Strickland, James

i
ICAMA / El DREDGE & FILLlip
GENERAL PERMIT >' Previous permit #
New ❑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
—M Rules attar_iejl.
Applicant Name ?. f'a . Project Location: County r (f"
Address .. 4 V f1.. tt
C ( ; I' Street Address/ State Road/ Lot #() s f`i` J
t„
City State 1; ZIP.. �.
Phone # ( ) ,... ?~'r^ ' E-Mail w....
Authorized Agent!
Affected ❑ CW �•, Q EW LJ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS•
ORW: yes / • no ,PNA j%es % no
f
Type of Project/ Activity z f ; •r' ,
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) —
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore
Basin, channel
cubic yards -
..-
Boat ramp T r
s.
Boathouse/`Boatlift
Ilr�
Beach Bul dpzin jj
Other"
Subdivision
a
,
City
r
„ / r ) t ' ZIP
Phone # ( )
River Basin
J
Adj. Wtr. Body {
{� �(' .�?`
J(n t %man /unkn)
Closest Maj. Wtr. Body's
.11 111111111111111111111'
Shoreline Length
SAV: not sure yes /o
i
Moratorium: n/a yes no
_ ............................................. _...... _..-.._..........- _..............._._ _..... ...._......_........_.............._ .......
Photos: yes no
Waiver Attached: yes n 1 9 f C
A building permit may be required by:
( Note Local Planning Jurisdiction)i'',
Notts/ Special Condi ions
9
i�
(Scale:
❑ See note on back regarding River Basin rules.
p
t Printed Nark
t
PermitOfficer's Printed N e"
f' f
Sign rep Please
f-"'�...
Application Fee(s)
,. �:•�+, !y 1.
d compliance statement on b of per t �
ry'�7�1//"JJ) ,,,. '..✓
'Check#
Signat Pe a
rf, � tl 4if
r
f nY'^�, �"A ('.
iration Date
' ..•9 .. f
!
.. �",,/,, ,id ',7.1 r , ,'.o�� 'i,�y
Issuing D/
�. , '`ll v �.

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, certifythatthis project is consistentwith 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 Resources. Contact the Division of Water Resources 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
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-8884RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
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)
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 - South of New River Inlet -
and Pender Counties)
http://www.nccoastalmanagement.net/
Revised 08/27/14

CAMA /❑ DREDGE & FILL N TO
67014 A B C C D
QG PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources 5 y -.
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A IN nr7
Wkul- atta e .
Applicant Name' �`X. ' i Project Location: COAtwlr
Address i u-" !e_,aiewt / Street Address/ State Road/ Lot # s'
City MO-P State NC ZIP sJ
Phone #As: nA
(
Authorized Agent -
Affected CW PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / o PNA no
Subdivision J f,
City M') e- ZIP'
Phone # (_)� Riven Basin j
Adj. Wtr. Body ! - at man unkn
Closest Maj. Wtr. Body '+
-
■■CCCC■■'C■CC
�'■C■CC■CCCC■CC�C
C■■.:C■
■■�■■C■■■■CC■■C�CCCr�i��C'��CC=CC�R`C■C�vC■■C
M.
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■:■■■■■C■C■■C■■■UNME
■
■■■■■■■■■■■■■■
FRIMEMEMMENEEM
■■■■■■■■■■■■/!li■■�■■■■■■■■■■■11MEMENE
i■■■
ME
ME
Pm
mom
■■■
NEMEMI
■■■■■C■■■■EWMMMMEMMME
. C■■■■■■C■■■■I IHE
A� _�■■..■■■C■
I N■■■■■■C■■■EM""
MMM
■■■■
:ApphcatlonFee(s)

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit:
Mailing address: '5
kew C. eel 5? 0
Telephone Number: '�'� Ip U 6 c/ 7 2--
I certify that I have authorized VCL41iM (agent/contractor),
to act on my behalf, for the purpose of app ing and obtaining all CAMA permits
necessary for the proposed development of
at my property located at
This certification is valid through
(date).
(Property Owner Information)
Signature
Print or Type Name
0 Uj Aire r-
Titie, co. owner or trustee for property
�ILIL�^
Date
-�3� -)�' (,- 0 Z i ) )-
Telephone Number
Email Address
RECEIVED
AUG 2 8 20b

I hereby certify that I own property adjacent to
property located at LU t��a
on �j 11 Address, Lot, Block,
1�� C(i��, in.
(C
I S A-C oampe ;7rtl c AtAA
of Property Owner),
A_NJ C— , N.C.
and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location. .
✓ 1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill' description below or attach a site drawling)
p 4
I understand that a pier, dock, mooring pi g boat ra
p, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' frm myre
a of riparian access unless waived by
me. (If you wish to waive the setback, you mustinitial appropriate blank below.)
I do wish to waive the 15' setback
I do not wish to waive the 15'
4(Prloperty Owner Informatio
0
y�!►tics S/rLc�uavyl
Pnnt or Type Qum
Matlmg A dress
c �
C►6*State/Zip
)7 6bg12-
Telephone Ncpmbpr/ email address
WQr
Date00— � r ye r after signature*
reqL irement.
(Adj acent roperty ner Information)
Sign Iturei
Print or or Type Name T
Mailin� A/C
RECEIVED
--�'~> -!4.1 AUG 2 8 2015
Telephone Number/email address
Date
(Revised Aug. 2014)

I hereby certify that I own property adjacent to /J 4VW-5 d= (CWJ9 �t
Property located at ��l?j (N me ofi Property Owner)
KI, ( .ti
ddress, Lot, Block, etc.)
on ,.� , in
(Waterbody) (City/iown nd/or County) ' N.C.
The applic � t has described to me; as shown below, the development proposed at the above
location
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development roust Fill in description below or attach a site drawing)
6
Poo
post'( 0
I understand that a pier, dock, mooring pilings, boat ra p, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15, frm my rea of riparian access unless waived by
me. (If you wish to waive the setback, you mustinitial a appropriate blank below.)
I do wish to waive the 15' setback
I do not wish to waive the 15' set+k req
(Pr Owner Information)
Si
s SI`2l Ct4 (,y�
Print or Type Name ,
vimC N
Marling dress
Date
6 A C► i )--
"Valid for one calendar year after signature*
(Adjacent Property Owner Information)
Sign 2ture �` f�•.
yti 1�11N l
RECEIVED
AUG
-�
2 8101
Print r Type Na e
Mailin ddress
City/St to
Telephone Num ar /email address
Z2 7 io �A�oo
Dates
Z _
(Revised Aug. 2014)
S1424-lail
