39330_SEA GATE ASSOC_20040713

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ti' CAMA / •-I DREDGE & FILL���
GENERAL PERMIT Previous permit # j
❑New OModification _]Complete Reissue --Partial Reissue Date previous permit issued j
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 j
(] Rules attached.
Applicant Name 't L;y 4P ,{,�f,a � (L Project Location: County (o, 4 ( 3
i
Address Street Address/ State Road/ Lot #(s)
City 1 014W v­ -,State
fit ZIP ? f 5 7 o
Phone # ( ) 11j,' -1j' i �
Fax # ( )
Authorized Agent !'rr Y
�'; CW 0 EW
L] PTA Li ES ElPTS
Affected
I OEA ❑ HHF
[IIH ElUBA ElN/A
AEC(s):
PWS:
❑ FC:
ORW: yes / no PNA
yes / no Crit. Hab. yes / no
Subdivision
City_ - ZIP
Phone # (_ ) // River Basin 41
Adj. Wtr. Body_ rl r fva F 7u J (nt lmati /unkn)
Closest Maj. Wtr. Body v r (p rt
Type of Project/ Activity
(Scale: V z it )
Pier (dock) length - -
Platform(s)
Finger
Groin
Basin
Boat
Othe
Shor
SAV:
Phot
Waiver Attached. yes no
r r
A building permit may be required by: G, ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Bulk
Boat
Beac
Sand
Mor
length
number
Agent or ApplicantPrinted Name
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature
Issuing Date
V
f i ? � �
Expiration Date
Application Fee(s) Check #
Local PlanningJurisdiction
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 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, 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 (252-946-648 I) 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
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)
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.nccoastalmanagement.net
Revised 10/05/01

SEA GATE ASSOCIATION, INC. 6TC 3g33D 1270
STORE ACCOUNT
729 SEA GATE DRIVE 66-112/531
NEWPORT. NC 28570
PAY [phone] DATE J_� J l.( I Y d
TO THE ORDER OF Is , 6 I .�
DOLLARS 8
BB&T
Branch Banking and I niq ( unyuin,
/�
FOR 1GlI�\RC.
11 001 27011 1.053 LOLL 2 0■5 L993347451i■
I

ADJACENT RIPARIAN PROPERTYOWNER STATEMEN'r
(FOR A PIER4VOORING PILINGS/BOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to J oy A w\ c - 's
(Name of Property Ov ner)
property located at -7-30 S e c G vAT`,L. D rny, (( _ Cr
(Lot, BIock, Road, etc.)
on �.�� /�� .nM 1tV%in /CJZ;�, `�2 N.C.
(Waterbody) (Town and/or Count)
He has described to me, as shown belo.4, the developnipnt he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilines'boatlift/boathouse
must be set back a minimum distance of fifteen feet (i 5') from my area of riparian access unless
%vaived by me.
I do not wish to waive the setback requirement.
__Z I do wish to waive that setback requirement.
DESCRIPTION ANWOR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposin development)
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Signature
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Print or Type Frame
Telephone Number
Date: I ! I ` p!

ADJACENT RIPARIAN PROPERI-Y OWNER STATEMENT
(FOR A PIER/1•I00RIIVG PILINGS/BOA TLIFTIB OA THO USE)
I hereby certify that I o«•n property adjacent to
+nme of Property 1%ner)
property located at
(Lot, Blozk-, Road, etc.) ,
on J� in %(�� ''�' �C�/u �7z , N.C.
(Waterbodti•) (Town and/or Count})
He has described to me, as shown belo,.s, the developnient he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings bO " atlifuboathouse
must be set back a minimum distance of fifteen feet (i5') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTIO'N ANWOR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in kv individualproposing det,elopmeut)
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Print or Type Name
Telephone Number
Date: -�6`V —