60354_WILLIAMS, DANNY_20120827

~ NO. 60354
❑LAMA / E_ DREDGE & FILL
GIENERAL PERMIT
Previous permit#
❑New ❑Modification []Complete Reissue
❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City State ZIP
f
Phone # (___) _ Fax # (_—)
Subdivision -_ -
AuthorizedAgent ,_ •
City_ZIP_
r CW ❑ EW ❑ PTA ❑ ES ❑ PTS
Affected
Phone # River Basin
J OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
Adj. Wtr. Body __— fat /man unkn)
7 PWS: = FC:
ORW: yes / no PNA yes / no Crit.Hab.
yes / no Closest Maj. Wtr. Body-- — ----- —
Type of Project/ Activity
(Scale: y )
-
Pier (dock) length
Platform(s) -- - - -
Finger pier(s)
Groin length
number -
Bulkhead/ Riprap length —
avgdistanceoffshore
max distance offshore
Basin, channel -_ -
cubic yards
Boat ramp - - -
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no _
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no _
Waiver Attached. yes no
A buildingpermit may be required b :
eas
P YY�
Notes/ Special Conditions
-- — - — --
- -`— - - -
—
-
( ,
- --�I��
I
on back regarding River Basin rules.
S 8
-- See note
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature
Issuing Date Expiration Date
Application Fee(s)
Check# Local PlanningJurisdiction
Rover File Name

Statement of Compliance and Consistency
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 or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
D Tar- Pamlico River Basin Buffer Rules ❑Other:
�l Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)

Applicant:
Date:
�1 c kmzl
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
habitat blame
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tamp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
im ct t)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tamp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
redge ❑ Fill ❑ Both ❑ Other)<.
Dredge ❑ Fill ❑ Both ❑ Other ❑
bredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT f A
I hereby certify that 1 own property adjacent to C K� t l 1-6 -evl s
201?
K- (Na of Pr perty Owner)
property located at l ( 1 t ns dD
(Address, Lot, Bloch j ad etc.
on in N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc i .
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived 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.
(Property Owner Information)
(Adjacent Property O ner Information)
CORP
/ �{F�7"O /_
Signature
Sip ature
f rEN�t/G�'7'f-f /lJ tom/
Print or Type Name
_
Pr' or Type Name 1
T� I.�rr n N �cllt�
Mailing Address
Mai ing Address
Tf -5
City/StatelZip
Ci /State2i
l 0{o- / 77 (
Telephone Number
Telephone Number
�r
Date
Date
(Revised 611812012)

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date �? ` 9 ( Z
Name of Property Owner Applying for Permit;
A tJ (\) i wILL-) A &AS_
Mailing Address:
16 -7 A v r our d-l: 'T&E Lf AI ES
r An-y A) c2-� E li
I certify that I have authorized (agent4u riEc to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is Valid thru date 1 Z 1,3 f) I
cam. c1
Property Owner Signature
Date

.C. DIVISION OF COASTAL MANAGEMENT
RSCS
�p\'L AGENT AUTHORIZATION FORM
Date � 0-Vi
Name of Property Owner Applying for Permit:
-r-> r�J�JIA I.J1LL1ArMS.
Mailing Address:
t-A c, 2` 7 5�1 T
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and �btaini g all CAMA Permits necessary to.
install or construct (activity) JRVF�—k L
at (my property located at) rj 1`118-PtOL4 PL t J(cgtlglC- R(Z 14
This certification is valid thru (date,�-%--
t
Property Owner Signature
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
y certify that I own property adjacent to. D-pNtjs W I LL f MS:: is
(Name of Property Owner)
pr 600 located at < 'Kl1*Tt� -Pr
(Lot, Block, Road, etc.)
on MfA pC CA NE* L- in Qq —r (c. �f I4 1� t , N.C.
(Waterbody) (Town and/or County)
Applicant's phoi16 RAF ) -ZIL' TY2`7 Mailing Address: Lo'7 A� ar -VW es-rp'�s
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: �m�J
(To be fWed inbyproperty owner prop sing development) D q-% D l
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature Date
(Riparian P
L---------------------------
Owner Information)
?�q6 - 3711
Signature
Print or Type Name
Telephone Number
Date

cEwvADJACENT RIPARIAN PROPERTY OWNER STATEMENT
o
1 6 p12
�O-I hereby certify that 1 own property adjacent to. �P1 `4 W( IL s
(Name of Property Owner)
r,1 't`D O'"
property located at 15(< �, t4 qT-b j Posc
(Lot, Block, Road, etc.)
on (`RAPMq� PE CX:�t V* L in FM A14r 1c. 93c-t(f QACZZF91Er , N.C.
(Waterbody) (Town and/ r County)
Applicant's plzone����� - Mailing Address: 'Z /�F DF "ME ES`T�14M's
C- **i 0 C A "751 k
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. 71, LOV�,I VC— K 1 S,er P,+-C4
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development) J,f='
LA
-��------------- -----!-------�-
(information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature Date
----------------------=------ - - - --
(Riparian Property O er Information)
Signature
Print or Type Name
Telephone Number
Date

SUMNER M PARHAM. 111 1504
206 BRANOYWINE PLACE OR MOREHEAD CITY, NC 28557 66-1246/531 � z
DATE
'ORDLIK( i-.-
-,LLARS
Morehead City, NC 28557
FOR --
l:OS3 1124661: 00 12 2 29 1110 1504