Sanders Point HOA, LLC

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dAMA El DREDGE & FILL 64170 N? 66. A B 'D
ENERAL PERM -IT Previous permit #
ElModification ElComplete Reissue El Partial Reissue Date previous permit issued
W As autho EN
by the State of North Carolina, Department of Environment and Natural Resources
7�,J
e vironmentalcIn rnp and the Coastal Resources Commiss on in an area f urscro(SiA NCAC
I v
NlRulesattach L
ame roje&-Location: County Applicant N
Address. A (s)
Street �dclress/ State Road/ Lot
�_Zlp.
Ci State Lua La
Phone 4- Mail Subdivision
Authorized en City ZIP
TA DES 0 PTS Phone # Pi, Ativer Bpsinl I U-t-1
Affected
0 OEA b HHF I H 0 UIBA 0 N/A
AEC(s): Adj. Wtr. Body. Y ((ngt /man /unkn)
0 PwS:
ORW: yes / no PNA yes no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length X1_
N Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
--
Bulkhead/ Riprap length
avg distance offshore ------
max distance offshore-- ­
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift-_. .....
Beach Bulldozing, —
Other: -,
Shoreline Length
SAV. not sure yes (�noh
Moratorium: n/a yes
Photos: yes, tnp)
Waiver Attached: yes no
A building permit may be required by:,,
Note Local Planning jurisdiction)
Notes/ Special Condithl
,�p
(Scale:
❑ See note on back r9gardir
U
;r Basin rules.
I
I
or, PrintL
Agent4Applijam 6d N�One
Permitp Ticer's Printed a e
A")
T,
Signature flease read compliance statement on back of permit
Signature
Application-Fge(s)
Check#
lssungDkte
Expiration Datel.��
."P

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 [)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
Neuse River Basin Buffer Rules
El Other:
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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
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)
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 - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/ 14

AMA / ❑ DREDGE & FILL
EN ERAL PERMIT
A B C
Previous permit #
ew ❑Modification ❑Complete Reissue ❑Partial
Reissue Date previous permit issued
As autho zed by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Res qu ces Commiss n in an area of/e viron . tal
n rr p rs to NCAC
}. ules attach d:
QoJeLcation:
Applicant Name k, ,
f County
Address
Str et dress/ State Road/ Lot (I
s
City State IP
##
i
a
Phone Y111all ._._._,:-----
Subdivisi n
Authorized enr--w._.,: _.,,,
City ZIP
❑ S ❑ PT
Affected A
H
hone # B in
MIM
"""�•
❑ OEA F IH ❑ USA ❑ N/A
AEC(s)t
j
Adj. Wtr. Body nat fnan
unkn
❑ PWS:
ORW: yes / no ' PNA yes / no
Closest Maj. Wtr. Body
'
Type of Project/ Activity
i ` 4-11
(Scale:
)
Pier (dock) length .,
Fixed Platform(s)I 1ILL1,11
—
Ell it I- I
Floatinb Platform(sl I I I fill
V.
Fin r pier
® ■■■INNINMRIVI �■■ 1@5
N®fV■■ lii
Bulkhead/ Riprap length
avg distance offshore
ME1111 WOMEN
Basin, channel
■■ ■■ ■■■ ■■
Boat ramp
Boathouse/ Boadi
■■■■■■■■■■■■■
Beach
=
■■■■■■■■■■■■■■ , ■■■■■■■■■■■■■■
Other■■■■■■■■■■■■■■
❑ See note on back
/1 f _- / '4-
Expiration Date ,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Sanders Point HOA, LLC is
(Name of Property Owner)
property located at lot between 155 and 163, Live Oak Road, I own both adjacent properties
(Address, Lot, Block Road, etc.)
tere
on ICW , in Newport, dart County , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or attach a site drawing)
RECEIVE®
RECEIVE® DEC 17 2015
JAN 2 2 2016 DCM- MHD CITY
WAIVER SE(91;I"° MHD CITY
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
Aw I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Inf rmati n)Adjacent Property Own r Information)
Si ature S' ture * �-7
s _ -act n7 0 e - l �� UGl 1//Jf
Print or Typb Name Print or Type Name
603 Foxwood Drive 509 Ravenwood Road
Mailing Address Mailing Address
Goldsboro, NC, 27530 Pollocksville, NC,28573
City/State/Zip Cittyy/State/ pi
9T9-922-4563,919-735-6066, 252-670-5118
Telephone Number/email address Telephone Number/email address
12-17-2015 12-17-2015
Date Date*
[e-mail]
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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RECEIVED
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DEC 1 7 2015
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RECEIVE®
JAN 2 2 2016
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DCM- MHD CITY
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RECEIVED
JAN 2 2 2016
DCM- MHD CITY
RECEIVED
DEC 17 2015
DCIVI_ M'HD CITY
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