47153_STRICKLAND, ROBEN_20070105

11CAMA / u DREDGE & FILL
GENERAL PERMIT
C7New ❑Modification D Complete Reissue ElPartial 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
Applicant Name_
Address
City
Phone # ( )_
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # O
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
❑ ES ❑ PTS
❑ USA ❑ N/A
Crit. Hab. yes / no
Previous permit #
Date previous permit issued
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City zip-,
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platt
Finge
r pier(s)
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
I
S
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local PlanningJurisdiction 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:
�J 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
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
Fax:[phone]
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

,DEC-29-2006 04:18 AM SHORELINE MARINE CONST. 1+252+393+7934 P.01
Shoreline Piers and
Boatlifts, Inc.
Floating Docks - Piers - Sea Walls - Boatliffs by Hi -Tide
P.O. BOX 687
580 Pearson Circle
Newport, NC 28570
fax [phone]
m [phone]
Fax Cover Sheet
DATE: "f- v �
M PyA-rJ
TOTAL PAGES: 4
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DEC-29-2006 04:19 AM SHORELINE MARINE CONST. 1+252+393+7934 P.02
�..:.SWA
NCD
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director Wllllam G. Ross Jr,, Secretary
Date
Applicant Name 12. az t- ( �r �2 r 14�G..4 •J� _
Mailing Address 13� car L )'Q.
1 certify that I have authorized (agent) A jA&, '1 �120crls to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) s a 4 J,4 L , ,
at (location) ? () +9.J,J rZ a,,
This certification is valid thru (date)
Signature /'/
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX; 252-247-33301 Internet: www,nccoastalmanagement.net
An Equal opportunity 1 Affirmative Actlon Employer- 50% Recyclad 110% Poet Consumer Paper

DEC-29-2006 04:19 AN SHORELINE MARINE CONST_ P.03
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ADJACENT WAIUAN
STATMMINT
T hereby cerdtp tw I oven �
mma
1:4-15,
twa4z) (Town saivar County) N.C.
H(S ha d=22W W me U above b$]M, the dovel
opmant he 1n pmpoWeg &t that Iac�ot,
Md► t have no obt dcm Ea '
t►' CR"(W AND/Olt DRAWING OF p1topoM De r
ryb i't Jet ix AY MWdwd Frr XgV �C�velopaetat)
Sigrugtrq j � /
Print or Type Name
711?��
Talephme Number �"�---

DEC-29-2006 04:20 AM SHORELINE MARINE CONST. 1+252+393+7934 P.05
AwAcFm RIFARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to P"Oivar- IJ • rye/G A.$/ 's
(Name of Property Owner)
property located at ? A.
(Lot, Block, Road, etc.)1
in N.C.
(Waterbody) (�"own and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
5L9e, 442LI�J
C14-#'V'V0't- Plc►w Al w clo rEf
ekjrfa � A/ 'T.,tMdl
Print or Type Name
g/ q -8 y9- 44 51
Telephone Number
Date; /;-/t,q 471