Taylors Creek S/D Community Pier 88389C

'°"Co Su' N❑CAMA ❑ DREDGE & FILL, N9 88389,) B C D
a Previous permit L% % if 1
a . GENERAL PERMIT Date previous permit issued l
F-INew [-]Modification ❑ Complete Reissue ❑ Partial Reissue
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 ❑ Rules attached. General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArulm
Applicant Name
Address
City State ZIP
Phone #
Email
Authorized Agent
Project Location (County).
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ E W ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/ho i PNA: yes/no
Type of Project/ Activity
®::
■■:.
®G�:
CCCD
■::CCDDD
D1
0
so
IN
0
MINIMUM
ON
D.�:.11
::OC::■:ACD�:
DD�D
D
moms
ENMM.
�■1,11D�
DLOINO
DD1D
N�■■N
■■�■■■■■■■■■
mom
■■■
l�\\l■om
V
Lillis
FA
0
O'LLLLL
'NMI
I
211111
kil
ColillsNE's
M11MMMMM1M1
on
mom
�1
�®■■��■■■■i���iii
■■
\
EMBER
■
I,I
i,■lo
■a■n
oi
■■m%mmm.
on
�Oro,0uI■■
UN
■
■
1 Y
A building permit/zoning permit maybe required by:
Permit Conditions
❑ TAR/PAM/NEUSE/B41fFER (circle one)
❑ See note on back regarding River Basin rules
❑ 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)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
G��
Signature "Please read compliance statement on back of permit**_ Lg
Application Feels) Check q/Money Order
SignettIre
Issuing Date Expiration Date

