50198_TAPLEY, KEN_20080229

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Com Complete Reissue ❑Partial Reissue Date previous permit issued
P P
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
0 Rules attached.
Applicant Name I Project Location: County
Address
City State ZIP
Phone # O Fax # ( )
Authorized Agent
El CW
❑ EW ❑ PTA
Affected
AEC(s):
E OEA
❑ HHF El IH
❑ PWS:
❑ FC:
ORW:
yes / no
PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s) j
Groin length
number -
Bulkhead/ Riprap length f
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes Ino
Sandbags: not sure yes 1Moratorium: n/a yes
Photos: yes no/
t{ r
Waiver Attached: yes
A building permit may be wired
Y required
Notes/ Special Conditions
—
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rules.
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by:
See note
on back regarding
1'
River Basin
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name

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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Xeuse
r - Pamlico River Basin Buffer Rules ElOther:
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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
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 -below New River Inlet- and
Pender Counties)
Revised 08/09/06

I hereby Certify that I Property at own PrapertY adjacent to
heated
on _ (lat, QLGCKs road. etc)
(body of water) in
North Carolina in County. The trnm}
prapoeel has bean descxikaea io
me as shown belowl the development, a
Proposed location,and I (circle one) , and the
have not abjection to the proposal, I under-
stand that if the development is a pier, it must be set back a minimum
distanoa of 25 Feet from my area of riparian access unless waiv4d b
,I Y me .
wish to waive that setback requirQuent.
(circle one)
Description and/or drawing of proposed developmanti (to be filled in b
individual proposing development) . INDICATE THE SIZE AND LOCATION OF T
STRUCT�JttB AND THE DXSTANCE B87WREN EACH PROPERTY LINE AND THE WATER. H�
0 Od
(Original must be retained in the sinsp'cti *Do art.menta�a#��*****
)
r�
S gnaturs
Data
Naas (P ease Pr ht)

I harebY cart i fp th+a t I ow-n prop.t-t ad
Property i°CaCed at Y jacent to
on '' . t �"Q
, rod etc)
b
Ncrtri carol i a oinVatvr) in
Oi�ttl'M
count �----f'
Y. The prop
aosal has been described
to
as as haefi belew, tha d*velapaent, a
propoaod location, and I tclrci• onaj , and the
have not objection to the r
stand that if this daval proposal, x under_
'D�iht is a pier, itcoat be set hack a ts£nl�
distance of is feet from MY area of r.ipariar� ac
Y c3uss un.�aas Waived by sae.
{circle ona� iah to valve that ratback rpuiremmgnt.
R*if1+R►+1A+►+AMtRARAI�►�A*t�M*tt�F!*i�lRiA1�*RtFfAtl�f*R�YA►tlfltF*R*
bescriptiorn and�or draw] r�Rr
individual Proposing at proposed devalopent=
STBV�lUr1D THE DZ�1'1'J1NCM RM day gpt*nt) . INDICArt T" SI 4tiO be Pilled in b
B gTWRM ZACK Poop�'i`Y �� AHD LOCATION OF THE
LIMN AND THffi WATEk.
-e
�a
2�0
$ �b p p �,� 0 �6 6 a
�Origixtal Must bat ratolnatd^in the `I tactian** +► +►s*�* �*��+�RR**�► �

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4012
66-30/531
:DATE T _r._ �` va
PAY TO THE Q�
ORDER OF .p //2
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�.�'Z' �;�-F'l � E._r � CC — -...._ _.._ _ .:_--•~- �.---1-`-�.. DOLLARS
r FIRST CITIZENS BANK
www.firstcitizens.com, I i
FOR
119001,D120 i:0 5 3 L00 30Di:00 2 78 2 3 L 9 7 3 Gill
SANDLAND LAWN & LANDSCAPE INC.
502 JOYNER DRIVE
HAVELOCK, NC 28532-9092
PH. 252-447-5898

NPIA-
RDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
GP S��a�G
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date _,�5 -- y--o f(
Applicant.Name
Mailing Address SS l Dec.-tcN
I certify that I have authorized (agent) he � Si4,k//) to act on my
behalf, for the purpose of applying for and obtaining all CAIIA Permits necessary to
install or construct (activity)
at (location) /
This certification is valid thru_(date)
0
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper