77442_Tim Millwood_20201026

)L5
LICAMA/ ❑DREDGE & FILL sp -41o/133
GNENERAL w CIModification ❑CPERMIT 774�2 A © � D
eomplete Reissue OPartial Reissue Previous permit# N
bi
Date previous permit issued
1J`A
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 I5A NCAC 7 f•I• f2-D°��
Applicant Name—n NIm j W 00 S?Rules attached.
Project Location: County B eau -i-
Address 5 b/O 5 o M c{sc t `r w + Street Address/State Road/Lot#(s)
City Columbus State. N ZIP 14�a o( a 4,,, S r\r-.r Nam?, Lh
Phone#( t )3qt-p:yD E-Mail
Subdivision
Authorized Agent I-5\5 City QI VI -4p a -'Sg'
o ,� --��___q__ ZIP
Affected CW ea PTA ❑ES OPTS Phone# 2 y
AEC(s):
0 0EA O IMF ❑IH 0 USA ❑N/A (�I 3- o�s O River Basin T�j R./( y►n
❑Pws: Adj.Wtr.Body P}Am �IkiCo it.lee' (�a /ma /unkn)
ORW: yes /® PNA yes /® Closest Maj.Wtr. Body Parn\-NGp Z I Vex-
1
Type of Project/Activity
i
/
F 11E/et lfln 1(ro pier wl--h ',1(a. )Z it, reklia rri 3x 15'.1- 31A24 -
0.G 1 Ks x 2b'?)4#4,-N w J 2 Stuill,6,q 7.IA& )' / b• I VA IS' ho4-4•�t C� Scale:
Pier(dock)lengt )J0 x (0/ I — ;IV )
T" _
Fixed Platform(s)I Zit II $x zo I- . i- r j.. t1 .... ii_ ` 1
Floating Platforms) �" r t. 1 _-_ I -T_ 1 '
Finger Pler(s)�Jx1� / - - �.. ' j
tY
�� s •
f _ I
Groin length -1- 4- 1--- 1 �1 I - k—•- i _1 Y _
number �—�-l._ i.. '. i I i 1b/ I _ '1_4—, IiBulkhead/Riprap length 1 I ._. �_' ' �—j_t 1. I i r 1 / ‘oX
Q . - 1
avg distance offshore i_ i• '- +_ 1 '-1 j
max distance offshore 1 i j e i i t -• i_.i _I- i-
* I
Basin.channel j._ ! -- !' i _
i
cubic yards —I—�_I. _ cat I i.__.... i i
Boat ram j_ _ �j�'� 5, * i.+lv' 1 �j i+..
—t- ---+ -- � _ 1 t i-. II 2 y✓ 3 I
Boathouse/Boadift 1-_-. .(.. _-1". 1 . j_..; 3 L Afio • 4'1 /T-- -' -*C.:�� 1 + - _
�ti,
�_ . I
Beach Bulldozing �-�-- ---
Other 2� ',obi I I , -t- 440,07 r ' i - j
I � L q , - ,
sw+rq Ickks . ik 1 -t t� y
11 111
Shoreline Length t 57 ` _ ; ESL ViI r
i .t
t i � L i
SAV: not i � 5'r2� f-i_ 1�� 'r i.+- �___.___.1 1 a_
sure yes ; I vo�W� I
i_ ,
Moratorium: n/a yes ( , f. - ,,—' r / 11UDDOU i A .
•Photos yes ®� t i ! .pro r
Waiver Attached: c no t , i I I i j '. L :.. 1 1 ;
r '
f � ,
A building permit may be required by: { DUn � '
!0 eCt t, I- e 1 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) Y
Notes/Special Conditions /..1,1" /S ?flat;h 61 ti e) /awl v iih Cc
r01N! ` Item !✓f�. St `S�► fl S�S v`r1��5'I'
P ti I2 S 5 i,P rich. #yph-tem fS NS//va Z
(S
n r icant Printed Name ir
c Per O fic 's Printed N
Signature Please read compliance statement on back of permit** Si nature
tF'dChl' j' /s g
/t1042 q At,- Oa- 2'O Zo — Zb - lei - Za a l
Application Fee(s) Check# Issuing Date
Expiration Date

