76876A_Sanitz, Tommy & Daphne_20200915

�CAMA / ❑ DREDGE & FILL No 76876 0 B C D
QENERAL
PERMIT Previous permit #
ew ElModification ❑Complete Reissue }3Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality / .Z, a ,�
and the Coastal Resources Commission In an area of environmental concern pursuant to 15A NCAC /
fF611ules attached.
Applicant Name ,_-� �'�--►m `� 4 �r^ iz Sro�n i Project Location: County a r� _
Address_ 191 A/T Aair- l� L 6 a p Street Address/ State Road/ Lot
City--tj-, ((o w �'-%`Y State I-X 7 ` -
("I' � ( — E-Mail C: S' M Te S Phone # L S3 o,na1 . S'ani'f�- � Subdivision 5 0 awn � S'r d e.
Authorized Agent .-- u"/yt i ck+ is. °`r` City S o. / V , ZIP 2 79 7 2 _,
CW $�EW PTA �4s OPTS Phone # (�) "` River Basin $6M a 4
Affected V
n iC
AEC(s): ❑ OEA 0 HHF U IH O UBA L7 NIA Adj. Wtr. Body f Ck M PWS. kn
0Q net man un
ORW: yes / no PHA yes / no
Closest Mal. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s) 16 11-(J t(
famvwlPlatforms)
Finger pler(s)
Groln'lcngth
number
Bulkhead/ Rlprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards___
Boat ramp _=
Boathouse/ Boatlift
Beach Bulldozing - -
Other��a�� �� wo IKwa
e_C0 3'_ �
0 C./ i .,.:1 " CL
evaar ��
K/V�
Q,
_
'j'v iGlelr�ci� il'(fl0r X `1
• (Scale:
__.
Shoreline Length 3 V _
SAV: not sure yes
Moratorium: n/a yes no 0,
Photos: yes no
Waiver Attached; ye no - - -
A building permit may be required by: a (e C o unY ❑ See note on back regarding River Basin rules.
N to Local Planning Jurisdiction)
Notes Special Conditions �% m 4 Ick 4:70r m r, /9 O 5 IEZ -F" .►a e r P i e CS
l�gent or Applica� e.� G r � ? ---
Signa m•e a'rZPaseeadfmpliance statement on back of permit"
Application Feet) Check #
PermitOMcer's Printed Name
r �
Sig re
- Issuing Date Expiration Date

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This map is pi op.n ,d
from data used for the
inventory of the real
property for lax purposes.
Primary information
sources such as recorded
'�
'R
deeds, plats, wills, and
other primacy public
records should be
consulted for verification
of theintotmation
contained in this map.
27197 Jackson RD
Salvo NC, 27972
Parcel: 012185000
Pin: 064720808323
1
Owners: Sanitz, Tommy E -Primary
Owner
Sanitz, Daphne T -Primary Owner
Building Value: $586,200
Land Value: $80,200
Misc Value: $34,800
Total Value: $701,200
LA
ro
flu
LI
Tax District: Salvo
Subdivision: Sound Side Estates
Lot BLK-Sec: Lot: 5r Blk: Sec:ff
Property Use: Residential q
Building Type: Beach Contemporary +'
Year Built: 2005 r
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This map is prepared
from data used for the
27197 Jackson RD
Owners: Sanitz, Tommy E -Primary
Tax District: Salvo
inventory of the real
Salvo NC, 27972
Owner
Subdivision: Sound Side Estates
progeny for tax purpose:
parcel: 012185000
Sanitz, Daphne T -Primary Owner
Lot BLK Sec: Lot: 5r Blk: Sec:
As
Primary information
sources such as recorded
Pin: 064720808323
Building Value: $586,200
Property Use: Residential
11
t
deeds, plats, wills, and
kA
t
Land Value: $80,200
Building Type: Beach Contemporary
t'�1
other pnmary public f
should be
Misc Value: $34,800
Year Built: 2005
records
' consulted fur verification
Total Value: $701,200
-+t"•• .
"`�""'• of the informationinthis
contained this map
"�i

