Strickland, Robert (2)

Type of Project/ Activity
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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 I) 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
❑ Neuse River Basin Buffer Rules
❑ Other:
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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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

' Project/ Activity
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Mar 9.2017 1:32PM No. 2392 P, 4
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: x
Ioj� t4C, a% 35- 3011
Phone Number: q -- 7? 9 1-5
Email Address:
I certify that I have authorized &Txi�
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMAl
ry permits
necessary for the following proposed development: "r�
at my property located at l r c,,)
inOtjr+XCounty.
1 furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
R". - 10-�
Signature
Print or Type Name
//��,, Title
3 1 `7 /�
Date
This certification. is valid through / .1�
MAR 2 2 2017
DCM— MHD CITY
".AR 0 9 2011

Mar, 9.2017 1:32PM
No.2392 P. 5
I hereby certify that I own property adjacent to
(Name of Prooerty Owner)
I
property located at 3 L%Ifitr'ill / �01
(Address, Lot, Block, Road, etc.)
;r P•�•s7�(/�!'.L 6,fAll)el in liaZ.r° SW- . N.C,
(Wateraody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location
'- I have no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR ORAWING OF PROPOSED DEVELOPMENT
(indr'vidue! proposing development must fell in descpio5on below of attac97 0 site &aW.'ng)
i—��r
MAR 2 2 2017
WAWERSECTION DCMm MHD CITY
I understand that a pier, dock, mooring pilings; breakvilater, boathouse, lift, or groin must be set-.,-,
back a minimum distance of 15' from my area of riparian access unless waivedRec.
wish -to waive the setback, you must initial the appropriate blank below.)
MAR 0 9 2017
(do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement. , Eo� - MH® CITY
(Property Owner Information) 1 (Adjacent Prope . ner 4zformation)
S'ioananire
cT' ))
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P, Vt or ype iveme
/k! . Qrr/v
IV, 7in Address
Telephone Number
4OL'IiJ -2.0,(7
race
Print or Type Name
JVlailing Adless
tLilkC OgT'1.
Ci4v:FtatelzipC.,)H ( L. 2
relephone Number
l3-77q)-;J�q Z
Dare
(Revised &' 8m12)

Mar. 9, 2017 1:32PM No, 2392 P. 6
rt
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own adjacent to ,12D&I y W- AU&d 's
(Name of Property Owner)
Property located at e T C ,
"P 1
(Address, Lot, Block, Road, etc.)
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the
development he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPESED DEVELOPMENT ATTACHED)
Signature
1 S.
Pri At or Type Name
5 k07 C-'7',
Telephone Number
RECEIVED
Date MAR 2 2 2017
DCM— WD; CITY
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