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Home My WebLink About41749_STRYKER, FRANK_20070109/-{ --0'7 ❑CAMA / ❑ DREDGE & FILL_` GENERAL PERMIT Previous permit # ; ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit is d 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 o' Project Location: County Address Street Address/ State Road/ Lot #(s) CityState ' ZIP Phone # ( ) Fax # ( ) Authorized Agent ❑ CW ❑ EW ❑ PTA Affected AEC(s): ElOEA ElHHF ElIH ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Type of Project/ Activity Pier (dock) let Platform(s) Finger pier(s)_ Groin length number Bulkhead/ Ripi avg dista max dist; Basin, channel cubic yar Boat ramp _ Boathouse/ Bc Beach Bulldoz Other Shoreline Leni SAM nc Sandbags: nc Moratorium: Photos: Waiver Attach A building permit may be required by: Notes/ Special Conditions ES ❑ PTS ❑ UBA ❑ N/A Crit. Hab. yes / no Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body (Scale: ) ❑ See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Local Planning Jurisdiction 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 landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythat 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 (910-796-7215) for more information on how to comply with these buffer 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 Fax: 919-733-1495 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888-4RCOAST 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 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 06/29/05 PU ENGINEERING FAC Fax:609-258-1508 Dec 28 2006 13:34 P.01 Dec 28 06 09:41a Robert D Frese (252) 728-7652 p.1 3RA NOMM North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Gorernor Charles S, Jones, DirectDF William G. Ross Jr., Secretary Date / 0-9/c, �- Applicant Nauie F+3 ,ST,64 4 �_rA-yore Mailing Address /,(6 5• V.Oyr 12At ce I certify that i have authorized (agent) /r 5rA-1&dc t-- to act on my beha% for the purpose of applying for and obtaining aD CAMA, Per mits necessary to instill or construct (ac�vity) at (location) ,fie 6t'_ 76 N2gtA'1'&4 T ljzy- — - - - . This certification is valid thrn (date) Signature 400 Commeme Avenue, Morehead City, North Carolina 28551 Phone: 252-80E-2808 t FAX: 252-247-33301 Internet: www.nccoastalmanagemen tnet An 421 dpportunityl ArTirmaGve Act-W Employer— W% RecyCled t 1011a Post Consumer Paper YZ Y,4',J L C 2 U 0 f Foster/Kathy Stryker 121 Sandy Huss Drive Beaufort, NC 28516 mld yker ad Meen+!-tRe� 08054-2134 Dimensions are aproximate Drawing not to scale Drawn 01/14/04 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to �% (Name of Property Owner or Mailing address if different from location address �1 (town, state and zip) 2 i 2nn phone numbers you can be reached property located at (Lot, Block, Road, etc.) in ?I"- , N.C. (Wat ody) (Town 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. 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. initials W _ I do wish to waive that setback requirement. initials --------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) c---_____�--ter v �To Neae — ( Sa40v-0 dies A/ Nq 0 0 � 1 a � v sl— I ------------------------------------------------------------------- �--------- Signature Print or Type Name 7c)-6 llll Telephone Number Date: / 2-/� www.nccoastalmanagement.netJPermits/ADJACENTRIPARIANPROPERTYOWNERSTATEMENT.iW r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOI ,�.- + I hereby certify that I own property Mailing address if different from location (Name of Property Owner or Applil t M_ �2 (town, state and zip) -T1W , n.. . phone numbers you can be reached property located at /Z1 1 z2Q. In, 6, /b (Lot, Block, Road, etc.) on in ?)T g, g PZ O*Z a .t/ Z A AFt e k- e7 , N.C. (Water dy) (Town 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. 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. initials I do wish to waive that setback requirement. mmais ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) He Q e v n Move 7-I'iPse L P,//fV % ep 0 v A s 1 b s' ---------------------------------------------------------------------- ----------------- ---------------- Signature Print or Type Name Telephone Number Date: www.nccoastalmanagement.net/Permits/ADJACENTRIPARIANPROPERTYO WNERSTATEMENT.pdf