41489D - Taylor

LAMA/ DREDGE & FILL N.? 4
IEN ERAL PERMIT Previous permit#
lCJew _1Modification 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 7 t • (c)
II&RGIes attached.
:Name S A E ' .RE yN o Ia$ TDh'f/o 2 Project Location: County ; -��,�CAS.
S P c Street Address/State Road/Lot#(s) ,•. S w o R
141N, 3 FW F( State NC ZIP .k'/G )
('//t+)%t/(. IY 7(, Fax#( ) Subdivision I_
:d Agent C t y� !(I4t i r City ,"N/L (L ZIP t/
C••CW W Q4TA C ES ❑PTS Phone# ( ) River Basin i vyh 6r
❑OEA ❑HHF ❑IH =UBA N/A
Adj.Wtr. Body ( ,i,SI/ p c F /FT0,1 (nat
❑ PWS: ❑FC:
fes /( PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body /42-14/w
Project/Activity
(Scale: /'=j
:k)length 4„ //,
(s) p
er(s) f` (\ M�
igth
iber
/Riprap length <�"
distance offshore �' a
distance offshore
1 Jo
annel f<sf
is yards e 0
P — �
oatlift I J i�L
6'
Ildozing 11,
L'"/o41 /0 ')06
Length u
not sure yes (1,25))
f
not sure yes n
im: n/a yes
yes / 3 S ofioi %1---
ttached: yes no
g permit may be required by: 14 I -eA{ __See note on back regarding River Basin ru

Message Confirmation Report JUN-15-2005 11:10 AM WED
Fax Number
Name
lame/Number 98429315
'age 2
;tart Time JUN-15-2005 11:10AM WED
:lapsed Tine 00'20"
lode STD ECM
tesults [0.1c]
State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Michael F. Easley,Governor William G. Ross Jr.,Secretary
FAX COVER SHEET
Date: (o f lry.s No.Of Pages: /
To: 12ti.��z I�o(G.) From: 73w k%-4�I�..
CO: ow J a - , (d-,_ CO: Nc ri E,✓A— .DEN
FAX#: 9/o- iVL.-9. it FAX#: [phone]
REMARKS:
127 Cardinal Drive Extension.Wilmington,N.C.204054946 Telephone[phone] Fax[phone]
An Equal Opportunity Affirmative Action Employer

State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Michael F. Easley, Governor William G. Ross Jr., Secret
FAX COVER SHEET
Date: /rs/oi No. Of Pages:
To: LL)-c+er3 From: 13e-✓
CO: law 0 k- CO: tic_ 6 ,1 —
FAX #: 9/o - YiLL-93i,r FAX#: [phone]
REMARKS:
�A-- le__
127 Cardinal Drive Extension,Wilmington,N.C.28405-3845 Telephone[phone] Fax[phone]
An Equal Opportunity Affirmative Action Employer

04 05 02: 13p Mark Ousle3 Insurance Age 8434972644 p. 2
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105 02: 13p ' Mark ousley Insurance Rep 8434972644 p. 1
15 2005 4:03PM HP LASERJET 3330 P.2
11NDY OUEROCKER FAX NO. :9188464969 Apr. 14 2a65 11:57AM P1
ptVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAI TER FORM
\fame of Individual Applying For Permit: 51-frfnale. Th'.jLae_
Address of Property: 125 SWoRoF IS N DRt j : ,
(Lot or Street#,Street or Road)
l40t.Df '15FACI+ g12l4/1,OJ1al<
(City and County)
I hereby certify that I own property adjacent to the above-referenced proper y. The individual
applying for this permit has described to me as shown on the attached drawing th:development they
ire proposing. A description or drawing,with dimensions,should be providec with this I er,
]have no objections to this proposal.
14 el)
If you have objections to what is being proposed, please write the Di vision o_ Coastal
Management, 127 Ritual Drive Extension,Wilmington,NC 28405 or :all 910-S95-3900
within 10 days of receiptofthis notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
. WAIVER SECTION •
i understand that a pier,dock,mooring pilings,breakwater,boat house or I:oat lift must be set
lck a minimum distance of 15'from my area of riparian access-unless wai ied by me. (If you
wish 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.
E7 8vvnrv{d-zult+'Y 'f•1 S.zraoS /.?7
sign Name Date
SrAme:. YAywte _ _ A rA
'tint Name
...z..._____=.3,.....
Qt°-54q'3"c° NCDENR
Telephone Number with Area Code,
.15-2005 15:49 P.02

Pay to the e &IPay � I� I $ 1:909.
iho AG t � '/ 1 Dollars 8
Bank of America
Bank of America Advantage®
ACH R/T 053000196
F46/1 ' *I'C't)"' .6 4# 7)16/a. Ouv,,,,Ebi) fir
1:0 5 3000 9 61: 000 6 50 L 48 4 6 411' 30 20