58156_WILLIS, ALISON_20110707

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i F-1 CAMA E & FILL
/ DREDGE G
ENERAL PERMIT Previous permit#
�Eol N e ❑Modification El Complete Reissue El 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 % �- j 00 - 1301�
Rules attached.
F i
Applicant Name i; i I
Address Ey r Yet' >f.r:r
City �4ar 6 i - ce% `State � � ZIP
Phone # (.Z9Z) —;*�5-9,c;o-1 Fax # ( )
Authorized Agent
Affected
AEC(s):
ORW:
❑ CW
❑ OEA
❑ PWS:
yes / ;no
EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no i Crit.Hab. yes / no
Project Location: County (" -1 > "
Street Address/ State Road/ Lot #}, (s) ( yy
pc Z
Subdivision
City fair i r . T r ZIP -f i
Phone # (--57 )�7M�5- i1>o 7 RiverBasin
Adj. Wtr. Body % v.r,R \. A+'c, i nat an unkn
Closest Maj. Win Body—+'y a r-Al �� _' 0 r
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Agent or Applicant Printed Name
Permit Officer's Signature
Signature Please read compliance statement on back of permit
Application Fee(s)
Check #
Issuing Date
Local Planning Jurisdiction
Expiration Date
Rover File Name

L
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:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ 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/ 1-888-4RCOAST
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)
Revised 08/09/06

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
r_
N.C. Division of Coastal Management
2 p 400 Commerce Avenue
Morehead City, N.C. 28557,
808-2808

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Cal
A. Sianature
❑ Agent
i
❑ Addressee
B. c ( rimed Name)
C. D2��ofiDelivery
17T
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: YNo
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(rransfer from service label) 7009 1410 0001 5954 0037
PS Form 31311, February 2004 Domestic Return Receipt 102595-02-M-1540

Locality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION RECEWED
LAND OWNER
Name: Alison Tomlinson Willis JUN 2 8 2011
Address: 585 Oak Hammock Drive DCM-MHD CITY
City: Harkers Island State: NC Zip: 28531 Phone: [phone]
AUTHORIZED AGENT
Name: James Edward "Eddie" Willis
Address: 585 Oak Hammock Drive
City: Harkers Island State: NC Zip: 28531 Phone: [phone]
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) 585 Oak Hammock Drive, Harkers Island, NC 28531 (overlooking West Bay)
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
L Install a boatlift next to our boat ramp, which will consist of four new pilings and the lift itself.
2. Install a wooden fence alone ,property line at the road, down the property line adjoining 579 Oak Hammock
Drive and down the propegy line adjoining 591 Oak Hammock Drive.
SIZE OF LOT/PARCEL: approx. 0.74 ac.
PROPOSED USE: Residential X (Single-family ❑ Multi -family []) CommerciaVIndustrial ❑ Other ❑
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN (AEC): N/A square feet (includes all heated/air conditioned living space)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): N/A square feet (Calculations
includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios, etc. that are
within the applicable AEC.)(Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
(I)within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality? YES ❑ NO X
If yes, list the total built upon area/impervious surface allowed for your lot or parcel. N/A square feet.
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the
CAMA minor development permit. As a service we have compiled a listing of the kinds of permits that might

be required. We suggest you check over the list with your LPO to determine if any of these apply to your
project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste treatment system), Building,
Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification,
Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others.
STATEMENT OF OWNERSIUP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC 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 significant interest in the real property described therein. This interest
can be described as: (check one)
RECEIVED
X an owner or record title, Title is vested in Alison Tomlinson Willis see Deed Book 1373
pale 11 in the Carteret County Registry of Deeds. J U N 2 8 2011
❑ an owner by virtue of inheritance. Applicant is an heir to the estate of ;
probate was in County.
DCM-MHD CrrY
❑ if other interest, such as written contract 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)
(1) Edith Ridgeway (579 Oak Hammock Drive, Harkers Island, NC 28531)(PO Box 502, Harkers Island, NC 28531)
(2) John & Eritta Wedekind (591 Oak Hammock Drive, Harkers Island, NC 28531 (32 Neslo Drive, Long Island, NY
11767
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area, which may be
susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular
hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization
and floodproofing techniques.
PERNIISSION 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 application, the
ownership statement, the AEC hazard notice where necessary, a check for $100.00 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 permit is subject to civil, criminal and administrative action.
This the," —day of HCLI, 2011
Landowner or person authorized to act as his agent
for purpose of filing a CAMA permit application

