47879_ANDERSON, KEN & SUSAN_20070501 (3)

AMA / XEDGE & FILL N? 4'78'79C�EEF PERMIT Previous permit#
'�44ew ❑Modification ❑Complete Reissue El 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 environme tal concern pursuant to 15A NCAC
�-' ules attached.
Applicant Nam Project Location: County
i
Addreppss�� r�� Street Address/ State Road/ Lot #(s)-
City wk et4ezIP� T i —.
Phone #) Fax # ()Subdivi
Authorized Agent Cityt> 5 • zip
Affected ❑ cw )dEw )4-TA ❑ ES ❑ PTS Phone # ( )-r2�_ River Basin (_9
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body na man unkn
❑ PWS: ❑ FC:
CIRW: yes / no PNA yes /n Crit.Hab. yes / no Closest Maj. Wtr. Body
"4 q I
L
Type of Project/ Activity 1 -
'" 1,)
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
'-7 n
Groin length
number
Bulkhead/ Riprap length'
avg distance offshore
max distance offshore
Basin, channelkq
ti`�
cubic yards
�/"►1 `�` `c�' `
Boat ramp
Boathous o lift 1 '
CV
Beach Bulldozing
Other
C
1 -
}
11 r
Shoreline Length
_
I
— `— {�
j
SAV: not sure yes -- -
- - ---
-
111
Sandbags: not sure yes n
E
Moratorium: n/a yes no
I
Photos:
WaiverAttached: yes ----
- -�
------ - ---- --- --
- �06e A4-
A building permit may be required by: GAZI
�(�
See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Permit fficer's i ature
Signature ** Please read compliance statement on back of permit **
Issui Date iration ate
i
ApplicationFee(s)
Check#
LocaTPlanningjurisdiction Rover File Name

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easiey, Governor Charles S. Jones, Director Wiiiiam G. Ross Jr., Secretary
May 8, 2007
Kenneth Anderson
5018 Country Club Dr.
Wilson, NC 27896
Dear Mr. Anderson:
Attached is General Permit #47879C.
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
� 6
Tere Barrett
District Manager
NC Coastal Management
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity `Affirmative Action Empiover-50% Recycled 110% Post Consumer Paper

W
JAN;-19-2007 12:14 From:NC DIU COASTAL MCaMNT 2522473330 To:2522436097 P.1/1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(I,'OR A PIL;R13fOORINO P,LLINGSIBOATLITTIBOATFIOUSE)
T hereby certify that I own property adjacent to 4 ' Us.lay'
r. `QP eA
Mailing address if different from location address
(hanxe of Property Owner or Applicant)
(low?r, state and zip) ( �C- T- del .�
phone numbers you can be reached at5- ( L. 2 S 2 - 2_,�f (o � y -
property located at - ._ �_ D �(,t,- ��Pr i. 2
,
(Lot, Bloch, Road, etc.)
on<Gt.�_ S , in N.C.
(Watcrbody) (Town and/or County)
He, has described to mc, as shown below, the development he is proposing at that location,
and,1 have no objections to his proposal, l understand iliat a pier/mooring pilings/boatliftlboathouse
must be set back a minimum distance of fifteen feet (15) from my area s l l 5
waived by me.
YM1r�4� L
C
I do not wish to waive the setback requirement, qpp 1 p 2007
1f14f1a15
I do wish to waive that setback re cquircrr,nt.
Morehead City DCM
----------- ------------------------------------------------------------------------------------------------------
I ESCRWTION AND/OR DRAWING Or PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
iu s r 1 CO- P r .e r�
--1-- - -- ------ -- --- - --
Signature
Ptinl or Type Name
ftlephone Number
.------_ -
Dare W-6 0

