11781_WILLIAMS, EDWARD_19930429

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and
in an area of environmental concern pursuant to 15 NCAC
Type of Project Activity
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PROJECT DESCRIPTION SKETCH / _ (SCALE:
Pier (dock) length
Groin length Cam• i i ,(r,✓j i �� �f/T<e✓
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number J`f t' _ ✓�f car'"'
Bulkhead length
kax. distance offshore
Y�Basin, channel dimensions
r�
cubic yards'�j� ,%x?
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Boat ramp dimensions .. /�� F l�i� j �417
r-1
Other
I 1 I
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-_ applicant's signature
null and void.
This permit must be on the project site and accessible t the
permit officer when the project is inspected for compliance.
applicant certifies by signing this permit that 1) this pro -
is consistent with the local land use plan and all local
dinances, and q) a wri ten. -statement has been obtained from
' 1 adjacent riparian landowners certifying that they have no
objections to the proposed work__-)
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
permit officer's signature
issuing date expiration date
attachments
application fee

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etc. Fzr -
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PAY TO THE
ORDER OF _
EDWARD S. WILLIAMS, M.D.
NCDL 1208224 PH. 919-489-4511
3723 DARWIN RD.
%� DURHAM,�NC1 %27707
Gpc- ti7 g)
Central Carolina Bank
and Trust Company 132
c c Durham, North Carolina 27702
MEMO
1:053100Ill GS 496 976
OII' 7032
7032
2 19 "-"132
�� 531
$ ©o
DOLLARS

fllonia �` lc Allister
105 Dogwood circle
JOE ine ,-Knoll cShotes, T okth Catolina 28512
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; 7 *1 qq,-�

p"HiCifiE
17: C, I
H. (;I-ENN WILLIAMS
2600 TA-."rc)N DRivF-
Noiz.,-�i CARCY-I'I�A 21608
1'�2,
A-*-t

April 27, 1993
TO WHOM IT MAY CONCERN
As President of Pine Knoll Association, Inc., I am its authorized
representative. Pine Knoll Association is the owner of Ocean Park
which is next to Lot 1, Block B, Section 2, owned by H. Glenn
Williams. The Association has no objection to the proposed beach
replenishment project proposed by H. Glenn Williams on his property
Lot 1, Block B, Section 2 on Dogwood Circle.
Fred C. McCall, President
Pine Knoll Association, INC.

W IND�
11 )X k'

APPLICATION FOR
1� CAMA
MINOR
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed
the Coastal Area Management Act and set the stage for
guiding development in the fragile and productive areas
which border the state's sounds and oceanfront. Along
with requiring special care by those who build and
develop, the General Assembly directed the Coastal
Resources Commission (CRC) to implement clear regula-
tions which minimize the burden on the applicant.
This application for a minor development permit under
CAMA is part of the Commission's effort to meet the
spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more
time or effort necessary from the applicant. Please go
over this folder with the Local Permit Officer (LPO) for
the locality in which you plan to build to be certain that
you understand what information he or she needs.
Under CAMA regulations, the minor permit is to be
issued within 25 days once a complete application is in
hand. Often less time is needed if the project is simple.
The process generally takes about 18 days. You can
speed the approval process by making certain that your
application is complete and signed, that your drawing
meets the specifications given inside and that your
application fee is attached.
Other permits are sometimes required for development
in the coastal area. While these are not CAMA-related,
we urge you to check with the Local Permit Officer to
determine which of these you may need. A listing is
included on page 2 of this folder.
We appreciate your cooperation with the North
Carolina Coastal Management Program and your
willingness to build in a way which protects the
resources of our beautiful and productive coast.
Coastal Resources Commission
Division of Coastal Management

