Pully, William A.

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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 consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
❑ Other:
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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
Washington District
400 Commerce Ave
943 Washington Square Mall
Morehead City, NC 28557
Washington, NC 27889
252-808-2808/ 1-888-4RCOAST
252-946-6481
Fax: [phone]
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
(Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico
Tyrrell and Washington Counties)
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)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://www.nccoastalmanagement.net/
Revised 08/27/ 14

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Wlkiiam . BA110
Mailing Address:
Phone Number:
Email Address:
W I>W l
I certify that I have authorized TjZL1.rP_ MGIYI�e��r'uc
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Ol O —
at my property located at
in aaV-4rt+ County.
l furthermore certify that / am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
I � 11x4"P
tv Ld'k'
Signature
WO 116m, 5U /)
Print or Type Name
Title
X1 Z.
Date
This certification is valid through / /
DEC 2 1 2016

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: t ttQ M l l
Address of Property: .16 IA I
(Lot or Street #, Street or Road, City & County)
IQ Agent's Name#T n ure MAYtr1 Ljl1Q
t.C. Mailing Address: 6 • iX �I S�
Agent's phone #:
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 drawlna with dimensions must be provided with this letter.
\— I have no objections to this proposal. 1 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 athttp.-//www.nccoastalmanapement net/web/cm/staff listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certffled Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.
G`
I do not wish to waive the 15' setback requirement.
DEC 2 1 2016
(Property Owner Information)
P l- Tip
Signature II
,1 �1
Print or Type Name
t1vfai2ng Address
NC 7 a
CitylSGt�Jate/Zi p.
9 - q' % t /
Telephone Number/Email Address
Date
(Riparian Property Owne I�f "j4orr
cp- � °�:
Signature
cU-r"�9 T 905%
Print or Type Name
r,c). is" �,)3
Mailing Address
Qty/State/Zip
;zsz-?-),t -3 a-F6
Telephone Number/Email Address
Date
f-0
(Revised Aug. 2014)

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property: �to!�v &a.Ar�- NC 9Lk5*1 (,,
a (Lot or Street #, Street or Road, City & County)
7-tJ� ur uMar i ne
Agent's Name # MailingAddress: R-6 . bo
g �� tn. Ld.C. Mai►in x (DSO
Agent's phone #: &5a--Mb- 441 1 EA ore k2ed C14-tAe S* 7
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. 1 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 http://www.nccoastaimanagement.netlweb/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been noticed by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.
DEC 1410 1 2016
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Wiliam MUt
Print or Type Name
2-7CEO
Mailing Address
R 0J �C
City/State/Zi
g101-q"11-A 0
Telephone Number / Email Address
Information)
Print or Type Name
Mailing Address
�uu � � I NG BSI t.,�p
City/State/Zip
Telephone Number/ Email Address
Date Date
(Revised Aug. 2014)

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]CC 21 2016

11/16/2016
ConnectGIS Feature Report
TOWNSHIP
FIRE DISTRICT
OBJECTID 1
0011
BEAUFORT FIRE
51362
OBJECTID
PDOT
CONDO NUMBER
36675
2244
MOTHER
PRID
PIN 15
0
11019DO203
731511572244000
OWNER
DEED BOOK
DEED PAGE
PULLY,WILLIAM A ETUX DALE S
1477
350
CURRENT DEED DATE
SALE PRICE
LAND VALUE
0
0
493490
STRUCTURE VALUE
OTHER VALUE
YEAR CONDO BUILT
145225
27425
0
MAILING ADDRESS HOUSE
MAILING ADDRESS DIRECTION
MAILING ADDRESS STREET
NUMBER
CAMBRIDGE RD
2728
MAILING ADDRESS CITY
MAILING ADDRESS STATE
RALEIGH
NC
MAILING ADDRESS ZIP
MAILING ADDRESS PO BOX
CITY LIMIT
27608
NEIGHBORHOOD CODE
RESCUE DISTRICT
LEGAL DESCRIPTION
110042
BEAUFORT RESCUE
LOT OFF LENNOXVILLE RD
TOTAL ACRES
YEAR BUILT
TOTAL SQUARE FEET
0.274
1938
1910
ROLL TYPE
BATHROOMS
BEDROOMS
R
3
3
HOUSE NUMBER (7 Digits)
STREET NAME
STREET TYPE
0002650
LENNOXVILLE
RD
APT #
CRY
TOTAL VALUE
BEAUFORT
666140
PLAT BOOK
PLAT PAGE
District
32
390
11
aicuz
RISK LEVEL
NOISE LEVEL
information displayed by this website is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats,
r public records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted
ication of the information contained on this site. Carteret County assumes no legal responsibility for the information contained on this site. Carteret County does
antee that the data and map services will be available to users without interruption or error. Furthermore, Carteret County may modify or remove map services
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