36969D - Ross

• CAMA , EDREDGE & FILL
3 969b
GENERAL PERMIT Previous permit#
`= , New El Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC "//,12. ' .
Rules attached.
Applicant Name 7 L Teo.55 Project Location: County e r-i r 1 •• ,---
Address I )O S gU0 v S to t_Gu r Street Address/State Road/ Lot#(s) 40
City elcvvt✓rrUaS State JC ZIP :�7U/ -• /I )0ii/ ue ,,,;f) ec 71
Phone # (''36,)7( (e- 7( S_ O Fax # ( ) Subdivision
Authorized Agent City �)0_r'r i7 IS/C Br- •(/ ZIP ,a-i/(,7 Affected - CW `VIEW = PTA ES PTS Phone # ( __) - River Basin LL (v))17(r
11 AEC(s): OEA ❑HHF IH UBA N/A ��}}Adj. Wtr. Body (�G via-4 (nat / unkn)
PWS: FC:
ORW: yes /,no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body a �tt..)
Type of Project/Activity ,\e p 1Lrce Lac.!Sf7r f '�' ' ' ''- ` ft" UnC
(f-)(.5 a A e-A ei c-t 4..c(k is S) `! v (Scale: /it
ZU ' )
Pier(dock)length asX L
Platform(s) $ $
Finger pier(s) CO kJi,LA
Groin length
number
Bulkhead/Riprap length 5 O'/ �t
avg distance offshore �1-.);Io (
= W',- 40
max distance offshore _ T�' ' 1
Basin,channel G_
f'
1 f fin'li (-.,a._ - -i
_ 1 _
cubic yards i
t i
Boat ramp
Boathouse/Boatlift *
— ...1 ;
�. li -
Beach Bulldozing � v J'
Other �' 1S ZS N/ y 7 1
Shoreline Length 50 i
' L W I 'Lj / W� /
SAV: not sure yes v .1 7
Sandbags: not sure yes SU/ i;
Moratorium: n/ayes no) P`
I >t�fE/,cc «/ P� 4
Photos: yes nd �(f c�oer,c/'i s
Waiver Attached: yes no)
1 , -- i •
A building permit may be required by: 7 r n- c-7 G, 7f,, ._/(c. ❑See note on back regarding River Basin rules.
Notes/Special Conditions A7/ ce}r/c/(4>r" S 614 '7H / c0 //i?/7 b4
0—c L 1-i . k=U i1 — 6c.CC�4-
Agent r App t Printed Name Permit Officer's Signature
� ,(. ,/I,�: � ^1.1.�, / , s��3 oy
gnature Please read compliance statement on back of permit** Issuing Date Expiry n Date
-- 7(01 () C0i) 7(C 5tt 6(L- NO203/gA
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name

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 I)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 Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-6481)or the Wilmington
Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
I638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-390 I 252-946-6481
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort,Bertie, Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I 9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9I9 733 I495 I5I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised I0/05/0I

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: ju C/6 3
ADDITIONAL NAMES:
AEC DESIG: e ) A ? DEVELOP AREA:_ .�L PROJ DESC: /� -
(Will only take 6) (Will only take 1)
WORK: I'/: �f :2 '�
(Will only take 4)
iE 6) 2-0
MAINT:
(Will only take 4)
IMP: O t1> 2-6,0
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: /3/O Z-' q3(b
CAMA MAJOR DEVEL REQUIRED: 2 3I O V 51310

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Jackson H. Ross
1005 Augusta Court
Clemmons, NC 27012
[phone]
January 14, 2004
Mr. Roy Chipley
1101 Dunvegan Rd.
Florence, SC 29501
Re: CAA Application Notification
Dear Roy:
This letter is to inform you that I am applying for CAMA permits on my property
located at Lot 97 Block 19 Section B & C with physical address of 40 Monroe St., Ocean
Isle Beach,N.C. CAMA regulations require me to notify you of my intentions to replace
my floating dock and walkway with a similar structure,to repair the bulkhead and to
rebuild the deck attached to the house according to the attached drawings. I have enclosed
a copy of my permit application and a copy of the drawings of my proposed project.
If you have any objections, comments or questions concerning the dock, walkway or
bulkhead project please write the Division of Coastal Management or call 910-395-3900
as instructed on the attached form. If you have no objections check the appropriate box,
sign and mail the form.
If you have any comments concerning the deck project please contact Justin Whiteside,
Local CAMA Officer for the Town of Ocean Isle Beach at 910-579-3469.
Sincerely,
krackson H. Ross

