53040_GARDNER, BOB_20090126

❑C�` �A / ❑DREDGE & FILL
CVERAL PERMIT Previous permit# i
ONew� ❑Modification El Complete Reissue ❑Partial Reiss Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources j
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC YE s
1 yRules attached.
Applicant Namer, h rc t� n D r Project Location: County per` :,}J`,,,
Address C P , Street Address/ State Road/ Lot #(s) j 1; j ;'` �; I f�
State �'� ZIP
Phone # Fax # ( )
Authorized Agent
Affected ❑ CW EW Q PTA 'XES ElPTS
AEC(s):
ElOEA El11 F IH ElUBA [IN/A
❑ PWS: ❑ FC:
ORW: yes /' no PNAes / no Crit.Hab. yes / :no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp -7 ►S as 7
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length_ _
SAV: not sure yes (66
Sandbags: not sure yes t-no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Subdivision
City,: L1„ ZIP
Phone # (+ t') Ft �(i—�n(.1 < River Basin ' z"
Adj. Wtr. Body &N� ioX CC __Fna p/man /unkn)
Closest Maj. Wtr. Body y ern
(Scale: S )
1
OAjvJ G.( ❑ See note on back regarding River Basin rules.
ne) - -#
s
Agent o Applicant' Tinted ale
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer s Signature
lu Jos
Issuing Da a Ex iratio Date
e
i " �-
Local Planning Jurisdiction Rover File Name

1 l
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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
EJ 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 howto complywith 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

F-E'
GE & FILL ? 53040'CGRAL PERMIT Previous permit #
N!`odification ❑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
E�LRules attached.
Applicant Name
Address
City State zip
Phone # OFax #
Authorized Agent
Affected ❑ CW )kEW I PTA IXES ❑ PTS
AEC(s): ❑ OEA ❑ HHF EIIH ❑ UBA ❑' N/A
❑ PWS: ETC:
ORW: yes /`n(5 ) PNA Ves' 7 no Crit.Hab. yes /
Project Location: County -
Street Address/ State Road/ Lot #(s)
Subdivision
City ... ��'^r\��"1r' � •, zip'` i
Phone # ('i ) t i �' ` L 1,s River Basin V,\j' k i t
Adj. Wtr. Body t 1 nat man unkn
Closest Mai. Wtr. Body i
Type of Project/ Activity e , f`•a V-"
(Scale: )
Pier(dock)length -
Platform(s)
Finger piers)
Groin length
number --/` --- -- ---- — -- -- -- - .
Bulkhead/ Riprap length
avg distance offshore
max distance offshore i
Basin, channel
i
cubic yards
�/i 1
Boat ramp -!7� � X� 2 --- -i - - -- - -, - -- - t -
Boathouse/ Boatlift
Beach Bulldozing -
Other
I
Shoreline Length Low:
SAV: not sure
yes
r
Sandbags: not sure
yes
go
Moratorium: n/a
yes
Photos:
yes
no
Waiver Attached:
yes
n
A building permit may be required
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions • Yh ) bL A " N. ' 7. L rPr r) c
(
- 1 1
Agent o Applicant rinfedd Name
)Y: O
Sow"Please read compliance statement on back of permit
Application Fee(s) Check #
rermitunicert5.,wgnatu re
51ZG )oI
Issui g Date r Expiration ate
�� +! oT �1ni :�n r� rr•
Local Planning Jurisdiction Rover File Name

, F-11WWA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
January 26, 2009
Bob Gardner
500 South Ocean Way, Villa 6
Deerfield Beach, FL 33441
Dear Mr. Gardner:
Attached is General Permit #53040C to construct a Jet Ski ramp at 420 Chestnut Street in
Swansboro, NC
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,
Q
�6
Barry Guthrie
Coastal Management Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer —50% Recycled 110% Post consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER S'I ATENME--N-T
(FOR A PIER1,1I0ORLYG PILLVGSIBOATLIFT/B0,4THOUSE)
I hereby certify that I own property adjacent toF,j dhA?y K 6"goml, 2a
(dame of Property Owner)
property located at e GST
(Lot, Block, Road, etc.)
on �'%�L!/�/1L S �1���K in SwANShd�C� N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: �� ��P✓��� Tailing Address: �U -� 44 4V A
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 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.
------------------------ -----------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
14
Il ��
t---------------
----------------------------
— — —----------
(Information for Property Owner Applying (Riparian Property Owner nformation)
for Permit) * r ` it _ _
Mailing Address
A,l & ; -Y.5'7y,
City/State/Zip
Telephone Number
lZ 12 D�
Signature ate
ignature
Print or Type Name
-�--- ;� 3 06
Telephone Number
Date

o
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/NIOORLYG PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to D og d }'1Ay Ki s
(Name of Property Owner)
property located at •4 '
(Lot, Block, Road, etc.)
on , in _- s,., ; �.�,.z.�� , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: �l S�-S4�U'1 Mailing Address:
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 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.
------------------------------------------------------------------------------
DESCRIPTION AND/OR DP.AWIN s OF PROPOSED DEYELOPMEN T :
(To be filled in by individual proposing development)
N IaL
VJI w
I
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
-61
Telephone Number
Signature Date
(Riparian Property Owner Vnformation)
--##4 S/ignature
-;t)Ali,
�
Print or Type Name
661
Telephone Number
Date

ROBERT F. GARDNER 6 2� 92 690
MARY K. GARDNER 3105897636
500 SOUTH OCEAN WAY, VILLA 6
DEERFIELD BEACH, FL 33441
od
Fray to rh' ��� --------------� � T% �
C!tig-old
CITIBANK, N.A. BR. #92
998 SOUTH FEDERAL HIGHWAY
BOCA RATON, FL33432
I:26608655I,1: 3105897a3 0

JAN 2 3 4QQ9
;�Vo 01
C
Robert F & Mary K. Gardner
500 S. Ocean `Way, 'Vdfa #6
Deer(kldBeach, FL 33441

/ 7/�, 4040
JAN 2 3 2009
Moreheau city