77281_Samuel O. Snow_20200818

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e(.JCAMA/ ❑DREDGE & FILL p / „�bl.� O �,�28
G NERAL PERMIT V/ �lV A to i D
y, Previous permit# ►J/A
ew UModification JComplete Reissue ElPartial Reissue Date previous permit issued pill
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 tN, 12
Applicant Name GCloyilffR..a . ides attached.
�_ O S Y1 O� Project Location: County_�qu. ei
Address • 0 bin S L.o1ne, Street Address/State Road/Lot#(s)
City $hlyl5'fovI State mei ZIP 621M -U Robbi ,s Lokne.
Phone#(ZSi) 94/5•- /IO/s E-mail Subdivision tJ )?
Authorized
Agent 'S S m/�Ari✓1P. 5,�'. City�S�in z
��oN ZIP • 78�s�
Affected CW l w L�l TA 0 Es OPTS Phone# J
AEC(s):
OEA 0 HHF 0 IH 0 UBA O N/A ( ) River Basin T�9jL Tin
O PWS: Adj.Wtr.Body P�fiM i)Co Rit/i r' 6:0/m /unkn)
ORW: yes �
/C) PNA yes / Closest Maj.Wtr.Body �G"YYlI1 D (Ziu e
/5�
Type of Project/Activity F set Lititz' Tier wife pff44
tAt 25' 3 r pig 3'A /;' gb.,�--li4 and a 51uin h seAsk;L'P '.4) li n
Pier(dock)length_ A � r-/.5-T - � ' (Scale: - �jp )
Fixed Platform(s) IIQ'X 25 r D i �.-nT �_ _T
Floating Platform(s) ' i __. i (ar co t 1'Y'% 1 if 1 W- l ._1 -
Finger
Groin length
�' Z i +. �.- .___ `--� II }- 4 i ___4 1
11 '
number i ' I ± i
-r_ _�_. I _.-- t - -� i_ I--` . ; I
Bulkhead/Riprap length { I 1 I i 4._ { '- ._"�'�
avg distance offshore . . _I_
max distance offshore 1 - - ,:soil,;.(3 j--- ! -- 1 _ i • ,_ _L-
Basin,channel 2. 1
i - It.0
cubic yards - 4-,.. r -----i---;:,' 1 { _ _...
Ji i Q .
_ 1
Boat ramp r . 1 i '-...Y_. _, ` -A . !I 1'/ Ti,!* I- i - +j Z li:
Boathouse/:Mil. 15 X 13 ---i_ i. .4 1 ; • by = T-----'-SF
1 f i- ---fir I.....,. ES __i_ 4 �I -.�I �I _ �..1_.
fr_. .{. . j� 1 i --x1�3 1
Beach Bulldozing --- -'".' ' -L.J I. I I I I . •
. - -
Other CJW; P.1,64 C. T _.:._.: -+- i-- i I I rt5 1 I (
- = 15404__ g, _, 1i +
l2UY 40✓ "Ma of.1 / _ L 1
i
y. -
Shoreline Length - ._. :_ -. ._ _.. w �`1�
SAV: not sure yes no • r-- L ; 1 _ G 1ST P ' : i I {
Moratorium: Na yes g _-,._l_. -1 •? 6 Poz:r 7 ! ..i .j- a01( I -. �; _i_ I-_ i
' 1 TW.
Photos: yes i + _L j + 1 j ,
+ i 1 i
Waiver Attached: yjce ® L_ • � ' t I ? ! t j I I .71t01706P
A _.r --- y I L _building permit may be required by: lb ecaA4A- Co Ulk)'`J See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions id A'i1�' �� slips
��li( I rWe �Y f'f1fa111 N1.r1t11 es- -two �ow Cgate 'Se.)t�kl l 1' bt .
b �� all owe Y) cw-r f1(2-� > -10 wi l y '44 IL ruff, llgoke.0h'r is usih 55c 4 '
I we o , y
b w o
h ? Sitr�,/[ 5'f7'1.ta�c •�P1(LePSih �fOU,�k•'.
it ino4b,p► '
Ag�ttt ican rioted Name ^ P70fflcer's Printed Name
nature Phase read compliance stateme on back of permit** Sign `
�d c1n� 2r>© °� /iS 2 • .
Application Fee(s) / s' ,SC"�T. 2u'2 > /ir �,�.1 2c.'7- I
Check# Issuing Date Expiration Date
I

