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Home My WebLink About31916D - Jackson 0 CAMA/ ❑IMPIE & FILL NC 31916-I GENERAL PERMIT Previous permit# >C New 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 .7+4 . ) 2(X' . C Rules attached. Applicant Name \hici Jf\c„f"-- 1 Project Location: County 1.f to nSLA.Jo C �-- Address L< ".4 WOCA .,, -1)C iV Z../ Street Address/State Road/ Lot#(s) 14cl 7.,,,/1 et City \-- 1v. '... C_` State. . ZIP &15Q Phone#(ilk)) b'-ea�(�'.. Fax# ( ) Subdivision Authorized Agent \iH-l" 'J 1' .,Ai City 'ko\Oe.,Y\ 5c (y 1., ZIP 1 Affected • Cw IOW [ PTA DES ❑PTS Phone# ( ) River Basin_LA),rr\ b�� AEC(s): OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body CA"A \ (nat na-nyunkn) ❑PWS: DFC: 1 ORW: yes / PNA yes / no'; Crit. Hab. yes / no Closest Maj. Wtr. Body. f1 I V1J `A no Type of Project/Activity [\leA.,.) C I of v .t F C\ a QC-L- ( ( lA C 5 n\d 1�! e_f- c 4 Cin-0 1 (Scale: N(jT Ti, ) Pier(dock)length Platform(s)- ' 0 t X 2,c1 Finger pier(s) .�j Groin length __ ' �--_.._,__--- ---- number — —— ' Bulkhead/Riprap length avg distance offshore max distance offshore _ Basin,channel { — I —cubic yards Boat ramp Boathouse/Boatlift '0. ri)fi T r y! F Beach Bulldozing V W+F y�^�'; /Th — J Other �` V -- F 'Ai ..t-k t , le — .is j• tti( V \V Shoreline Length ,Y ~— ririfVl SAV: not sure yes no -_. . Sandbags: not sure yes no . { Moratorium: n/a yes no 1 Photos: yes no = Waiver Attached: yes no ----- -------- - =- A building permit may be required by: 41 0 U''XN IPA C k E See note on back regarding River Basin rules. Notes/Special Conditions S--(' i0 I-1\C(..mod rP IA 1#1\ tC)n 5 1t U/ I F--,(1 ; i^, 1 i — 7.---‘.4,-r,,,,.ci -.y--Th ..\- d4..-- --332—_,CQ Agent or Applicant Printed Name .� / Permit Officer's Signature i 7 II fn \[ / f (�s, Gx'(1) J Os.+ . 2 -G�U Z— Signature **Please read compliance statementon back of permit** Issuing Data Expiration Date I2 Application Fee(s) Check# Local Planning Jurisdiction Rover File Name ..f 4 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 1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889 Raleigh, NC 27699-1638 252-264-3901 252-946-6481 Location: Fax: 252-264-3723 Fax: 252-948-0478 (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde, Parker Lincoln Building 2728 Capital Blvd. Dare,Gates,Pasquotank and Perquimans Tyrrell and Washington Counties) Counties) Raleigh, NC 27604 919-733-2293 / I-888-4RCOAST Fax: 9I9 733 I495 Morehead City District Wilmington District 15 I-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: 910-350-2004 Fax: 252-247-3330 (Serves: Brunswick, New Hanover, (Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and New River Inlet-and Pamlico Counties) Pender Counties) Revised I0jC E_RAL?ERT 1Tr COIVIIYUTER FORM Apuc-2. o A-1 d . 144,-c,r...so^ ADDITIONAL J: r.=C DESSI0: P Eck DE— OP P _.0 L PROS Dec: P - 12 (r+M c=13-uY�1) WOK . 