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Date
A�c�t Prope Oym�er ��`
ailingdtA_ddress
City, State, ip Code YJ
Dear Adjacent Property:
Receipts for
Certified Mail
(Staple Here)
RECEIVED
,JUN 2 8 2011
DCM.MHD crl'y
This letter is to inform you that I, ! �\'1 1 �`� S have applied for a CAMA Minor
Property Owner (,,�
f'�,-
Permit on my property at �� �� �� �� , in COUNTY
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at L� �� q�,� — q� ,6r by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Sincerely,
ems-- -�- U0,j_,,--
Property Owner
Mailing Address
City, State, Zip Code

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
RECEIVED
JUN 2 8 Z011
I hereby certify that I own property adjacent to , k �,k _ 's
QQ 1 i (Name of Property Owner) DCM-ADCmy
property located at �U� ccl-�—
Address, Lot, Block, Road, etc.)
on r J �� in N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I ave no objections to his proposal.
/WP-
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
1
Signaturenqck-
Print or Type Name
A- (n3 t --q-7R- [ �C�B tat 1o�y l -Ct�B �o�
Telephone Number
LXe, L It
Date

June 7, 2011 zEo�
ri 8 Zof1
John & Eritta Wedekind
32 Neslo Drive
Long Island, NY 11767
Dear Mr. & Mrs_ Wedekir4
Eddie and I have applied for a minor CAMA permit to install a boat lift next to our boat
ramp. Please find a copy of the CAMA application, drawing/photograph and the adjacent
riparian property owner statement for CAMA minor permits. This is just standard
notification, so no action is required on your part.
Regards,
Alison & Eddie Willis

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIN10ORING PILI VGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to L gal �- �1e �1`115's E�� F�
(game of Property Owner)
property located at R
(Lot, Block, Road, etc.)
on
(Waterbody) (Town and/or County)
Applicant's phone #09'5�1 �AP fling Address• 1��51_
He has described to rne, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a. pier/mooring pilings / boatlift / boathouse
must be set back a znitiimum distance of fifteen feet (1 i') from my area of riparian access unlcss
waived by me. (If you wish to waiVe the setback, you must initial the appropriate blajik
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
* `fie Ci,mcGL -s
(Information for Property Owner Applying
for Permit)
Mailing Address
(Riparian Property Owner Information)
Signature
V \0PVDC0!b � tC ` erj 1
City/State/Zip -� Print or Type Name
Whone Number
Signature Date
Telephone Number
Date

9
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■ Complete items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery is desired.
s Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mallpiece,
or on the front if space permits.
1. Article Addressed to:
OIDN -13b\Qf-ld
A. Signature
X ❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 19 ❑ Yes
If YES, enter delivery address below: KNo
3. Service Type
0 Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
CI Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label)' 7009 1410 0001 5954 0 0 3 7
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
N.G. 0.iv ul' (Goa is� MariavjP'MeM
Morehead City, NG. M,57
Boll b~12-808

Mrs. Edith Ridgeway
PO Box 503
Harkers Island, NC 28531
June 7, 2011
0
Dear Mrs. Ridgeway,
Eddie and I have applied for a minor CAMA permit to installa boat lift next to our boat
ramp. Please find a copy of the CAMA application, drawing/photograph and the adjacent'
riparian property owner statement for CAMA minor permits. This is just standard
notification, so no action is required on your part.
Please feel free to call Eddie or I with any questions.
Regards,
I ;
Alison & Eddie Willis

ADJACENT RIPARIAN; PROPERTY OWNER STATEMENT
(FOR A PIER/NIOORINGPILLVGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to A1,a- Ie 1fV1`_ tS_1s
(Name of Property Owner)
property located at r-4:�6 ony— Ho.( nn--102k-
(Lot, Block, Road, etc.)
on 1T)e- �31"� in ADO ffYJ T&Uf)d , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:(awl Mailing Address: 1 Gk5A 1�&\0 0 W
abhom Tiaa—NGa855)
1-Ie has described to n1e, as shown below, the development he is proposing at that location, and, I
have no objecLions to his proposal. I understand that a pier/inoo.ring pilings / boatlift / boathouse
must be set back a miniinurri distance of fifteen feet (I .Y) from my area of riparian access unless
waived by me.. (If you wish to vmive the setbaels, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be falled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
\aT5LA
Mailing Address
(Riparian Property Owner Information)
we, -9-8531
City/State/Zip
Telephone Number
(A,L--T7 (�J.�---- Low 101
Signature Date
Signature
Print or Type Name
Telephone Number
Date

C nnectGIS
Page 1 of 1
1:44 feet
RECEIVED
JUN 2 8 2011
DCM-MRD CITY
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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
2�
AI � (1 �• VV I I S �c s l� <2�2
I hereby certify that I ownproperty adjacent to
�r
(Name of Property Owner)
property located at FDR�MY- imc rr- -CA-HT, NQ 91C.�{�
5' N
1, r Address, Lot, Block, Road, etc.)
on tJ l in , N.C.
(Waterbody) own and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature Y
Print or Type Name _
Telephone Number
Date

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