51564_SANDER, BARBARA_20071102

❑ CAMA / ❑ DREDGE & FILL n
GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue ❑Partia Reissue
As agthorized 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
Applicant Name
Address
City State ZIP
Phone # ( .) Fax # ( )
Authorized Agent
Affected EJ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Previous permit #
Date previous permit issued
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
Rules attached.
CityZIP
Phone # () River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
(Scale: )
r
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
r
4
—
--
ki
�
S
I
j
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no j
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
I I
i
i
i
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❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s)
Check #
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 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, 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 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/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(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: [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 -below New River Inlet- and
Pender Counties)
Revised 08/09/06

10i30i20Q7 • 99:28 AFFINITY REAL ESTATE i 12522473330
N0.670 9002
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A .P11,&VOCRINC, PIL1NGSIBOAT'LfFT/BOATHOL�Ct;
.[ laet'e;,y certify th��t I ov�';z property adjace�•;t _o ��Y �rt•r cx-..�4�� 'S
property located at 1 -A
(Lot, Block, Road, etc,)
on in , N.C.
(VVaterbody) (Torn andlor County)
He has described to roe, 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
most be set back a minimum distance of fifteen feet (1 T) from my area of riparian access unless
waived by me. (If you wish to waive the setback, you nrust initial the appropriate blank
below.)
o not wish to Waive
l do wish to waive that setback requirement. �r;
DESCRIPTION AN OR DRANVING OF PROPOSED D
(To,be, filled in by individual ro osxn develop,
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Signature
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Print or Type Name
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Telt#ozie Number
Datt: 1 W

10/30/2097 ' 09:2E AFFINITY REAL ESTATE 4 12522473330 NO.670 P003
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(F01t.4 .-fJ �IOORINC,1'.rr,1,N�(►SIBO,ITLrf�TII;O;�llrloL'sE)
I hel-CLY Ce!-!'kfy tr_, ia,. ..._1_�bclk1_
7 �0,
property located at 3jc'��•�av� & �� -
(Lot, Bloch, Road, etc.)
on _ ���, �x �..�Gv •r �� , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location, anci,1
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 (151) fxom my area of riparian access unless
waived by me. (lfyou 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.
------ DESCRI)MON ANDIOR DRAWLNG OF PROPOSED ]7E" LOPN fin.
(To. be fifted in by individual,proposing development)
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Signature
Print or Type Name
Telephone Number
Date: I() - 21 --01
No

,09:28 AFFINITY REAL ESTATE 4 12522473330 N0.670 D001
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