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner:
(Lot or Street #, Street or Road, City & County)
Address of Property:
P#Wvt 3Avl bl
Agent's Name #: �� 1 7 � Mailing Address: % 7-/
Agent's phone #: 7i/ li�� �✓i���!✓Gr7
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
ion or drawing with dimensions must be arovided with this letter.
they are proposing. Ad escript
" t -A have no objections to this proposal. I have objections to this proposal.
ff you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http•//www nccoastaimana_qement.netlweb/cm/staff-lis!in_g orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
Ido wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Propej;4)Ow,Aer Information)
Signfdure" /
Print or Type Name Q
4 >�
Mailing Address
4/1 L41
City/StatelZip
Telephone Number/ Email Address
(Riparian Property Owner Information)
Si ure 4 l
liv yc 6" 6'. 6C-14t�T1 �n.nur���$ rU1 f2L
Print or Type Name
3ic6C Sy(,4^cr-( c.P.,rC?J R0i
Mailing Address
,c-4xL,ry VA 2-39SI
City/State0p
/�) Ci3 E,i C� o_�11,�le 63�,iJ^rl^�AIC •Corn
Telephone Number/Email Address
zd
�i �-� JvL
Date Date
(Revised Aug. 2014)

m Complete Items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mallpiece,
or on the front If space permits.
1. Article Addressed to:
3106 Sy'P, Mae- ' Clk!,9-«1 10/
VIA
1111111111111111111111111111111111111111111111
9590 9402 4759 8344 2526 16
2: --Art— Numbtr (T�� Imm sexy' �.�.•-------
7020 OD90 0001 5908 6623
PS Form 3811. Wly 2015 PSN 7530-02-000-9053
❑ Agent
*delivedresw
❑ Addressee
Name) C. t� eliv
Isfferent fromItem 17 ❑Yes
If YES, enter delivery address bglow: ❑ No
JUL 2
7 2020
I �
k
3. Servl('1!14�1
❑ Priority Mall Ezpressm
O Adult Signature
❑ Registered MaI1TM
❑ Adult Signature Restricted Deliverydl
❑ aglst Mail Restricted
❑ Certified M®
o Certified Mau Restricted Delivery
ary
Reo `
0 Return RPt for
Merchandise
O Collect on Delivery p Signature Confirmation*'"
aColl Delivery Restricted Delivery
red Mail
re M
❑ Signature Confirmation
rod Mail Restricted Delivery
Restricted Delivery
--WTW $500) -.
-
Domestic Return RecelPt

