47047_TAPSATT, E.B._20061205

❑CAMA / ❑ DREDGE & FILL d :` 947
GENERAL PERMIT Previous permit r
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous a it issued
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
n ❑ Rules attached.
Applicant Name + , '�f �� Project Location: County
Address �! t Street Address/ State Road/ Lot #(s)
City —° J State .' ZIP
Phone # (') -7:) r J 1 Fax # ( ) Subdivision
Authorized Agent
Affected ❑ CW ❑ EW ETTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes,,/ no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length b h
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ ftiprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure
yes
Sandbags: not sure
yes
Moratorium: n/a
yes
j
Photos:
yes
o !____
Waiver Attached:
yes
no
A building permit may be required by:
Notes/ Special Conditions
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body {J (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: V ° e P )
[-See note on back regarding River Basin rules.
b
DEC - 5 2006.;=�-
Agent or Applicant Printed Name
;t? ' - -; � -
% '-
Permit Officers Signature
Morehead t ^ �' °
City oN.
�- �- ��
_
Signature e* Please j ead compliance
statement on back of permit Issuing Ddte
Expiration Date
ApplicationFee(s)
Check# Local Planningfurisdiction
Rover File Name

T
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, certifythat this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ reuSeE
amlico River Basin Buffer Rules ❑ Other:
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
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

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gR.IOGE
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1\ BY N -C. c-D•o T. J
CARTERET COUNTY, NORTH CAROLINA
I, A NOTARY PUBLIC OF THE COUNTY AND STATE
AFORESAID, CERTIFY THAT - x_e s L _ P.-W-,- ,
A REGISTERED LAND SURVEYOR, PERSONALLY APPEARED
BEFORE ME THIS DAY AND ACKNOWLEDGED THE EXECUTION
OF THE FOREGOING INSTRUMENT Y TNE.SSSS MY DHHAND AND
OFFICIAL STAMP OR SEAL, THIS �IAe►rr
♦ 3�
NOT
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Mr COMMISSION €XPIRES-411
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SURvEy F:-0 R
DRUCE TAPSCOTT
MEWRIMON 1-wp I CARTERET CO. 1 I.1 C
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POWELL SOAVEYOG COMPPV
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NORTH CAROLINA, CART�ET COON:':
THE FOREGOING CERTIeICATE(S) OF
IS (ARE) CERTIFIED TO BE CORRECT. THIS INSTRUMENT
WAS PRESEL'VTs..D FOR REG-ASR A1ION AND RECORDED IN THI
OFFICE LIN BOOK PAGE
THIS DAY OF , L9_AT_ O'C:.00K M.
SHARON FINER
REGISTER OF DEEDS
BY
ASSISTANT, DEPUTY
MER G23

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: � 1 -5 C D i
Address of property: `i� i . ? tp E Q e ? V
(Lot or street#; street of road) :z 4; I
Mailing address:
(City & County)
R
Phone number you can be reached at Z JS- ?.. —7 Z I ` .6" 9
70
I hereby certify the 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 drawing, with dimensions, should be
provided whit this letter.
have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone] within
10 days of receipt of the notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' From my area of riprap access unless waived
by me. (If you wish to waive the setback, you rr:ust initial the appropriate blank below.)
,/ I do wish to waive the 15' setback requirement
r,,, I do not wish to waive the 15" setback requirements
0
q1q -- q -�49�
Telephone number with area code

1. tclr An1A1N rnvrlGn 1 x V VV 1V V'It L-) 1 A I EIVMIN I
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) 161-
I hereby certify that I own property adjacent to'�- a,,�JSGd I� 's
(Name of Property Owner or Applicant)
Mailing address if different from location address �(% g O gC 2- ZZ� T- t
(town, state and zip) `� C� '-f 3 i pj 34e `ey
phone numbers you can be reached at
property located at e >'r '*- 4 x `k L,
(Lot, Block, Road, etc.) /
on Pc� rr ("/^ PeIt, in Y I^ J` e c , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me.
initials
initials
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To befilled in by individual proposing development)
T
-Z � z -3 -yarn
Telephone Num r
Date: 7.AZ
www.nccoastalmanagement.net/Permits/ADJACENTRIPARIANPROPERTYO WNERSTATEMENT. pdf

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TAPSCOTT
PH 252-728-5970
P O BOX 2281
BEAUFORT, NC 28516
Pay to the
Order of_
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3274
66-30/53I
Date 006
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]FIRST CITIZENS�6
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l� Beaufort, N.C. -6 .
irstcitizens.com
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