- ISAV: not sure as
Moratorium: n/a yes 9
Photos: yes C7YG ! j
Waiver Attached: yes no :--------
A building permit may be required by: GC
( Note Local Planning Jurisdiction)
Notes/ Special Conditions t1
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. See note on back regarding River Basin rules.
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gerColorrr A,�p'plica tp Printed Name
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pplication Feels) Check#
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armitOfker's Yiinted Name
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Issuing Date }
DCM-MHD CITY
- 33
Expi tion ate