Wade, Jeff

A/
i -_ CAMA DREDGE & FILL 0066 A B C D
GENERAL PERMIT Previous permit #
—New Modification ElComplete Reissue —Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
Ci- State
Phone #
--E-Mail
Authorized Agent
CW
EW PTA
Affected
OEA
HHF 1H
AEC(s):
PWS:
ORW: yes no
PNA yes / no
I Type of Project/ Activity
Pier (dock) ler
Fixed Platforry
Floating Platfo
Finger pier(s)_
Groin length
number
Bulkhead/ Rip
avg dista
max dist
Basin, channe
cubic ya
Boat ramp _
Boathouse/ B
Beach Bullclo:
Other
Shoreline Ler
SAV: r
Moratorium:
Photos:
Waiver Attac
A building permit may oe requirea DY:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
ZIP
ES
__ PTS
-
UBA -IN/A
Agent or �_Applica_nti PH td Name "I
Sigrpture Please read compliance statement on back of p7mit
Application Fee(s) Check #
Subdivision
City ZIP
Phone # River Basin
Adj. Wtr. Body— (nat /man /unkn
Closest Maj. Wtr. Body —
(Scale: J 1�, )
Permit Officer's Printed Name
Signat re
Issuing date Expiration Date

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:
Ll 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 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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
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 - South of New River Inlet -
and Pender Counties)
Revised 7/06/ 17

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Properly Owner Applying for hermit.
U�
Wtt ii
Mailing address: l in �(�?..-j T�
"✓ I
Telephone Number,
certify that I have authorized B"`"`"7 GV VC'V7 C611EA-VACV-1
i�
(agent/contractor'),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of f\O-w v h .�-�c�,w �.5. _ S� 1� L
(Jus u r-2_.
at my property located at`' -� (C'V( ]4 CjL' ;
This certification is valid through 9— -'2 !o / <2 _ (date).
(Property Owner Information)
�-4k �-- W�C"t'
Signature
1 /
Print or Type Name
Title, co. owner or trustee for property
I '72, --� %61�+
Date
Telephone Number
Email Address

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to ML-C(' wc�kc-,2, 's
property located at ��
on
(Name of Property Owner)
(Address, LdY, Block, Road, etc.)
In _ AA-n VLQ_ S OfPQ VtiU C,.3 C r% , N.C.
(Waterbod (City/Town and/or County)
Agent's Name #: _�; a r y e,, 5.�+ Mailing Address:
Agent's phone is 61 .- 1 (r-, i -1 As 6-im . A J (-:, (,??C; d.�}
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
------------------------ -_-----_____---
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
SZ' 1 o rt W : i-11,
5 y
�+ n C-ul.A J. L-s ( 8 ' 0 n.st 1,t3 : H r (p AC.Qc O yv
s, d-zs o-- +,,-a- P Cb P
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 90 days of receipt of this notice. Contact information fnr DCM offices is
avellable at httpJ/www.nccoastalmanaaement netlinvebfcr.Mstaff listing orbycalling 9-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail
,Pro OvneinJformation) (Riparian Property Owner Information)
NA
A•c�. S. ature
470 �, C . �-�5 a
Phnt or Typeftame Print or Type Nalhe ~
to 3 (-piA k rt_ �..[v I� f v2,
Mailing Address
)�U h AI So ff , A) C.
Crty/State/Zip
q 0& 0-
Telephone Number/Email Address
%o-U-1-7
7ID5 KMO���I�,.�t
Mailing Address
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7 'I
City/StatelZip
9111'( - l _i�, 6 I l �.
Telephone Number/Email Address
D
�0 � 1 —1 7
Date Date
(Revised: Aug. 2014)

DMSION OF COASTAL MANAGEMENT
- RETURN RECEIPT
I hereby certify that I own property adjacent to 's
r"-
property located at
(Name of Property Owner)
(Address, LOY, Block, Road, etc.)
on , in _ AA-� hr►yu s srft PQ N.C.
(Waterbod (City/Town and/or County)
F.a
Agent's Name #: Ccl,n A Mailing Address: fs, 0Agent's phone phone ##: .;.� : s� �j -E or�L r � v► ���:7 d' f`. a4K: C
He/She has ftscdbed to me as shown below the development he/she is proposing at that location,
and I hav 'no objection to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(In&Wdual proposing development must fill In description below or attach a site drawing)
lx �
If you have objections to what is being proposed, You must notify the Division of Coastal it lanagement
(DCU) In writing within 10 days of receipt of this notice. Contact Information for DCN offices is
available at,aN.412+12^r�r✓,. No resnama is rnnairiarnAss3i Cssis t orby calling 1.888-4RCOAST. .........__ __ __ _ _ _,. ._
t0roQ tPwneg information) (Riparian Property Owner inforn�eition)
5-� w-xA Signature
ype C. �OY-aee IGltv�a ti !� Tr-.
nt or Typ ame y `� � � ` �
Print or Type Name
Mailing Address
AUylyL,Soff+ A C
Cjty/Stahk0p
Telephone Number/Em/ail Address
Date
Mailing Address
City/Statemp
z s. Z 7 1/,1,ors
Telephone Number/Email Address
Date
(Revised: Aug. 2014)

