38091_GILLIKIN, ALGERNON_20060411

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^� -CAMA / -1 DREDGE & FILL
GENERAL PERMIT P eviousper t
iE]New ❑Modification C Complete Reissue 'Partial Reissue Date previous) rmit 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 15A NCAC
C Rules attached.
Applicant Name
Address
State ZIP
Phone # (-_)
Fax # O _
Authorized Agent
❑ CW
EW PTA ❑ ES ❑ PTS
Affected
-
AEC(s): ❑ OEA
HHF IH UBA ElN/A
ElPWS:
FC:
ORW: yes / no
PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision --•-
City—
Phone # (_ )
Adj. Wtr. Body
Closest Maj. Wtr. Body_
ZIP
River Basin
(nat /man /unkn)
Type of Project/ Activity
(Scale:
)
Pier (dock) length ,
Platform(s)
Finger pier(s)
Groin length
I
number Bulkhead/ R prap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ram P —.
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions!
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on back regarding River Basin
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❑ See note
rules.
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Agent or Applicant Printed Name Permit Officer' i 1 i`
_ Morehead stI `�� r
l
Signature ** Please read compliance statement on back of permit Issuing Date Expiration Date
Application Fee(s) Check # Local Plan ningJurisdiction Rover File Name

E
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 / 1-888-4RCOAST
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

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P.02
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIFRIMOORING PILINGS/BO.�TII IBOATHO►il��s�
[ hereby certify that I own property adjacent to 4
(Nam of Property Owner)
prer+erty locoed at /� 5 lr= .�--�_�-- -
(Street Address, Lot, Block, Road, etc.)on
(Waterbody) (Town snd/or County)
Hel3ho has described to me, as shown, below, the development heJshc is proposing at that
location and I have no objections to this ptoposal• I understand that a piethnooring
piling:/boatlifl/boathouse must be set back a minimum dirt nce of fi f oen feet (15) from my area of
riparian access unless waived by me. I have indicated my intentiolts by indiutiug below'
l gg.Wt agree to waive t& 15' setback zegWrement.
1 jo agree to waive the 15' setba4 require unt.
DESCRIPTION ANDl01Z DRAWING OF PROPOSED DEVELOPMENT:
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Telephone Number
Data: 3 2q - e
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APr-05-2008 08:38 PM
P.03
MAR 28 106 09:59AM FOREST CITY TOOL INC P.1
MAR-23-2004 29244 PM P.01
AWACLNTRIPARIA,N PROPERTY OWNER STATEMENT
(FO)t A MR/MOORING PILWGSBOATLIyT X44OATNOT,
1 hereby certify that I own property Adjacent te�4
(N
ame of Property Owner)
property located at
(Street Addrass, Lot, Block, Road, ate,) � e
on. e&r 1 -,r�L . in ��y, C .C.
�(Waterbody) (Town and/or County)
He/she has described to me, as shown below, the dmvelopnment he/she is pmpoaing at that
location and I have no objections to this proposal. I understand that a pierlmoorina
pilinpe bosdtf/boaftust must be set back a r inimsm distsaee of fifteen feet (t S') &am my area of
riparian acme unless waived by me. I have indicated my intentions by kkialtNg below:
I AUW agree to waive the 15' setback requiroment-
(initi
_ I AR agree to waive the 15' setback requireene 1'
(initielo)
DESCRIPTION AND/Obi DUAWiNG OF PROPOSED DEVELOPMENT:
(76 EeyWord In by Individual propasin g drvdoptWuV
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Print or Type Name
Telephone Number
Data:
0

E-M
ALGERNON GILLIKIN NCDL 1501064
EFFIE G. GILLIKIN NCDL 695623 4011
Ph.252-728-3078
1454 Island Road 66-21/530
Harkers Island, NC 28531 . i l BRANCH 77585
Pay
Date
Order of C � �1 �
0262
Dollars LJ
+ WACHOVIA l /'
Wachovia Bank, N.A.
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For
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