DIVISION QE_.COAS TAL MANAG eN7
DjAC IT RIPARTATLpROPERTY OWNER liOTI A`r1Oi'i.:'WAI.V a_ FORM
Ndm—. Jf Individual Applying For Permit : 7-6,c,60-4/ #, 1? S
Address Of Property : /7/0 i'�Ioti,oe 51%
Oc e.l-'►/ -ZSJe 23P l /1/. G. (324,,A-s cdre,�
(Lot or Street #, Street or Road, City & County)
r..-•rr - fy that own property adjacent to the above-
_eierenced property . The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
I have no objections to this proposal _
r. Yi1n..ha't`P_ nbj?nt-iOn.Cii o what i s .b. ng or'opnse d,..
of Coastal Managamnt- , l7iCard- pal Dri np,._
Wei lmingt on,
days of rpr?i nt- ,nT this nnt-i cP_ ronsi drad the same
a__no_,_52hi rt i ran if you bavp lim,pn notified by rprti f,an mail
Was IV R S&:CTION —I understand that a pier, dock, mooring pilings, breakwater, boat
house or boat lift 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 mnFJ initial the appropriate blank below. )
do wish to waive the ?5 ' s etback equil�ment .
^_�___ dn_.Przt wish to waive the �?5 ' Setback requirement .
Sign Name
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Print Name
Telephone Number With Area Code k . : . .
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. .S IDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
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•
Jackson H. Ross
1005 Augusta Court
Clemmons, NC 27012
[phone]
January 14, 2004
Mr. Jacob C Burton
2200 Burton Rd.
Thomasville, NC 27360
Re: CAA Application Notification
Dear Buddy:
This letter is to inform you that I am applying for CAMA permits on my property
located at Lot 97 Block 19 Section B & C with physical address of 40 Monroe St., Ocean
Isle Beach, N.C. CAMA regulations require me to notify you of my intentions to replace
my floating dock and walkway with a similar structure, to repair the bulkhead and to
rebuild the deck attached to the house according to the attached drawings. I have enclosed
a copy of my permit application and a copy of the drawings of my proposed project.
If you have any objections, comments or questions concerning the dock, walkway or
bulkhead project please write the Division of Coastal Management or call 910-395-3900
as instructed on the attached form. If you have no objections check the appropriate box,
sign and mail the form.
If you have any comments concerning the deck project please contact Justin Whiteside,
Local CAMA Officer for the Town of Ocean Isle Beach at 910-579-3469.
Sincerely,
(;) -471/Z
,/`Jackson H. Ross

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came v'1 individual Applying For Permit: k. LT G%d 7
Address Of Property: 40 14/o v2o S7&
(Lot or Street #, Street or Road, City a County)
T hereby certify that I own property adjacent to the -
referenced Property. The individual applying for this permit L has
described to me as shown on the attached drawing the development
they are .proposing. A description or drawing, with dimensions,
should be provided with this letter.
I have no objections to this proposal .
Tf you 7-1ava nh r•t i r i _to_ what i R baino n i QDoRa l c a
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of f nas#-al Manag=mant , 127 ._hardinpl rr1v. H a
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no oh1ar--o'-' ; i i va laaan_ n ifiad by ('art; =jac5 mp-jl
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I understand that a pier, cloth, mooring r3il'7' g , bre wz'.' , boa=
house or boat lift must be set .oacl_ a minim= distance o=`' 5 ' =ram
$y area of riparian access - unless a5 c waived V7 d by ma. (if you wish to
waive the sa baoh, you mr t' initial the aPp op_iat_ bl=T+(^ below.
do V.ish_ to waive the lS ' setback reQu i remen
7 Cl'l no_ wish to waive the 15 ' setback "ar�1i reme It
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ROSS CONSTRUCTION COMPANY,LLC 769
1005 Augusta Ct
Clemmons,NC 27012
66-21/530
a/3/6 BRANCH 87607
DATE
PAYDER OTOTHF "E ivf 9£
OR d,
1 $;1G —
c7 i.e- ke-r is `17: ' ------ --- o�s`:;;DOLLARS 8t SIP
/
E WACHOVIA
Wachovia Bank,NA
ACH 053000219
FOR G? 3 93�
I:0 5 3000 2 191: 208 ? 32098208LIi 0769
OFAPoAND- i