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Beaufort County, NC•
GPIN 5694-35 0929 PROP :LOT 4 J A TRICKETVS MDL:S69g1063
iPINLONG:5694-35-0929 WILLIS TR PIN_I:15028488 A. "� 1:SNOW KENNETH C JR LAND VAL:78078 DATE:2/18/2019 i
Diaclamer: NA.&-2:SNOW SAMUEL 0 BLDG_VAL:780 DB_PG:019E/001198
Beaufort Cowry online;nap access is provided as a public sense,..as ADDR I:311 SOUTH WEDGE WOOD TOT VAL:78858
available and without warranties,expaxaed or irtp:icd.Content published on STAMPS: ,
ew
this wcbsitc is for inlbntw:ional proposes only and is not inlendal to constitute a DRIVE TAXABLE VA:78858 SALE PRICE:0.00
legal record no:should it he suMtiuttd for the advice or d DEFRs of industry CITY•WASHINGTON _
professionals.The County of Acaafon sod the Wchshe Provider disclaim all VAL:0 REIDI:751
sspmsibiliry and legal liability for the amtcnt published on this wohs.te.The STATE:NC PREV_ASSES:78975
user°Imes tlal d3caufon Cora:y and is Assigns shall be held hxnuless from all j ADDR2:311 SOUTH WEDGE WOOD ACRES:0.08
actions,claims,damages IT judementc arising out of the use of County data.
heaufonnc.a/dmaps.com DRIVE PROP_ADDR:SR 1315
I i .
I 10 m ZIP:27889
A I Sep/02/2020 TOWNSHIP:OS
60 R I Scale 1:687
•
1
4

LAMA / ❑DREDGE & FILL i� it '`S H. ���rf N° 77281 �,
to
G NERAL PERMIT P.�o /-°10%y/� Previous Gpermit# Pi V C D
)C 'New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued tz Jfj
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 7 H, I 7 .
1 Rules attached.
Applicant Name Sgv�rv,el 0. S y ..w Project Location: County 7€411A-�%—
Address 7+0 Rabbit 5 Lne Street Address/State Road/Lot#(s)
City (Ash,n jta►1 State NC ZIP ;3'SS9 0 R1A71, s-.S LA -e
Phone#(Z Z-) 9415- 4bo1 E-Mail Subdivision IJ ) A Q q
l ,41)4 ZIP ��g�l
Authorized Agent�� 5 //Ari✓IL CIA s+• City S�►n
cw V'f V NPTA ❑ES ❑PTS Phone# ( ) River Basin f Pi4rY1
Affected C OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body Fyn II Co /Zi i - man /unkn)
❑ PWS: 1
ORW: yes / ri PNA yes / Cr Closest Maj.Wtr. Body PPYv1lIc_O �tv
er-
/J"'
Type of Project/Activity f de XJ 6 "lae6' •��✓' c if1 /bf-LS" p v-i wi a J6,',r/1'. �o CD y�Zf�
toile Z5r 'Piti� .7/c.r' /31A /L' t,a,�} Pc h an a 5w;n.9/h� SzA ; CPA/1.0 l) (Scale: I" - hp' )
Pier(dock)length Mt" A V/
1� , fc� ��c ,� 7�5
Fixed Platforms) l x 25 4L . f
Floating Platform(s)11� " t�, A — 1-4. A 14
Finger pier(s) (Q A' l r'
----1 �..... l oV � �-C/" '4. .._,
Groin length j I;
number I I
_
Bulkhead/Riprap length — 1- ,
avg distance offshore I I ~
i I1E320 ✓�, v-
I I
max distance offshore i t
Basin,channel I I �x2s-0 4 • + I
'1 Il
cubic yards 1 IT�T
I(40 ,'M / '`�
Boat rampi. .....I. ` � i
�,•
Boathouse/:MU. 13 X I —.:._. ...........:................ ..._^ ..T.._ 44 , _......._....._._._ .._.�__,
I
4
OtherGU.);
Beach Bulldozing f—
ougl- TO--coivv, lig . eit's•st- ,44.
Shoreline Length cif 1 1 I 1 I I 1 I'
T U) n�s7'pa6 . L
SAV: not sure yes no s N i �
Moratorium: n/a yes + ;
Photos: yes CP I ... i 1)lt617
Waiver Attached: 62
A building permit may be required by: bQQbt +k CO ur . See note on back regarding River Basin rules.
(Note Local Planning jurisdiction)
Notes/Special Conditions 14170.1(A11\ Wlil hare e ('t'10�A17' tt1 oS- 't t 17,,,, .0rFs i}'YtiDrc 'se.)tsk7 1 PAAc-,
I - rnus.) 5win,6 cttY( et.• -a,„..., 4D c.,,I, w,4 tuief.L- App/7c4.,s- ;s /� i,tsin�; 550;4'"
(yc- 6r' a.v.e LDc+/! 4i7 n. ' s; lC S+rt,,�lurc xceAi,,i tico.0---
AJT' p104b-in
e- t
Agent or Applicant Printed Name Pe i fficer's Printed Name
Signature **Phase read compliance statement on back of permit** Sign
P 2 e ,0 1.38'Z 1- / 8, Sc-307= 2 -z) /g � 1 29'2- f
Application Fee(s) Check# 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 I)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:
1 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(910-796-72 15)for more information on how to comply with 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/ I-888-4RCOAST 252-946-648 I
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 Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

