43582_GILLIKIN, RAYMOND_20051128

CAMA /. DREDGE & FILL
G� E � E RAL PERMIT /,��� ��' � al<< �70��`��
Previous permit #
DNew ❑Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued
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 I SA NCAC
Rules attached.
Applicant Name -
Address _
City- — -
Phone # (_)
Authorized Agent
Affected Cw
AEC(s): E OEA
PWS:
ORW: yes / no
State ZIP"`
Fax # ( )
-1Ew PTA
HHF IH
FC:
PNA yes / no
Type of Project/ Activity
Pier (dock) length _ _
Platform(s) __ —
Finger pier(s)
Groin length
number
i
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yarns
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure
yes
Sandbags: not sure
yes
Moratorium: n/a
yes
Photos:
yes
Waiver Attached:
yes
no
no
no
no
no
A building permit may be required by:
Notes/ Special Conditions
ES PTS
UBA - N/A
Crit. Hab. yes / no
Ag
o licant Tr ed Na
Signature Please read compliance statement o back of permit
Application Fee(s) Check #
Project Location: County_
Street Address/ State Road/ Lot #(s)
Subdivision i
City_ --- ZIP r
r
Phone # (. -_ )_ - _ _ River Basin
Adj. Wtr. Body . _- _(nat1man /unkn
Closest Maj. Wtr. Body
(Scale:
I .
i
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing D e Expiration Date
Local Planning Jurisdiction Rover File Name

14
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 (910-796-72 l 5) 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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

(-PHANE CAL.IL)
DATE
J�.TIME P.M.
OF
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RETURNED
YOUR CALL
AREA CODE
M SAGE
NUMBER
EXTENSION
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SIGNED
- FORM 4003

ADJACENT FLEPAJUAN PROPERTY 0" ER STATEMENM
Y htreby ettrtify that t own property adjacent to ga4MnncJ P_ Gillikiu_- _.
(Name of Property Owner3
propmy )*-at at 731703312928000, 410 Margaret Street, Oakwood Acres
(Lot, Stock, 11toad, etc.)
s
an canal leading to No.River in Beaufort, _ _ T, N C.
(Waterbody) (Town and/or County)
die hU described to me as shcr*n betaw, the 4eve{opment he is proposing :t that iK*-gtion,
and, I have no objections to his Froposa).
DESCRIPTION AND/OR pet kWING OF PR4POSED DEVELOPMENT
(ro bt filled in by individual propasing development)
CANAL LEADING TO NORTH RIVER
PROPOSID NEG� SEAWALL (VINYL} 133 feet
EXISTING SEAWALL -133 feet {���od) !
Sign re _
Print or Type Name _
)-e - 768`�_
'telephone Number
0
Day: �� _ 03
r __

ADJACENT RU'ARiAAN PROPERTY FAWNER STATENMN"]C
I hereby canifp that I own property adjacent c0 Ra.,T nd P .C'jilikin—
(Name of Property Owner)
Fmpem )*-at at 731703312928000, 410 Margaret Street, Oakwood Acres
(t..at, BWck, Road, etc.)
canal leading to No.River in Beaufort, _ N C.
an Materbody) Town and/or County) _
He has downed to me as sham beiow, the dtvttoPmtnt he is Protaosintt at that 10ation,
and, I have rso objectians to his yroPOW'
DFSCR1PTIM4 AND/OR DR0MG OF PROPOSED DEVELOPMENT
(To be filled in by intfividurtl propising development)
CANAL LEADING TO NORTH RIVER
PROPOSED NEW SEAWALL (VINYL) 133 feet
EXISTING SEAWALL -133 feet (wood)
S�`nature
Prim, or t Nitnt
Telephone Number
Dote: % b
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