1 L— 1 b )c 20 - (a-M=iy Y) • (f'iii ciy'sskr. • • :) - MF o tA) 2,o o • ACTION ON F A LION D^ FILL 5QU ? —2(o-v 2- l 0 2Co-02_ •ENDER: COMPLETE 71 IIS SECTION COMPLETE THIS SECTION ON DELIVERY I Complete items 1, 2,and 3.Also complete .A. Received by lease Print Cleary) B. Date of Delivery item 4 if Restricted Delivery is desired. C., kN �',(j( Z_CI L I Print your name and address on the reverse so that we can return the card to you. C. Sign. ,re I Attach this card to the back of the mailpiece, ❑ Agent or on the front if space permits. I� /fv- `—(-� CI Addressee D. .delivery address different from item 1? ❑ Yes Article Addressed to: . If YES,enter delivery address below: ❑ No 50hr CDbl4 Li.4.! 3 016 etOo 1 YYl` I t'h�J r'1 M I l/i 3. Service Type Certified Mail CIExpress Mail Y�/ �� r ❑ Registered ❑ Return Receipt for Merchandise �`} ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) CIYes 4.rty piu ryger(tpy1m segice label11)J1 f� 4 V 1 i 6 i 33lY ,S Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952 UNITED STATES POSTAL SERVICE ' First-Class Mail 111111 Postage& Fees Paid LISPS ' Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • ' Prme5 (Li/ Chned .1k) Z,?-1 o� I:,Isl1�,1„1.tl�ll��Is1�i�I�I1111111�I1,�1i, l�1I 11111til 1 I ': COMPL E TE ' S • v COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2, and 3.Also complete A. Received b (Please Print Clearly) B. Date of Delivery item 4 if Restricted Delivery is desired. IP u 713 2 l3-U ■ Print your name and address on the reverse C. Si nature ��7,+ - so that we can return the card to you. X ( /. G��"`Z L�, ■ Attach this card to the back of the mailpiece, 6) El Agent or on the front if space permits. El Addressee D. Is delivery address different from item 1? 0 Yes I. Article Addressed to: If YES,enter delivery address below: ❑ No ene, $ fabe91311tk5 Zui q rnay71.e 9O 012. BII,, //`� D n�c z g�a� ub r ./ 3. Service Type %Certified Mail El Express Mail El Registered El Return Receipt for Merchandise El Insured Mail El C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes cle N er(Copy from service label) V 1 sue► DO L(i 1 `5`r 9-5 l 1`'1 )S Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952 UNITED STATES POSTAL SERVICE--MID` , First-Class Mail p M '�� Postage&Fges-Paid = USPS - _il �,,/ Permit AIL \/ • Sender: Please print your name, address, and ZIP+4 in this box • 2(, , Z 1 0-1-anL c:h 1 nine 'RA 3tkpp /VC LI Lila 9 . L 1•••••1•11M. • • -—-——--—- ,wan,4„4,41. --t 1 r-r l-t tetra.r-lf_learte.Int 4 r 1 Seen,It y e I I)1 4 ri , .1 i., n oil e ft i S t e bilek fOr A e i a 1 I s hillwt, a g 0 im-44104L.r...kogiv.zpramojr4.-rjAmiNA-t-1,4gftr.mv I! MINTZ CONSTRUCTION 1574 JAMES C MINTZ PH 910 842-7546 1 2621 STONE CHIMNEY RD SW SUPPLY,NC 28462 7-2(t, -o.2... 66-112/531 DATE C2102 I PAY TO THE --t)e Ncle-- RDER OF i $ fo0.0---- 1 O 1 frnrit:Cd _ (._()At, 11)0e_ tet-- - 11.93 ..._-------------,----- , i - - ---- Q.0 L 1_AR S A r:,:";'°7.. lel 1;1 BB&T 10 BRANCH BANKING AND TRUST COMPANY +. ' li SHALLOTTE,NORTH CAROLINA FOR_Ge_b_31ci/ , ...._--) m, A 000 L571,0 1:D53 LOLL21.1: 5196 B 2 li 7 Il° : _ ..