Jones, William

n^
CAMA/ DREDGE&ALL ��-S
,Tt>J 3,,.) ^, l
GENERAL PERMIT
Previous permit #
l(`lew. ❑Modification ❑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 =�
N _
�' '
/ 1 / 01tules attached.
� \ ,i
.., v' t l � t
Applicant Name
Project Location: County
r
Address i ? i j ��„
Street Address/ State Road/ Lot #(s) F
,,
�:�, "1 h: State (.
city , - zIP
`{
-��..
Phone # (�l , ) tf'�/r` r �i �E-Mail """"`-"
Subdivision s ^ l ~ >
�Cr^ity
Authorized Agent �,�"` ^'ti \ S t,t �.i{ t~+"Uot-;r,
''-; ~) ZIP Ti`�
❑ CW EW PTA ❑ ES ❑ PTS 1 i,t , �, ; i ;C
(.. t'hone # (1`r 4� )' /r/!" t ' 1_ River Basin � U 1 1
Affected
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
1� :� r^ j �
Adj. Wtr. Bod i i 11� 1, . + (iZ �,l t� 1 i i, (nat /man/unkn)
❑ PWS:
r� -,
4
Closest Maj. Wtr. Body ry
ORW: yes / ino PNA yes / nd
Type of Project/ Activity `, '.� j' } ; E • -
per;'^} ! +, t i ; ? I �? ,' , f
3)
(Scaler'
Pier (dock) length -
Fixed Platform(s) l !
Floating Platform(s) j
I I I
Finger pier(s)
Groin length �-- -
number ^--'^-
'
Bulkhead/ Riprap length
avg distance offshorp---' `- !
max distance offshore
"
NIL
j
—
-
cubic yards
Boat ramp
Beach Bulldozing
Other
Shoreline Length t 111 i I \ :71 N I^
SAV: not sure yes no 1 IN i t 1 ,
Moratorium: n/a yes
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
i t1 i y i1' r 1 1!
1
I I � 1
Agent or Applicant Printed Name PermitOfficer s Printed Name
` Signature lease read compliance statement on back of permit" Signature
Application Fee(s) i� Checks# Issuing Date Expiration Date

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 andvoid.
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 Resources. Contact the Division of Water Resources 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
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of 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 - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/14

Applicant: U V ' ) I sy-to
Date:
1
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 fame
•
DISTURB TYPE
Cho ose One
TOTAL.Sq. Ft.
(Appl' d for.
Disturbance•total
• includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated.final
disturbance.
Excludes any
restoration
and/or temp
impact amount
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge Fill ❑. Both ❑ Other ❑
redge ❑. Fill'[] Both ❑ Other 4
(Q-8D--
W(
'11�
Dredge ❑ Fill ❑ Both ❑ Ot .r ❑
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 ❑
' ���-Bdr�-���� :: '�-S�B�f;�3����5' :e u;nv�a-s�cce��stalvaa��ae��nve5a+t,ne� 6•eaviaed� ��(a3�/9�

1 /07/15
William Jones
105 Brook Street
Atlantic Beach, NC 28512
East Canal
Project consists of the following:
1. Erect a 6' 0" x 23' 0" dock.
2. Relocate a boat lift to new location as shown in
diagram.
3. Dredge entire area to depth of 2' 8" as indicated in
the drawing. (Approximately 75 cubic yards.)
P.S. If you have any questions, please call me at:
[phone]
When permit is ready for pick-up, please call me at this
number: [phone].���
Thank you! RECEIVED
Darrel Lawrence JAN 0 7 7015
H-kv)-MPH H4

3ec.22.2014 04:25 PM Hollowells Motel 2527263136 PAGE. 2/ 6
N.C. DIVISION OF COASTAL. MANAGEMENT
AGENT AUTHORIZATION FORM
Date --
Name of Property Owner Applying for Permit:
Mailing Address:
1 certify that I have authorized (agent) . A eQ�5�, �. rtaJk'�lc _ to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) o C: AAi,, r& ,2 A V4 f:'a,J
at (my property located at) ! o�� �� a Ii�� %✓�' �C� ci% �✓� �.�� i�;
Thii certification is valid thru (date) 3 77x -t
Owner
�.1-a �r-
Date
RECEIVED
JAH 0 7 2015