r, DV R-DTAM PIN R/10/17 TTMF 16:34:19
PAGE 1
PAML1Lv �vvly i I
STATE ROAD
1123 COUNTRY WADE JEFFREY A ET UX
WADE JEFFREY A ET UX
PARCEL: F093-99
6455416272000
CLUB BLOCK
2 LOT 9 1148 BEATTY RD
1148 BEATTY RD
0002902
BOZEMAN MT 59718
BOZEMAN MT 59718
563 COUNTRY CLUB DR
Current ID#: 31914
Jan.l ID#: 31914
82,000
Bldg No.
1 Exemption Code:
LAND VALUE
VALUE
198
Appraiser:
SUM LND ACRES:
DEED ACRES:
BLDG VALUE
BLDG
37,865
Appr Date:
Imp Desc
01 RES SINGLE FAMILY
MAP ACRES: .244
IMP VALUE
38,063
120,063
Grade
C AVERAGE QUALITY
TOTAL VALUE
VALUED BY RCNLD METHOD
Act Yr Bt:
19 28
PRIOR YEAR
120,063
Effect Yr:
1928
65
Stories
1.00
APPRAISER REV
Rooms
4
APPR DATE 10/06/2010
Bedrooms
2
USE CODE 1 PAVED
Bathrooms:
1.0 1/2 Baths:
DISTRICT 123 MINNESOTT BEACH
EXT WALL
03 VINYL
NBHD 5032
FLR COVER
01 CARPET
PARCEL EXEMPTION ON CODE
FLR COVER
02 VINYL
FINISHED AREA 972.00
FLR COVER
03 SOFTWOOD
RCN
88,057
FOUNDATION
CB CONCRETE BLOCK
RCN
FIREPLACES
1M 1 STORY MASONRY
DE PR RC 57.00
92
50,,192
FUEL
E ELECTRIC
ADD PHYS DEPR
HEAT & AIR
14 CENTRAL HEAT & AIR
FUNC OBS
INT FINISH
02 PANEL
OBS
PLUMBING F
1 FULL BATH
LOCATECON
OBS
ROOF COVER
01 COMPOSITE SHINGLE
BUILDING
BUILDING
B
37,865
ROOF TYPE
02 HIP
BOOK PAGE DATE QS SALES
PRICE
PROPERTY NOTES:
6
000610 000646 2/10/2016
192,500
UTIL 2 8
DEED TYPE: WD
000329 000001 12/19/1997 S
100,000
DEED TYPE:
PERMIT NO TYPE DATE AMOUNT
BLDG CODE
DESC UNITS EYB
DT PCT ADD.DEPR PCT
VALUE EXEMPTION MODS
198
103 9
SHED -STORAGE 4 X 8 32.00 2003
MFR 45.00
.00
.00
.00
RESS
EXEMPT FR50
.00
DE17UNITS ACRES
JZTMENTS
ALUE
82
1 FF16
WFLOT BLDG SITE W/UT .000
00
1,600.00 DPS
,000
F093-99
563 COUNTRY CLUB DR
-1e r nt1..1.­1 .

PAGE 2
PAMLICO COUNTY 2018 F093-99
+--5-+
-------------- 27+-----------+
3
6 3
6
+A-+----------27---------+--+
C
7 7
---------- 20--------+-+
D
1 1
2 2
--------- 20---------+
C= AC 108 FRAMED SCREEN PORCH B= AC 110 STOOP D= AC 112 WOOD DECK
A= MA 01 RES-SNG FAMILY
PAMLICO COUNTY LAND RECORDS - F'KOI'tK i r Krl-lu ^��

...�,-
F093-102
6246 "a so
201.52 S
�o 21) D
093-10
rytio
' (103)
(103)
.,, CP
(64) (103)
223
627 2 (103)
(56) 8068
093-j 0
093-99
1118 (55) F093-95
Pamlico County, NC pin:6455416272000
mapid : F093-99
calacres : 0.24432960371115
Disclamer:
The materials available at this web site are for informational purposes only and owner name: WADE JEFFREY A ET
do not constitute a legal document. UX
owner addr : 1148 BEATTY RD
o`�r,rpr owner city: BOZEMAN
Qr deedbook : 000610
deed aB e : 646
'e lom Oct/04/2017 p
*�rgC�idR 50 ft Scale 1:600
t98�
'©o
(104)
r
9031