59349_TAYLOR, MARIAN_20111021

CAMA / D DREDGE & FILL
GENERAL PERMIT Previous permit #
EJNevv LIModification ElComplete Reissue D Partial Reissue Date previous permit 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
F] Rules attached.
Applicant Name M Project Location: County
)c Address-- a;1 Street Address/ State Road/ Lot #(s)
City___ _______—_----_State "Jr'ZIP 2-664-5
Phone # Fax # O Subdivision
Authorized Agent City ZIP 6
Affected � Cw EW PTA ES -1 PTS Phone# (LSZ) G10­,%3 River Basin " e - VTe
El OEA HHF 1H L1 UBA [] N/A IK AEC(s): I FC Adj. Wtr. Body10t �'2 Cnat /man /unkn)
0 Pws:
ORW: yes / no PNA yes / no Crit.Halb. yes / no Closest Maj. Wtr. Body P -
Type of Project/ Activity
(Scale: -
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
All
I
I
C
A+
L
I L I
-77
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
T
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: r See note on back regarding River Basin rules.
Notes/ Special Conditions
M,
Agent or Applicant Printed Name PermitOfficer's Signature
Signature ** Please read compliance statement on back of permit ** Issuing Date Expiration Date
Application Fee(s) Check# 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 I) 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 consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse 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/ 1-888-4RCOAST
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

MARIAN M TAYLOR 2377
361 Marian Dr
New Bern, NC 28560 66-21/530
BRANCH 77619
Date
Pa tro theof :
orde�--j (y)/-�--� 4 0 0J oe
h 1 1>�Y1C9fSfl�/L� ate] Dollars �c
MWACHOVIA
Wachovla Bank, a division of Wells Fargo Bank N.A.
For `'iv-)LI (� c
1:053000 21911:1058015 20335 Lill 2377 F

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER N07FICATIO NA.IVER FORM
Name of lndividUal applying for Permit
(Lot or Street #, Street or Road, City —County) ^
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
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
!7aVe no obiections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call [phone] within
90 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
WAIVER SECTION
RECEIVED
SEP 2 S 2011
DCM-MTID CITY
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags 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 15' setback requirement.
(Applicant Information)
Mailing Address
City/State/Zip
agS'4 G 7,D -.;2- cl (P2
Telephone Number
9 Date
(Rip aria nproperty Ownedformation
Signature
e —�
Print oorr Type Name
ls15).45) Liff 6 —
Telephone Number
'It
Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OViNER NOTIFICATlON,MAIVER FORINI
(\lame of lndividLiai applying for Permit:
(Lot or Street #, Street or Road, City & County)
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
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
117ave no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call [phone] within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mail.
WAIVER SECTION 12EC$IVED
`)EP 28 2-om
ACM-MFiD
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags 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 15' setback requirement.
(Applicant Information)
Mailing Address
City/State2ip
Telephone Number
Date
(Riparian Property Owner Information)
Signature
rya-
Print or Type Name
`L-fi` 2 L -�'q / g- q �z
Telephone Number
2 2 (� - a C/
Date

I I

RECEIVED
SEP 2 s 2011
DCM-AIHD CITY