56835_LEONARD, LARRY (TAYLORS CK S/D)_20100921

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❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT /w Previous permit #
❑'New ❑Modification ❑Complete Reissue El 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
3 J ElRules attached.
Applicant Name Project Location/County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # O Fax # (__)
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
❑ OEA ❑ HHF ❑ IH
AEC(s):
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
.
.
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Agent or Applicant PrintedName i�
Signature ** Please read compliance statement on back of permit
s/9
Application Fee(s) Check#
Permit Officer's Signature j 1
t � 1
Issuing Date Expiration Date ,
it
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:
❑ 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 (252-946-648 I) or the Wilmington
Regional Office (9 I 0-796-7215) 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/ 1-888ARCOAST
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)
Revised 08/09/06

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a 4,
Applicant,
Date:
I
loo WA--O.n�.
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
}
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
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91086724S9 Dlgltal Document Solutl 09:23:29a,m, 08-25-2010 2 /2
AUG1•17-2010 13:44 From:DCM MHDCTY To:919108672459 Paoe:1/2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT RECEIVED
I hereby certify that I own property adjacent to kAa, L-Ov Nam" ,s SEP 9 2010
(NAm6 of Property Owner) M01ehead City DCM
property located at
(Lot, Block(R.oad, etc.)
on in N.C.
(WatcrboAy) (Town w3d/or County)
Applicant's phone MallingAddrea:_32y 10,
,t_/ 3
Fie has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be f kd In by proparty owner proposing develop)wnt)
Uj
y
a�
--f r-2a ?4 4Uv,i7-9 To id ST
(Information for property OWAcr Applying (RipariAn Property Owner Information)
for Permit) - - L
Mailing Address Slgrmwre
City/State/Zip Print or Typo Name
Telopho Number Telephone Number
X/ 'W'Zo-7-6)-17
gnature Date Date
Received TimeRe'ceived Time Aug.^26' k 9 60AM

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RECEIVED
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT SEA' 9 20%
1 hereby certify that I own property adjacent to l ,s
(Name of Property Owner)
property located at �� ,A �0 i�, c� G K• �' / ('DL(� �fe.,J ���G ►�c i
(Lot, Block, Road, eta)
On . in , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Mailing Address:
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
M oo) d A 6,/2--s H 7"
S 0
kid
V,�
(Information for Property Owner Applying (Riparian PropertyOwnerInformation)
for Permit)
Z63
Mailing Address Signature t-�%
City/State/Zip Print or Type Name
Telephone Number Telephone Number
S.*aWre v Date Date
Received Time Aug,26. 9:09AM

OECEIVFD
'd ��..MI-.Oreneoq ��V'DCry
North Oarollna Department of Environment and �,',atural Resources
Division tol COSS'Mi Managyrnent
Michael F Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secrehry
Date 7z - a1 IIZ� -
r4,pplicant I aMe
Mailing Address P6
I certify that I have authorized (agent) 6 > to act on m-.-
behalf, for the purpose ®)f applying for and obtaining all LAMA. Permits necessary to
install or construct (activity)at (location) 1,0 1 'TB'+Lbj!,Y C.R-t-A6x: tS �'
This cer ai
Sian ature

RECE1VEV
JUL s )�r
" Mareheac; city ®cn4
...�. v _ .• -L_ - - - , _� i a= �1 i �l _ �. .. _ ._� 4 ! si. 7 �� j�ly'1 N1�^?- ., - T- f` ' __
JP ?ff PlEq; vpr FFD U'.nin.1 j .
-- _ i It _ � iJ1iCr�-' C1 I C! �l! _ '.: TIN~i-� 4 � �•1 �,� _-
c
Black, Road etc.)
on
aterbody) N.C.(To-n a d/or' County)
He has desc:Zbc--1 to me sho �n be'o,:; , the deve:oof,,ient he is proposing at that
lc adon and, T have no ooj bons to his proposes[. I understand 4hat a ier/uncover;4; boat lir
mwt he set back a minimum distance or" ri�e�a rat (;5 1) rron myarea of riparian ac;� ;s unlcs;
waived by me.
c' '
}_�,L- 1 do co t wish to waiv,: the se;.batk re;;uirement.
I do wish to waive that setback requirement
DES CRIPIIcD-,N A2'v­D/OR DR "'-TNG OF PROPOSED DEtiELOP? ME -T.
(To be fi11ed In by fnd�v�taucl propostrto- d$veL7pment)
7P
Print or Tyv- Nal

RECEIVED
Wrenead City DCk4
....�. v ..a :... �'. i .i z i_�_ �.'s.' E _ \ �) ti; e /'3.J
(F0FP FIL/ U,i; C 0 V- P FD tr 0A T Zj ;;
i _
1 - ii OrODerr,' cdI�C r__ tCLerly
,-u `t
proper v lcczted at L
Block., Road, etc.)
on
' u1 �_1_�� �- T— N.C.
(�r�'aterbodv) (Tour andtorf County)
He has desc-ibed to me, ac showy bellow, the develop.tent he is ro since t P po S a tl;at
locati�ti
on, and, I have no objons to his proposal. I understand Ghat a pier/uncovercd boat lir:
rust be set back a minimum distaner or rifveen from myj
waived by me. area or riparian acc:ss unless
I do not wish CO waive the setback rec;uirement.
I do wish CO waive that setback rwuirement
DESCP=(:)-,N ANT/OR DRAwTNG OF PROPOSED DE%EZOP. :'�,T:
(?'o be filled%tl��� y&�,� D}�posinP development)
x
Signature '
Print or Ty—� 1iaime

SAMMIE E. TURNER
MARINE CONSTRUCTION ACCT
252-725-3415
P.O. BOX 1885
MOREHEAD CITY, NC 28557
-mft
4898
66-112/531
DATE
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PAY
TO THE G
ORDER OF � 'Da Ba „y
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BRANCH BANKING AND TRUST COMPANY /�J N 35
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