j L. rte'l) `<I
0 LAMA/ ❑DREDGE & FILL a r- r e` 5 µ c' f N° 77281 ��
GENERAL PERMIT r '4 1 1,,,j �% Previous permit# ►Jib C D
)C ❑New ❑Modification ❑Complete Reissue E Partial Reissue 4- F Date previous permit issued IZIA
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 5A NCAC t I, I 22y0
Q�Rules attached.
Applicant Name ,[A mt.),e t 0• S no►a Project Location: County l a:A.4,-
Address 40 R 11,76 t r 5 L.c4 n a Street Address/State Road/Lot#(s)
City UJA�,i'11Y)9fb✓1 State 1I� ZIP 1-$ -c.:, i i✓1abi--s (...,.1e.
Phone#(Z52-) 9'' - youis E-Mail Subdivision . ) A.
Authorized Agent 5'6 marivV (,,n$-1-• City 44:46A,„,-6 1 ZIP 18S?
Affected ❑CW 1ItI 4 Y 12t4A ❑ES ❑PTS Phone# ( ) River Basin 7 4R./ !Iqm
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ID WA \\\ 'Adj.Wtr. Body ?Am 11 C 0 n u°r- C at /man /unkn)
❑ PWS:
Closest Maj.Wtr. Body -Po'n''t i t;:.) 12:1L3 ``
ORW: yes /(na PNA yes /
Type of Project/Activity ,'••'-, , / 'V.,, )by- + ' 4-PC"': i-,h t D 1:9 2t r}
1.1911 Z3 1210 ?Ier a Ir'5luly�gtt/aR �j_ '�r, Ls ,‘v . �; i;..t (Mal%e; - /D'
Pier(dock)length ie $ V . J J
Fixed Platform(s) Up''X Z r7 1,,' IT I
11(1L' • 'IP VI►�''"t't' • `:
Floating Platform(s) — '----- '`��•Sr_•■ -�— I j f 4.r�-r. r, i r GP X 1� 1
Finger pier(s) CG• X 2 6' • I " ' ��al�r +._ _
Groin length
1111 , ,, , ,
„.. , d_H, , ___L ,
number \ I ..
; i I I „ , a:4
Bulkhead/Riprap length �� f,_ :
..
, ,
avg distance offshore �,t mme� ' 11111
lilt i
Basin,channelJ j
rj PEA
cubic yards % 1% `� 'i" \
Boat ramp i . f r - ' ' 1,, i ■�+ I
Boathouse/13oatli 1lj X 13• 1 ...... ......i: ,,.-, C ......._ III!I —:�
_ ,
, ,
. ,,,,.....1
. ,
_,_
- -.
,,,., , ,
ieta
Beach Bulldozing --- - II . ■■
Other W+)1� �• 4 C. 0
III 1 ! 1 leiri 1 1 1: 1
CQjZK Hi I
UUel pA\- '� to 1 ltitIN s Z �} ;cal N ..
III
Ill , -1M1111011111 III
Shoreline Length ` '
cur Ili . 1 C+_. 1 IIIIMI
SAV: not sure yes no - __ +11 l
A , , ! .:1 .. r LIP
Moratorium: n/a yes n
Photos: yes 'lY ! .. :...._. •...- .._.- _
Waiver Attached: v( ; ; ' 1 ' •
`� L pp
A building permit may be required by: �QCAtA4 fk CO Uri-' . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) '11� ��
Notes/Special Conditions ff p)t (vvik W,11 ►4,,:p "'t.1!r �',- ,• ' ,,, •?: oar -trAt, E7oa .�/
I SITS `8r""f to:c Se-kski ' R.iii..
f l £5 rnU44 6vor 1� cue( 111�,,, 4A, ,lFf� Ap,�,,,-, /c Uf/hi 5J5a44'.
1,11� J
r.,F 'r Oj1c.1rr' 7 too C 7< ;. ., r, �,
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.vf.,,,..
Agent or Applicant Printed Name PermiittO'fficer's Printed Name
�
statement on back of ermit atude "
Signature Phase read compliancep S
671 c.kt- - -coo ` 13 q L / ...a ter 2-4) ,g- -zG' - f
Application Fee(s) Check# 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 I)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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(910-796-7215)for more information on how to comply with 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/ I-888-4RCOAST 252-946-648 I
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 Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick,New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