It'Aco r,V&FICAMA [I DREDGE & FILL N9 88389 A B C D
mit
GENERAL PERMIT otepre io spermitissued
❑New ❑Modification El Complete Reissue ❑Partial Reissue
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 I ❑ Rules attached. ❑ General Permit Rules available at the following link: w%vw.deq.nc.gov/CAMArules
Applicant Name i i Authorized Agent
Address Project Location (County):
City State ZIP ,./ Street Address/State Road/Lot#(s)
Phone#( ()
Email
City
Affected ❑CW.EW
©PTA
DES
❑pTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA
❑ IHA
❑ UW
❑ SPIMA
❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: )
anoh
Access Length
Pier (dock) length_
Fixed Platform(s)
11001111111111111111
■■■■
■■■
■■■■
lsommomm
v
■■■
■
■■
IN
■�
■
�
EN:;�iio
i103n■.■■■■■■
Floating Platform(s)
ONE
..■■■
mom
.■iii:C::1ON
Finger pler(s)
�6�:::::��BE:88�:c��.��.
®m
Total Platform area
■.■��Essomom
MIM
■Ml�..000�C..C��.
®.
®
■....
Mani
■■.■
IMM�;;;;.�®;N
MEN
■�i■
®�l■��
■1
■0I
CCM■■.
®
■■�..
®��
�r
i■■
■
Mi■M�i■
M
NM
■.■MM
NMI,
i
■
";M
i;;iMa�i.
_
M1�■;ES�I®dal
..,
.Moratorium: n/a yes no
Photos: yes no
Rioarian Waiver Attached: �Ves no
MMi
iM■i■lii
MML
�iMMMr���Ma!
CMi
■
�
�
i�wIN
iiiuiMAINilte
�
ior.M
i
A building permit/zoning permit may be required by:
Permit Conditions
❑TAR/PAM/NEUS BU FER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLYTO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name - Permit Officer's PRJNTED Name
Signature Please read compliance statement on back of permit", 13
Signa[ re /,
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT CERTIFIED MAIL �ARETURN R CEIPT REQUESTED or N PROPERTY OWNER I HAND DELIVERY
M
(Top .\portion to be completed by owner or their agent)
Name of Property Owner: 1�� 1 � -Ac-t C
Address of Property:
Mailing Address)I of Owner:
Owner's email:!JcyzGYls iL —(we
Agent's Name:
Agent's Email:
e
LOM �Q
( S'(Y1 a
Phone#:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent PrPPBCW Owner)
I hereby certify that I own property adjacentto the above referenced property. The individual applying for this
Dermit has described to me, as shown on the attached drawing, the development they are proposing. @
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must norny me rv.L.. urvramn u, a vaatai
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notlrled by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, Ilk or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback; you must skin
the appropriate blank below.)
I DO wish to waive some/all of the 16 setbaclk-,�QA���
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TypedlPrinted name of ARPO:
Mailing Address of ARPO: i'A �c <`) i�G t/ I'� 1�rt�inil
ARPO's email: ARPO's Phone#: j
Date: *waiver is valid for up to one year from ARPO's Signature*
Rerrfged dGn�r�2229
MAR 0 8 2022
DCM-MHD CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTtFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top
Name of Property Owner:
Address of Property:
Mailing Address of Owner:
Owner's email: )
Agent's Name:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certifythat I own property adjacentto the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
to be completed by owner or their agent)
L-021 r I jt� /-\ (?K. F K4
A-q Lu2�
s Phone#: S��"� Rio T q (S
Agent Phone#:
✓ 1 DO NOT have objections to this proposal. I DO have objections to this proposal.
ff you have objections to what Is befog proposed, you must nofify fhe N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28587. DCM representatives can also be contacted
at [phone]. No response Is considered the same as no objection N you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lit, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (if you wish toi naive the setback, you must sign
the appropriate blank below.) ^ n
I DO wish to waive somelall of the 16 setback
,,��
sign�atui'e ofAdjacent Alparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO:
Mailing Address ofARPO: ICS �7�•c ` ! C�• Y�zcc t (tiY, ZZ,
�r
ARPO's email: ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
RECEIVED
MAR © 8 2022
DCM-MHD CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
Mailing Address of Owner:
II
Owner'semail: �(Lic�kS1A( 06PU(d Owners
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacentto the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you musr norny me rv.L,. u,v a,u„ U, ...o�.a,
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection M you have been notifred by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive somelall of the 16 setback
Signature of Adjacent Riparian
N2
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address ofARPO. � � �LNJ J,
ARPO's email: ARPO's Phone#:
Date: *waiver Is valid for up to one year from ARPO's Signature*
Rav/aed May 2021
RECEIVED
MAR t) 8 2022
DCM-MHD CITY

Ow,
I
RECEIVED
MAR 0 S 2022
DCM-MHD CITY

AMA / ❑DREDGE tment
I V 9 78291 A B D
ENERAL T Previous permitew ^❑ModificationReftvag" ❑Partial Reissue Dateprevious permit issuedAs authorized by the State of North Caroof Environmental Quality
and the Coastal Resources Commission In an area of environmental concern pursuant to 15A NCAC �I� ���
Applicant Nam �__. i t Project Location; County_ - U Y
Address '�'f _ _ treat Address/ State Road/ Lot #(a) �tnam",,n
City State IP Wttk
G,6di.Adn,. nnr /
Phone #
ail
Authorized /jgent
Affected ��p/y�w
EW PTA
tHF V
❑ES OPTS
" "�`
0USA ❑WA
AEC(s):
DPW
ORW: yes /
PNA yes /
Type of Project/ Activity
Pier(dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier($)=
Groin length^
Bulkhead/ Ripmp length
avg distance offshore�
max distance offshore_"'`
Basin, channel ._
Boat ramp
Shoreline Length _{..`�.�'__-P'
SAV; notsure yes o VIL
�Moratorium: n/a yes TPhotos: yas Waiver Attached: yes .
A building permit may be required by:
( Note Local Planningjurisdictlon) �t
Noted Special Conditions
tignatuoem"
aser complL
Application Fee(s)
1_i.1..^r,.
(Scale:
❑ See note on back regarding River
d e