49898_STRICKLAND, JIM & PATRICA_20070822

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GENERAL PERMIT C, Previous permit#
❑New ❑Modification ❑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
Date previous permit issued
❑ Rules attached.
Applicant Name-1ti ; (
%1 ; .. r { ; �' ! -
; I
Project Location: County ` 1^ , " • v i
Address ; �,� I ; 1i
l { ( .> -- f ;( .(,� , G'
Street Address/ State Road/ Lot #(s)T
City
State) (.(_ZIP
X'1>
Phone # O f —
Fax # (_)
Subdivision
Authorized Agent �f'�� �,
City \`:_ ZIP
❑ CW ❑ EW
Q�KA ❑ ES
❑ PTS
Phone # ( ) i ^ , River Basin
Affected
AEC(s): ❑ oEA ❑ HHF
ElIH ❑ UBA
El N/A
Adj. Wtr. Body r , ;- a )
�T Lat /man /unkn
❑ PWS:
❑ FC:
'
^ `. "Is �
ORW: yes / no PNA
yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body � I- Y'
Type of Project/ Activity
Pier (dock) length
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 r1lll-ux
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
7 See note -on back
(Scale: /` i4
River Basin rules.
PermitOfficer's Signature
1 y �
Issuing Date T Expiration Date s '
Local PlanningJurisdiction Rover File'Name i

11
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, 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
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
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

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JUL-23--2007 02.52 PM JIM=:T"RIGKL.HND PHOTO 255729150134 0 F.02
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIERIMOORIAIG PIZINGS100ATLIFT180ATHOUSE;)
I Hereby certify that I wAm property adjacent to (ngz- ,-9 �$i_C' LLand
(Name of Property Owner)
property located at i,;J j -i fs5 C'R F y_ L
(Street Address, Lot, Block, Road, etc.)
on .5 � �:.�5 ,.. _ .. _� In l iY1�t (' w 1 :r N.C.
(Waterbody) (T " and/or County)
He/she has described to me, as shovvc below, the development he/she is proposing at that
location and I have no objections to this proposal. I understand that a pier/mooring
pilings/boatfift!boathouse must be set back a minimum distance of fifteen feet (l 5') from my area of
riparian access ucxlew waived by me. I have indicated my intentions by inidialing below:
U4 'rX�'f I &got agree to waive the 15' setback requirement.
(initials)
I #1 ag= to waive the 15' setback requirement.
(initials)
.................... W _ _....... ».....«..,,...-.--------------------------------- _...- ---..,._---_----».......
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVJELOP.MMNT:
(To be Jilted In by lndlwidaal proposing development)
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JUL 3 0 2007
1'elu;�ll�it�• �tnr�her
Morehead City DCM
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Print or'k'ypO Name
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PHONE ND. : e049222179 Jul. 29 2007 10:01AM P1
ADJACENT RIPARIAN PROPERTY OWNER. STATEMENT['
(FOR A PIERAMOORING PILINGSIBOATLIFTIBOATHOUSE)
1 hereby certify that 1 uwn property adjacent to MSS _ E Sig ; r"LtUL�a J?-
(Name of Property Owner)
(Street address, Let, knock, Road, etc.)
in } 1`Y� (' !�}�'— - N.C.
(Vat"body) (T4V4 n and/or County)
He/she has described to me, as shown below, the development he/she is proposing at that
location and I have no objections to this proposal. I understand that a pier/mooring
pWngslboadift/boadhouse must be set back a minimum distance of fifteen feet (15') from my ac+ea of
riparian aceess unless waited by roe. I have indicated my intentions by initiating below:
I do not agree to waive the 15' setback requirement.
1 do agm to waive the 15' setback requixencut.
{initials}
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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.JUL 3 0 2007
Morehead City
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