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1
REVIEW ❑FFICER,
EXEMPTION- CERT,I
NORMAL WATERLINE
stot. ct North Carol~,.
w.ty or.
Corm
Thss P+ot nas oeen degf:(minea to be on
exempt plot as defined in the Dore County
Revle. Cff,cer of Dore Cou,ty,
certify that the _P ar plat to .Nth th5 ceetificat;on IS
Subdivision Ordimonae Sec:lor 153.05.
_
affxtd Wren all st.Wtory regm�tneeti Fer recordny
IaT— e— Ter
Dore Co. Subdivision AdmWstrator 170re
ft�E.
Reba.
..v
Raba'set
fie Hydrant
7'tJt.
Porn one
�`�
be StS.
'
Fence
Mom¢
�.
Et. Pinched Pipe
`
_i
Es CV
Lamo Post
7p `
r�r4(J
56T
_-
3'P
OH Power line
9?d'SS,
J�f NC GRID
.x'
8i•dhoase/Osprey Nest Posl
N 670,418 763'
L 3,048.697.507'
7 . NAD 83 (20'1)
NOTES
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Owner*
21st Mortgage Corporation
q ., X ft—
PO BoY 34787
Jamaica, NY 11434
�ti LOT 5R
Property Addresses•
Lot 4: 'unassigned' Jackson Road
Lot 5• 27197 ,;acHsor R000
Or ginol Pir Numbers
Lot 4: 18064720804452
Lot 5• 18064720908323
Lot 5R Area= 56.628 So. Ft. / 7.30 Acres
Flood Zones one subject to change
This survey was oaseci on the existing
property corners Found In con junct or
with the recorded reference gven
ex�0' N nnnz+e
a.a ita "oC. >5s
SURVEYOR'S CERTIFICATE,
h M. 0-9las S:yyens certify that this pent was drawn under
ny supervision f,on an OCtv*t Survey fade rdel fy svper..slor
using the msorptbn found In PC.-e, SL. 193, that tiv 0andarles
rot 8 r"yed .re dirty Ind-,ira as drawn iron IF —ration re—
in PC-D. SL 193, that the ratio of Precision .s C.1CAoted is
at ;east IQ.000', that this Out ens weporea Ir nccordarx:e
.Ith a.S. 47-3C as amended. 1 also certify to lie fWlowng
Certifier hereon Is not responsible
TNe plat Is of a swvt of nrotner cntego�y such
os tM rir—kin.tion o� 1. V., parcels, a cow t-ordtred
for utlhties and/Or features that Ore
—vev ar other except
to the aefe•ition of subd',1510n;
not visible at the time of the survey,
nor any additional setbacks that
are not shown.
Witness ny orlQeai signatwe
and seal tlrS lip day o
20;g
t
rs 41 i
h. r yl.nq( °
'''•a, 0
I) Class of Survey, Suburban
PJ Po A,crial ACC —Cy 0.10' Hcrisor.tal Grid TI.
Y
3.) Type of GPS Veto RTH NETVEIRK
4, But.. of Survey 10-21-14
GRAPHIC SCALE
S) Datun/EpuCM NOD 93/2011
14, ,t.,
.� ,. v ,•.
,,,.
a.) Pvb(iehed/rlxed contra use. HLGS Vavet 1993
71 Geo.d Hode1. "12
8.) Conbanrd Gra Foc tors 099989404
( IN FELT 1
9) units. Survey Feet
ITY MAP (NTS)
i i—I, . 50 1_
Line Tablel
N4.1;'WE 10,41'
�. -2• S50'19 46'E 3139
i--3. S73'42'32'E 4363'
L-4. S61'09'48'E 43,93'
L-5• N85.15'56'E 4LO5'
L -61 169.16'14'E 65.52'
L-7, S61'57'06'E ?A 32'
L-8• S63'50'38'E '.1349'
L -91 S69.21'09'E 68.67,
L t0• S68'16'58'E 5934-
L_11 S65'06'50'E 6218'
L-lei S68'14'36'E 5Z37'
L-131 N47'11'49'V 19 V9'
L-14. N55'16.48'V 3220'
L -15. N59'58'06' V 39 48'
L-16. N56't6'57'V 5847'
L-t 7. 1418'0916'V 26.07'
h
��4,�
4M0 R'-41NM11'
4
n; s• o '
eas7f
.l.t. tro. 114 a' e
PCta
CON'ROt CORNER
NC GRID
N 670,369,833'
E 3.046.288.305'
NAB 83 (20�1;
i
i4,93'
CP v Yis,
S26'C5'0t"W
a•;. 15.02
44
� h
R•� • 6
NVG#t& >s"UN "nq' &AAJIiclon+
2700 N. C. W..+wy. Kill li— - I.. NC 27g4/!
ne �yy
Pho(252) 441-14i5 ra., ;252) "Ao- .62

Carver, Yvonne
From: Daisey, Greg
Sent: Monday, June 22, 2020 2:02 PM
To: Tommy Sanitz
Cc: Carver, Yvonne
Subject: RE: [External]
Attachments: RIPARIAN WAIVER FORM website form updated (2).pdf, t1 5a-07h.1 200.pdf
Good afternoon,
After completing a site visit at your property (27197 Jackson Rd., Salvo) on June 181, I did not find any specific current
conditions (in relation to the proposed drawings that were submitted) that would prohibit you from proceeding forward
with your project.
Please see attached the guidelines/requirements for the General Permit for the construction of piers (SECTION .1200 —
GENERAL PERMIT FOR CONSTRUCTION OF PIERS AND DOCKING FACILITIES: IN ESTUARINE
AND PUBLIC TRUST WATERS AND OCEAN HAZARD AREAS) and the standard form to be supplied by
Certified Mail to the Adjacent Riparian Riparian property owners (DIVISION OF COASTAL
MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM) of
your property.
Please note the section on the notification form that gives the other property owners the ability to waive the standard 15'
setback for the project. DCM would suggest that if you are unable to obtain the waiver, most specifically from the
property at 27580 Nc 12 Hwy Salvo, NC, that you have your property lines surveyed/marked to ensure the compliance of
your entire project.
Please contact me with any questions or to provide further assistance.
Greg Daisey
Transportation Projects Field Representative
Division of Coastal Management
North Carolina Department of Environmental Quality
252.264.3901, EXT.249 (office)
Greo.DaisevO-ncdenr.aov
401 South Griffin Street, Suite 300
Elizabeth City, NC 27909
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Tommy Sanitz [mailto:[e-mail]]
Sent: Monday, June 22, 2020 1:18 PM
To: Daisey, Greg <[e-mail]>
Subject: [External]
External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Greg,

How did the visit go at 27197 Jackson rd in Salvo?
Thanks
Tommy Sanitz
MSG, USA (Ret)
President
Sanitz Enterprises Inc
SDV Owned Company
719-439-2183