53103D - Taylor

eAMA / rt'DREDGE & FILL
IENERAL PERMIT Previous permit#
New _!Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC I{..\ .1\3t) 7 -} . 17=
CI.Rules attached.
Name m lc 1-tiltl,tl 1) i 1 Pr�we. Project Location: County p�,,� t ,,'3
q9-7 I2,` . -ro .,•— e p. 3 Street Address/State Road/Lot#(s)
N5A t2ohoPc State m y ZIP Z 1127 Z(j lq- - P[L A Crtri De
(L 10) `Jcl 1 1, 0-Fax#( ) Subdivision
ad Agent City O(v isSA —O ZIP G
Cw EW .ETA ,( S ❑PTS Phone# ( ) River Basin GQw(
-oEA -HHF ❑IH ❑UBA ❑N/A 4.*
Adj.Wtr. Body
PWS: ❑FC:
ies /) PNA es / no Crit.Hab. yes / no Closest Maj.Wtr. Body A 1 W W
Project/Activity 2 1VAC y.. Cv 1 iJ,/l..) 11 ( t:f l ear_ `T R-)- 00vJtJ
(Scale: ('( — ;
k)length Cif
;s) 12' ( —t wN (0)44E1:0 411 I { _ ,Si g.S 1 `
j V
igth i_ ---------- _ 4
nber — — — — i Of14' L
I/Riprap length 4 �
1 } ; { i isA :1_, S-P l4r_
distance offshore Of �� � (
(distance offshore �} l a
T Y
annel — i --1 — i — 1-
( I 2ge f a' r • 1 Xt L1tx .P `
is yards -
e/Boatlih —
dldozing _ 2 5 A i �' C.
fra
ITN — —
/e'
Length '1,-'1,- >`.
i
r
not sure yes ey
{ i
not sure yes /fci Y`
1
tVr$
urn: n/a yes I
yes o , ► -
stached: yes o i
ig permit may be required by: oa 1(_ j4,l, , . See note on back regarding River Basin ru
Special Conditions ALL. ( C�NfCTI -U t "7 . 11C)�� -114 . 12.DO, Lc eAL, STrt , AI er�T9Z r

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of Individual Applying For Permit: _ ) T h//Q r-
:ss of Property: �ri4/
(Lot or Street #, Street or Road)
OQ k Aercik'c` .z.)cFv-
(City and County)
Eby certify that I own property adjacent to the above-referenced property. The ins
.ing for this permit has described to me as shown on the attached drawing.the developer
roposing. A description or drawing, with dimensions, should be provided with this 1
I have no objections to this proposal.
)u have objections to what is being proposed, please write the Division of
.agement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-7
in 10 days of receipt of this notice. No response is considered the same as no obj
have been notified by Certified Mail.
WAIVER SECTION
derstand that a pier, dock, mooring pilings,breakwater, boat house or boat lift mi
a minimum distance of 15' from my area of riparian access - unless waived by mi
h to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
•
rn Name Date

of Individual Applying For Permit: /VW qP l 7 y/vr-
:ss of Property: 79/z/ i Pc%r,a,„
(Lot or Street #, Street or Road)
(City and County)
tby certify that I own property adjacent to the above-referenced property. The in
ring for this permit has described to me as shown on the attached drawing the developn
roposing. A description or drawing, with dimensions, should be provided with this
I have no objections to this proposal.
Du have objections to what is being proposed, please write the Division of
Lagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-i
,in 10 days of receipt of this notice. No response is considered the same as no obj
have been notified by Certified Mail.
WAIVER SECTION
derstand that a pier, dock,mooring pilings, breakwater, boat house or boat lift m
a minimum distance of 15' from my area of riparian access - unless waived by m
h to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to Waive the 15' setback requirement.
(‘) � o
rn d Db.te
�„ CC C n

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Iichael F. Easley, Governor James H. Gregson, Director William G. Ro
Authorized Agent Consent Agreement
5►'lc��c I Me e'n.c Cc 4( r- �-,— is hereby authorized to act on r
(Printed Name of Agent)
rder to obtain any CAMA permit(s) required for the property listed below. The authorization is lin
cific activities described in the attached sketch.
CATION OF PROJECT:
-99i / E. Pe-)icr n
;OPERTY OWNER MAILING ADDRESS:
q9 7 Pe4b/c 5Ic c /cd
P454 dent iatt 0. 02//c
PHONE NO. 4'/O -57/ - 939 7
JTHORIZED AGENT MAILING ADDRESS:
Pr . 13o c in (o7/
5 nu flntb o2y I
PHONE NO. C/lU`fty5-
gnature of Property Owner: