38877_SANDERS, FLOYD JR_20040616

13
CAMA / C DREDGE & FILL
GENERAL PERMIT Previous permit #
New ❑Moclification F' Reissue ElPartial Reissue .,Complete Reiss 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 I SA NCAC 'J'Rules attached.
Applicant Name 1 Project Location: County____
Address Street Address/ State Road/ Lot #(s)__
City J State ZIP
Phone # Fax # Subdivision ----
Authorized Agent City--------- ZIP -
Affected [] CW DIW 0 PTA El ES El PTS Phone# River Basin
El OEA [7 HHF 71 1H 0 UBA El N/A
AEC(s): Adj. Wtr. Body— (nat /man /unkn)
0 PWS: 0] FC:
ORW: yes / no PNA yes / no Crit. Hab. yes no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)_ v
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift---j
Beach Bulldozing
Other
Shoreline Length
SAV not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
ilia,
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See note
on back
regarding
River
Basin
rules.
Agent or Applicant Printed Name Permit Officer's Signature
Signature ** Please read compliance statement on back of permit ** Issuing Date
­ - i L110
Application Fee(s) Check # Local PlanningJuriscliction
Expiration Date
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, certify that this 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax:[phone]
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastaimanagement.net Revised (0/05/01

M1; ,YD C. SANDERS, jR. NCDL 8862197 66-7538/2531 v
A' P. SANDERS NCDL 4346075 2760
20U SLEEPY POINT RD. 252-729-1246 r
WESTER, NC 28528 _
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va
RST FLIGHT DoLLARS l�l aam
EAERAL CREDIT UNION
h . 1206 G. MAIN ST.
HAVELOCK, NORTH CAROLINA 285,32
FOR-
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JUN-14-2004 MON 05:03 PM NC DIV OF COASTAL MGMNT FAX NO. 4 P. 02
JLU4.10.2004 9:16rfl COASTAL EYE CLINIC E52 240 0562�- '•NO.054- P,— -
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JUN-14-2004 MON 05:04 PM NC DIV OF COASTAL MGMNT FAX NO. 4 P. 05
7UH. 10.2004 9' 17R,l Cat--GTOL EYE CLINIC 252 240 0562— N0.054— -P, 5/S- -- --
AWACEN'!1' RIPARrAN PROPERTY OWNER STATEMENT
(POR A PIUR/MOORINO FILINGSIBOATLIrTIBOATHOUSE)
I hereby certify that I own property adjacent to _.p`(D .Sh#p fZS J`0 is
(Name of Property Owner)
property located at _ A.. J(=,eFpy Pa T RA4d
r� (Lot, Block, Road, etc.)
on —,in GdttCfSTF.,g, N.C.
(Water body) (Town rind/or County)
He ha; duscribcd to me, as shown below, the development he is proposing at that location,
Rnd, I have no abjectior,s to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must ba set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
1 J0 not wish to waive the setback requirement.
I dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filleel in by individual proposing development)
Signature [mot.&V���
M 1 tka'et 1� Pee(eY --
Print or Type Name
Telephone Number
Date: JJ-'7J-0* _

JUN-14-2004 MON 05:04 PM NC DIV OF COASTAL MGMNT FAX N0, 4 P. 04
JUM.to. Rola<A 9!16AM CGn5TnL. EYE CLINIC 252 240 0562 - - -N4.054-- •P.4/5------ - -----
AIVAauNr RwARYAN P1tC nmy OWNER. STATEMENT
(POR A PIER/MOORING PILINGSIBOAn FT/BOATHOUSE)
I hereby certify that I own property adjacent to _-oW MeOM� IR �is
(Name of Property Owner)
property located at 200 3(-aPy Ragvr ROAD
n (Lot, Block, Road, etc.)
on ( l in . t-ag lTE2 C-AtMAer , N.C.
(Waterbody) (Town and/or County)
lie 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 pierlmooring
pilings/boadifUboathouse must beset back a rninimurn distance of fifteen feet (I5') from my area
of riparian access unless waived by me.
I do-noi wish to waive the setback requirement.
__X. .. I (1,0 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
------------------ - --- - -------------------- ------------ - - --- ---------
rgnature _
J-
Print or Type Name
p
Telephone Number
Date;�� %/7

JUN-14-2004 MON 05:03 PM NC DIV OF COASTAL MGMNT FAX NO. 4 P. 03
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JUN-14-2004 MON 05:03 PM NC DIV OF COASTAL MGMNT FAX NO. 4
JUN. 10.2004 9: WRI-1 ConSTAL EYE CLINIC 252 240 0562
Pr 01
NO.054 P.1/5
1. rcr',N!If. r;-1 CHANCB, M.D.. FAX-%,
HAROLD It. CAMLRON, M.U.
801INA 6. MLEKIN9, bt-O., IA.C.3.
D*AN P. OV ANO, M.D.
1FFhREY 5. TAYLOR, M.D.
GOOPUE 1), MUNKEL, Ht. M.D.
DIPIumA•x r, Arncrlun Ltoard of Ophni4intalPuv
Gda` Atal Eve.C.Im'ic..a.
EYE PHYSICIANS AND SURGEONS
FACSIMILE C(YVF.B SHTE'T
;ITIPORMATI.ON SENT BY: lye&_
IcAc- —)q-_4//v�
11USINCSS: COASTAL CYC CLINIC, P.
3504 BRIDGES ST.. MOKIMEAD CITY, NC 28557
DATE,: _ r. �� (�l� TIM:
D02 WCARTHY BOULEVARD
r•CW BCRR, NORT.1 CAROUNA 28562
252-6134M
3504BRIDGES STREET
MOREHEAD CRT, NORTH CANOUNA 20S57
252-7�61-s
TFIXPUONEs _ 252-726-1064 FAX NUMKR,. 252-240-0562
N0. OF PAGn a)cN'f , INCLUDING C(7M SMT _
I:N5t1iUG-rIONS /COMMEN°TS:
a ~ a7'7
THF. Lh oRMATION CONTATNE D IN T1E75 FACSI?LYLE KFSSAGE is PRIMEDGED AND
CONFOENTIAL INPORgATION INTEND" ONLY FOR Y.'HI: USE OF TSB INDIVIDUAL OR
N.NTTTY NAMIKI) ASOM IF THE RI+ADER OF THIS MLSSAGE YS NOT THE 'NT>vNDED
R.ECTFIE NT, YOEJ ARE REMBY 1i0T-1FT.ED THAT ANY DISSEKIMT.ION, DTSWBUTION, OR
COPY OF THIS CO)OWNTCATION IS IN ERRAR. pLF.ASB NOTIFY VjS I2Q[EDIATEL BY
Tl'sI.IIEB0wE AND it]'sTURN THE ORIGINAL MESSAGE TO US AT TFIE ADbRESS INDICATED
ABOVE BY U.S. POSTAL SERVICE.

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7UN.21.2004 9:21AM COASTAL EYE CLINIC 252 240 0562
C-�a-stalE e Clinic PA.
J. KENNETH CHANCE, M.D.. FA.C,S. EYE PHYSICIANS AND SURGEONS
HAROLD H. CAMERON. M.D.
BETTINA B, MEEKINS, M.D., EA,C.S.
DEAN P. OUANO, M,D.
JE FFREY 5, TAYLOR, M.D.
COOPER D. I<UNKEL, III, M.D,
Diplomates American Board of Ophthalmology
FACSIMILE COVER SHEET
TO: D`Y'
BUSINESS:
INFORMATION SENT B,:
CONCERNING:
to
BUSINESS: COASTAL EYE CLINIC, P.A.
M
3504 1',KIDGES ST., MOREHEAD CITY, NC 28557
DATE: Q - 7i i - C- TIME:
TELEPHONE: 25 2- 7 :' 6 -,10 6 4
-'-
802 MCCARTHY BOULEVARD
NEW BERN, NORTH CAROLh IA 20562
252-633.41 63
3504 BRIDGES STREET
MOREHEAD CITY, NORTH CAROLINA 28557
2 52.72 6.106 4
FAX NUMBER: 252-240-0562
NO. OF PAGES SENT, INCLUDING COVER SHEET:
INSTRUCTIONS/COMMEI'TS: A -kk
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THE INFORMATION CONTAINED IN THIS FACSIMILE MESSAGE IS PRIVILEDGED AND
CONFIDENTIAL INFORMATION INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR
ENTITY NAMED ABOVE. IF THE READER OF THIS MESSAGE IS NOT THE INTENDED
RECIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY DISSEMINATION, DISTRIBUTION, OR
COPY OF THIS COMMUN LCATION IS IN ERROR. PITASE NOTIFY US TATEI BY
TELEPHONE AND RETURN THE ORIGINAL MESSAGE TO US AT THE ADDRESS INDICATED
ABOVE BY U.S. POSTAL SERVICE.
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