0 4AMA / DREDGE & FILL N° 77442 A © C D
N E RAL PERMIT Previous permit# CO]A
')Z- New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued t%)/A
As authorized by the State of North Carolina,Department of Environmental Quality 1�00
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1 •
'Rules attached.
Applicant NameT Inn r j` ova �j Project Location: County eCtu.-.-a✓-k
Address 6 0tO SOMCrSC I CDI4r"1l Street Address/State Road/Lot#(s)
City toIUMb(AS State N ZIP 41-a t:A aya Sumrre-c- Hash Lin
Phone#(112) ?jyy'}/y0 E-Mail Subdivision -_
T
Authorized Agent 5‘3 City OctUO 6'V11Y‘56r1 ZIP a-4-Fsgel
Affected ❑CW ES W G4TA LIES ❑PTS Phone# ($ 2 1 )313- olo$O River Basin 1r)1 R w
/P141
AEC(s): III ❑HHF ❑IN ❑UBA ❑WA Adj.Wtr. Body?Jqm"1Ce Q tve""' a)/man/unkn)
❑ PWS:
ORW: yes I n® PNA yes / Closest Maj.Wtr. Body ?darn\tco .-R.`qe-'e
Type of Project/Activity TAc,Qla e,.e i10 )( Fier W I4"�) dt. )2/X I/' ?)a -C9(y ) 3� 1s '4- 3/ 2b
bAtkAIKs XZb'?14T-4roy'M W f 2 Slv; 7,�,().G, )iC-s 4- j3/x ) ' bo44')t�.\ (Scale: "- � ) )
off , 99
Pier(dock)lengt 11 )(
Fixed Platform(s)IZ1c1L' 5X20 \'
Floating Platforms) '
Finger pier(s)'�J7�1�" 3f /s / '_ . ��� 1 I
Groin length
number —; -•-_ __ t� �� \�/ �� \ - ,
Bulkhead/Riprap length —1 �- I I 1 d I VA T.^
' i �' - _- i
avg distance offshore `-
max distance offshore l I ;
Basin,channel 3 X a0/ --- -
cubic yards k-v. i Vi
N•� 5 ,1„3
Boat ramp 3x�� 1 '�. 2 �w L c,iT .s
Boathouse/Boadift - C.)"`\� `
a/ y -
1
Beach Bulldozing i Q, 5�{CC' ,/. j��'1� sh .. ' l
other CZ) rj'xl°l pW.L �Q1i„.6. `\, � `5. �J V -
Swim)
- -. - 1 - $.IWJL R , NWt- i
C'L , _ �
Shoreline Length fi 7T j C k E r- - (�c 3Lt1it-A- r
.�a� 4
SAV: not sure yes � !I ! - W 1 ,�J -
„ ..... : �ros, 9/L 1'V'1o0U . �{�1.i 4'
Moratorium: n/a yes ® }-. - t j .. . �-- 7'?
P/ R - I
Photos: yes 0 ___ L
Waiver Attached: ye no -__ •___j___.r _--_ .__-_ ._
LA-Vs
A building permit may be required by: 'eA ct fl,{i." COO n-l-y See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)Gof LL \ / ( \ _ v�
Notes/Special Conditions /S YY1 ;h1Gt1�•,eU )Qw'1 v,111 et -✓- ��-e,, c 5 k 't
'1-t �- \_3...,54L
ov�,� 1 �J l 1L n L
iOwln" ply D!"' do Cer p c L ..d4L, bGcil- Sly' /k�C. 111aA,7 if Us�hy 397 Z
,y.•; ;o--- , o� + I \1 Gt II awe L/ T'I Z. / '
/72,z574
' /rani
Agent or Applicant Printed Name Pe is 's Printed N y
•
Signature **Please read compliance statement on back of permit" Signature
Fa a4 JryCO,� PYoloq ato- Oct Soto — ZZ, - , ZaZ1
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 Ruled 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(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

