85555D - Taylor

4.4°F`°"NI ICAMA F I DREDGE & FILL N9 85555 ABC D
3 E N E RA L PERMIT Previous permit -.
Date previous permit issued
n New Modification Complete Reissue Partial Reissue
As authorized by the State of Norh Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
ISA NCAC j !7/ 6 El Rules attached. 0 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name / r' )/ t l/ Ti. t t` W._ Authorized Agent :77r (! /" i! I'' t / : -`
Address :2� � / / �'r ''( �Ir Project Location(County): �r t--
City •//114" '//)�S v 1/' t State V•� ZIP 5 Street Address/State.Road/Lot#(s)
Phone#(cif) '77 '' ?-0 7` :' t,-it-1(' U-
Email Subdivision
City 1,-eA -/.... ZIP 7 ./,(-/ r..
Affected n CW f t EW PTA I I ES n PTS Adj.Wtr.Body 4' ( I.' 'f:/ 6r,/'�/ ' (n an unk)
AEC(s): n OEA n IHA n uw n SPIMA I I PWS Closest Maj.Wtr.Body .r/'!'x t, ` S.;
ORW:yes/no PNA:yes/no,..,)
Type of Project/Activity 1 lI} lrii \
(Scaler )
Shoreline Length
Access Length 1 4
' ''''70
Pier(dock)length I I
Fixed Platform(s) I
Floating Platform(s)
I -.
_
Finger pier(s)
Total Platform area
Groin length/0 e �t -r
Bulkhead/Riprap length ...... ..-_- .......
Avg distance offshore #' Z / -51
Breakwater/Sill !�
Max distance/length '
Basin,channel ,.(1`Sj
�o F fLE:i
Boat ramp ,_. 4< II,-
i
w Boathouse/Boatlift I
b f . r
Beach Bulldozing ;.�' ;
Other
I
✓ . I 4./
SAV observed: yes no f-_..___ _._ _ L
Moratorium: n/a yes ,- 'fib ` ` 9,--�7
_
Site Photos: yes no , T--_.—_.------ �_._�__._,_._
Riparian Waiver Attached: yes - no , ' I I . f
A building permit/zoning permit may be required by: 't1/ ,Z,( ��-774Z
n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
2/ f 1) 7' < 1Y L !T v /g?Vr f 4- (-,- ( ,c/ n See note on back regarding River Basin rules� Y
'` l/ / I . i //q !''!,/rG ,-. '•/lf" ) n
t/ ! See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
/rn.7" /, 2-i-2-2-
Ag or A plicant PPRINTED Name Permit Officer's PRINTED Name r,

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret,Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: MAR R 1 TipyC.o L
Mailing Address: 357(4 L (5Fo2D
cd-ort_orrEw;lit U/fl Zz0)03
Phone Number: SO4 - 3Z - gel u
Email Address: 1-f 4/-P2 L-o t 107-T, ` r
I certify that I have authorized 0414, 6-Ais 9Nci1
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at C) °I g GIf i, Avg, .T.),j il is 'rou t~1, NC. 40*
in f i JD r� 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:
fri
Sihnature /
Pint or Type Name
Ow ra,R-
Title
l i ?7 Ia)—
Date
This certification is valid through I_l

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to f r Prz Tt3 t L t
`� 's
ra (Ne o Property Owner
property located at 9 3 &A )
(Address; Lot, Block, Road,tc )on rti y y
:f , in ..TG r. r'�t=�i�,�i 1 , N.C.
(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)
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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjace ope Owner information)
Signature LJ k nature*
ti Poi T 'FL
Pent or Type N me Pant or Type Name
7j, 44 .vd
:? 11-4 /00o
Mailing�ddress • Mailin Address
C.�a/ c c. it 5 11)L ✓P 2 250 la f S.f-, L T E--4C �-� ( ZB q j
City/State/Zip City/StateiZ:p
F3to . 93r' 99f' q)9- z-)oyy. ,j_J t Lzz i 2 e 6,4,411_,cow.
Telephone Number/email address Telephone N mber/email address
//?6,/,> 01 ?iv Z 7
Date Date*
(Revised Aug. 2014)
Valid for one calendar year after signature*

-.....m...1..............
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
! , '
I hereby certify that I own ro
P Perty adjacent to A/7 114 -i
Property located at �� ame of Property Owner s
i ° I"SA) )
,� Address, Lot, Block, Road, etc.) V
-' (Waterbody) in ' , N.0
(C�ty/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the
location.
above
----- I have no objection to this proposal
have objections to this proposal
QESCRIPTION AND/OR DRAINING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
Dre ` 'n9 v r-KdRI JoAI' LI r1
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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adja t Property Own nformation)
If �__ � � C J �}
Signature Signature
Print or TypeName , Printf or Type Na e
357� Lnrrral e{�
C
tz . flc C'i. ,.,,,+t� A. Oi-
Mailing Address T Wig
cJ)pI L i vie , v'i . ZZ�a3 - ddress�H � ��t'�
City/State/Zip EV t ato p 3 R
Telephone Number/email address Telephone Number/e►rr !address
.you - 95i - q
Date l 26 /ZZ'z_ Date*
(Revised Aug. 2
'Valid for one calendar year after signature'

Check
Date Received Date Dope.hod Check From(Hann) Name of Permit Holder Vendor Cheek number amount Permit Number/Comments Receipt or Refund/Reallocate
Columnf Column2 Column3 Corumn4 Colima COMame Cokann7 Column Calm,n9
2/3/2022 Topsail Offshore,Inc. Mary Taylor Coastal Bank and Trust 1403 $ 200.00 GP#85555D JD rot.16809
2/3/2022 Washington Acres HOA same PNC Bank 1109 $ 200.00 GP#85473D JD rct.16556
2/3/2022 John C.McClure Alvin and Janice Johnson Twist 754 $ 400.00 GP#85505D BB rct.16983
2/3/2022 Logan Marine LLC Hartman BB&T 7828 $ 200.00 GP#85512D BB rct.16982
2/3/2022 Jason Hegge Godfrey Twist 1002 $ 200.00 GP#85510D BB rct.16979
2/3/2022 Jason Hegge Greene Twist 1003 $ 200.00 GP#855650 BB rct.16980
2/3/2022 Logan Marine,LLC Jeremy Haines BB&T 7799 $ 200.00 GP$854300 BB rct.16984
2/3/2022 Charles Fox Homes,LTD Bland BB&T 29037 $ 200.00 GP#855080 BB rot.16050
2/3/2022 AMW Docks&Marine Construction Watson Twist 7080 $ 200.00 GP#85434D BB r t.16981
2/3/2022 Rhonda McCall Francis Rev.Trust Bank of America 1134 $ 200.00 GP#855070 BB net.16978