,r,J0N}19-2007 12:14 From:NC DIV COASTAL MGMNT 2522473330 To:2522436097 P.1/1
ADJACENT RIPARIAN PROPERTY OWNER STA.TIEMENT
(FOR A PIERJAIOORING i'.1LINGSIBOATLIFTIBOArTHOUSE)
T hereby certify that I own property adjacent to J (s 5.� �—Jea"
(Nance or Property Owner or Applirant)
Mailing address if different !torn locatic>ri address SDI CcC
(tUWTI, state ar"d zip) lI k�C), --
phone numbers you can be reached at ( t-P) -�S2 - 237-
property located at Q ��� PIS Y. � _
(Lot, Block, Road, etc.)
on,s,4fck.t_�N.C.
(wntcrbody) (Town and/or County)
He has described t.o me, a,,; shUwn below, the development he is proposing at that location,
and, I have. no objec dons Lo his proposal. I understand (hat a pier/mooring �atlifTJboathouse
must be set back a minimum distance of fifteen feet (I5) from my area -'ae ess`tinle.
waived by me.
I do not wish to waive the setback requirement. APR 1 0 2007
initi is
initials I do wish to waive that setback rcgwtCrt"cnt- MOreheaed City I)C
M
----------- . -------------------------------------------------------------------------------------------------------
DESC:RIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT —
(To be filled in by individual proposing development)
i
?A- POSA- fVNd0i0-4 -#t - -
Z ?1`iI11�511k'I
T. w l s -I,- o
I�" �� S� � I I ow n., M 51,n_ rD c
------------------------------- --)- - ----------------------------------------------------- - - ---
Signanu
Print or Type Name
Tcicphone Number
za06
4—t `o1

Page 1 of 1
Detailed view for record 1 (Print)
Field
'Value
AREA 27773.29555
PERIMETER 11751.50488
PARCEL83 133684
PARCEL83 I 1133686
WHAT 110
PIN
MAPNUM 17325
BLOCK 179
PDOT I1341
CONDO
MOTHER 0
MAPNAM 1732507
PRID
PIN15 11732507791341000
OWNER JANDERSEN,KENNETH R ETUX SUSAN
DBOOK 110787
DPAGE 100897
DDATE I 0
SALE PRICE 10
TAX VALUE 816844
LAND VALUE IF513456
STRUC VAL 266763
OTHER VAL 36625
BLT CONDO 10
HOUSE NUM 10000106
DIRECTION
ST NAME HARKERS POINT
Field
Value
ST TYPE IRD
CITY
HARKERS ISLAND
ZIP
28531
MAIL HOUSE
5018
MAIL DIR
MAIL_ST 11COUNTRY
CLUB DR
MAIL_STTYP
MAIL CIT IWILSON
MAIL STATE
NC
MAIL ZIP
27896
MAIL POBOX
TOWNSHIP
HARKERS ISLAND
CITY LIMIT
NBHD
80011
FIRE DIST
HARKERS ISLAND FIRE
RESCUE DST
LEGAL DSC
L3 HARKERS POINT
TOTAL ACR
0.535
Y BLT HOUS 711998
TOT SO FT
2650
ROLL TYPE R
BATHROOMS
2.5
BEDROOMS 3
NOISE LVL
RISK LEVEL
LACUIZ
http://maps.co.carteret.nc.us//details—Popup.htm 4/20/2007

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FOR DATE 2-3 TIME PM.
M
OF
PHONE/
MOBILE FAX
TELEPHONED
M SAGE_
❑ RETURNED YOUR CALL
1 / IV � �� PLEASE CALL
)t, �� �- (L�j�p �O(�LS���❑ WILL CALL AGAIN
❑ CAME TO SEE YOU
SIGNED WANTS TO SEE YOU

APR-23-2007 02:00 PM ANDERSEN.CAREER.CONSULT 2522+469909
P.01
Wk(252) 246-9909
him [phone]
Email. and�rsen nc.rr.com
5018 Country Club Dr., Wilson, NC 27896
TDB ' • TTc From: Ken R. Andersen
Faxa 2. �%^ 33-3 ci Pages: 2
PIhMMDate: 4/23/2007
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X Urgent X For Review X please Comf mnt X Plesso Reply 0 pke Recyrale
s Comments:
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To: N.C. Department of Environment and Natural Resources
Attn: Lowana
From: Ken Andersen, 252-246-9909
Date: 5-8-07
Lowana,
Please call me at 252-246-9909 once you receive this new replacement check number 5004.
If I am away from my desk, please leave me a detailed voice mail message to let me know you
received it.
If you do receive the other check (Wachovia check number 5003), please mail it back to me as I
have stopped payment on this check.
Thank you, please mail the forms so I can sign them, and send the pink and yellow copies back
to you. Please mail the forms to:
Ken Andersen
5018 Country Club Dr.
Wilson, NC 27896
Sincerely,
Ken Andersen

KENNETH R ANDERSEN 5004
SUSAN H ANDERSEN
5018 Country Club Dr 66-1VJ531
Wilson, NC 27896 BRANCH 00225
Date
Pay to the C'r %1
Order of O O
S
WACHOVIA d 79 �fl h on
Wachovia Bank, N.A.
wachovia.com^
Forc/1LL'0:
I:0 5 3 &O l6 26i: l0 l0 l68 78868011' --- i
5004