55040_TAYLOR, MAX_20100127

❑ CAMA / ❑ DREDGE & FILL
949
GENk,RAL PERMIT ii,f Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial Feiss Date previous permit issued
raI Resources As authorized by the State of North Carolina, Department of Environment and N
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
71 Rules attached.
Applicant Name % ° •` tiX ;.��! �! t Project Location: County �. v
Address 2 1^=^, ; )fie` (` •.. r Street Address/ State Road/ Lot #(s) p}
State City 1 t tl`- ����.( �l_PIC ZIPs--
n�, �/ I
Phone # O Fax # ( Subdivision
Authorized Agent -- City Iy,t; ._11y )(I fi ZIP
NO CW [IEW pSTTA IN ES ElPTS Phone # ( ) - River Basin
Affected ❑ OEA ❑ HHF ElIH ❑ UBA ElN/A
AEC(s): El PWS: [I FC: � Adj. Wtr. Body = f _ t-� - (nat" /man /unkn)
-
ORW: yes / no PNA yes / no Crit.Hab. yes /
Closest Maj. Wtr. Body—�� /f'-►A 2�'
Type of Project/ Activity
+ e
' ( Cy! �y�� I f rt? '
�( _ r
-, i ^+ � V
t I -I
►1► f� 'I V(t
4� ' f'
1 (Scale: )
Y - - - - _
` J
Pier (dock) len h
ILAPlatforms) ! Ec -I
)
Finger piersCf
Groin length ✓
—
_ }i -
f
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
Basin, channelH4-17
cubic yards
Boat ram
Boathouse/ Boatlift
- -
"`v�J.r
i
r
—
vi
—
•' i j
�i
�
Beach Bulldozingf0
--
Other i
rr I
Shoreline Len hL� 1 A t l
SAV: not sure es '
Sandbags: not sure yes ( no _ '` - 1 -' ✓ i it j{�f l C i .%
Moratorium: n/a yes no - - o� �i �\ i ^����7
Photos: es ;4 no y�-.
Waiver Attached: yes 1 no/ ( - --
A building permit may be required by: t �•, �(D `.%l. ' p f i See note pn back regarding River Basin rules.
Notes/ Special Conditions � y�
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
lU
7.f
Issuing'Date Expiration Date
Aety 1 L-c1�7-71f"A
Local Planningf urisdiction 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/ 1-888ARCOAST
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to %i Ax ( tg L "L is
j (Name of Pro erty Owner)
property located at 310 if ocjE(( [ 01 .
/d (Lot, Block, Road, etc.)
on Off (, (-E L- , in Abw N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Mailing Address: 3516 % VARntG JI, 'Rcl
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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
S E[
,vf/AenEd S'/iFE-f
(Information for Property Owner Applying
for Permit)
Agf)X W(4L
Mailing Address
3�5(0 tlh 7aA
City/Sta
8562
r�Telephone Number itiCR l
634-,Ml 633-1241,
Signature M% //�Date
(Riparian Property Owner Information)
Signature
Print or Type Name
y)
Telephone Number
I -Al
Date

-�a ��I I i i ii
Post C(OLLW 140—
t)Baiq-RD-5-
(3) 'TOtML Sqtk-Ae-E
OF. d �c k �t-
Q-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILL'YGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 14 u s
(Name of Pro erty Owner)
property located at .3 /0 &&JE r/ ;�Q -
�/�� (Lot, Block, Road, etc.)
on W ! _�� , in y �L� ( N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:.2S 2- 6 3G-, 'mil Mailing Address:.39y UygA,4i4uA �21
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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
_ I do not wish to waive
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
�� ,q&eh-d XXEz!51'
SL
-------------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
/ x / L46,9
Mailing Addr ss
20 a A ARal
City/Star/Zip
Telephone Number Work,
JO , 636 -282 i 1,33 - 72- 64
Signature 7 j Date
Signature
De, bov�,� IAA -,Pa;,
i rint or Type Name
Telephone Number
i-(7-10
Date

i 1Mo- Old EX S-hAJ �C..Ck
t
� x pest � `&Lw J10
for .
CF d- �c k l 2q6
k LIE ck5 boG�L

i CDENR
j,wv3r! f CaSf2l Manageanerl,.
3everl, =ayes r;,e tames i.."ice sun
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;('vernOr iJ'(;r
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
~BCr�i,dr'/
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar -Pamlico &
Neuse River Riparian buffer per Division of Water Quality (DWQ) regulations 15A NCAC 02B.0233 & .0259.
The Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of
Water Quality (DWQ) has reviewed your project proposal, determined that the project as proposed complies
with the aforementioned regulations, and made a "no practical alternatives" determination per those
regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer
Authorization as long as the project is constructed in a manner that continues to meet all of the conditions
listed below. Failure to comply with this Buffer Authorization shall subject the property owner & the party
(contractor) performing the construction Wor land clearing to a civil penalty of up to $25,000 per day per
violation.
1. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM.
The alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials: All reasonable measures shall be taken to ensure the access way is made of
pervious materials like open -slatted wood or composite, mulch, or grass to meet the intent of the rules
to the maximum extent practicable.
s. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.
This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all of the conditions listed above and
verify that all information provided is complete and accurate.
&,X-a7�-q
Agent or pplicant P inted Name
gent or ica Signature
CAMA GENERAL PERMIT #: ��6
Washington Office
943 Washington Square Mall
Washington, NC 27889
Phone [phone]
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557
Phone [phone]
'kifZ 2 7ZI-e -
Permit Officer's Signature
/ A-2 7 / I
Issue ate
Version 5, 0912009
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