34730_STRICKLAND, JERRY_20030822

1 CAMA / -1 DREDGE & FILLC`
GENERAL PERMIT Previous permit #6 '�
`
❑New 1--Modification Complete Reissue -Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources i /f
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC /, -?
Applicant Name
Address
City !, 'J r State ZIP
Phone # ( )
Fax # (
Authorized Agent -�—d Wl%
Affected 1 CW ElEW G1.PTA ❑ ES ElPTS
A
Affecte OEA ❑ HHF ❑ IH ElUBA ❑ N/A
I PWS: 1 FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finge
Grok
Bulkl
Basin
Boat
Boatl
Beac
Othe
Shor,
SAV:
Sandl
Morz
Phoo
Waiv
J
❑ Rules attached.
Project Location: County it
(-�� V"I r
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # () River Basin /VetZ/s e
Adj. Wtr. Body ;, ti c o S // ' c""'hat •e ( /man /unkn)
Closest Maj. Wtr. Body VlJ - zs e '✓ ^'
(Scale: �J
- pier(s)
length
r
number
I
!
!
ead/ Riprap length
ivg distance offshore
L—
max distance offshore
___
j._
_
_.
_..
!
- 1
-
channel
—�
-
—�
i 1
cubic yards
-amp-
--
--
4
ki
S
I
-
i
ouse/ Boatlift
I
I
c!
;el
51i
i Bulldozing
_
line Length
not sure yes no
gags: not sure yes no
:orium: n/a yes no
,s: yes no
!r Attached: Yes no
:\
-T
[r
!
-
-
- --
!
!
i
A building permit may be required by: gele ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
!t"41-1_1iJ 11t' t��->lLt flip kl,/ Iran/ZZ-ft La/I���C7f'1-1,,f IY-r!r/ r7v� 1
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application fee(s) Check #
Issuing Date/ Expiration Date
( 'I, et ya"
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
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: [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
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.nccoastalmanagement.net
Revised 10/05/01

OCCUPATIONAL & INDUSTRIAL SAFETY
CONSULTING, INC.
716 LILLIPUT DR. 252-638-3179
NEW BERN, NC 28562
I PAV
1506
_ 66-112/531
DATE --:g 01901
DOLLARS
D13ml
BRANCH BANKING ANC TRUST COMPANY
NEW BERN, NORTH CAROLI A
FOR -� _ - 4/73p
a'001SO III i:0S3101121':S11S600 58ill
0
rt
^p IC

ADJACENT RIPARL-�N PROPERTY OWNER STATE' E- NT
(FOR A PIER/MOORING PILINGSIBOATZIFTIBOATNOUSE)
I hereby certify that I own property adjacent to is
(Name of Property 0-ner)
property located at -5 Z i.i pw r —Drug E
(Lot, Block, Road, etc.)
on�TUc S 0R'Esie- , in CeA rie� COu Zr , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is propos r,` at tiat location,
and, I have no objections to his proposal. I understand tha_ a pier,'moor,r,c
pilingslboatliftiboathouse must be se: back a minimum distance of fifteen feet (:-) :rom my area
of ripal-ian access unless waived by me.
I do nQf wish to ware the setback requirement.
I da wish to waive ,.gat setback recuire.m�ent.
DESCRIPTION Ati-DiOR DRAWING OF PROPOSED DEVELOP` z.`i:
(To be fL1led in by individu{all p._roposfn; development)
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F..af�SZ'�rJ� �3t,L(.KNEAt�
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Pnr,t or Type Name
Telephone Dumber
Date:

ADJACENT RIPARLkN PROPERTY OWN —ER STATENLENT
(FOR A PIIERIMOORING PILINGSIBOA TLIFTIBOA THO USE)
I hereby cerR fy that I own property adjacent to Jai `� Ckw•� `s
(blame of Property O-ner)
property located at y5 Z. / L! i-u tau r 7tta d E ______ __
(Lot, Block, Road) etc.)
onTUCE.--0tzgr-K , in CZA 4CA, (2OL4ZT" N.C.
(W'a.terbody) (Town and/or County)
He has descried to me, as shiown below, the development he is proposir.; a: ta: location,
and, I have no objections to his proposal. I understand tra, a p e: mooring
pdLngslboatli;tiboathouse must be se: pack a minimum distance of fifteen feet _ j from my arty
of rip&-ian access unless waived by me.
I do not wish to waive the setback recuirement.
I w sh to wave t�.at setback requirement.
DESCRIPT'IOti AND/OR DRAWrL G OF PROPOSED DEVELOP`E.N-I:
(To be filled in by individual proposing development)
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-------------- - ---- ----- ' ---------------
Signature
rint or Type Name
�3-7-z/
Telephone NLmbe-
Dave:
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