4111 ❑CAMA/ ❑DREDGE & FILL N9 77442 A B�> C D
E
NERAL PERMIT Previous permit Iti
)C 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 t .i • rZDC •
Mules attached.
-
Applicant Name-1-1 n'! f\1 1'VV 0 o c) Project Location: County h7�ea.Ut'cp✓ t'
Address 5 d/O• S D m C(S( 1 Cc u✓ + Street Address/State Road/Lot#(s)
City Lc,ILA m)jLA5 State N ZIP Li3-, c- .)LI. SL+mmt.‹ 1'IG"'ev, LYN
Phone#('3JZ) ?, '- /' •' E-Mail Subdivision
Authorized Agent --1-5 S City M).5 hi Y'& vll ZIP 1-SScl
Affected ❑CW L EW ['PTA El ES ❑PTS Phone# ( 2 4 c T
1 )-`i7 - L-L, River Basin pF'►A
/ vt-,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A `� ( ,/man /unkn)
Adj.Wtr. Body 1')<Iri '� vE�
❑ PWS:
ORW: yes / no PNA yes / Closest Maj.Wtr. Body ?c Y\\ lC o 1Z + UL'`
Type of Project/Activity 1YOcite II 12 x)/ ' u o'r 1 I3Y ‘5 i k 31 A 20
R /i 6.� r i A C) 1 ,1-4-cmi w� i 5 4- I .* j J' h044 %T e: I11— ;Di' )
Pier(dock)Iengtl 110 i( (pl.
f
Fixed Platform(s)12'IC Kn lu j .l�}eY \
Floating Platform(s) I
Finger pier(s) n 1'' :'f I S s J
j . i
Groin length �✓ i, i
number _ — -�;.._..._..._ / t� 1 _ —_. ....._.
I L !I't
Bulkhead/Riprap length j ` `.� }
avg distance offshore '.
— •
max distance offshore
Basin,channel ,,,��yy�� I� I
'
f
cubic yards f u1,61 I i"�- '� .
Boat ramp t,� J �� i 'j 2 St--I t -c`S i
i
Boathouse/Boatlift —=-----._._.._..... __.T.—�__,__t. . ._._.._..t..__.._......._.._..... ._.. ;_...._.....__..__..__.! —._._..{
I �
Beach Bulldozing 9`� ----// (� --- -.2�- i
Other(Z' 5' x IC P.�.G 1 �y1gLc V '� �•Si -,J V ~! I
Shoreline Length 1-75'1 � l'_ N I- , _
SAV: not sure yes no W\\! ., 4 tt _1 ` -- i41, �,i�Q —
_. .-__._..._. �l`tea- - .._..:.....t_}-NPx.QQ 4.�......-- ---- I .._ � - ---._— __...__ _t -
Moratorium: n/a yes �i`' i `CL i7 —_- i i _.,.-
Photos: yes o
Waiver Attached: ® no
L-or P,
A building permit may be required by: V L✓U LA 4(} L OU Vl4 y . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) I
Notes/Special Conditions L ✓J�
r /5 +1 Rai.. '\ )Ctl..--+ v44G, ._;., --t,-f-,e. 1��• 1 , \ 5 r�v.S"� 2G-7�
"MO' k• err ,v ce.rn9)y l✓i-�},^ i"'...v4- cll,0 /N/r. / ry11/Gh'r is Li5.100i '3 1 42
/75/2 '/ ,-,,,ram/i!
Agent or Applicant Printed Name PermitOfficec's Printed N /
,, `' '`
Signature **Please read compliance statement on back of permit** Signature'
?'d C-hk -1vZaO-c pi(1.G.y 2Z, - Lc I- ZoZo — Zb - ��1 - Zo2/
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 (252-946-648I) 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 252-946-6481
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

❑CAMA/ ❑DREDGE & FILL N9 77442 A ( C D
GENERAL PERMIT Previous permit#
��--= ['New ['Modification El 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 15A NCAC f "s - /L i- t •
E Rules attached.
Applicant Name Project Location: County r` ,- F i. f
Address ') L a 7 L 1.1`' ( - ; k ' t t Street Address/State Road/Lot#(s)
�' 1 .'A',•., Li-.
City ,.u i-,'\ w.� �-� State 1---N ZIP '`� 4�;L 1 -�-I r7 N���,.�
Phone# ( ) -7-Lj`I ' 77c/C E-Mail Subdivision
Authorized Agent i City n —'" '', ,i u e l ZIP
Affected ❑CW ❑EW DI PTA ❑ES ❑PTS Phone# ( ) River Basin
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity 11
,i; , , t ' T (Scale: - L )
Pier(dock)length ., i. \ ,
Fixed Platform(s) IE '' �'. - j \ 1
_ i
Floating Platform(s) �� I t l + -� 'r�
�
Fingerpier(s) 3 -,,t 1,-, I
Groin length I .f I 4
1 ,I A
number -...._---._... 1.._. -. ..... . _.�y f�. . ,y ,. }...__.. .. .._.- ._...------ -... ----
Bulkhead/Riprap length '—' I 1 -- — r 1111111 1 \I. - -- '�
avg distance offshore : I -,-4
max distance offshore i
Basin,channel 3,X h. >i t '
r t 4 •
i
cubic yards — , 'u�. - I 1 I 1 .
Boat ramp I ' , � 1 li ,..I `7 i 1 �`I' C
Boathouse/Boatlift — 4.__.._ .. -- ,y;._ ._- A µ" ❑— �, _ _
I LILt
Beach Bulldozing + _Cl - I
Other - 1 ,,, i ' cs. ...J
Shoreline Length Y 5 ti { �+ ;} t. ,,,+t i K . '; ;"1
ikt,
SAV: not sure yes no . _— _.... ' 1 I.-_-- ___ t —._.
Moratorium: n/a yes no \ f t
Photos: yes no I .1 ` I-._ck. ._.. + i__..j.._
Waiver Attached: yes no , I '
7
A building permit may be required by: . II See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ,
Notes/Special Conditions t
Agent or Applicant Printed Name Permit Officer's Printed Name
. .. .—.. :-'5
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 pplicable 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

