86526A_Saunders, Jay_20220518

}CAMA ❑ DREDGE & FILL
z GENERAL PERMIT
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
Nn 86526 B C D
Previous permit
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC. } j a ' a ' f' 1'X Rules attached. ❑ General Permit Rules available at the following link: www.de.nnc.Qov/CAMArules
Applicant Name
Authorized Agent
Address 3 1'3
-5ty1,t..r tG t �V ; f'-LQ %
") 1 Yl-'J,
Project Location (County):
City & V—NA State �'l
�,
zip 21 L'T c .
Street Address/State Road/Lot #(s) -5 -
Phone#
152-45
� Labi =� 6� � �+ow
Email X
Jq,,
[V ye- ()
t^ .
Subdivision CO 1A Ai +4a f �9 0 �
City (�b�.,< A,`-DN �ri✓
zip � 7 1314t'
Affected ❑ CW
K.EW PTA
N ES ❑�' .PTS
Adj. Wtc Body ' ' i� �G d° L` (na nk)
AEC(s): ❑ OEA
❑ IHA ❑ UW
❑ SPIMA ❑ PWS
Closest Maj. Wtr. Body I W
ORW: yes/,no;
PNA: yes/4
Type of Project/ Activity
AH . X 41
241XIII
" 1X
CF1n�er pier(ems)) ` i
Total Platform area 3 W -(A
Groin length/# r`
Bulkhead/ Riprap length
Avg distance gffshore
Breakwater/Sill
'Jwax distance % length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
Moratorium:
Site Photos:
Riparian Waiver Attached
A building permit/zoning
❑ TAR/PAM/NEUSE/BUFFER (circle one)
.' ; , See note on back regarding River Basin rules
f-E ❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent orApplicant PRINTED Name
Signature "Please read compliance statement on back of permit"
Permit Officer's PRINTED Name
Signature
Application Fee(s)
Check #/Money Order Issuing Date
Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Tct�t
f
Address of Property: 3 IS 51'oubdvj;ex1 o0r. KVPtal' �f'( X7%,o,
-W
Mailing Address of Owner: A01 I /g/c 2,795(y
Owner's email:s fi 12 COtt, wner's Phone#:
Agent's Name:
Agent's Email:
Agent Phon
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has rjescribed to me, as shown an the attached drawing, the development they are proposing. A
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certirted Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
\R
Signature of Adj�&ht Ripari an frooerty Owner
-OR- MAY 0 4 2022
1 do not wish to waive the 15' setback requirement (initial the blank)
CM -EC
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO: c Am o r 1r) L
q ARPO's P ne#:
ARPO's email:
Date: waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiON1WANER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. Ay
Address of Property: ` IC U'*d '40-J /
Mailing Address of Owner �(/ q �" . ' �1 �✓ `'T `� `-; W% �79 514?
Owner's email: #%►f & It 110. CO er's Phone#: U2!:-' f
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be comnletedt by the Adjacent Property Owner)
1 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 they are proposing. A
description or draw rut, with dimensions, must be provided with this fetter.
J/'- I DO NOT have objections to this proposal. I DO have objections to this proposal.
ff you have objections to what is being Prole, you must notify the N.C. Division of Coastal
Managernent (DCM) in wrf6itg within 10 days of receipt of this notice. Correspondence should be
nwfied to 401 S. Grh'Wn St:, Ste. 300, Eftabeth City, NCy 279M DCM repr+esentafives can also be
contacted at (252) 264-39M. No response is considered the some as no objection if you have been
no~ by CeritKed Mail.
� kIL ►'i-4j& f4kii M9 1
I understand Owl any proposed 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
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must Sian
the appropriate blank below.)
I DO wish to waive somelalf of the 15' setback A op -f �-�J -
Signal?of Adjacent Ripanan Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
MAY 0 4 2022
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: nd
DCM-EC
Mailing AddressofA/RJPO:(_ % c a n CJ v i m -> r 27,9f O
ARPO's L G+CC Gr1�o j.J C-M ARPO's Phone#: $'f 'es 9 i;''PCs
�f tea: r��
Date: 7F 2�- *waiver is valid for up, to one year from ARPO's Signature*
Revised July 2021

I
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This map is prepared
from data used for the
inventory of the real
property for tax
purposes. Primary
information sources such
as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
of the information
contained in this map.
313 Soundview DR
Owners: Saunders, Jay Fred Jr -Primary
Tax District: Colington
Colington NC, 27948
Owner
Subdivision: Colington Harbour Sec M
Parcel: 019809000
Lot BLK-Sec: Lot: 55 Blk: Sec: M
Pin: 987417004559
Building Value: $295,100
Property Use: Residential
Land Value: $122,100
Building Type: Traditional
Misc Value: $6,600
Year Built: 1986
Total Value: $423,800
0
19