56014_FARRIS, WILLIAM_20100617

O : MA / El DREDGE & FILL
C�&PERAL PERMIT
LINew ❑Modification ❑Complete Reissue
❑Partial Reissue
Ell
, '!� -/7l0 /,I 6
N'
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources / 1-4 !i `s."�X-,
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
�] Rules attached.
Applicant NameProject Location: County ' / r'I) ► C�; r
Address C '. [:: Street Address/ State Road/ Lot #(s)
City State
ZIP��
Phone # (')'�� �`) Fax # (`'j"'Subdivision v
Authorized Agent_ , t.- { ! rl t c +` L_ r g -� �.' X Il�� r=�lS� \ �j�'f � City .: '� �-�' _ ZIP
❑ CW [I[ i ElEW - �7 PTA ES PTS Phone # (_. -~�'-- "--' River Basin
Affected
Affecte [IOEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Adj. Wtr. Body <N/ .1 �;i (nat /man /unkn)
Closest Maj. Wtr. Body
1
Type of Project/ Activity
(Scale: v
Pier (dock) length
f-
Platform(s)
-- -----
-
i
-
'
—:—
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
—
-
_
max distance offshore
Basin, channel
cubic yards
Boat
ramp
T
Boathouse/ Boatlift_
Beach Bulldozing
i
i
-
I
Other i 1
I
'
Shoreline Length-"
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
r-
Waiver Attached: yes no
-
A building permit may be required by: 1 ( 1 ' i i c r
i ` ❑ See note on back regarding River Basin rules.
`�
Notes/ Special Conditions 1
i? n I 11'
7,4-1
�.
i
? (1t
Agent or Applicant Printed
Signature Please read compliance statement on back of permit
Application Fee(s) Check #

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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

Page 1 of 1
CITY
110ALMINGTON
STATE
NC
ZIP
28495
PARRECNUM
72
NAME
FARRIS, WILLIAM B
MAPNO
J032-37
CONTROLNUM
PIN
CLSCODE
VA
DiSTTOWN
D04
INSERT
J032
DBLCIR
BLOCK
37
PARCELNO
SITEADDR
81 WINDMILL POINT DR
SITUSADDR
81
SITUSROAD
WINDMILL POINT DR
EXEMPT
LEGDESCi
JONES ST
LEGDESC2
TOTACRES
1.2
CRNTTOTUSE
0
CRNTTOTDEF
0
CRNTLANDVA
11 70205
CRNTBLDGVA
115152
CRNTOBLDGV
1133,436
TOTCRNTVAL
218793
FIRECODE
v
IHOUSECODE 11P 1SEWERCODE
SALEAMNT 2250 SALEDATE 3/1/1985
SALEDATE2 167,268 SALECODE
ROADNUM
110
PCTCOMP
100
WILLBOOK
110
WILLPAGE
0
DB_PG
232/662
DEEDBOOK
232
DEEDPAGE
662
PLAT
XXXXXXX XX
IIMOBHOME 110
http://www2.undersys.comiscriptsltestadvlusiwebpc.dll/usi?formis=ptmap&MouseX=O&... 5/21 /2010

HCDENR
North Carolina Department of Environment and Natural Resouroes
Division of Coastal Management
Wduad R Easley, Gaverw James K. Gregson, Director WFn G. Ross Jr., Seaetary
Este I'u % l o
Applicant Name R Y �� W I LI, y
Mailing Address
I certify that I have authorized (agent)
S.�"he����kS,��•y� to act on my
beball, for the parpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) & �� t ` �
at (location)
This
Z V3 c
!O
400 Commerce Avwue, Wehead City. North Cvdina 28557
Phone: [phone] FAQ: 252-247-333011rAr*t www.rtcwsWmanagementnet
An Equal OWmbirky t Afmrafw2 Action der -- 50% ReCYCW ? 10% Post C*-*=W Paw

05/27/2010 10:32 2527455917 PAGE 01/01
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: j,t -nrP'N
Address of Property: _ ? 1 w: 2�'
VO.%x � e-�eftr— NC, _��A•���cof
(Lot or Strut 0, Street or Road, City &
I hereby certify that I own prop" adjaoerd to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or dra **V, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objeWons to what is being proposed, p/earse wrka pre 04fton of Coastal
Itfamgemerr4 400 Comamrce Ague, MwrehesdOty, NC, 2&W7orcall (252) SM2WO wdhin
10 dsys of recL*t of this norm No msporme is considered the same as no objection # you
have been noill ied by Certl/ied Mail.
WAIVER SECTION
I understand that a pier% dock, mooring pilings, breakwater, boathouse. boatlift or sandbags
must be set back a minimum distance of 15' frnm 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 requkernent
I do not wish to waive the IV setback requirement
(Applicant Information) (Rtpa tc7Inform )
! 0 &N Now
Mailing Addiess nnrr In _..
_ OT Neh�"\ . W. �.45%� �(, Bernar 8. H 11owe11
CitylStatelZip Print or Type Name
�5X aye-
Telephone Number
5 � 5Ll0
(j1 Diote
�f teaC� 'Ce-Lpr. Ab i'\ h:S ned�f 55� 4d iC
X 252-74S-5115
Telephone Number
K is yr 27 � 01 a
Dote

r=I
—D
-r
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F
0111�4 51—
ru
Postage
$
Certified Fee
M
Postmark
C3
Return Receipt Fee
(Endorsement Required)
Here
m
Restricted Delivery Fee
rq
(Endorsement Required)
LrI
r'U Total Postage & Fees 1 $
.=- Sent To
M
ED ------------
-- ------------------------------------
r� Street, Apt. No.;
or PO Box No. 0
State, ZIP+4 Nk I7D, 0
PS Form 3800, June 2002 See Reverse for Instructions

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Label/Receipt Number: 7004 2510 0001 2549 5461
Class: First -Class Mail® Track &Confirm
Service(s): Certified Mail" Enter Label/Receipt Number.
Return Receipt
Status: Unclaimed
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Your item was returned to the sender on June 12, 2010 because it was
not claimed by the addressee.
Detailed Results:
• Unclaimed, June 12, 2010, 12:50 pm, CLAYTON, NC
• Notice Left, May 27, 2010, 2:33 pm, CLAYTON, NC 27520
• Acceptance, May 26, 2010, 10:26 am, ORIENTAL, NC 28571
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1114
IBX
PO BOX 190 j r/) 66 30/53t
ORIENTAL, NC 28571 - I 1(/ 4�Z
6'
Date
Pay to the 1 V N R I $ qoo ()Q
Order of OG
POtill4yh� TA VVN 100 Dollars
�w
First Citizens
fiBrst�c a�z ns.com�
i:0 5 3 100 3001:00 4 7 1 20 2 1 2 5 4IIm 01104

NC Qivisia+n of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: William Farris
Date: June 17, 2010
General Permit #: 56014C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount
OW
Dredge ❑ Fill ❑ Both ❑ Other ®
48
48
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