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �,c�`/%,t oW4�-S 's
(Name of Property Owner)
property located at /d s� A16 o4 ST
/,� _ (Address, Lot, Block, Road, etc.)
On T �Arr//ll, , in Arz"I- i i c- ,6�Ac4-- Al,= , N.C.
(Waterbody) (City/Town and/orCounty)
The applicant has described to me, as shown below, the development proposed at the above
locatiork
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, boat ramp, 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.)
4�s_
RECEIVED
I do wish to waive the 15' setback requirement.
JAN 0 7 2015
I do not wish to waive the 15' setback requirement.
(Prropeerty Owner Information)
SignQture
W; l f :are Jo�Ls
Print3 /�
or Type Nat, V Al
3 O �, � 9
Mailing Address
City/,sstate ip
ly�g� 194—G`.3L
Telephon Numb r/email address
12 71-/
Date
DGM-HHl) CITY
(Adjacent Pr5perty Owner Information)
i ature
Print or Type N me
J a y C:
Mailing Address
Cit State/Zip
Te/epho ' Number/email address
� 2— 2 7 41
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

01'�@ 4 :45 PM WILL . GOPGES
DE c 04 :26 DM MOUDWS111 Xot*l 2577263135 ' PAGE:
1 ply t lY tfl+it t Mn p v"fv WOW to Ala
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property IOarbsd 4d _,�I A/ IP Af
(Addo" 9I K ft" 1 raj
'on 4,4161' CA0eA. - ,1n A46 • car N.C.
(vwaraodya (City own sndlorCounty)
Irmo affmpt has dosersM to me, M +Known tick , the davNvp mf proceed at't["iq above
IQ
^' I how no O*Otw b Mitt pr'oP"41
I have *"*Wang 0 oft prop*"
. •. � .. —�"- - •. IrY'rnY1 IIIMI��1 Ilw�l.
DESCRIrPTlQN AND OM DR ON3 O PRO F.D O�VWAPMENT.:
�li►>o�vl'draM pry pv�ti�� ditvtNop�+ant rl�twt t It lN' d arlpaa+ +brow o� a�ttat► r aItd iArWOW
g14 Cle-Ale O(r . W
Mi
l.undent+wn+p:shot a.plor; dbCk +nearing plllm". bwd romp, htaakw3tAr.'boarms e. M. or groin
wa* b*. &at bs,* o mtr ima m cwargo of iv tromp My drys 'of spanon +hoarse untwas v+rpivod bVECEIVED
me. (it you *ilh to wawa the set alakl you must NOW ft sppropniO btartic below.)
I do wlsh to wetve ft 16' JAN 0 7
iitZMl�t �'�iqulrorrw�t. ,
DGM-MHI) ElTY
t do net with to waive th, % setback roaUmmont.
n't"i tY Ownw into, . on) (AMotnt Prop«#y iIftil e#to#t)
rr `�
l it ar ! M� ttit�Il>ti.al�,•'�..1 L...,....II.�.IN... n IV
r NL,aA.& o
rk
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300.22.2014 04 :26 PM MalloweSla mot% 2577763134 �' " >?AG>G. :►d
i
I WW Y OW I own sdWft to u„w�Il /0 ,�..R/
pfwdy loaatiid at .—. „�. " a . ln1rr�+. ar lino y wfwl
on JAOt of
In d �M�tt iiOoic, Ra Ar.4 CA
The artloPP1 has dosoriwd to mar SO �awr1 below, ft Ovllppmmt prWmoo st, to .above
Ioww ..,
14vs na O*Qtw is h$ proposal
I hey* al lamfts to of pmpom
. QE�RIPTION �►I►ILirOR Ri:A1MNt3 i'3p P'ROP���D DCV�pF�IIIIENT' ,� �•�
dMaNprti�pb dlivPlapr+r nt noun Im'" Omlow 4l' h b alter dh fW
�d�"6" �i'+�rN'x',Q d�✓%�,f/i ul(�.'srir ,.i,d'r' �.a ��sc
RECEIVED
JAN 0 7 1415
Imp WA -WA 0 p
mh
I arttrx►d thtt pier, dOClt; rttaorin0 A11 p2. Oast ramp,:bre*waW. bnMt►+<w r. lint; or groin
r� be, Sit bait a mirW"V%L m clog of 1i'.frem my rimer et rsporlon soeaae unENIO vr,Mvp by
me. (it you Wish to wawa the r:y41a 11 Ud InMal V* approp S* Milk. bblow,)
r.. i do wieh to waive Q% - IS. go*@ t r+aq mft*, M.
.�,._..�...�, I do not w0h to waive the is, nowk mWipem",:
t:'fti►O�tY Cf1Mrlar' I dA� ;: (A***M Propwfly Inksrrlrt' Ou4n)
R's Ir runr . p
POW
nwrV
r
h Y
� Rhtmbrr �t�ll,�doirs� . , r_• � ...
• - .:� '114i1q ibrOtM C�rfd�rr year •Iter �IplultwU• �� ' (�►rN�d>rlap, 30t1J
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