41800_GILLIKIN, RONNIE_20050614

`7-13-ui 1)
C CAWIA / Cl DREDGE & FILL V0
GENERAL PERMIT
-!New 1 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_
Previous permit #
Date previous permit issued
1-1 Rules attached.
Applicant Name I IProject Location: County
Address
City f State ZIP
Phone # (� I") �'� "Fax # ( )
Authorized Agent
Affected ❑ CW -:1 EW [t]-PTA DES ❑ PTS
AEC(s) : C1 OEA HHF ❑ IH UBA El N/A
i . PWS: ❑FC: FJ
ORW: yes / no PNA yes / no Crit. Hab. yes / no
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
Shoreline Length
SAV: notsure yes no.
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes Ro
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Street Address/ State Road/ Lot #(s)
Subdivision
City " ZIP
Phone # ( ) River Basin
Adj. Wtr. Body _ �� (nat .Aran /unkn)
Closest Maj. Wtr. Body
(Scale: )
1;
4.. c;
`1Ill I
r, �1
Agent or Applicant Printed Name
Signature "Please read compliancestatement on back of permit"
-
Application Fee(s) Check #
_--See note on back regarding River Basin rules.
Permit Officer's Signature �-
Issuing Date Expiration Dat
�, - �a6,ty)�
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 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 / 1-888-4RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza 11
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

ADJACENT RIPARLAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to "Aw� 's
(Name of Property Owner)
propery located at D r 5 e
(Lot. Block, Road; etc.)
onl,L'�G�S�yE�v , in G./��/� , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shlown 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 se: back a minimum distance of fifteen feet (li') from my area
of riparian access unless waived by me.
I do not wish to wai%-e the setback r:cuirement.
I �D wish to waive t7at setback rec uirement.
DESCRIPTION AND/OR DRAWLN- G OF PROPOSED DEVELOPN ENT:
(To be fzZled irz by individual proposing development)
XP -D �oG <<-S
//v 4�"� 0'—
Act '0 cc-- 'LV.o wG�
OrlN 7
Print or Type Name
Telephone Number
Date: /I A,, /I -

JUN-02-2006 THU 11:38 AM NC DIV OF COASTAL MGMNT FAX NO. 4 P. 02
AWACENT RIPARIAN PROPERTY OWNER STATEMENT
I hcxchy ctx fy that I awn propcity adjacerlt to
(Name of Property Owns))
jsrc�}>ue�tylc,calcti at _ ///� Q�p►Sc.._ � r2-- � ff�?��oG« _.C! C ..�,,..,�..,_...�
(Lot, Block, I mid, etc.)
Oil _ .1�! r/�� __ , in 74
{Wnta'x•latfaiy) ((own and/or County)
lie has described to me as shown below, the clevelopment lic is proposing at that location,
stntl, I havvo no objections to his prOPos91.
T)ESCHIPIJON ANWOR DRAWING OF PROPOSED DEVELOPML+'N'r
(To be filled in by individisal proposing development)
t9n ture
Print or Type Name
T..1...._i. ,. 1.T.....1..�..

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943 WAGON FORD RD. 910-298-5220 9377 a
PINK HILL, NC 28572
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piWY�,N.C. 28574
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