HomeMy WebLinkAbout56021_GILLIKIN, SERINA_20100615iID CAMA / ❑ DREDGE & FILL / a+ 9
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GENERAL PERMIT >� Previous permit #
New ❑Modification El Complete Reissue ❑Partial Reissue IAI Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources) Z �!
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
[Rules attached.
4f j r Applicant Name > �n ��� � 3 ��!kk
� fI ��n Project Location: County '�,G<•'?o • Pa
Address 222— ! i£. i! r 1 14,1 Street Address/ State Road/ Lot #(s)
,� �
City_ S) ,CANr % � State W ZIP ;.•�
Phone # Fax # () Subdivision
Authorized Agent
Affected ❑ CW E EW ! JLPTA ❑ ES ❑ PTS
AEC(s): ElOEA ❑ HHF El IH ElUBA ❑ N/A
❑ PWS: ❑ FC: _
ORW: yes (n3`y PNA
Type of Project/ Activity
Pier (dock) length 1:;A X
Platform(s)
Fing(
Groi
Bulk'
Basir
Boat
Boat
Beac
Othf
Shor
SAV:
Sand
Mon
Phot
WaiN
V no Crit.Hab. yes / no
i
City ZIP
Phone # (%S )-72rl -W�l River Basin
Adj. Wtr. Body (t ! g A7 inat'oo /man /unkn)
Closest Maj. Wtr. Body C 0 V
(Scale: 11 -SO
1 )
''77r pier(s)
i length
number
lead/ Riprap length
avg distance offshore
max distance offshore
,channel
✓1
--
- . -
--
1
—
-
j—.I
-I .
-
--
-
cubic yards
ramp
louse/,Boatlift
0411111
Bulldozing — --
r
aline Length-
notsure no
I— —
I
--
i
—
i
I
yes
Sags: not sure yes o —
torium: n/a yes
is: yes /o -
ar Attarhari- vac Inn ,
--i -
- -
-
-
-
1- /
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
I:1
147.6111
Issuing Date I Expitation Date
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, certifythat 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: 252-247-3330
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
NC Division of Coastal Mgt. Habitat Impact Computer
Applicant: Serina D. Gillikin
Date: 6/22/10
Permit #: 56021 C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
im act amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Shallow Bottom
Dredge O Fill ❑ Both ❑ Other ❑x
1171
1171
Open Water
Dredge ❑ Fill ❑ Both ❑ Other ❑E
4263
4263
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: wwwmccoastalmanagement.net revised:02/03/10
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A .PIER/MOORING PILLYGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 'J-(4L I ►r ►J P42D w o To— is
(Name of Property Owner)
property located at ✓I/_ __�In VIL 11 8�7�
(Lot, B14k, Road, etc.)
on .J-�,4mP N' )?UtJ e9CC- K , in 141eTrKC7- , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 12 `i -96a 0 .�1 Mailing Address: -- ��%S L /y,
CC -a 73-;,2- q s / 7 5/y i/J1 N;41, A -It ,?857 9
He has described to me, as shown 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 set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
171 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposin development)
a
_x
9
" L1
---------------------------------------- -------------------------------------
(Information for Property Owner Applying (Ripa n Property Owner Information)
for Permit)
Mailing Address gn(
City/State/Zip Print or Type Name
7a0--96ai CCU— 11V-g517 -7241 —J J7.3
Telephone umber, Telephone Number
C?
Signature Date Date
APR 22 2010
ADTACE�iT RIPARIAN PROPERTY OWNER ST IEMENTMorehead City DCM
(FOR A PIERMOORING PILIYGSiBOATLIFTIBOATHOUSE) /
I hereby certify that I own property adjacent to &6pEtxJ Nos y s
(Name of Property Owner)
property located at 021;� _ ���ls� � S51M tflq!"A C-
(Lot, Block, Road, etc.)
on 7U M P /V' %?U AJ �il�EK , in e /9 Eiz / , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: .7aq — 96-� / Mailing Address: -� ;22P& IS LA),
CQLL -7-3�2-4519 sMPiWl j MC 4 ' 7q
He has described to me, as shown 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 set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
--------------------- a --------------- a ----------------------------------------- i--------
(Information for Property Owner Applying
for Permit)
Mailing Address
-5111 Y ANrA I N G a'a579
City/State/Zip
Telephone amber
(Riparian Property Owner Information)
print or Type Name
Telephone Number
Signature Date Irate
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Perrnit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
J
S YitPO-, �Ja A &,�;-7y
■ Complete items 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.
A.
B.
a
1. Article Addressed to: w'
If ,
M� rfiN�Pw l�� is
/ , _ ❑ Agent
�[,(/J ❑Addressee
Name) C. Date of Delivery
N.
Ain
Type
Fed Mail ❑
ster ❑
ed Mail a
from item 1? ❑ Yes
ass below: ❑ No
s Mail
Receipt for Merchandise
4.�Res`ida&De�ry? (Extra Fee) ❑ Yes
2. Article Number 7008 3230 0002 2191 1667
(transfer from service labeo _
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 j
U S E
o-
r-- Postage
ru Certified Fee
ru
M Return Receipt Fee
M (Endorsement Required)
Roe rk'
Restricted DeliveryFee
C3 (Endorsement Required)
M
FU Total Postage & F..
M
`O 4AI ---------
M------- -- ---------- b4c — ------ ..........
Street Apt No, - tOgE fj' :S
C:l 'B.,,'N.. or PO
------------------------------------------------ - --------------
im ( )Lem c-M C-rr-v . t.J r-
.i - 0
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIVOORING PILINGSiBOA TLIFTIBOA THO USE)
I hereby certify that I own property adjacent to h1VRE0,J �1)005 s
(Name of Property Owner)
property located at o�__��lLLS__L,a.,__S%Y►
(Lot, Block, Road, etc.)
on JCl rn It? Al' /5 4IV UE-i5K , in e
(Waterbody) (Town and/or County)
Applicant's phone #: %22 Mailing Address: a Df1yIS LN'•
cL 73 2 — 4 Sr 9 5M RKA1,4i NC 5c 5�L7 q
He has described to me, as shown 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 set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
--------------•--------------- I-------------, \
(Information for Property Owner Applying (Riparian Property Owner Information)
tv
for Permit)
Mailing Address
5MVAN4,NC- Q?_r,,,__77
City/State/Zip
7aq-g6oz1 -aa-
Telephone amber
r
Signature
Date
Signature
rrint or Type Name
Telephone Number
Date
N is)ti3
WILLIAM C GILLIKIN 1987
954 STRAITS RD 66-7538/2531
SMYRNA, NC 28579
PH 252 729-1838
$ o o
Pay to the
Order of
FirstLF l i gh t Horizon Account
F I I RAI II ED I' NION28516
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tfli tfcu.org
For
1:2531?S38►.1: 1085 L I 2970711' L987
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