14835_TAYLOR, S.N._19950918

CAMA AND DREDGE AND FILL 14-35 ,C
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC ��`+'�• �1`�?�%
Applicant Name a• A/ le;v l� ' !`�' C c�• /
X Phone Number
Address . X 4e r. p '4..
City Ake'l .2e r,,,i State
Project Location (County, State Road, Water Body, etc.)-
i 4 �si•a �flfe
Type of Project Activity
Zip
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PROJECT DESCRIPTION SKETCH (SCALE:1J�/ )
Pier (dock) length
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Groin length J 1>
f
number
Bulkhead length
+
max. distance offshore
Basin, channel dimensions
cubic yards
k
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Boat ramp dimensions`
Other
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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,
imprisonment or civil action; and may cause the permit to be-
come 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) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
op
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applicant's signature
permit officer's signature
issuing date expiration date
attachments Z7,) ! W. / 9 (" i)
application fee + yrd T /
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SAMUEL N. TAYLOR NCDL 978840 _
VIRGINIA B. TAYLOR
- - 66-152/531 CC -
439 RIVERSIDE DR 638-1824 —
_-08�1--_--
NEW BERN, NC 28560 _ - -- - —
Pay To The
OrderO �.
-- _. - -
= Dollars. _
Wachovi Bank of North Carolina, N.A.New Bc i�60
Memo - - -
':0531015291: _ -
580 L S 20 9 7 21i'

POBOX 776 H COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 28515
(9.19) 745-3861
(After this form is completed by the landowner proposing the project,
a copy is given to his/her adjacent landowners for their consent and
signatures. The corms are then returned, along with a building plan
and other applicable required information, to the Building inspections,
Office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPNO
i
x I hereby certify that 1 own property adjacent to r
/x V c
Is on /�e[/Se-
Name of landowner proposing development body of water '
in/near_ 'd ioo V
Lot;6 of klge
community Subdivision, if applicable
Tax Parcel # off SR _ . Complete description of how to
locate this property: -'13 % R1
The proposed project, a l-e 7 7 1e- , and the location has been
described to me as shown in the drawing below and I have no objections
to the proposal.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I wish to waive the 15' minimum setback from my riparian access.
I DO NOT wish to waive the 15, minimum setback requirement.
•t�,t*�*,r�**t**+t�**,►t�►******trr,r****r►,r*+t*�•***��t*�**+ttf**r**���t:�r�*�,��:
Draw the proposed structure in the space provided below. List the size
Of the structure and measured distances from the adjacent property
lines, other structures on the property, and the road, water, etc.
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DateG% f.11_95 Signature

c)�Av�y
POBOX 776 PAMt4:t* COUNTY BUILDING INSPECTIONS BAYBOKO, N.C. 28515
(9.19) 745-8861
(After this form is completed by the landowner proposing the project,
a copy is given to his/her adjacent landowners for their consent and
signatures. The forms are then returned, along with a building plan
and other applicable required information, to Ye Building Inspections'
Office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPNO
I hereby certify that 1 own property adjacent to
Name of landowner proposing development body of water
in/near_/_QRI'Va 'v Lot#2L of � J!16;p /ler.,)
community Subdivision, if applicable
Tax Parcel # ,,off SR Complete description of how to
locate this property:
The proposed project, a _ �� , and the location has been
described to me as shown in the drawing below and I have no objections
to the proposal.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I wish to waive the 15' minimum setback from my riparian access.
i DO NOT wish to waive the 15, minimum setback requirement.
***�**t�►�**,e,r+r,r***���*#*,r*��rr*,r**+►,r***arst**sa*�r�***+t:*r*��r#:�+r***,r,r�**
Draw the proposed structure in the space provided below. List the size
of the structure and measured distances from the adjacent property
lines, other structures on the property, and the road, water, etc.
0"r: 0a�ie
T / e, B LJ I')- ,U 2 � TI-If sX
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