45101_GILLIKIN, AL CARL_20060330 (2)

IL
MAY.-03-2006 12:13 AM P.02
CAMA DREDGE m FILL N? 4510M,
GENERAL PERMIT Previous permit #
ew �Modihcation I (Complete Reissue I ]Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources r ,
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Applicant Name_ � ��lr�________ Project Location: County A(�
Address-�p J Street Address/ State Road/ Lot #(s)
City tom - -- State -ZIP � 1 ------------- — -
Phone #'JY. Fax # (__--) Subdivision
Authorized Agent ----- _ _-- City--.---- - . -_— —._ . ZIP -.-_---_ .
cw EW IOTA (-ES 1 1 P'rs Phone # ( ) _ _ River Basi
Affected I I OEA i I HHF I 1 IH I 1 USA -1 . N/A Ad' Wtr. Body
��- nat unkn)
AEC(s): ,-1 Pws: I Fc: I
Crit. Hails. yes / no
Closest Ma}. Wtr. Body
ORW: nyes no PNA yes 1
Type of Project/ Activity
(Scale:)
Pier (dock) length 100 , (o__-
Platform(s) r
Finger pier(s)
1i1
Groin length
number
Bulkhead/ Riprap length
avg distance offshore _ - --
max distance offshore -
Basin, channel
cubic yards l
Boat ramp
Boathouse/
Beach Bulldozing
Other
01
Shoreline Length_76 -; �� _ 1 r --- - - ✓- -
SAV: su yes no
Sandbags: n3r"sure yes
Moratorium: n/a yes no_ -
Photos; Yes
- ---- —_-
Waiver Attached: yes no
A building permit may be required by: ✓ See note on back regarding River Basin rules.
Notes/ Special Conditions
J . - 1 I _ l
Ageit AA' PermitSignaPlease read compliance statement on back of permit** Issui �
fiLo
AlIeatbnnFF. s -- Check# Local i4jurisd{ctlt
Rover File Name

MAY-03-2006 12:13 AM
JAIJ-11-1999 e8: 46A F(�OM
APR-29-209C ON:06 AM
P.03
T0:12527291946 P:1/:
ADJACENT RLFARIAN PROPERTY OWNER STATEMENT
(FOR A PxERfilDORING PILI1NGSf80ATLIFTIBOATOO VSP
I hereby certify that 1 own praperty 94&cent to (k c rnoR ��Q{l ,lj Il�r),s
-�-----
(Name of Property Owner)
Property located at �O '� �.•`� 1 f'' �� C� (- .� �.i C
(Stint MOW, Let, Block, Road, etc.)
-� 1 1
aL. n on a r A-Ir iC �lL _ f ,L l.n , N.C.
(Waterbodyf (Town zisd/or County)
Hevshe hem daccribed to me, as shown below, the dvelopnMU he lie is proposing at that
location grid I have no objections to this proposal. I wtdersumd fit a pier/rawring
pilir* A0WifVbog%ou a mutt he set back a minimum distance of fifteen itict (151 from my areaof
riparian AGC4i6 UW= waived by me. I haw iadiested my intentions by initialing below.
I do oot agree to waive the 15' setbad requirement.
iinidals)
I dl wee to waivc the 1 S' setback requuremeflt.
(initials)
DESCIUMON AlYD10R DRAWING OF PROPOSED DEVELOrMENT:
(Pre be j &d in by k dividrerl propoetnl devdopmetttj
EV
a
_ -- — — -I-
�5'
Print or Type Name
e hove Number
late: �
NN-7-1999 T-IU 03:21P M I01 RPG9'1

MAY-09-2006 12:14 AM P.04
r '
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to�� rno n C'd r
(Name of Property Owner)
property located at CP 3 (C ,n c.Q - t4 _E Ni L
(Street Address, Lot, Block, Road, etc.)
on R�CL Sc,�_"11(_ ,in �,%�i,c� t� C6u�
(Waterbod , N.C.
Y) (Town 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
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 have indicated my intentions by lnitialing below:
I do not agree to waive the 15'
setback requitement.
(initials)
I do agree to waive the 15' setback requirement.
(initials)
--------------------------------------------------------------------------•---._......_....-----------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To beJilled In by individual proposing development)
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4
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ignature
Print or Type Name
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i
((Tephone Number
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Date:

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