13069_HOWLAND ROCK PROPERTY OWNERS ASSOC._19940513

CAMA AND DREDGE AND FILL
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
Applicant Name
4 Phone Number
Address
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City i State
Zip
Project Location (County,
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Ty�p%f_Project Activity
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PROJECT DESCRIPTION
SKETCHf�r }
(SCALE:
Pier (dock) length
Groin length
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number
Bulkhead length
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max. distance offshore
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Basin, channel dimensions
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cubic yards.--y--,
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Boat ramp dimensions
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Other
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.
0in
applicant certifies by signing this permit that 1) this pro-
fs consistent with the local land use plan and all local
ances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
applicant's signature
permit officer's signature
issuing date expiration date
c' r' tr
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

TAYLOR BROS. MARINE CONSTRUCTION, INC.
PH. [phone]
Rl" 1 BOX 428
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66-301531
BEAUFORT, NC 28516
PAY 19—/
TO THEj
ORDER OF r_ (! /y I s
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FIRST CITIZENS 005 ��_ 13oL l
BANKj�j�[ Boulo , N Bony ► Lwl Canpan
Dral�ai Baaul�4%HC 78510
FOR �� �-R%4� x cK
11'0000 L L80ll' I:0 5 3 L00 3001:00 5 2 2 79
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DOLLARS

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Taylor faros. Marine Construction, Inc.
Marine Engineering & Construction
P.O. Box 837
Beaufort, N.C. 28516
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-716 3' P
-03
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Phone
1-919-728-2525
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_ADJACENT RIPARIAN PROPERTY OWNER STATMaNT
(FOR A PIER)
I hereby certify that -I own property adjacent to
Jam, � J) AA l%)C /(. 4 l cAqa7�° /I [)_ e S �ISSdC 1 _' s property
` Name G
located at fob 3 / , on
(Lot, Block, Road, etc.)
in , N.C.
(Water Body) (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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
r
I do wish to waive that setback requirement.
Description and/or drawing'of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
Signature i
Name
Phone Number

r nm Or —F � n
1 CPO:
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at
as
jocaticn ana have no awfactions to its
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£,. , teat j1V MOM my area o r1pavian i.c u,a .', ;
wless waived by mo,
- ,. do wish to waive tvat setback requirement.
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