Jackson, Mark 76376C

I
/IDREDGE&FILL
NER/AL PERMIT
an ofenvironmental concern pursuant to l5r{
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No. 76376
Previous permit #
Date previous permit issued
Project Location: County
Street Address/ State #(s)
a D
fu authorized by
and the Coastal
[lModification'ffmeleteReissue [lPamial Reissue
the State of North Carolina, Department of Environmental Quality 7/C
Applicant
Address
Name J
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Phone #
Authorized Agent
ORW: yes
E-Mail
PNA yes no
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Affected trcw w .{no
AEC(s): !oEA f,HHF -lH
N PWS:
City
Phone # ( )
Adj. Wtr
Closest Ma1. Wtr. Body
// /1/ztP
BasinDES
tr UBA
D PTS
trN/A Vt---
Type of Project/ Activity
(Scale:)
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes no
yes no
yes no
yes no
A building permit may be required by:
( Note Local Planning Jurisdiction)
ra E S"" note on back regarding River Basin rules.
Notes/ Special Conditions
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Agent or Applicant Printed Name
,F{.
Fee(s)
read compliance statement on back of
Check #
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Statement of Compliance and Consistency
This permit is subiect to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subiect 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 proiect 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 proiect 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 adiacent 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 proiect is consistent with the North Carolina Coastal ManaSement Program.
River Basin Rules Applicable To Your Proiect:
Tar - Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
I oth..,
lf indicated on front of permit, your proiect is subiect 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 Ofltce (752-946-6481) or the
Wilmington Regional Office (910-795-72 l5) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4RCOAST
Fa><: 252-747 -3330
(Serves: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fu<: 252-948-0478
(Serves: BeauIon, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmin6on District
I 27 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 706l I 7
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