Bayliss, Thomas III

®f`J'CAMA / ❑ DREDGE & FILL No. 75928 A B ' C `' D
GENERAL PERMIT Previous permit#
pNew ❑Modification ❑Complete 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 I SA NCAC
❑Rules attached.
Applicant Name(, rl In �_ �'' - 7
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Agent or Applicant Printed Name
Signature *"Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Printed Name
Signature /
l
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: e . w�G-'4:�
Mailing Address: 'z, 0�
Phone Number:
Email Address: e"Y �
I certify that I have authorized � hE ^ (-,GiA j��b n h t ✓ruff z
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: A)2 u� L/i O ocG w O ; Q✓
at my property located at
in r,,92 t) County.
I furthermore certify that I 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:
1 �
S gnature
Print o ype Name
Title
Y
Date
This certification is valid through (I I C� r� I '� 0
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Thomas A. Bayliss, III
Address of Property: 3021 River Lane, New. Bern, NC Craven County
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Bobby Cahoon Construction, Inc.
Agent's phone #: [phone]
Mailing Address: 6003 Neuse Road
Grantsboro, NC 28529
I hereby certify that I osyn property adjacent to the above referenced property. The individual
applying for this permit Has described to me as showmon 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 athttp://www.nccoastaimanapement.net/web/cm/staff-listing orby 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, 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.
l� I do not wish to waive the 15' setback requirement. ,, t /_ ¢0�—Ctrl ¢67J
PopertYOw er Information)
to (Riparian Property Owner Information)
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Stknature Signatut
Thomas Bayliss, III
by Bobby Cahoon Construction, Inc.
Print or Type Name Print or Type Name
3021 River Lane
Mailing Address
New Bern, NC 28562
City/State/Zip
252-671-6610
Telephone Number/Email Address
6-3-19
Date
6, g Ry r`-
Mailing Address
I.J e,w Ise---r• N Z$S62_
City/State/Zip
- clt
Telephone Number/Email Address
Date
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Thomas A. Bayliss, III
Address of Property: 3021 River Lane, New. Bern, NC Craven County
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Bobby Cahoon Construction, Inc.
Agent's phone #: [phone]
Mailing Address: 6003 Neuse Road
Grantsboro, NC 28529
I hereby certify that I oytn 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
th7areposing. A description or drawing with dimensions must be provided with this letter.
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 http://www.nccoastalmanauement.netlweblcMstaN-listing orby 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, 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.
Q441do not wish to waive the 15' setback requirement.
(Property Owner Information (Rig i o ty Own Information)
�, lS lS1Yv� C,&nS'ri b, S MT �,.�� ",
Sjknature Q Signature
Thomas Bayliss, III
by Bobby Cahoon Construction, Inc.
Print or Type Name
3021 River Lane
Mailing Address
New Bern, NC 28562
CitylStatelzip
252-671-6610
Telephone Numberl Email Address
6-3-19
Date
Date
(Revised Aug. 2014)

TOM BAYLISS
3021 RIVER LANE
NEW BERN, NC
DESCRIPTION
We propose to install a new wooden pier consisting of a 6' wide x 262' long
walkway connecting to a 12' wide x 36' long end platform. Right side of platform
will have a small 4' wide x 13' long finger pier. Right side of walkway will have
two (2) 4' wide x 30' long finger piers. Dock will be built in the same footprint as
previous pier.

Parcel ID
Owner:
Mailing Address
Property Address
Description :
Lot Description
Assessed Acreage
Deed Reference :
Recorded Survey:
Estate Number :
Craven County Geographic Information System
Craven County does NOT warrant the information shown on this page and should be used ONLY for tax assessment purposes.
This report was created by Craven County GIS reporting services on 5/31/2019 11:04:32 AM
8-203-3 -005
BAYLISS, THOMAS ANDREWS III & PATRICIA J
3021 RIVER LN NEW BERN NC 28562
3021 RIVER LN
5 WARDS POINT / 12
Land Value :
Improvement Value
Total Value:
City Name:
Drainage District
Land use
1.160 Calculated Acreage: 1.160
1312-0870 Recorded Date : 311 1992
E-356-
$361,360 Tax Exempt: No
$704,020 # of Improvements : 5
$1,065,380
NEW BERN Fire tax District
Special District
RESIDENTIAL - ONE FAMILY UNIT
Recent Sales Information
SALE DATE Sellers Name Buyers Name Sale Type
3/11/1992 WARD, KENNEDY W; BAYLISS, THOMAS A III & STRAIGHT
WARD. W: WARD. A & PATRICIA TRANSFER
List of Improvements to Site
Type of Structure Year Built
RESIDENTIAL CONSTRUCTION
BOAT DOCK/PIER-RESIDENTIAL
BOAT/DOCK PIER HOUSE-RESIDENTL
GARAGE/SHOP-DETACHED
RESIDENTIAL BOAT LIFT
1992
1992
1995
1995
1992
Sale Price
$185,000
Base Area 1st Floor Value
3026
$651,840
1850
$25,740
636
$9,260
576
$12,380
1
$4,800

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