8 1/2 Marina

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, certifythat 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-411COAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of 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)
(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 - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/ 14

d
LAMA / L REDGE & FILL r -`
A B''CD
ENERAL PERMIT Previous permit#._ y
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous p it is ued
d t A�s authorized by the State of North Carolina, Department -of Environment and -Natural Resources•- -• — -
and the Coastal Resources commission in an area of envirohmerital conceriiapursuant to 15A NCAC
44 Rules a d.
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Z• 's
�. (Name of Pr Owner)
�0`mtw property located at �j 1
cNp (Address, Lot, lock, Road, e
J�ar
on , in �7G '�,� , N.C.
(Waterbody) (CityRown and/or County)
Vapplint has described to me, as shown below, the development proposed at the above
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
W L cl . [. v✓a ti d!e .� Ito � k �� -. af' a N. ' � oZ o� � ✓ a�so�S � c /i • �
tic ��ia4-,�^Q D�'ecr, O►� �xlsHcl� 3� �� w.y�
aid 3 F+ to �c kS cps 4S 4-1 PeG
4161-4 A i O'w
f'{�c m��a� �S �• CXs�cKel /6 ff w.f�i q o/.a��`j e�
HS dj o ��f pto �. n f a r"t a t� ✓r o sV1
RECEIVE®
FEB 0 2 2017
WAIVER SECTION ff11 np�� - nn/p� �� nn r('�
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, rum
rf�V�t'k� s�t�T�
back a minimum distance of 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.)RECEIV
ED
do wish to waive the 15' setback requirement.
FEB 2 3 2017
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property OwneA111:14111150UNID CITY
Sig)'zature
Print or Type Name e9'�
E1J A41- r. y q V A
M flxingress
Cif lStatelZip
Telephone Number
'As') - CSC/, - /SJ/
Date f /
Print or T
Mailing s L
C"y/State'-i _ 1 -7 -7 -1 O
Telephone Nu e
Date
(Revised 611812012)

FAG r x %G P
Za41��.n� s A
odae-i a 4 A-, t sits
I," r't . A c r v * -ti
Address Points
•
Parcels - Updated 01-14-201 i
Centerlines
NCRailroad Right of Way
County Boundary
0
Other County
<all othervalues>
Cart
PIN
acreage
larcel Dimensions
.ot Number
3
(RECEIVED
FEB 2 3 2017
DCM- MHD CITY
RECEIVED
FEB U 2 2017
CM- AVID CITY

f { t
} + w `
Alp
4 RE4kED
�'� FEB 21.3 2017
FFB 0 2, 2f

` ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to %s �, s
�1�V a� �(� C 1 Pro erty Owner)
property located at � 136
/
(Address, Lot, lock, Road, etc.)
on S�(CG rt� Sd41r �-) , in N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
(2,k al oKI 02 o20.r�r
O/-, O,� ex/��al�
fi G
RECEIVED
FEB 10 2017
WAIVER SECTION
CMn MHD CITY
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 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.)
RECEIVED
�i do wish to waive the 15' setback requirement.
FEB 2 3 2017
1 do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner In Aflo44HD CITY
Signature Signature
Print or Type Name Print or Type Name 3 3
& Ana 110a �- (3
Mailing Address Mailing AddA�,
,lt4/.,-/a 13'.ef
Cit- StatelZip City/State/Zip
tC
Telephone Number Telephone Number
Date G Date
(Revised 611812012)

--------------
Address Points
•
Parcels - Updated 01-19-2017
Certerlires
NCRailroad Right of Way
County Boundary
0
Other County
<all othervalues}
Cart
PIN
Acreage
Parcel Dimensions
.ot Number
1 �� is
��TL�7.b "� s � JO Ir G✓
d•�� �r pKsl, ,db.t
DECEIVED
FEB 2 3 2017
ACM- MHD CITY