27875_POOLE, GRADY_20010406

CAMA and DREDGE AND FILL w� 27'`� �►
G E N E R A L
R P E MIT l
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 15 NCAC
Applicant Name Phone Number
i
Address
City
Project Location (County, State Road, Water Body, etc.)_
Type of Project Activity
PROJECT DESCRIPTION SKETCH {
Pier (dock) Length
i
Groin Length
number
Bulkhead Length
max, distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State zip
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, imprisonment 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 of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
(SCALE:
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

»� DAVID'S QUALITY CONSTRUCTION
P.O. BOX 4818 PH. 919-354-3331
EMERALD ISLE, NC 28594
PAY
TO THE
ORDER OF
6675
66-19/530 NC
DATE LJ OJ/ 2002
y $ lao.��
DOLLARS
BankofAmerica.�'
FOR �
/�� OOv
110006r=?S"l 1:053000 L961: 0006 2055 2 L06III

F->c M')
u
aool
//07- Fo
A)r
Q 6)6ibxlW a Iy
W x x4'
,�7 )C I s T , .v6- U o cIr
v
0
p� o Od s 'o a
L D 0 fit ,C a `R d lr 7-
2 Y, / 6T/7w; C.�-r 1",+6,!c
f s / 'o F r' L )5
M A 4 y P 0o L oF
y / O w�'s T

MeAgal 1: : • •
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
�i9y'� d �lli4rlr,�t ' Name of Individual applying for Permit:
Address of Property: '//,*
(Lot or Streit #, Street or Road, City & County)
I hereby cerd y that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should
letter. be provided with this
I have no obiections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plan II, 151-B, Hwy. 24, Morehead City
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certifted Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakv.-ate,, boat house, lift or sandbags muss be
set back a minimum distance of 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 wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
Print Name
Te!ephone Number With Area Code

Adjacent Riparian Property Owner Statement
I hereby certify that I own property adjacent to 05
. (name of applicant)
located at y ) a (9 PSI L A jU) I nJ G , Emerald Isle, N.C., on Bogue
Sound.
The applicant has described to me, as shown below, or attached, the development
being proposed at that location. I have no objection to this proposal and I understand
that the 15' area of riparian access cannot be waived for this project.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be completed by applicant)
H
FT ac.K
7`D
12 c6 sv �ovcn ED mOt�'
R Oo
Riparian owners statement
Signature (711/ I 1-d2k'�<_'�
Print name I 0 M
Phone �7
Date 7 `Z I —0 C)
r

OWNERSHIP 06222000 35916 300
IPROPERTY DESCRIPTION
ITAX SUBDIVISIONS
IMAP NUMBER CARD NO
SURF LANDING COVE OWNERS ASSOC
IPARK SURF LANDING 1WHITE OAK TWP
ITWN OF EMERALD ISLE
I630417211969 1
IRECORD NUMBER:. 4807
4742 WEDGEWOOD ST C/O HARTFORD
IROUTE 6304170020
ILISTER:101591RS - 5
RALEIGH NC 27612
DEED: 507 451 11081984
I
I408 W LANDING DR,EI
I
IREVIEW:061088101
ITOPO ISTREET
(UTILITY IZONING
NBHD
ILEVEL ILIGHTTRFIELECTRICIR2
5623
IPAVED
IWATER I NOTES:4
I
ISPTCTANKIUSE: 82 0 :COMMON
AREA
I#(LAND CLASS I
SIZE IBASERATE*FRNT*DPTH*ADJ=ADJRATE*UNITS=LND-VALUE
IlI-1 RSDNTLOTI
O.00ACI I I I
I I I 1
ILAND VALUE:
I#(OTHER FEAT I SIZE IBASERATE*COND
�1-49CPIER I 28* 4I I
(OTHER VALUE:
IFNDATIONIXTRFNISHIROOFTYPE IROOFMTRLISIZE/QTY
1.00STHT
IWALLFNSHIFLOORS IHEAT&AIRIHEATFUELI I
I I I I I I
1
=ADJRATE*UNITS=OFB-VALUE
I I I
0
VACANT 0 I
#ISTRUCTUREISKTCH-SF*STHT= AREA RATE*GRDF+HEAT+EXWL*WLHT=ADJRAT* AREA= RPCN* DEPF*CNDF=STR-VALUE
STRUCTURE VALUE: 0
VALUATION( VALUEIPREV-VAL.IP-N%I I I TOTAL VALUE 1
LAND I I I lI 1I100%I
OTHERFEATI I I OI I I
STRUCTUREJ I o
TOTALI 1I100%I I
APPRAISED -VALUE: 1

�/DHN A. 000.
I -----------------; ��y
hereby cart' y that th' �a•r, d
•'� �� �'
�j/ l�{�J/� y ,
CO�p,4�" �NG
re arad according tqZ tlt�� �J
/` v� "�/ /
practice for Land S -vci TL 11 L
artto�prope y w
ZLOGK ^
Carolina, and that (her
%th UPC said
- BL '�44'
`
!tine encroachments .r
survey, d !
TEA.1
E�A-J?i e0 Ar4e
T wbSXlP
�iU/TiE CL91�
G
„ • !1(Ui'• •• `id
H! MAP NpT FO „RF,�,� �
SCALfs DA��LOt/g Y� �% /9�y.;
I�'= SRO
P.RO✓acr NO.
.3035 OF
..•«.•�••�`
,, � A. �D,Bt�i�GZ
s„ �, _
,
I'
_____
e tstertal Lalui'Surveyor Registration�No.
Ezlgine end Ladd P.A.
s Rvsrsa aA16'�/
o�rE
/x_/5'r/.7r,3
el•in
Cape
101 Mane tee Street C p
Swanaboro, North Carolina 1r80t)4
j`
��.
flCtA BOOK
PALL 73, 7✓., 75
•N BDRAtY
✓.fo
919-393-2129 lax g 9— 8— 7

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
111111 LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
O,U O ?.:

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
sb 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:
skate �i¢tiDiw� Cvu/9
w.,v�„Rt ASS o C
y 7 ya w�,o6�w o�� sT
G/o /
A. Received by (Please Print Clearly) I B. Date of Delivery
C. Signature
❑ Agent
X ❑ Addressee
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service pe
ertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (Copy from service label)
2_e 99 a v0 0 ooa � z-&/
PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789

VIC 11V TY MAP
fi CD
_ �.w�T� x-
Z.A, Of
4.4
rw per AA
146
~ aA- M,-
A
45<v , Al. -
or
Of'
"4r
Aplf y
411.,A-IIMLIA�
0 r 451fe-V 4/love
19 P.4 V6 IV&-,V 7-
a- A) Wer,4 — ZO, e4S- 16
Rk'F4:!: A dfWg:-e " llq-AC5. 7 vt:g, 'Z44
Z_4077-ff 00 Upotv
vex oAo,
-j-a