18214D - Taylor

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CAMA AND DREDGE AND FILL
GENERAL Ns 018214-7)
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7 /zao
Applicant Name -Till i e Mii L 62 Phone Number(') GZ 74-,T Z
Address /2a /l'Aa/N ez S C/9/
City 20 CX), f o'-d State /V C Zip 2 8 'f7
Project Location (County, State Road, Water Body,etc.)___e*"^'c/ 4 c, .,/j - / ?/ /-"i171 "'"-ri C'y
/Gee/ f -' 1 A/ c 28YX7
Type of Project Activity 11/4'w pi e , (4,ck / ?Cia.091,f (4c1< e 4,i9 f L,Pi-- 6C n v e,e pp)
PROJECT DESCRIPTION SKETCH Af �;fi?� r��,2 R1 vP� (SCALE:No71 re) )
Pier(dock) length /tl X S`
Groin length
number
Bulkhead length
max.distance offshore ( I6 I }
F1ogf /U'
Basin,channel dimensions 4,
Rel-,p
cubic yards boo f U
/)t45e i t 20
Boat ramp dimensions t
Other�A k 1-1�J�U ��~
14' xao ' /2( T.
rb,
no,,, • ,, ,, i
r,xe d /6'.‹ Zo'
(Jy ' f5 r7P9N 115h iv al,„_
This permit is subject to compliance with this application, site A
C drawing and attached general and specific conditions. Any 4, ,.... 4)
violation of these terms may subject the permittee to a fine, • nt's signatur
imprisonment or civil action; and may cause the permit to be-
come null and void. PI 'r1
This permit must be on the project site and accessible to the 1 permit officer's signatur
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- i�". 9/ /5S� 7ilL• 9/ f F9 F
ject is consistent with the local land use plan and all local issuing date expiration dat
ordinances, and 2) a written statement has been obtained from •4
adjacent riparian landowners certifying that they have no 'I/ ) O9
objections to the proposed work. attachments
-A fi() _ v

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 1k1\ I b r'
ADDITIONAL NAMES: 16 CI 440 —Lehi 10 (-
AEC DESIG: P DEVELOP AREA: .O i PROJ DESC:
(Wi l only take 6) —--
(Will only take 1)
WORK: aS X ILA TG 02Of X I (o '
(WIl' only take 4)
�'� ► c� x i(� p � s x iCe,
MAINT:
(Will only take 4)
IMP: (Q W 80 () (,i) 3 a O
(will only take 6)
caw Ito O (kJ 60
ACTION EXPIRATION
CAMA MAJOR DEVEL REQUIRED:

ADJACENT RIPARIAN PROPERTY 0 DP STATEMENT
I hereby certify that I own property adjacent to /i',rlin) ,vh.f . rq �,� 's
(Name of Property Owner)
property located at /7o r?Ae i,e,g/ts
(Lot, Block, Road, etc.)
on A , l. ['AOE F1AA , in 'feel, Po,Nr- , 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)
Ft.041 tet%6 Dock I�
90
604-> k. Kr fl&D 1 AA,I P
(,)fLk. 005- COOfteED RvOF �r s o
a l.lf"r ,
if <-4
Qt.L C0,415fkuc.T/na
Jg& R-fi EA-3 r i5' Fter
Raqr fkoi, 14oD,ERpi LICE �o "
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Signature
/ u14t11 14 ' 3.EikTot f
Print or Type Name
o — ro 5 — 9)024
Telephone Number
Date: krAzoil 22 1199(6

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
•
I hereby certify that I own property adjacent to Rirca:J 4 'F T4yto,e 's
(Name of Property Owner)
property located at lbn 4A-4RI N tS ('A y
(Lot, Block, Road, etc.)
on l✓. 6. (4PE F6-,42 , in ,(oc,� Oar , N.C.
(Waterbody) (Town and/or Count)
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)
fco1iiNt. DCa
110
)6QAT 1-fir f.N�) T liAAP
- 010,1- A-✓E CeVEAEJ jtQoF 1 .2o
SIFT
, �'� //v
co 00,144 rro, i &/L� w4ra
fl'r 1.E45( is RE6r
wAy /Roy"- PkeY/fi y kila 6-0
Sign ure
L/r11,-/ / C t✓s0-f7d
Print or Type Name
a�8 - ?Az ^5-3d 7
Telephone
Number
Date: 'O / 27

•
Britton E. Taylor,M.D.
Julie S. Taylor ss soi53f
Ncdl 3849769 Ncdl 5461488 355 2409
170 Manners Cay �— Q_ 9
Rocky Point,N.C.28457 DATE /�__
PAY �En /
ORDERF /
ORDER / y
c /
k r Micro Print si urn line. DOLLAR$
mzgray ypc and hnework.Rust Citizens Bank logo on back.If not present.do not cash.
RSTTs 355
RINK First-Citizens Bank&Trust Company
/)JJ`�+ dmington,N.C.28401
FOR - — '
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