52446D - Taylor

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g_1CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
1INew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources j
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC aO
Rules attached.
nt Name Nar1{�ti ('Y1td Kai fill 1 mf b✓.JY Project Location: County NQ1 i aotv(Y
S 3LN 5 Fa St)4 C 4' SF. - N V Street Address/State Road/Lot#(s) 1+k C I G
1ShI( -h41 State L.C. ZIP ACLi(;I LA fi'\A `:i 11\1L1 I-jack- Kt ad
00031 955 - 133c Fax#( ) Subdivision VYf b I yli" I(�1Avvi
1`
zed Agent Lew IS Cf,y k ,. ' t'1(idi City ‘r'J 14111 09 h ZIP
d ❑CW ❑EW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin
I: OEA ,0HHF 0IH CUBA ❑N/A Body A-�Iah#�C OCPQr1
❑ PWS: ❑FC: Adj.Wtr. [ lJ �o nn,
yes / no PNA yes / no Crit.Hab. yes no Closest Maj.Wtr. Body f\-41a(-►c t` e n
)f Project/'Activity `US�1i d VeO(l i L1IIdc � je4YC ii- 05 -Fj (.d P c
1C ,,(1tidf Gt x1 -h,lC SC.V1CIb y
(Scale: 1''2
ock)length _
m(s) - SE �Of\(N1'S
pier(s)
Z I' Utlil CIS r11a- C }\,LW
ength v { PM
_ _
umber "sic. Y 1 a p ornL Ol.IA A
ad/Riprap length / sj /1
✓g distance offshore _ t
iax distance offshore C- ^�- --/ — __}� j '
:hannel ii.;'
s- _—___—_--I--•---_A"---t
ibicyards I or QM AY(q. i
use/Boatlift mil( �' T���
1 'AMU (Mann
Bulldozing 46 A►V & -4? ��� SI V4 /Ir �. ,.. ,
_ i fAvedI /
AYeG YFSItticl W/ fill
•34I1X a 1')t R4t1160N) P---...._ �� � � �'
_ �- - ` � —
ne Length I S' i is / .O
+IIIiA1�IM/1 US t
not sure yes (� ` yiiti1111i(i11Ti1fllhIIJI tAI .... 1
� ,
gs: not sure [ no Z VI_ I i
rium: n/a yes no 4.41...................7.T..7
i Ij 1
—� 4 tW5 Attached: yes o 1.
ling permit may be required by: NFw a kit,VI'✓CC V11(41uu11 . `1 ,. See note on back .I
back regardingl River Basin i
... .� n. k/..1. l II "irnn K1n L.1l 1-,.. Lie ,A1Apt,1 in cnr\,41„n n L.. IU -. 1 ,, /i..,,

7 08 11 : 03a Ralph C. Talor [phone] p. 1
Aliir?rasaA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor James H.Gregson, Director William G.Ross Jr.,Secretary
Date l U l DO
Name of Property Owner Applying for Permit:
/�.IANC y y 4.X 7;74r
Mailing Address:
34Z5 Prospec? SI. NUJ
tNRS N 10.5 4 P) O). ZOOC)7
H
I certify that I have authorized (agent) LAW/5 (.OVPJ ey �inlG h to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) Cl N)' /?ePANrY Op PePl'9C,1QNrs ties&del,
at(my property located at) T '9' 5 ZNIe T /a 0ae f ICi 9vlve_ E ,L..714 4?
This certification is valid thru (date) /° 3 i/ 0 , .
r
ild ,,....___ , /
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