Locality
TOXIN of Pli IN' LE KiNEJ .L Si -ORES, N.C.
Permit Number
GENERAL INFORMATION
'LAND QWNE1�5)
Name
AO -Ws mk
Address (0bV&U)00l> Gxa& ►D 17f7C(,I L/& CLkUf I QAO� ,ct2' b Cj,1wtF
City 1011E ti. Scup( State MC Zip 9- Z Phone 7"
AUTHORIZED AGENT
Name
Address dJ (� �Q � C L kC (..�i
City S t State NC_— Zip��(% Phone
✓LOCATION OF PROJECT t; VG Y �C
(If not oceanfront, is waterbody natural or manmade?)
-/DESCRIPTION OF PROJECT 13640
t5 M1 V7— ( SA4&�b
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard
PROPOSED USE
Residential
Estuarine Shoreline
Commercial/Industrial
ORW Shoreline
Other
Other
SIZE OF BUILDING IN SQUARE FEET
Size of other impervious or built upon surfaces (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline) N /9
SIZE OF SITE IN SQUARE FEET /'?, qSo
OTHER PERMITS MAY BE REQUIRED ...
The activity which you are planning may require
permits other than the CAMA minor permit you
are applying for here. As a service we have com-
plied a listing of the kinds of permits which might
be required. We suggest that you check over this
list with your Local Permit Officer to determine
which, if any, of these may apply to your project.
This is not a requirement of LAMA, only a sugges-
tion to help you complete your project as quickly as
possible.
Zoning, Drinking Water Well, Septic Tank (or other
sanitary waste treatment system), Burning, Electri-
cal, Plumbing, Heating and Air Conditioning, In-
sulation and Energy Conservation, FIA Certifica-
tion, Sand Dune, Sediment Control, Subdivision
Approval, Mobile Home Park Approval, Highway
Connection, Others:

%STATEMENT OF OWNERSHIP
I, the undersigned, an applicant for a CAMA minor development permit, begin either the owner of property in
an area of environmental concern or a person authorized to act as an agent for purposes of applying for a
CAMA minor development permit, certify that the person listed as landowner on this application has a sig-
nificant interest in the real property described therein. This interest can be described as follows: (check one)
an owner of record title, Title is vested in see Deed Book
page in the County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
✓NOTIFICATION OF ADJACENT PROPERTY OWNERS
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I
have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for
a CAMA permit.
(Name) (Address)
OF loi 0U Suers As-s> i PK5
(2) -f UU QA t1 W
(3)
(4)
t Ol 1)0GTw0V G R , 7KS ,
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
Y
r
n
Y
s/
►4
Loll
I acknowledge that the land owner is aware that the proposed development is planned for an area which may z
be susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the n
particular hazard problems associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing techniques.
ERMISSION TO ENTER ON LAND
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This application includes: general information (this form), a site drawing as described on the back of this ap-
plication, the ownership statement, the AEC hazard notice where necessary, a check for $50.00 made payable to
the locality, and any information as may be provided orally by the applicant. The details of the application as
described by these sources are incorporated without reference in any permit which may be issued. Deviation
from these details will constitute a violation of any permit. Any person developing in an AEC without a per-
mit is subject to civil, criminal and administrative action.
A e .
This the day of Arot 19 q �
Land owner or person authorized to act as his agent
for purposes of filing a CAMA permit application.

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor develop-
ment permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you,
if requested.
PHYSICAL DIMENSIONS
label roads
label highways right of ways
label local setback lines
label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
draw and label mean high water mark (MHW)
draw location of septic tank or filter field
If you will be working in the ocean hazard area:
.i draw and label dune ridges (note height)
y' draw and label toe of dune
identify and locate first line of stable vegetation
draw and label setback line under CAMA
draw and label topographical features (optional)
If you will be working in an estuarine shoreline area:
draw and label landward limit of AEC
describe terrain (slope)
DEVELOPMENT PLANS
draw and label areas that will be disturbed
if a house is to be placed on lot, describe location of house
note size of piling and depth to be placed in ground
draw and label all areas to be paved or graveled
describe composition of surface
note and list fully all trees and vegetation to be removed or relocated
�� show landscaping
NOTE TO APPLICANT
Have you:
*completed all blanks and/or indicated if not applicable?
*notified and listed adjacent property owners?
*included your site drawing?
*signed both application and statement of ownership?
—*enclosed the $50.00 fee?
*completed an AEC Hazard Notice, if necessary?
FOR STAFF USE .TOWN Of PINE KNIC 4 S CORES, N,C,
Site Notice Posted Final Inspection Fee Received
Site Inspections
Date of Action: Issued Exempted Denied Appeal Deadline (20 days)