61059_TAYLOR, THOMAS_20120510

LAMA / _:1 DREDGE & FILL
GENERAL PERMIT
New ElModification EComplete Reissue -JPartial Reissue
No. 61059
Previous permit #
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 I SA NCAC
F1 Rules attached.
Applicant Name
rAddress—
Ci State i�lc zip
Phone # Fax #
Authorized Agent
Affected El CW pEW [X.PTA EXES El PTS
AEC(s): Fj OEA [J HHF El 1H [I UBA El N/A
El PWS: El FO
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
C�' C_ ZIP
Phone# River Basin
Adj. Wtr. Body co (X ^11r, A 66 , C C' eV, (nat an Junkn
Q-A-
eni or Applicant Printed Name Permit fficer'sWgnature
Signature ** Please read compliance statement on back of permit IssuingfDatei Expiration Date
Application Fee(s) Check # Local PlanningJurisdiction s 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:
❑ 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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)

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date ! ` L0 1-2-
Name of Property Owner Applying for Permit:
Mailing Address:
2/3 y C&4 Pry
I certify that I have authorized (agent)-/�ct�Ac/S lC to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
i ��`�
install or construct (activity) 20I t�G %/fftCftD ,4 /0 8A�/�Ftf/ o/W 5C)A-T lvt-1
at (my property located at) ZMftj S/1a ijt, ttA S�S�A-•.�I�,
This certification is valid thru (date) .? -2 v
Property Owner
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www,nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: W�tWW 5-,,7/71 z
Address of Property: /"/N 7335-04DSl g%70001 ��-'dx 97
(Lot or Street #, Street or Roa6l, City & County)
Applicant phone#: 25 Z- 3412 - 6-0 Mailing Address: -;�13
ekes S. 'iC-
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 oposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.neticontact-dcm.htm or by calling 1-8884RCOAST. 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, or lift 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.
(Pro erty Owner Information)
e'
Signature
SAI
not or Type Name
Pa g ?
Mailing Address_
City/State2ip
2�Z - -7 ).-Z - --)-3 3 3
Telephone Number
(Y / Zl
1 2—
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number
Date

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DEED BOOK: 425
DEED PAGE, 185
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM
Name of Property Own
Address of Property:
(Lot or Street #, Street or Road, City & County)
Applicant phone#: o 5-2 - 3`f Z- - S02g Mailing Address:
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, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact_dcm.htm or by calling 1-888-4RCOAST. 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, or lift 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.
(Property /O�wner Information)
1 - / 1 /%
Signature J y
Y). l I. f? 5
Print or Type Name
Palling
V-(e ( /t/1 (�-- 2,717,&
City/StatelZip
Telephone Number
Date
(Riparian Property Owner Information)
Signature � �,
Print or Type Name
�(Z!
M I na I na ii g Address
City State/Zip
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Telephone umber
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Parcels (Updated 08/28/2012) .,
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AICUZ Form (if applicable)
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OWNER: TAYLOR THOMAS A
PIN15: 733509150791000
�.c HOUSE NUMBER n Digits): 0000220
e + STREET NAME: MARY ELLA
NEjy - STREET TYPE: RD
CITY: HARKERS ISLAND
DEED DATE OLD: 0
DEED BOOK: 425
fiAwlX (g A DEED PAGE. 185
TOTAL ACRES: 0.445
o . CITY LIMIT:
w 791 BEDROOMS: 0
BATHROOMS: 0
ry----ms�---- �, NEIGHBORHOOD CODE: 80005
`P STRUCTURE VALUE: 0
M LAND VALUE: 194071
OTHER VALUE: 14504
i4 TOTAL VALUE: 208575
SALE PRICE: 0
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DCM Home I About DCM I Contact DCM I CAMA Counties I Search DCM I DENR Home I ncgov.com
Coastal IV
CAMA Permits:: Fees
Permit Type Fee
General Permit for certain post -storm redevelopment and recovery activities $0
General Permit for placement of riprap to protect wetlands in estuarine and public trust waters $200
General Permit for installation of sandbags $400
General Permit for placement of rip rap below Normal High Water/Normal Water Line $400
General Permit for placement of rip rap at or above Normal High Water/Normal Water Line $200
General Permit for construction of a bulkhead. $400
$400
General Permit for maintenance excavation within existing canals, channels, basins and ditches in
estuarine or public trust waters, 101-1000 cubic yards
General Permit for maintenance excavation within existing canals, channels, basins and ditches in $200
estuarine or public trust waters, up to 100 cubic yards
General Permit for beach bulldozing $400
General Permit for replacement of bridges and culverts $400
General Permit for Estuarine Enhancement Program mitigation $400
All other General Permits $200
Minor Permit $100
Major Permit for private, non-commercial development that does not involve the filling or excavation $250
of wetlands or open -water areas
Major Permit for public or commercial development, or projects that involve the filling or excavation $400
of: A) one acre or less of wetlands or open -water areas, or B) less than 150 linear feet of stream
Major Permit for development that involves the filling or excavation of more than one acre of $475
wetlands or open -water areas, or 150 linear feet or more of stream
Major development extension request $100
Minor modification to a Major Permit $100
CAMA Permits - Fees

11
I
MICHAEL W LAWS
DBA PERFORMANCE BUILDERS
PO BOX 370
HARKERS ISLAND NC 28531
Pay to the
Order of
&Az�
Beaufort, NC 28516
For V' Qrt�,-:+ 6 1
1:053 L 1 24661: 001 2363811'
1505
66-1246/331
U
Date
.c1,
" Dollars r o°t.
POP
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