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Home My WebLink About38883_JEWELL, RICHARD_20040618ICAMA / ❑ DREDGE & FILL 7$ C 1 GENERAL PERMIT Previous permit # ❑New —]Modification ElComplete 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. II i Applicant Name r'1 t c' � U rd / J. i,i e- Project Location: County Address /l H h-D/ 'I /) ¢� <tC Street Address/ State Road/ Lot #(s) City '1,J /t %riA State ZIP Phone # ( ) ti Fax # ( ) Authorized Agent CW C EW &PTA ❑ ES ElPTS Affected J OEA HHF ElIH ElUBA El N/A AEC:(s): ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Subdivision I Hr f 1�-( City- _ - ZIP Phone # ( ) '2 River Basin Adj. Wtr. Body t' = �- (nat /man /unkn) Closest Maj. Wtr. Body . ' • ■■■■■■■■■■■■■■■■■NEE ■■NEM■■MEN ■■■■■■■MINE■■■■ ■�NYl�wr■iiN■EMIN■MINE■E■E■E■■■■■■■■■NNMIN ■ ■�■■��■■■■��■■■■■■■■■■■■EMI■■■■■■■ MI ■O'�■■OM■"MOMMEM■■■■EN■■■■■MIN■■■■■ME . iy� . .. ■ EMI■■ ■M ■■EN:.:: .■CME MERAMMEME NMEN ■Or.■MI ■NN■NPMp.NW► ■■ MI'/Nr ' �,MIpMI■■MINE® �MIMI■■MIEiiMIMI■E■ .. ME OEMMM MEN � IMMEEME■ �E■MIMIrO E■■ME ■■ IINN■ l�1i '. N No ME ■■■■■ Ema ■®■MI■MI®�■■NMI■ 0 1 MEMO �■NNN■ E MI■ ■ ��NNMI■®■■NNEEM ■■■ ®NMI■■■■ MI; I�■�. MIMI■ NMIN■■■ a! ■■EE■E■..... .■■■■■■■..■... ■■■■O■M■■EEEMI MMi11=N �MEN�i■Mia■■N■ EMMEMEMMEMEM■ ■■ME■ �"■■�� ,. ■EN■M OE■■ ■■■■■ MENEM ===man ■EMI■■ MINE ■. \■EN■■ 0■MI■n?2. r!!!N!J!■MINEMINMIMIEf1'MIll®NMI �MI■■0�� ■lMI�Ei■■MMOO■■■■ER 1■NN Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing Date Local Planningjurisdiction i� Expiration Date 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 landowners). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythatthis 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST Fax:919-733-1495 Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (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: 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.nccoastalmanagement.net Revised 10/05/01 RICHARD M. JEWELL j}��? 3 IRENE L. JEWELL we NCDL 3496650 3496530 2004 NAKOMA PL 782-3170 RALEIGH, NC 27607 Pay to the Order of C WACHOVIA 4120 - 1 b 6an CH 7763 B2 Date $ lc3j'db 0 Wachowa Bank, N.A. www.wachovia.com For l:0 5 3000 2 191: LOG 26 2 5 2 7B SOO ' 4 120 1 N G ;d T � s fv ADJACEKT RIPARIAN PROPS#;TY QKR STATEMENT I hereby certify that I own property adjacent to jCa✓d ��r�hc .rTw,�%� property located at A' on C-vejf (�8rsk Tror�a c. (water [vQ in ��h eIt b ev9 R.C. He has y o own and/or cou y described to me as shown below the development he is proposing at that location and I have no objections to his proposal. I understand that a pier must be set back a minimum distance of 15 feet from my area of riparian access unless waived by me. I do/do not wish to waive that setback requirement. (circ a no e) Description and/or drawing of proposed development: (to be filled in by individual proposing development) 7-� signature name pnone numcer j �` g Prb p oseC� W:o) Poo F /9„x6 aa, ow Tqau'� IL✓ I 'fliqKMA 1a� 6yj a2ql� Ma -3 1 q6 1�4`I=�"_ pou.b •gDaCK of,�.