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Home My WebLink AboutJordan, Jack 77370CZ-CAMA / ❑DREDGE & FILL ! N9 77370 A B C,,. D GENERAL PERMIT Previous permit# Q ew If [-]Modification❑Complete Reissue ❑Partial Reissue Date previous permit issued As autF oed by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission i an area of environmental concern pursuant to 15A NCAC /V, tt ❑[[ac Rules;hed. Applicant Name _ { �/ (/ ` Project Location: County ke /f Address _ i '9 _ Street Address/ State Ro d/ L #(s) City i Stat'o�zIP T 1-//,f Phone # (� /) ��r?"- // rF'�-Mail Subdivision Authorized Agent Affected Dew OJW` pp7w &as ❑ PTS AEC(s): D OEA ❑ HHF ❑ IH ❑ UBA ❑ WA ❑ PWS: ORW: yes / n� PNA yes'% 'noJ Type of Project/ Activity Pier (dock) length i Fixed Platforms) s) Floating Platform(s)Finger pier(s) Groin length number .. .. Shoreline Length SAV• not sure zip Phone # (_) River Basin Adj. Wtr. Body %� rlrr^ Gam' v� nat /man /unkn) Closest Maj. Wtr. Body t^-- (- t`' (i ` Waiver Attached: yes no A building permit may be required by:��- ( Note Local Planning jurisdiction) , Notes/ Special Conditions n. ! ° I ' P ✓ i i Agent or Applicant Printed Name , (Scale,,// / ❑ See note on back regarding River Basin rules. Signature ""'Please read compliance statement on ba kofpermit'r�' ` .. '� -ter Applicatipn Fee(s) Check# Issuing Date 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 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 how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New fiver Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 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 - South of New River Infet- and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ;:fBGk Joragn 's @ p property located at )11,16 -7S%9nd 910gdc (Name of Property Owner) (Address, Lot, lock, Road, etc.) on :bockstSll6A in F r�.nr� l;. itlrt�� N.C. (Waterbody) (Cityrrown and/or County) The applicant has described to me, as shown below, the development proposed at the above location, A-�' I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) V& ie /y5y TsI917ARd G'Uik;n Pryer V_-- .- $.2, iY4Y67rSW)A ed subjeehldlre`f SOKrtcci II 4e 3A 1VV ///gov :i/and get Ne.'ko i?h r+ I VVAIVCK b rzfk; I IVN i I understand that a pier, dock, mooring pilings, boat ramp, 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Sck Z'OC7laI? Print or Typ Name I l Zt 1-Qkery -S "le— Mailin� /9,� dd ss H, klo h NC -2717 ' City/state2ip �ilk�-fit)(. !r,{^t ring l �k�vJ,Gori Telephone Number/mail address 7a-1✓ 97 .20a0 Date *Valid for one calendar year after signature* (Adjacent Property Owner Information) Tele one Number/email address ��0'av Date (Revised Aug. 2014) - -...� ,: ., .. ��, - - w, . . - i ,, _-__.__�___ _v � ,A__...r _.._� ,. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Sgck SrA n 's !' f ! property located at %1i7(o �5i9oG�f Roacx (Name of Property Owner) (Address, Lot, Plock, Road, etc.) on zac{t' Sb'U , in F-4 k, !s :b. '.J N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location, V� 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) B�Z-4 i'( �vunc� M Zj WliTol^d�oc r�aci(fj(�If{ /y5N Jslan�4RA H4167WanA +31 /5'38 Blond R� Subjece Prue tr I Ne�ko 1��ope•► y WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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.) I do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Cori T D D Date 12<-,a17 ,2'2_.S�30o Tele one Number/email address Date (Revised Aug. 2014) 'Valid for one calendar year after signature'- ice. �; I I Ll A 3%114L -,%I i,n %v. _. F ;-Jgld Ti -.W4 40,:Vof N, q4,Axn,•pi r,, tIT, L.- r. &2111299-?�fl ikV. 1 '31 :-Iij lr;ufli lour A, I der. jt ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 13'1irk .)64oy-1 's dd (Name of Property Owner) property located at_ /�i�/(o -�.5� RtIQ '�1�o'�c4 1 tAaaress, Wt, 10CK, ioatl, a C.) on B(ltk Souvlot in grdC ,r_s�5 Ann N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 05 (4 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) Ny Y:'s(q,a( Rd G It. On w �'-& �S y'r� %`tali,en�lh I1138J -Ivnd Nerku Peoft(+ ,��Prapetl, WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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.) W ylassl a.1d Rd I do wish to waive the 15' setback requirement. _ I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Ow r Inflation) ,SiSwature Signature Ta a l Print or Type Name Print or Tvne Name Telephone Numb&& -email Address " J-w(v Z(, t02D Date *Valid for one calendar year after signature* Mailing Address l.t A',.syille dC .276.2_? City/statelzip �G"�2�• 9n1� Telephone Number/email address .To/v 2(o. 2O2o Date * (Revised Aug. 2014) Q ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Zv,\' 3or06rt 's (Name of Property Owner) property located at 1/{�}�o Js)grtt� `1 agc� �q CIc Souti10� (Address, Lot, lock, Road, etc.) on in ,1rker's�s ,2 N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. flS 14 1 have no objection to this proposal. I. have opjections to this proposal. ' DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) S6 !? y'rg' 1 iTotalGens+h ela�ttem j s, 1^SesFare. u1 >>�' wf>i riot*cISF'/Ib Addp-04 _�.! )N38�slon Vic( ' IysY �'slnnr,( R,1, Y'f�r f� (l � fr/4feTsta.t� it'J ;n Ner)fv �'r,�,ert WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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.) 1 do wish to waive the 15' setback requirement. 17J5 Vk I do not wish to waive the 15' setback requirement. Owner Information) PTA Telephone Numbesr%mail dffidress " u(v 26 Date *Valid for one calendar year after signature* - Property Print or Type lamer� A ItlDS' Wp_a�ti�P.Pi'OfrX "Tn' Mailing Address City/State2ip ' Telephone Number/email address .?LJ/v ;, lo, 2O2.o Date* (Revised Aug. 2014) �Jerory 4�ie S Ohl t'�Kt�°f`:or� Aw+40e;-Zopj C 00i A - P• 2 Uj)