54549D - Taggart

CAMA / L DREDGE & FILL
r
ENE PAL RE R M I T Previous permit #
ew ❑ModificzLtion —]Complete Reissue El Partial Reissue Date previous permit issued
)rized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 'f ' H
Rul 5 attached.
it Name iu V. f ( C Project Location: County N
-7 -
• �� �GM''
[A) l,•f�- - 23 Q 0 Fax # ( )
Agent t,1j-ki,. AAa i(-Ljn
-- cW EW ❑ PTA ❑ ES ❑ PTS
COEA '❑HHF ❑IH ❑UBA ❑N/A
❑ PWS: ❑FQ
PNA yes (/ no ) Crit.Hab. yes / no
Project/ Activity
length
i pier(s)
i length
number
ead/ Riprap length
avg distance offshore_
max distance offshore
channel
cubic yards
amp
ouse/ Boatlift 1 4"
i Bulldozing
line Length
not sure yes
ags: noto yes
orium: yes
s: yes
r Attached: yes
ding permit may be re
Street Address/ State Road/ Lot #(s)
Subdivision N/A
City-Ti tl 1 f`)�'([ (�_ ZIP
�'o'n'e# (L ) �' ? River Basin I
Adj. Wtr. Body nn nat
Closest Maj. Wtr. Body 1`T Lm
(Scale: ' /!�

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
haei F. Easiey, Governor James H. Gregson, Director
Authorized Agent Consent Agreement
William G. Ross Jr., S
7� is hereby authorized to act on my bef
(Pnnted Name of Agent)
rder tc obtain any OAMA permits) required for the property listed 'below. The authorization is limited t
cific activities described in the attached sketch.
CATION OF PROJECT:
5,-
►��� K--
,OPc OWNER-
/MAILING ADDRESS.
��- 2
jTHORIZED AGENT MAILING ADDRESS:
)� 67
4 /9-217-2aZ
PHONE NO.
PHONE NO. ?/) - 2 3

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or
individuals listed below. The CAMA General Permit application procedures require that applicants provide the Division of
Coastal Manazement confirmation that a written statement has been obtained signed by the adjacent riparian property owner,
indicating that they have no objection to the proposed work or that the adjacent riparian property owners have been notified
by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by a marine
contractor or other individuals acting as an authorized agent on behalf of the applicant.
This form was sent to you -by-the following individual or company designated by the applicant as an
agent: 52 a Z 3
Authorized !Agent's Signature
Date
Name of Individual Applying For Permit: J I rN'N ��
Address of Property: 5-11 W A-PJn ire. So oo
(Lot or Street #, Street or Road)
City and County)
I hereby certify that I own property adjacent to the above -referenced property. The individual applying for this per
has described to me as shown on the attached drawing the development they are proposing. A description or drawi
with dimensions, should be provided with this letter.
(fie fo I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal Management,
Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215 within 10 days of receipt of this nol
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
l understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set ba,
minimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to waivi
setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement. i� •