0 ill CAMA/ ❑DREDGE & FILL ' - , N .N 77281 A BCD
GENERAL PERMIT . , - ,, Previous permit#
>' ❑New 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 5A NCAC .
❑Rules attached.
Applicant Name 9(..k m t, _ . S Y1 G v.) Project Location: County .
Address 3.0 r r.116,,,, i_c,n€ Street Address/State Road/Lot#(s)
City t16111t..10-,rl State N,IC, ZIP ,Z `7 T L. ►. .- 6i'l Ye
Phone#("5Z) /YS- '/CIS E-Mail Subdivision k\j / a
Authorized Agent 5 $ t//).,,Ae ,,,,,s-1-, City 143 4F,,,,, iFG..n ZIP . ':35S`1
Affected ❑CW oerN IIFPTA ❑ES ❑PTS Phone# ( ) River Basin 7--iliz' poll/y.7
❑OEA ❑HHF ❑IH ❑UBA ❑WA , j� -'?
AEC(s): 1 0_. Adj.Wtr. Body ?Aryl))(a 12rd man /unkn)
❑ PWS:
ORW: yes / no PNA yes / f115.)
Closest Maj.Wtr. Body �f.`rn t I c a R‘v r ,
Type of Project/Activity .
Pier(dock)lengthficCi' a f �� i e: (� )
1
Fixed Platform(s) IV Z S ��((} A.
ILA 1- '<c� i ,f 25 Y
atr' KIL,
Floating Platform(s) .� "( f ( I
Finger pier(s) /. y ■ 4—
r
Groin length i I
number 1. (.. ...... ._....._ — —
Bulkhead/Riprap length L -r — j_.�..__ ' _.. .,-
i
44
avg distance offshore ` 1 1" .w
max distance offshore i ;
i � . i i I
Basin,channel 4- } s
cubic yards 7 I () IIi �� CD 1. 1
Boat ramp tAll Or -) lf4,0 1 ... ( III
i _.._-( C'7
' -t ;
Boathouse/Boatlift 12:x 13 - Y� �T_ ' 4
i � �
Beach Bulldozing . .-----
Other SW+ ^9 Imo. 0, (. ilu 1
' i 1 .. . 7' f 1-s
Shoreline Length i TIC
i ' S�, f f
SAV: not sure yes no ,,�i
—I— -- —i i Eli!L S
Moratorium: n/a yes no T — -�' � ....... .. al k r — iiPP€-M-lai. 't2:'t4--1__ -
Photos: yes �i 1 -- t---I ' v z'1 1......
— — i
Waiver Attached: i yes no 1 i i 1 i I i I
A building permit may be required by: )W-1•r fk (•„0,YOrsi . ee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 1 k w,11 4,4" 1-4/1E ill.,N1,11, 0 cA: 11.it• 'r., c' '041 j i'. .iL.
K ttI , ''':;II wr'4y Le (;r';,. - . c.;-.r.IN
F pi,A. n1
Agent or Applicant Printed Name Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** Signature -
Application Fee(s) Check# 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 I)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 Rule,s'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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office(9 I 0-796-7215)for more information on how to comply with 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/ I-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 Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick,New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

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Beaufort County, NC GPIN:5694-35-0% •6 LAND_VAL:150150 DATE:7/24/2019
1 GPINLONG:5694-35-0966 BLDG_VAL:85537 DB_PG:1995/00812 NAME!:SNOW SAMUEL 0 TOT_VAL:235687 STAMPS:400.00
liar 4
Disclamer: NAME2: TAXABLE_VA:235687 SALE_PRICE:200000.00
i
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beaufortnengdmaps corn ZIP:27889 TOWNSHIP:05
PROP_DESC:LOTS 2 AND 3 J A MBL:56941064
1
7 m TRICKETT LAND PIN_I:04010685
a ilie'
A 1 3.ft , Sep/04/2020
I Scale 1:343
.... . .. . .. , __. , , . -

