78032A_Sanford, Edward & Velvet_20210205

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January 22, 2021
TO: Cynthia Rountree
Attached is a request and associated forms to obtain a permit for building an additional boat lift next to
our existing dockage.
Edward & Velvet Sanford
210 Pine Point Rd. �G G
Hertford NC 27944
Ed Sanford
757-284-4908
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Edward and Velvet Sanford 's
(Name of Property Owner)
property located at 210 Pine Point Rd.
(Address, Lot, Block, Road, etc.)
on Yeopim Creek in Hertford , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
x I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing
E�E,�ED
R
IAN 2 21021
DcWEC
below or attach a site drawing)
We are installing a new
boat lift on the right side of
the current dock as you look
outward. It will accomodate
a pontoon boat. It will be
the same size and design of
the current lift. The drawing
depicts a rough sketch of
the project.
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.)
LS I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Sa., nip
Sigttature
Edward Sanford
Print or Type Name
210 Pine Point Rd
MailingAddress
Hertfrd NC 27944
City/StatelZip
757-284-4908
Telephone Number/email address
12/30/2020
Date
(Adjacent Property Owner Information)
SiPiature
Charles Jarvis
Print or Type Name
1211 Toxey Rd
Mailing Address
Elizabeth City NC 27909
City/State/Zip ,
Telephone Number mai-6ddress
I tea/
Date* / 1 If /
`Valid for one calendar year after signature"
(Revised Aug. 2014)

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Edward and Velvet Sanford s
(Name of Property Owner)
property located at 210 Pine Point Rd.
(Address, Lot, Block, Road, etc.)
on Yeopim Creek in Hertford N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati0
! have no objection to this proposal.
l 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)
RECEIVED
J0222021
CCM-EC
We are installing a new
boat lift on the right side of
the current dock as you look
outward. It will accomodate
a pontoon boat. It will be
the same size and design of
the current lift. The drawing
depicts a rough sketch of
the project.
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 16' setback requirement.
(Property( Owner Information)
t� 5�....nk,
Signature
Edward Sanford
Print or Type Name
210 Pine Point Rd
MailingAddress
Hertfrd NC 27944
Ciry/State/Zi
757-284-4p908
Telephone Number/email address
12/30/2020
Date
*Valid for one calendar year after signature*
(Adjac t Pr rty Owr Information)
sig;lchnre
Jerry Austin
Print or Type Name
204 Pine Point Rd
Mailin Addr
HOG Ad 27944
City/State/Zip
252-333-2622
Telephone Number / email address
Date*
(Revised Aug. 2014)

Permit Request to build boat lift to accommodate a
p4toon boat. The lift is approximately 14' Long X 12'
Wide;,Tiie door to entry is on the port side of the boat.
The intent is to extend a walkway about 13' from dock to
accommodate safe entry through a gate on the forward
of the boat. MJ -11".
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2/5/2021, 11:47:17 AM
perquimans__nc_ misc perquimans__nc_dims Imagery 2020
perquimans_nc_lot perquimans_nc_acres M Red: Red
perquimans_nc_easement EOLWP,4 d ve.iv*-V ',4IM Green: Green
Z 1 o N 17d.
1:564
0 0 0.01 0.01 mi
■ Blue: Blue 0 0.01 0.01 0.02 km
® Imagery2016 State of North Carolina DOT, NCCOIq NC911 Board
Percuimans OIS
For tax purposes only. Not a legal document or survey. Perquimans nor State of NC assume any Iiso ly resulting from use of this map.
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