27985_TAYLOR, RUDOLPH_20010512

CAMA and DREDGE AND FILL 27985
G E N E R A L
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City State
Project Location (County, State Road, Water Body, etc.)
Phone Number
Zip
i i V
Type of Project Activity } ;
PROJECT DESCRIPTION SKETCH
Pier (dock) Lengthil
rat
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F "
[
(SCALE:
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+H
Groin Length
number
Bulkhead Length
max. distance offshore
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to
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Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other—
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r
This permit is subject to compliance with this application, site drawing,1,,
and attached general and specific conditions. Any violation of these terms applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and �
may caur dour project is subject to 1e11�c )vivislon of permit officer's signature
This pert Water Quality Neuse River Buffer Rules due )le to the permit of-
ficer wh( to its location within the Neuse River Basin. The applicant certi-
fies by si Please contact Deborah Sawyer at istent with the local issuing date expiration date
land use 252-946-6481 ritten statement has
been ob... certifying that they
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee

RUDOLPH TAYLOR 1283
194 SANDY RD
BEAUFORT, NC 28516 6&152/531
DATE
PAY TO THE
/
ORDERER OF OF �y
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a;7e- �� 0 v DOLLARS }
_ A�VIA V
Wachovla sank, N.A.
Beaufort, NC 29516
FOR—
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1:0531015291: 5460 1 47 ii' 1 3
1

ADJACENT RIPARIAN PROPERTY OWNER STATEM -NT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to X16f dol /Q 's
(Name of Property vner)
property located at
/v/
Block, Road, etc.)
on C/u0 �`Dd� �'/2�/� , in (fccT /� , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.. I understand that a pier/mooring
pilings/boadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I d4 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Date: i CIO l

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
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l
I hereby certify that I own property adjacent to Aladolm /Q 's
(Name of Property ner)
property located at
/0 /
Block, Road, etc.)
on C4 1Ddl C2-el✓ , in Q C/ld vcCGc'( / � , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
V I do not wish to waive the setback requirement.
I dg wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Del Print or Type Name
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Telephone Number
Date: 'c u ¢ 2,00

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