51010_BOBOLIA, MICHAEL_20070904

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GENE"L PERMIT G Previous permit #
EINew ElModification El Complete Reissue ElPartial 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
Ef Rules attached.
Applicant Name I L, I, Project Location: County. s -
Address
City State zip
Phone# Fax #
Authorized Agent
El Cw atw ❑ PTA
Affected
El OEA El HHF El IH
AEC(s):
El PWS: 11 FC:
ORW:
yes no PNA 'yes no
Ll ES 0 PTS
E UBA El N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s) — "' 0, ' 6'
Subdivision
City ZIP
Phone# River Basin
Adj. Wtr. Body (fat'/man /unkn)
Closest Maj. Wtr. Body
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Agent or.Applicant. Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
-7
PeftitQfficer's Signature
IssuingDate 1 Ex0irationDate
/V10
Local Planningj'Vrisdiction Rover File Name

4.
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 consistent with 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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

Ar
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Pl 1 e P, A E t ,Au, K- X 'BO64 a. a A 's
(Name of Property Owner)
property located at ;2i S lio p-6 'RV Ne w poA tV ' - S " 7 ,
(Lot, Block, Road, etc.)
on 01: i 't V ,` kll in N.C.
(Waterbody) (Town and/or County)
He has described to me, 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 ripar an.access ,unless -
waived by me. (If you wish to waive the setback, you must initial b'6}'ppropriate blank
below.)
I do not wish to waive AUG 2 9 2007
I do wish to waive that setback requirement.
---------------`----------------------------------------------------------------MQrshead_City DCM
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) t} pG�:� -
0
l.or—q-r C D A—r H tGf+ WArCR M40
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-----------------------
Signature
Print or Type Name
Q Telephone Number
�
Date: p — /C" o 7

rA
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to b t �' H A S �- --t- �-Au K, f+ - r A 's
(Name of Property Owner)
property located at C o 9 a � o r r 'RDHe'A Pox- H � a A
,
(Lot, Block, Road, etc.)
on N t' 0 e � } t V r,-- 9,, in t.fi R Y 9 r---r CEO vt a ),r z , N.C.
(Waterbody) (Town and/or County)
He has described to me, 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 oflriparan`aceess unless'"
waived by me. (If you wish to waive the setback, you must initial the appropriate blank, >x-
below.) ? .
I do not wish to waive AUG 2 9 2007
I do wish to waive that setback requirement. Morehead City Dcm
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)0 P05 JE
STA -r k f{.F» 0 _ (? New pt e.,n+ S N A G
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Signature
Print or Type Name
Telephone Number
Date: XL13ZO -7

M P BOBOLM
L M BOBOLIA
209 SHORE RD.
NEWPORT, NC 28570
Y
531
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