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HomeMy WebLinkAbout57438D - JacksonSubdivision 1 City �✓�'� 4�s �Zv �• ZIP_ YG Phone # ( ) 3%6 "S9 -ver Basin Adj. Wtr. Body nf7%,,41 OL C"/fliiflN/l ' t4 Closest Maj. Wtr. Body S%u/HP S'oU�t/� �CAMA / DREDGE & FILL ' 3ENERAL PERMIT Previous permit#. New ❑Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued '- -ized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7 �1 f ❑ Rules attached. t Name _l y't n-tv, TAt <e; e-A-j Project Location: County A!5;45-10--rJ Street Address/ State Road/ Lot #(s) 01 -r,0,0,PW ,5,V/ Ile e State' `C ZIP ' 6;5/ Z-17 Fax # ed Agent CW >4EW A PTA —ES PTS OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A PWS: ❑FQ yes / no PNA yes / POO Crit.Hab. yes / no Project/ Activity ■■■■IIr:■■M!I■■■■■■1:■■■ ::::: :■:: ngth ::e�:::::::::::::�::: NONE MEN distance offshore ■O■�'IEEE■■■■■■■■■■■■■■��■iilww..l..,.... "1�!1 ■E ■■■■M■■■■ ■■ ■■■ ■MIS,6hX7F71 x distance offshore iannel ME MEN ENNIVIV?] ■■■■■■■■M2l71It!�111►►■■■r1a ■i'.Zi■■!�■■%■■■1 np ■MEMEM E■►UMNA!JIIn■■■■■■I�II��fAE�')r''�`I■■■■■■1 a oatlift ■■■MIND■E■ir�ifill��(frlifiilti■■■■■■1 ulldozing ■■1■■■■■■■■■■MCI■i\■N% ■■■�■■■i��■■■■MI ■�■■■■H■■■■NI1�/l�■■'/■ ■■■■■■■■■■��C��: ■:I■■■■■■■■■■■■`�����■■■■■■■■■■■■■ 1 INNIMEME■■■■■■■■■■■■■■■■■■■■■■■■■■■■■1 not sure yes no"T Fs: not sure yes noIM■■■■■■■■MN■A■MME■■■MEEM■■■■MM■■MI lurn: n/a yes no��!M_■■EM■■IGTrI■tilll�nuM■■■n■■■■MMrVEMOMM7■1 yes no IM■■■■■■MEMO■■■■■■■■■■�■■■■■■■■■■MI %,V::::::�����■::::t ilr:�:■:n����::1 ing permit may be required by: 01,V C�OV K �U1 ❑ See note on back regarding River Basin r ►. a 11 1 1 1 - - n 08/22/2011 00,42 19102962892 JACKSON'S IGR qk/, ucr 02/ ADJAC:EN'T' RIPARIAN PRQJrETLTY OWNER STATEMENT (T,0,R A PIE"O OUNGPILING"0A711r7/80ATH4USE) I hereby certify that I own property adjacent s- Property t located at ea� r' (Lot, ]Block, Road, etc.) on LW- no , in kd k- (WAerbody) (Town an County)(4?S w7) Applicant's phone 91 AVf NXsilin.g Add:res9: i adz He has described to me, as shown below, the,developrnent he is proposing at that location, and, i have no objections to his proposal. I understand that a pier/mooring pilings / boatlifk / boathouse must be set back a minimum distance off ftean feet (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.) I do not wish to waive /b I d- wish to waive tk�-- setback requirement. ----------w ............ ........ w_.._----------_- -* DESCWTION AND/OR DRAWING OF PROPOSED DEVELOPNINT: (1'v be filled in by individual proposing davalopment) (Information for Property Gwner Applying for Per7;"707 ,A A'k f U U Maiiing Address dS 3 in I�r �,� < ���L�t /N C / RECEIVED AUG 2 9 2011 i—M WILMINGTON; I (Riparian Property Owner Information) i Signature WCr�t e ! -RieCa�l1 1P NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management 3everly Eaves Perdue James H. Gregson Dee FrE governor Director Sec AGENT AUTHORIZATION FORM Date: A 14b l ame of Property Owner Applying for Permit: Name of Authorized Agent for this project: 57 c--- r � C/Wj ,wner's Mailing A dress: Agent's Mailing Address: 307 t na Yr S (ice 2. c /i/ C 'hone Number (510 Phone Number( certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying x and obtaining all CAMA Permits necessary to install or construct the following (activity): my property located) at , G/Y/''( ePe �fd this certification is valid thru (date) Date --I'9'�7 L �� /' PIS � .✓yq.� ,00l /J vc- / ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to Vw3n&A14 S� is (Na e of Property Owner) property located at fog (Lot, Block, Road, etc.) on 6�i �y r-- dlOa-r`� lu s ice �a.�a , in S)1 S ! , (Waterbody) (Town r County) Applicant's phofie .: 10— W/Mailing Address: 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/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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.) I do not wish to waive j�✓. fil 'I do wish to waive that setback requirement. --------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) h% --------------------------------------------------------------- RECEIVED AUG 2 9 2011 DCM WILMINGTON, NC (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) j I /0° e-1 6 S g Mailing Address ��? U^ ^ Signature 7V old Q� Thb ctrti8es that lhMe a t ad waif ?g%M or after faxes wMck the Oaslow t: santy 7is 11 for co tlnl art a t' w tared Identttintlsa N m r. / This is of a certificati i tat t •t int I rc I I entification Number IIII III IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII this deed dac pt a. Doc ID: 009141070003 Type: CRP ¢¢\ t Recorded: 08/19/2011 at 03:42:27 PM Fee Amt: $2.00 Page Revenue Tax: $0.00 1 of 3 Taat olkctiaas ' �tgn AR Date Onslow ounty NC Rebecca CL. Pollard Req. of Deeds BK3640Pa735���1��! This deed presented to The slow Cow i e AUG 2 9 2011 PREPARED BY: SMITH & BLIZZARD, P.A. DCIUI WILMINGTON EXCISE TAX PAID $ NORTH CAROLINA NORTH CAROLINA GENERAL WARRANTY DEED ONSLOW COUNTY PARCEL # THIS DEED, made and entered into this the 111:�-day of , 2011, by and between JIMMY L. JACKSON AND WIFE, FRANCES S. JACKSON, of Duplin County, North Carolina, Grantor; to JIMMY L. JACKSON AND WIFE, FRANCES S. JACKSON, of Duplin County, North Carolina Grantee. WITNESSETH: That the said Grantor, for and in consideration of the sum of Ten Dollars and other valuable consideration to them in hand paid, the receipt of which is hereby acknowledged, have bargained and sold and by these presents does grant, bargain, sell and convey unto the said Grantees, their heirs and assigns, all that certain tract or parcel of land situated in Stump Sound Township, Onslow County, North Carolina, and being more particularly described as follows: Lying and being on the southern side of a 60 ft. road and bepinninR at an iron stake in the 106 ft. to an iron stake; thence north 10 degrees 45 minutes east 194.22 feet to the beginning and being Lot # 10 as shown on a sketch made by Jack P. Huddle, Engineer, on March 9, 1968, which sketch is identified as a survey for H. U. Justice, Sr. located in Stump Sound Township, Onslow County, North Carolina, and to which map or sketch reference is hereby made for a more accurate description. THE ATTORNEY PREPARING THIS INSTRUMENT HAS MADE NO RECORD SEARCH OR TITLE EXAMINATION AS TO THE PROPERTY HEREIN DESCRIBED UNLESS THE SAME IS SHOWN BY HIS WRITTEN AND SIGNED CERTIFICATE. TO HAVE AND TO HOLD the aforesaid tract or parcel of land and all privileges and appurtenances thereto belonging to them the said Grantees, their heirs and assigns, in fee simple forever. And the said Grantors covenants that they are seized of said premises in fee simple and have the right to convey the same in fee simple; that the same are free and clear from all encumbrances; and that they will warrant and defend the said title to the same against the claims of all persons whomsoever. IN TESTIMONY WHEREOF, the said Grantors have hereunto set their hands and seals the day and year first above written. L. Jackson Frances S.Jackson (SEAL) NORTH CAROLINA - wF COUNTY I, a Notary Public of r\- County and State of North Carolina, do hereby certify that Jimmy L. Jackson and trances S. Jackson, personally appeared before me this day and acknowledged the execution of the foregoing instrument for the purposes therein expressed. Witness my hand and official stamp or seal, this the ,01Ar? y b U pLi uL�G My A; ission Expires: I D 1` day of , Notary Public A r-A NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management everly Eaves Perdue James R.Gregson Dee F iovernor Director S Permit Type Fee General Permit for certain post -storm redevelopment and recovery activities General Permit for placement of riprap to protect wetlands in estuarine and public trust waters General Permit for installation of sandbags General Permit for placement of rip rap below Normal High Water/Normal Water Line General Permit for placement of rip rap at or above Normal High Water/Normal Water Line General Permit for construction of a bulkhead. General Permit for maintenance excavation within existing canals, channels, basins and ditches in estuarine or public trust waters, 101-1000 cubic yards General Permit for maintenance excavation within existing canals, channels, basins and ditches in estuarine or public trust waters, up to 100 cubic yards General Permit for beach bulldozing General Permit for replacement of bridges and culverts General Permit for Estuarine Enhancement Program mitigation All other General Permits Minor Permit $0 $200 $400 $400 $200 $400 $400 $200 $400 $400 Bann )licant: :e: c /// G�k�se'Y� Permit #: 5 713 9- >cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. �itat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts)) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/o temp impact amount) Dredge ❑ Fill ❑ Both ❑ Othe Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ FRANCES S. JACKSON JIMMY L. JACKSON HER 2088254 HIS 689980 P.O. BOX 988 PH. 910-296-1288 66-456/531 3793 DAT G DOLLARS f� ELITE FIRST BANK CHEC G NANSVILLE0Q 6UNA 28349 � !'51- i 38 1.1i _----------- --- - ---- ---------- j.053 L04568p: 0643000413GO 03793