35299_JESSE, ARTHUR_20031016

CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
[-]New ElModification ❑Complete Reissue ❑Partial Reissue
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
I
Previous permit #
Date previous permit issued
? 1-
nn ® Rules attached.
Applicant Name Project Location: County i 4, 4 f, ,
Address 11S
City /" tl•y State N ZIPy`11v-970
Phone # ( ;) Z Z S- !�I GL Fax # ( )
Authorized Agent jo r14 C
Affected El 21 EW 18 PTA ❑ ES PTS
AEC(s): L OEA ❑ HHF ❑ IH ❑ UBA i, N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
L•11"'"t
Subdivision f.J' r Jc to k• J 0 S
City rf(„A �' • t ZIP .71-sfb
Phone # ( ) River Basin 1,1A •
Adj. Wtr. Body /+ �r (had^%man /unkn)
Closest Maj. Wtr. Body V-wIr,
Type of Project/ Activity ir
rt,+. "� �w.: L�Wfc►.r•fn! @ca (Scale:.�v.rt� )
Pier (dock) length
Platform(s) L I S
I
Finger piers) �� S
Groin length
l; L
number
1 fLl'101t 1 ��
Bulkhead/ Riprap length i
avg distance offshore c It P
max distance offshore i
Basin, channel -----
cubic yards
Boat ramp
Boathouse/ Boatlift x
•-�►��tvff+J
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no i I
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no.
A building permit may be required by: (� + ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions el F J c rVl + N ' 4 A
Jd
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
1
Application Fee(s) Check #
t 'J /
Permit Officer's Signature
!• �f. L j �- JE C t�
Issuing Date Expiration Date
/"t+;r114 t'c, ❑c.1�11d /
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: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastaimanagement.net
Revised 10/05/01

0
ARTHURJESSE
ERIKA F JESSE
PH [phone] 4635
2010 MARKS RD
VALLEY CITY, OH 44280-9784 _ ATE 6'12i410 080
PAY C
TO THE , /�
11
OF--__ —
National City Bank INTEREST CHECKING PLUS
Cleveland, Ohlo //��l�I,,,,
FOR C3- 1f-
+:04 1000 1 24i: 6 3 5B 50 5u■
e�e�ae� 4 5 --

INTRACOASTAL WATERWAY
PROPOSED PIER GAZEE30 NORTH
---- & UNCOVER BOAT LIFT
r45-80- CORPS SETBACK6
Dombroski I Jesse Property
Property J
6 1 7
GAZEBO
Aprox . mean high water fin
j
Sight Plan
LU v.F.S.
Property
8 I
Jesse Property
Lot # 7 Gatsey Lane
Stanton Landing
Beaufort Township
Notes: Scale: 1 "=50'
1. Soundings taken from map prepared by Atlantic
Coast Professional Surveyors of Harkers Island
2. Channel location taken from map prepared by
the Core of Engineers
Proposed 6'x45' max. access to a 45'x8' "L"
running with gazebo and two uncovered boat lifts
on either side of the proposed plat form

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Oct 10 03 01:13p Carol Dombroski
r7CT-08-2@@3 12:06 PM U-F_S_ LLC
9193800268 p_1
1 252 728 7576 P.01
fl CT 1 3 2003
ADJACENT RIPARIAN pROPERTY OWNERSTATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHo )
I hereby Certify that I own property adjacent to Q r -1M.rr �e SS Owner)� is
(N.me of Property
property located a
.- 7 az&�
1 an�
c, Road, etc..)
N.C.
on
' ✓'�ttne- vn�
(Waterbody) (Town and/or Co ty)
He has described to me, as -shown below, the development he is proposing at that location, and, I
have no objections tom his proposal. I understand that a pier/mooring pilings/boatiift/boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me.
x I do not wish to waive the setback requirement_
I dq wisb to waive the setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(MBE FILLED IAW INDIVIDUAL. PROPOSING DEV
�nt
P
sppLA�7-e/u..
71
7/"--
ture
'(xel'-) /Lt P6
print or Type Name
Telephone Number
Date: 16 /O --y 3

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUSVCT 13
2003
hereby Certify that I own property adjacent to A r 41J c 's
(Name of Property Owner)
property located at Lo
(Lot, B
Ian f S�an4pn 1,Ckv1c1'VI
<, Road, etc..)
on Cz'2e C P_e-e— ,in ('.af kY7e.-1-- CJvn� N.C.
(Waterbody) (Town and/or Cou ty)
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections tom his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me.
x I do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(TO BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
J Signature
6 o h fir' c'e_
l 7 Z' Print or Type 'lame
ry Z�Z ts- l© 6
Telephon kimb
Lat2: � � �-7

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
T
I hereby Certify that I own property adjacent to At e, 's
(Name of Property Owner)
property located at Lo } 7 Ga se!$ 1 «ne 54&xv14-on Lc, n
(Lot, Block, Road, etc..)
on c r L r e e Lc ,in e et r l rc. t 0 c v n W N.C.
(Waterbody)
(Town and/or (!ounty)
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections tom his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(TO BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
Signature
Print or Type Name
Telephone Number
T-%-+
Laic.