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Home My WebLink About38040_JACKSON, CURTIS_20040326�Y,i..o- .. �✓`�-':'n7i. � s3;y.�v."74s7� _ . - �h`�,`�?�'.= �+w , .Q•.i:�n.'.�,.�...r4:...=.�- a-.'.�.,,w +�- ; �=s-.=T_ - .,, ... .:..u'�+q"�'� ❑ CAMA / Ci DREDGE & FILL 8 .i GENERAL PERMIT Previous permit # ❑New--iModification 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 15A NCAC ❑ Rules attached. Applicant Name_ Address City__ Phone # O_ Authorized Agent Affected E cW AEC(s): ❑0EA ❑ PWS: ORW yes / no State ZIP 1, Fax #( ) ❑ EW ❑ PTA ❑O ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit. Hab. yes / no Type of Project/ Activity _ Pier (dock) Platform(s) Finger pier Groin fen num Bulkhead/ avg di max Bruin, than s cubic Boat ramp Boathouse Beach Bull Other_ Shoreline SAW: `sandbags: Moratoriu Photos: 'Waiver Att Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City L"f",14 ZIP Phone # ( ) River Basin 11 Adj. Wtr. Body nat /man /unkn) Closest Maj. Win Body (Scale: Al-, - ■ME■M■■■■■■■■MM■■E■■■■■ ■■■■ ■■ rEMIIE�■A�t■■■■■■Ems■■�■■i■■■■�n®■■■■■■ er kprap length V�l En stance offshore.!r■E istance offshore- ■■■■■M ■EN ON ME MOM ■ EMENiIMEMEME ■■_■■■■ _■■■■■MEMO■■ ICE■ ME* ■EE ��■E■E ■ iozing ■ME 1 0�OEM■■. E IMEN c■EEMME■M ■■■■�I■MENEE -2 �■rfz■■Ei■ru�Ew . �E�'■I MEMO MM � WINMEEMSM■E ength sure no EME .,_PORE■■ AEN. MWXiaEM `E�iEiEE■■■EiMWEEMMON EE ■ ■■■� �not yes Ei■MMOOMMEN not sure yes no ■EMMMEMEMOME ■MMM MMM rl -EMMMEMEM yes no EMmom IZNMUMMMMM A building permit may be required by: I f Notes/ Special Conditions Agent or Applicant Printed Name* Signature * Please read compliance statement on back of permit* ) LC ('V! Application Fee(s) Check # ❑ See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration Date 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 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 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 Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888-4RCOAST Fax: 919-733-1495 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 15 l -B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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 910-395-3900 Fax: 910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastaimanagement.net Revised 10/05/01 q d d n- , n, ., , I . I --- LANIER & JACKSON ENTERPRISES INC. 01-04 P.O. BOX 2767 SURF CITY, NC 28445 DATE 1057 66-19/530 NC 702 PAY TO THE ORDER OF-j--'0 -%0A—A- C O�- L A R S -00 Bankof America ACH Rj 053000196 NP FOR 11100IDS7111 iMS300019D: 00069494SLi3?"' DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/AVAIVL-R FORAI Name of Individual Applying For Permit: Address of Property: 113 Sa if (Lot or Street #, Street or Road) (City and County) I hereby certify that I own property adjacent to the above -referenced property. The indk idual 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. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set bck 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 IS' setback requirement. I do not wish to waive the 15' setback requirement. Sign Name /char Print Name Asa-?93-e?z?,22- Telephone Number with Area Code S:\cama\shells\riparianproperty.frm -boa � Date N CU Fm Iq R NORTH C .Rou" DE:PAR MEN' or ENViROHMEH, A Co NATURAL RESOURCES I�e- ckeop tAil- c( d r 6-L-v , 4"- DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: Address of Property: % � !T-srt:/ r (rot Street 4, Street or Road) 1/ /7� /v (City and ounty) :. i, , 2 J 2004 I hereby certify that I own property adjacent to the above -referenced 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. If you have objections to what is being proposed, please write' the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set bck 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.) _ _;4s I do wish to waive the 15' setback requirement gk� . I do not wish to waive the 15' setback requirement. JF Z7`f< /i N 1 S Print Name Telephone Number with Area Code S:\cama\shells\riparianproperty.frm �1 �, AIA NCDENR NOR CJROUDEPAFTMEN' OF ENVIRONMENT .wO NA'URAL RE5OURCES HOLNAM HOLLY HILL, SOUTH CAROLINA 29059 AC 803-496-5027 S.C. Toll Free: 1-800-922-7001 Out of State Toll Free: 1-800-845-7051 lighthouse Marine Cons#ruCgon, InC Post Office Box 2W Surf City, NC 28445 (910) 328-4852 "Qe-w_0 7 ev South Atlantic Region 800-923-6368 919-878-7297 Santee Region 800-845-1120 803-736-0702 '"A 2 J" 2004 I P s T,.. rr— . �� •�.��- _ . _. y �, •� � �':.. yr ��'� I J � ji' �; ,•+ter r' � f , p �' '�' — - i � ; r ly ,_ -. _ x -� - � � � K _ 1 _ � - II f •'t -r• i': a �'�,,, e � 1, 27 _r,. :f r i t' +r" �1 ; � i �� '� � _. — �� 1'`>•, +'' `ni• � ` , i _ I ' �1 � � .y r . Q, M1 ... _.. �.• 'T �' ++•�'-{•i'^ 't. 1� �� ;iF r - - i `'y..- iks 41'' �A�� I I I T I, I 4XVw 1 it- P-.11 ,gyp } M, 177Y � ._ .. �` y .. fi•� Nd :: � .. -, +•�. �' _ i ' ��. .. "- s _ ; � � � .�/�.-��.�. .. / _ • � � � .. � I I � ..� � � fr� K�^ 'aq `�� AIL ..ram r ,/ i I,. .:. �. � +� 54r- 9 � � r. �a Y .. . .... .. .. ...:i �. .. ..r. v. 1 �. _ � .. � - .!" ��3. wry. ' �'�� t..., ,"�T�:, �, t.. 7 .�,. t.. � ...,- _ .; _ J w ,. , � + I 1 I L .. � a. 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