16948_TAYLOR, ROBERT D_19961119

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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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
Applicant Name Phone Number
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead -length
max, distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State Zip
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fill
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4117
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This permit is subject to compliance with this application, site �-
drawing and attached general and specific conditions. Any y
violation of these terms may subject the permittee to a fine, """`?
applicant's signature
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's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-� " 1 ,- `J
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no attachments L,?W. /2ou
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 application fee J�" �,cr 2
Management Program.

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MR. OR MRS. ROBERT D. TAYLOR 10-70 6 6 21
DL 648213 PH 919-729-2871
CHURCH RD
P O BOX 62 66-30/531
MARSHALLB NC 28553 / 19
Pay
Order
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�Ibllars
T CITIZENS ppa Sep 1 0 ��$�
17 A N K B Cl Il N Bonk B Irwl Company
K-�•1 Booulo4 NC Bank
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I�own
' property adjacent to
PIO&EWT ---Is property located at
.. i c�aunR ttl.� aaCpp>Ber�X vw,ea�.� 1
(Lot, Block, Road, etc.) r�
on r'�Ri4 GffiS (�� OA:Vf-F (i)A-/ , in C-k*&)l r CqR E r N.C.
(Waterbody) (Town and/or County)
fie has described to me, as shown below, the development he is
proposing at that location, and, I have no objections to his
proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED
(To be filled in by individual proposin
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S gnature
Print or Type Name
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Telephone Number
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent, to
D (,q xLot4� 's property located at
(Name of Property Owner)
(Lot, Block, Road, etc.)
on , in �wt ail , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Pock
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Signature
Print or Type Name
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Telephone Number