P
Autho zed Agent Consent Agree,nen
a
3, J4�" ` S , herby authorize Tobin Jay T et-terton of
(Property Owner(s))
TJ's Marine Construction,LLC to act on my behalf in obtaining LAMA permits for
the location listed below.
e
PROPERTY ADDRESS:
> r
PROPERTY OWNER'S MAILING ADDRESS:
l h<�[ r`�r //1� ,P /
Phone No..21
PROPERTY OWNER'S SIGNATURE:
AUTHORIZED
AGENT SIGNATURE:
TOBIN T ERTON- 2ao Ti
,'i/Autliorized Agent Consent Agree.
}

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to i I)/i ��t''.' `p_ N. 's
r (Name of Property Owner)
property located at 1-�-„" r . _:�(A 7-1k'F fir
- (Address, Lot, Block, Road,etc.)
on { r�.� �,1(-l"7 '�et)
r in s -<: 1,�,> n ! .t , N.C.
\ .T' •
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location/
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
( t-d ,DiQ u_i;n _
WAIVER SECTION +,.
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
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
'/z I do not wish to waive the 15'setback requirement. x
(Property Owner Information) (Adjacent Property Owner Information)
Sigrr ure r Signature*l
Print or Type Name , Pnnt or Type Marne
Mailing Ad ress/- M li g Address .
,/ o Lv t 'YC- e2� _l r7
City/State2lpi ity�e7Zip l
f' -4s,-}...- ;r/•sr ,S�-- 9'4-3-2.
250
Telephone.Numb r/email address Telephone Number/email address
2 /
Date Date* ——
(Revised Aug 2014)
'Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to f c' -x •'^ k-�z„�� �,t� rJ s
roe located at 3c, /� (Name of Property Owner)
property t Kz'61,\r' r\cc
(Address,Lot,Block Road,etc.)
on Ci \,'\
,fi.�`
' 111(r
in 1Ot:.��,,'rtir +Thr.z ,N.C.
(Waterbody) (City/Tb\Nn and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location./
C I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
jiktf j 00//‘a
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
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.)
fir I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adj nt Property er Information r�`•'` / � L e./ Z
Stature
Signature*
c ft t:`t 5nc>,,> t .* r)t(,S rib c4 11 Q- 46:.A
Prat or Type Name, Prin or Type Name,
I
Mailing Address Mailing Address
IA Ii r•L-‘1 r\o r1J plc - ' In/AS! �4-004 37
City/State/Zip City/State/'Zlp
Telephone Number/email address Telephone Number/email address
Date ` t�1t7
Date'
(Revised Aug. 2014)
'Valid for one calendar year after signature*

i4C Division of Coastal Mgt. Habitat Impact Computer Sheet
•
Applicant SCerylU-c-I S •
11d w
Date: • q al2.0
General Permit# -
Describe below the HABITAT disturbances for the application. All values should match he name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft [ FINAL Sq. Ft. j TOTAL Feet FINAL Feet .
(Applied for. (AnticipatedFrtal ' (Applied for. (,Anticipated final
DISTURB TYPE ! Disturbance total disturbance. Disturbance i disturbance.
1abitat Mama Choose One j ncludes any Excludes ary total includes Excludes any
anticipated restoration any anticipated i restoration and/or
restoration or and/or Demo restoration or temp impact
temp impacts) impact amout) temp impacts) ; amount)
!
.�`
W Dredge❑ Fill❑ Both ❑ Other ] 1/ ) f-11 I/
j f Dredge❑ Fill❑ Both ❑ Other 0
Dredge 0 Fill 0 Both ❑ Other 0
I
Dredge❑ Fill Both ❑ Other
I j
Dredge❑ Filt!D Both ❑ Other ❑ i I
� I
Dredge❑ F,II❑ Both ❑ Other ❑ I
Dredge j F ll❑ Both ❑ Other ❑ f i
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I I i
Dredge❑ Fill❑ Both 0 Other ❑
I � '
Dredge❑ Fill❑ Both ❑ Other ❑
•
•
Dredge 1 Ric Both ❑ Other ❑ j !
I ;
Dredge❑ Fill❑ Both ❑ Other ❑ 1
•
Dredge❑ FII❑ Both ❑ Other ❑