33636_KNEEN, BILL GLENA_20030303

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,CAMA / [:]DREDGE & FILL{Gci
GENERAL PERMIT Previous permit #
-!New ❑Modification !Complete Reissue CPartial 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
❑ Rules attached.
Applicant Name
Address
City - ir,,) I ` State <: ZIP
Phone # ( - _ Fax # ( )
Authorized Agent
Affected El CW ❑ EW -1 PTA IDES ❑ PTS
AEC(s): ❑ OEA -; HHF I _ IH ❑ USA ❑ N/A
❑ PWS: iFC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision_
City — — — - —
Phone #
Adj. Wtr. Body
Closest Maj. Wtr. Body-
__ _ ZIP_
River Basin
(nat /man /unkn)
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
Finger
Groin
J
length
Agent or Applicant: Printed Name - �Permit Officer's Signature
Signature lease read compliance statement on back of permit Issuing Date Expiration Date
Application Fee(s) Check # Local Planning Jurisdiction Rover File Name
_ +J= .� •�—'OYL .0�: �••' _'�- -a�11 ti2ii'a11ii_.� . i..: - - _ _

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 (252-946-6481) 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.nccoastalmanagement.net
Revised 10/05/01

WILLIAM J. KNEEN
GLORIA C. KNEEN
5 RICHARD SOMERS RD BOX C
qq GRANITE SPRINGS, NY 10527
J
PAY TO 711E
ORDER OF
66-301531 0529
DA f Ll
s j e� c�
FIRST CITIZENS BANK
FIRST CITIZENS BANK & TRUST COMPAN �r
NEW BERN, NC 28560•
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1:0531003001: 111130 27750116 05 29
DOLLARS

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIE NC:OVERED BOAT lC,ti�
G--pt t4 4 eA w D c, e, tr
I hereby certify that I own property adjacent to
(dame of property Owner)
property located at / 0 k " 1
(Lot, Block, Road, etc.) .
on NC.
(W erbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing set that Ideation,
and I have no objections to his proposal. I understand that a pier/uncovered boat lift must be set
back sit a minimum of fifteen (15') from my area of riparian access unless waived by me.
I do not wish to waive the setback requirement.
_ I �o wish to waive that setback requirement.
DF,SCRIPTION AND/OR D ff IN O t PROPOSED DEVELOPMENT:
(Tv he filled in, y fn ividu � ' posing development)
rsr• r l P'"°p.s•�..
Rr� AS A I , /3,*A4r1rA a
a,�fy • I ,
Pit q < <
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i
ignature
rl
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Pr;nt or Type ?vame
Date

ADJACENT RIPARIAN PROPERTY Y OWNER STATEMENT
(FOR A PIE NCOVERE 0ATD1
o'r- 'W 4 e.Ajo c,,,, tr %:� f�
I hereby certify that I own property adjacent to Z
(Name of Property Owner) _
property located at v
e _ s
(lLot, Block, Road, etc.)
r
(W erbody) ` (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/uncovered boat lift must be set
back at a minimum of fifteen (15') 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.
M
DESCRIPTIOI`a AND/OR D WIN F PROPOSED DEVELOPMENT:(To be fillets in, y �k� rvidu proposing development)
40
hte ,xr,Lk
rroVoS ey I /CffCA- d
Signature Print or Type Name
Telephone Number Date

.� °` TO WN OF RIVER BEND _
F 45 Shoreline Drive, River Bend, NC 28562-8970 1E I VED
' Phone [phone] Fax [phone]
`G0.Ca.od"o
Office Hours: 8 a. in. to 4 p.m. Mon.-Fri.QV I `' 2002
�j
mail ariverbendnc.org . www.riverbendnc.org TOWN OF SIUECR 5'N4
-- INITIAL ZONING PERMIT No. 12129 J
Required for proposed building, construction, alterations, etc., located within the jurisdictional area of the
Town of River Bend to assure conformity with the requirements of the Town's Zoning Ordinance. The
Zoning Ordinance and all other town ordinances are available for inspection or purchase at the River Bend
Town Office.
Issuance of Building Permits and required inspections are handled by the Craven County Inspection
Department for the Town of River Bend.
1. APPLICANT'S NAME: r/ iV _^- Phone:
Address:
2. PROPERTY OWNER'S NAMFI t/,GG&G �� o�� Phone:
Address: / a
3. SITE LOCATION:
Street, Road, etc.:
Subdivision:
4. PLOT PLAN:
Lot No..
Each application for an Initial Zoning Permit shall be accompanied by a plat by a licensed surveyor
drawn to scale showing accurate dimension of the lot, applicable easements, elevations of site including
driveways and drainage ditches, relationship to adjoining lots and accurate dimensions of the building
to be erected including its location on the lot.
Plat attached hereto: AYES ❑ NO
5. INTENDED USE OF PROPOSED STRUCTURE:
Residential ❑ Non -Residential ❑ Other
Please Specify:
6. ZONING DISTRICT OF SITE:
Page 1 of 2

7.
SQUARE FOOTAGE - PROPOSED STRUCTURE
ZONED MINIMUM
ZONED MAXIMUM
PROPOSED
RESIDENCE I ACCESSORY BUILDING I BUSINESS
8. ESTIMATED COST OF PROJECT: $ /3, () 0 0
9. FEE FOR ISSUANCE OF CERTIFICATE: $ )� Payable to Town ofRiverBend
10. SPECIAL PERMITS REQUIRED FOR PROPO D CONSTRUCTION:
❑ FIood Hazard ❑Corps of Engineers CAMAS Wither: ,c�r2Y't ; ,Z,yC�
11. DRIVEWAY AND SWALE CONSTRUCTION: ❑ YES �NO (See Attachment)
12. THIS PROPERTY SERVED BY ATE SEWER UTILITY: AYES ❑ NO
13. CRAVEN COUNTY BUILDING PERMIT REQUIRED: ❑ YES N NO
14. CERTIFICATE OF ZONING COMPLIANCE
A Certificate of Zoning Compliance shall be obtained from the Zoning Administrator once the work has
been completed and prior to applying to Craven County for a final electrical inspection and/or Certificate
of Occupancy.
The applicant confirms that the above information is correct, is familiar with and agrees to comply with
the provisions of the Zoning Ordinance Town of River Bend and other ordinances and laws affecting
the proposed construction.
44//'!44u-�Xpplicant s Signature
/1/i1✓oe
Issuance of this permit reflects only compliance with applicable provisions of the Zoning Ordinance of
the Town of River Bend and does not address compliance with any other governmental or contractual
requirements to which the property or project may be subject.
Zoning Administrator Date
*If the proposed construction requires a County Building Permit, a copy of this certificate must be delivered
to the Craven County Inspection Department (2818 Neuse Blvd. 636-4987) prior to issuance of that permit.
COPY OF COUNTY BUILDING PERMIT MUST BE POSTED IN A CONSPICUOUS PLACE
ON PROPERTY DURING CONSTRUCTION
Page 2 of 2 TRB form 17 Rev. 5/30/02