53004_TAYLOR, WILLIAM II_20081104

❑CAMA / El DREDGE &FILL ��^r\nn
GENERAL PERMIT Previous permit #
IONew ❑Modification (❑Complete Reissue El Partial Reissue Date previous permit issued j
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 15A NCAC
❑ Rules attached.
Applicant Name
Address
City l ;_ ', _ State._ ZIP } :' C
Phone # (_ ) J(;c Fax # O '
Authorized Agent
CW DEW D.PTA" ❑ ES ❑ PTS
Affected AEC(s): ElOEA ❑ HHF ❑ IH ❑ UBA [I NIA
❑1 PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s) l
Subdivision
City ti ZIP
Phone # ( ) River Basin
Adj. Wtr. Body ;-� (nat /friars /unkn)
Closest Maj. Wtr. BodyT� �-
Type of Project/ Activity
(Scale: LIT( )
Pier (dock) length
Platform(s)
Finger
Groinlength
number
Agent or Applicant Printed Nam
77
Signature Please read compliance statement on back of permit
ApplicationCheck #
Permit Officers Signature
Issty'ag ate Exp(ra`tionD e `
Local Planh ng urisdiction over Fire Na e

{
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 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 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
❑ Other:
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 Quality. Contact the Division of Water Quality 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
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to !�l/ ✓ l -+t ✓-�' / �r - "s
(Name of Property O ner)
property located at
(Lot, Block, Road, etc.)
on J� rT' _� �-ei- ��t st , in N.C.
(Waterbody) (Town "d/or County)
Applicant's phone #:
Mailing Address:
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 / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
-----------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
.— .2 0�' —� (2), Nt w Tet SlC: L; 45
�/�iJur� SGU�YL1�
, 1— r�-
J a
ao�t
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(Information for Property Owner Applying
for Permit) ,s
Mailing Address -_116C .1gnature
1741 c 7,
City/State/Zip Print or Type Name
aSz-3�3^772
Telep e ber Telephone Number
3�
v
(Riparian Property Owner Information)
Signature Date Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to , e 's
(Name of Proper Owner)
property located at
(Lot, Block, Road, etc.)
on , in AIZ44J Porn , N.C.
(Waterbody) (Town and/or County)
Applicant's phone 5-:2-1—/000 Mailing Address: 5 Y'l764n 6 re2h s�,A
�� ,hs7 l�-. /V e. -. SSa
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 / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing developme
)Uy, u) ���' SIC; URs
-------------------
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telepho e umber
Signature Date
ti
(Riparian Property Owner Information)
Signature
Print or Type Name
Telephone Number
Date
,A

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WILLIAM B TAYLOR 11 NEW=
6604
CHRISTINE H TAYLOR
524 JOHN GREEN SMITH RD 66-112/531
KINSTON, NC 28504-7035 0
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BRANCH BANKING AND TRUST COMPANY
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