43513_MILLIKIN, DAVID_20060201

=�CAMA / DREDGE & FILL
GENERAL PERMIT Previevi
ous permit #
i !New '_'Modification liComplete 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 15A NCAC
E] Rules attached.
Applicant Name A',. ;� ► /` ' ' Project Location: County
Address_____! ' "�/ ` �-%� Street Address/ State Road/ Lot #(s)
City-- -- — State ZIP -
Phone # (_ ) Fax # O Subdivision
Authorized Agent
Affected D CW
AEC(s): -1 OEA
PWS:
ORW: (-W/ no
_] EW [—i PTA ❑ ES OPTS
�i HHF =1 IH �:-1 UBA ­ N/A
FC:
PNA yes / n6�/ 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
SAM 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
Agent or Applicant Printed Name
t
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check#
City
Phone # () River Basin A I /104
Adj. Wtr. Body ��X L P ti%t-'r'` i r (nat man /unkn)
Closest Maj. Wtr_ Body
(Scale:
IL
IOxl6?
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Dal E)Cpiration Date
Local Planningf urisdiction 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:
1.7 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 (910-796-7215) for more information on how to comply with these buffer 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
Fax: [phone]
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/ 1-888-4RCOAST
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

I ■ Comp'.e'.a ;.ems 1, 2, and 3. also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
�Cr� 7LKJ� V� hi
((� 1
FL 73 s U
X ' ❑ Agent
�7z❑ Addressee
B eceived by krinte Name C. Date of Delivery
D N 'L
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se - ice Type
Certified Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (7003 1,680 0004 9048 61,03
� Transfer from service label)
j PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVJ�CF r"
• Sender: Please print your name, address, and ZIP+4 in this box •

■ Complete :te-s ', 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
�ZA --'�p e � {I�Pe�-S
L 0
67
VAC
2. Article Number
(Ransfer from service tel:
PS Forr%h 3811, February 2004
❑ Agent
❑ Addressee
N�(PrinC. Date of Delivve
��`G1�if I III r2106
D. Is delivery address different from item 1? CM Yes,
f YES, enter delivery address below: /�I� Nb S
(I IV
12 ,=
3. Type
rtined Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
7003 1680 0004 9048 6097
Domestic Return Receipt
❑ Yes
102595-02-M-1540
r

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIPf4 in this box •
�4L)I -� F R//14eq^�
D Cf w �' �6m c4�
YVV

R
P. uj
DIVISION OFCOASTAL i` AN-!r (;E.WliN
' �1t.),1 ti(':I�:�'!' dtil':ii�:i.A\ 1'icf�l'I;it'1'Y ��1'�l�:R;.�C)'rirarxl'Intihti•.•�IVI;It
i"^i�tiutt {�1 ii�tliv►dii:�l .t r ilyin�,.ft»• Jeru4iC: � �. y, '
___
ltldr<<;'; of property:....�.!�
(WI tlt' YfICCt J. s!reGt or rt)4Lt}
(City do Cakutity}
I luxc,by roitify tbal I own property adjacut. to the above referenced pioperty. The
indrvirll.t 1i applying for this pe:i-mit has desaribcd to me (as shown on illy. ,attached
dtawitiO Ilia developmer+t they nro prgpoxin�. A description or claawing, with
dimcnisions, shouid be provided with this letter.
I have no objection-S to this proposal.
If3)0t, have objeetiaus to what is being proposed, please write file Division of (:'oastal
A.funt gen),enf, 400 C ommefeeAve., Morehead City, JVC 28557 or call [phone]
i'rilhiu XU tluys O -reed t of this notice. No response is considercil Me same oar a]o
vljcc'tia,ri ij'�rrjri haver lart�rt iu�tifs�rlliy I;'crta�cot.Rlrritr.
WAIVER SEC" ION
F im&-ist-rind theft a pier, clock, mooriJ,g pilings, Vmakwwer, bo.atboose, lift or sandbags
lutist be set b.,trk a minimum distance of 15' from my area of riparian access unluss
waivr d by rite. (l( you wish to waive the setback, you rmimrt initial the appropriate blank
IIe: om)
t clo wish to waive t1-it: 15' setback reyuircmew.
i tltl not wish w waive the 15' saback requireme;?t.
Date
t�eil,t Ka/y'�tyt,�
d' tell s;t.o Nnrral.mWilli Ai *a Col ___...____ ..._..
{...ii:i•'���1'i�': I�ii':t{?.:'!. t'yi�!'a{i�'��'iU a.'.�'VG. f:�'.1T':ii1

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'-cl .1 1 , ' ), I > �;' (-)'t i'T.' ' .. U$v
COAST..!' 1A N. V"
N01 I F 1-CA AT: 0 ")WN' kl'�
U, M —A 114
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Ofy tl "...ropt I ty a, cj"t !c' VIO
Yi-6:11i p"ril..nt lul'; dcscrjbk�(L l""' 13.3: (a'5 Shown L'a th
al pcoposin g. A li
&%ri )ti 011 Or drRW irk-, Y%?raj
LhiS 'tUCK.
I lovo is 3 Obje_­Liws to this nv"'T"')'--A'
j'O 11-.7 fJ-*)'Iq;,)!L Cf CO(1$'(71
AI 1-i 1!, -1 (10 ("0 hn wore.-; Ave., Af o r-c h F;tj.,4 City, A'(7 2,R5'; er c,,U (2 52) Sf).N.5 ')S
;'i 'S pj' 1 L.11 in 10 (j, alk tio-lice. t�'o responst if c.. Y; sfde:ed Ow ._me cs (111)
hcve b'.en notfjiod by
thai I- oicX. d,­llk. n!00m.rip: ".ift or :Zm�`)am
60T %\,i 171, 1,1 j,
V :L Of to thc sctbl­_k, vcu cl,11:4 i!l;lli.11 Ti
Yll.-AVa Lbe 3.5' Stt'b.'Ld'

ADJACENT .RIPARIAN PROPERTY OWNER STA'mMENT
• (FOR A PIERIMOORING f'ILINGSIBOATLIFT,BO..:4THOUSE)
I hereby certify that I own property adjacent to _'�t)Aut4'.��,,ayea twdl'�Avs
(�'amt of Property Owner)
property located at �T 3 3
(:Street Address, Lot, Block, Road, etc.)
tmo,� ---- i n �iiv►a�,_�-5 —? 59 .....__ _, �1. C.
(Waterbody) (Town and/or County)
He/she has describes: 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/boatlif*4/'ooathouse must be set bash a minimum distance of fifteen feet (15') from my area of
riparian access unless waived by me. I have indicated my intentions by initialing below:
I do not agree to waive the 15' setback requirement.
(initials)
I do agree to waive the 15' setback requirement.
(initials)
----------------------------------------------------------------------- ----- ----------...------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT.
(To be filled in by individual proposing development)
K 1161
E
J1
Signature
Print or Type Name
1'elephone Number
Date:

VIP
PREMIER 279
25-80I440
DAVID F. MILLIKAN
2504-8 EMERALD DRIVEE 652I Date _ �Z
EMERALD ISLE, NC 28594-sip
$ /D0
� pay to the p
order of
ACH INSTRUCTIONS Douars
ggA;052001633 A/C 88888000032896607
Expense
Code IVP
�NKUMBJ$.OMiO<7i11
For 00501190 279
04400080
1,1; 45 L995g4