239dd 69bZ 989 Oti6 aONAUH NNA1 SS :20 OZOZ-b-0_r
CERTIFIED MAIL RETURN RECEIPT REQUESTED
✓tt'tJt lY Vr V'�: +'1J lr'L �i yi�t•�Vr...�r-t.;`-'�-�-
A JACE NNT RIPARIAN PROPERTY OV4IER `I�TIFIC•aTIC??v:WAI`dER cCRF„
'nC purCse ;f this fors Is to provide proper notice :o you as an adiace.nt ripara7 property owner to the individual Jr
ndividuals listed below The CAMA General permit acolication proceci.:res require that anvticarts vrovide the Division of
6casra: Ma ,aZer+ent co^,fir .ation :hat a wTttten state -:lent ^as been cbtained sia led by the adjacen- ripean property av-ie7s
at they have no objection. to the proposed won or that -he adjacent r,'pariar. properry owne s have been notified
nv ceratied -,all 01 the procosed work. Often these corm are suomit;ed ta the ad;acer r:pznar trace^� awne-s by 3 n a ;n�
conra.tcr or other individuals acting as an --utherized act -it on beiial of -he a;plicant.
This form was sent td you 'by the follow iris individual or company designated by the applicant as an
autnorueaagent: -SZC.
3to
ID c 075; a� x� ,� 4Anr 4 /' Y Tv�f�
yutttartz to :�._ent S Jim alone -wale
`lame of ; .di•oduai Applying For Fern it: J t f�
Acdress of Property- 5-- cD IV /-A? � ire SCE rJ
UL -u-L+�u _ct K, qua et ,;r r.UaU ) r�
tCir`' and Counrvy
i rtertby c. mf, that I our: rropert� adjacent to tale above-reie.enced prooertyI I e individual aprlv:ng for :h:s Cerr.it,
�,�::� .. . ,.. �:.� ••. v: u:c a.�a►::cu u,¢ ^iu� :uc uctnit UIcy a prupcsmg. P, ces,ri'atlon or cr2'.tiina.
r !
tiith d'rnersians. shculd be provided -with :his letter. �j .GG/6��� fftij �� fl C��/ r0•�
Cr G'1"G✓%�! j%7lJGe 1 ' 17ua-f /LC iJAf'
I have no objel;ioris tc this Yroposa;. 7-f, lti5 /lr�✓.t-. i
if you have objections to what is being proposed, please write the Division, of Coastal Viaaa-ement, 127
�,�, �,,., ,�, ;, ,. ,_. ,�,�.,�;,,, „';:aa.a..�w.,, � •�.- +o-.� v� wu l.w 7V-: L17 wltlllA tU nays Ot receipt of this notice,
No response is considered the same as no objection if you have been notified by Certified Maii.
WAITER SECTION
I understand ihAt a pier, dock., mooring pilings. breakwater, boat house or boat lift must be set back
roWnium distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive tb
setback, you must inirial the appropriate blank below.)
do wish to waNe the l b' s_:ba_k reyt:ire-nent.
do riot w°s4n to waive the setc•ack ,eauirement. �tT
Y�

yy Sul h��9 o-Z
A
6YI-1,41-61
�- - - - - -- - --- PAGE 1
04-2010 02:15 LYNN RAYNOR 910 686 7469

X'd 'W'RewAdy 5„ ►�

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: J T­, - iA n
Address of Property: 5_/ Al inoo 2) /2
(Lot or Street #, Street or Road)
- (City and County) -
I hereby certify that I own property adjacent to the above -referenced property. The individi
applying for this permit has described to me as shown on the attached drawing the development ti
are proposing. A description or drawing, with dimensions; should be provided with this letter.
:sr _ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7,
within 10 days of receipt of this notice. No response is considered the same as no objectiol
you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If
wish to Nvaive the setback, you must initial the appropriate blank below.)
Si-n Name
d rw)"
Print Name
I do wish to waive the 1 5' setback requirement.
I do not wish to waive the 1 5' setback requirement.
V
Date
Ate'
'

Division of Coastal Mgt. Habitat Impact Computer Sheet
>licant: 01 yr
e: � /10
Permit #: �`1 +9 b
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
�itat 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/o
temp impact
amount)
Dredge ❑ Fill ❑ Both N 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 ❑

Division of Coastal Mgt. Habitat Impact Computer Sheet
cant: 71�
• �- Permit #:Qsc..p�
0
ribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
d in your Habitat code sheet.
tat 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)
. `
N
Dredge ❑ Fill ❑ Both ❑ Other
I 1
l
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 ❑

DELTA DOCK & BOAT LIFT
402 AQUARIUS DR. 910-686-9700
WILMINGTON, NC 28405
PAYTO THE
OR IV6 h
ORDER OF /t
F O
REFirst
Citizens
812
DATE G? �7- /d 66
Bank
[,FOR �s i '' en,��al�
11•0
0132 L11• i:0 5 3 100 300 1' :DD353L99L5041I-
1 $��D�
DOLLARS

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