50656_SNIPES, JOHN_20080325

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❑CAMA / ❑ DREDGE & FILL '4
GENERAL PERMIT Previous permit#
❑New " ❑Modification El 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 15A NCAC
F] Rules attached.
Applicant Name i
Address ' ,}
City State ZIPS"
Phone # ( )_ Fax # ( )
Authorized Agent
Affected ❑ Cw
AEC(s): El OEA
PWS:
ORW: yes / no
n EW ❑ PTA ES ❑ PTS
HHF ❑ IH UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
MEN ME
FORREME
ME
MEMEMEM
MENNEN
I
OMEN
MEMMI
EMEMEMEM
MOMME
ME
EMEMMEM
NONE
MEN
Illiff,
MEME
0
INIENINEENNN
0
ONEWE
MEMEME
MENUMEME119
- - --------
OEM
�MEN
MEN
JONES III
M MEN
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature i
,
Issuing Date ! Expiration: ate
7
Local Planning Jurisdiction 12over File`Nime

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 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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIE"IOORINGPILIIVGSIBOATLIFTIBOATHOUSE)
I hereby certify that I owi property adjacent i.o O �� SN r is
(Narne of Prop rty Owner)
property located at / 31- 2-'f T C \0 61 J
(Lot, Block, Road, etc.)
on � 4 r% 4 1 , in TIAW4► t t� 1�7146 L� , N.C.
(Waterbody) (Town and/or County)
He has described to m6, 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.
-- - - - - - -- - - -- -------------------------------------------------------M7� -- -
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
2008
(To be filled in by individual proposing development)
Mor@hea'itf/ DCM
---------------------------------------------------------------------------------------------------------
ignature
Print or Type Name
Telephone Number
Date: oC ;Z 3 --O Y

Eric Ellis
Marine Construction
DOCKS • SEAWALLS -BOAT LIFTS
DECKS & REPAIRS
Phone & Fax: [phone]
Cell: 252.342.6775
205 Nottingham Lane Morehead City, NC 28557
f
g r
A

MAR-03-2008 MON 09:53 AM
FAX NO. P. 02
.ADJACENT RIPA1U bPE 7
(FORA PLERIMO
I hereby certify that I owu prop
at `s—
i
4
TLIANI
cent Lo
COlocated
' v
lock, o
on
(Wtt erbody)
..
He has described to me, as shown'bel'
develo !
have no objections to his proposal. I
d that a
;
must be set back a minimum distance;
Ien feet ;
waived by me. (If you WIA to waive
etback,p
below.)
of wish to waive ,
•
i
I
I jLo wish to waive that. set
• i
quirem n
--------- —---- ------ --- -- -,----
DESCRIPTION�A /OR
--------
LING OF
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aI2
IWNER STATEMENT
f ,rFT/BOATHOCISE)
ame oFrroper O�Vner
C.
wn and/or County
Le is proposing at thii I1o�ition, and, I
mooring pilings / boitlift / boiihouse
om my area of riparian ap cess Linless .
rrst initial the appropriate blan
k
SLLB 9ZL ZSZ, jYV,� gE��LO 800,Z/9'L/z0

JOHN D. SNIPES, II
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IF
ERIC B. ELLIS
t •"JASA M. ELLIS PH (252) 72s-s775.;'Nj�"
3809.
�'` .�t ! • 205 NOTTINGHAM LN.
`l MOREHEAD
\� \• i . CITY, NC 28557 Date
a �j �� 66-30/531
Pay to the l A I
Order
133
of
JJ C] U !y 0(re '
Dollars
F7Rb�T CITIZENS BANK
www.firstcitlzens.com ` s >`.
For.
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