ROY COOPER
Governor
MICHAEL S. REGAN
Secretnry
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Director
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico &
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 026.0233 & .0259.The
Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to $25,000 per day per violation.
i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way. This
drawing will be used to aid in compliance and monitoring efforts.
• Pre-project site conditions: W+ i S f aj . alwvl 171_
o. ry (s.
By your signature below you agree to be held responsible for meeting all of the conditions listed abo e an verify
that all information provided is complete and accurate.
Agent or Applicant Printed Name Permit Ctffice Signat r
/o — ZL — Zo Jo
Agent or Applicant Signature Issue Date
CAMA GENERAL PERMIT#: 73-141 t V
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington,NC 27889 1252-946-6481
Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

Authorized Agent Consent Afire m
egt
s 'herby atherize-cabin Jay TeLLterto$ of
(zroperh v%rne (s))TJ's Marine Construction,
LLC to act on
my behalf;P� sn obtaining CAMA Dermits for
the ic.eation listed below.
PROPERTY ADDRESS:
n
PROPERTY OWNER'S
Loc
81
Phone ' � �
77 VO
fa 3f3 o` $a
PROPERTY OWNER'S SIGNATURE:
AUTHORIZED AGENT SIGNATURE:
TOBIN TETTE TO
DATE: D - a 20_20
W/Authorized Agent Consent Agr
ee

1
A AGENT RIPA P P i T T NT
i hereby certify that I own property adjacent to i no t J)vit � V iLjf1
p 2_I 2 Su m e r� I� _64{�Q a Prope Owner)
aro a located at "(f �J'r _
;Address Algck,Ned,e
on AI'n 11 tO 1i Vt( , in n Glo b : N.C.
{Waterbed!) coityrrowli andlor County)
.. The appiie has oescribed to me, as shown below. the development proposed at the above I
Iocati n.
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) i
"1 i i.
e1 -- .ch e f
.!
}
_rufAIVER SECTION •
I understand ,hat 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 wi h to waive the setback, you must initial the appropriate blank below.)
__ do wish to waive the 15'setback reauireme; j V-Z2-ZO 1 I�(��
1 do not wish to waive the 1 5'setback reouiremen;. i
1
rop her information) — (Adjacent Property Owner Information))
tu. i 11100 .4•� • -z, .
�r$� I y i! WO
TjiIJwoI
Si era;ure`¢ 3
=girl or rpe Name ) D Print -dell
(�(,�i or Type Nam
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ADJACENT RIPARIAN PROPERTY OWNER STATEM NT
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I hereby certify that I own property adjacent to I i YV 1 M1 "W{D0 y.�0( 11. Iud
L"I Z S lUntr lel-uvit/ri (eat g¢ a Ownerrn NC'
grope located atL � S�.nil'jp
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- - The a iicant has described to me, as shown below, the development proposed at the above
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�iac_Rt I have no objection to this proposal
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Owner I have objections to this proposal.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual'proposingosir g development must fill in
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Adjacent WAIVER SEC 3 ICE€!
gro¢err; i understanc that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
r,••^ser mus. be set back a minimum distance of 15' from my area of riparian access unless waived b\'
:.-=v't te. f you wish to waive the setback, you must initial the appropriate blank below.)
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` I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
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new walkway 114)
using new Two Lift and twist jet ski lifts
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design
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C Notes. 1) Remove poles from east side of old platform to allow straight on boat entry ($100 each?)
2)Add poles to west side of platform, build new using square footage allowance from walkaround#1 ($19.50 sq ft plus cc
3) Demo out old boat lift, new poles and install neighbors lift($4800)
4) new poles and new jet ski lifts over new platform using sq footage allowance from old walkaround#2 ($4895 *2= $979(
5) two new poles for attachment of walkway to seawall (currently not done correctly) (cost per pole?)

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Beaufort County, NC GPI\:5694-71-4956 ZIP:47201 TOWNSHIP:05
GPINLON • PROP_DESC:2 LOTS 28,29 AND 4 FT MDL:5694191
j N 1:MILLWOOD TIMOTHY 0 0 SUMMER HAVEN PIN_I :04031304
Ditcelamer: AND_VAL:238687 DATE:5/29/2019
Beaufort County online map access is provided as a public service,as is,as • NAME2:MILLWOOD LAUREN C BLDG_VAL:262373 DB_PG:190/00679
available and without warranties,expressed or Implied.Contain published on
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legal record nor should it be substituted for the advise or services of industry - TAXABLE VA:501060 SALE PRICE:438000.00
professionals The County of Beaufort and the Website Provider disclaim all — SALE_
PRICE
responsibility
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user agrees that Beaufort County and in Assigns shall be held hamlets from all STATE:IN • PREV_ASSES:435454
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