Williams, Tom

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Authorized Agent
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Affected ❑ CW
;ETA ❑ ES ❑ PTS
AEC(s): ❑ OFA
❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PW'S:
QRW: yes Vo
PNA yQs / n9
gt
.4 Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
i•
Basin, channel
cubic yards
' Boat ramp
11
vuv�n vawn -
i
City ( r"t ,. jZIP
Phone # ( ) Rive .Basin,✓
!j x ,-I t ,/man hmknl
Adj. Wtr. Body
Closest Maj. Wtr. Body
Type of Project/ Activity / 1
(Scale.
Pier (dock) len h
❑ See note on back
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'
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Agent or Applicant nnte(� 1+lamer'
PermitOfficer
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Signature
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pliri#tlgrt EBg($) r;` ' ` e�Fx{y,r R A' ' Crhe4k`# a
ro
Expira sort Date
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it « •(�t .,IJ,§'+,KK!? n rt ,., q 'r i A.r- C. i !, l r. r ° Q.
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.,
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, certifythatthis project is consistentwith 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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-411COAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
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)
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

LOCAMA / ❑ DREDGE & FILL
V�-�! L PERMIT . Previous permit #
'Ne v A B 6;� D
❑Modification ❑Complete Reissue ElPartial. Reissue Date previous permit issued
rized.by the Stateof North Car-olina;-Department-oDepartment Environmentand Naturai•Resources- - - -
oastal Resources Commission in an arep of environmental concern pursuant to 15A'NCAC
j 71
❑ Ruattacd.
it Name l j s Project location: County + t'
CW' f Street Address/ State Road/ Lot #(s
Ltd I A StateA) Zlp 1 < ,
F � ` E-M Subdivision
:ed Agents a `"/ �,�t` , City (-L--" t zlzlp' % .i-ile
❑CW SEW �A ❑ ES ElPTS Phone # ( ) r Riv Basin
•=I--
0 OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Bodyre`� ' n man unkn
❑ PWS:
yes n PNA yes n Closest Maj. Wtr. Body % b x� a� :.
4
>f Project/ Activity
ock) length
'latform(s)
�r(s) - -
igth
f/ Riprap length
distance offshore
xdistance offshore
ID:
ach $ulldozing_
her
s
reline Length _
i
�'3 f
r -
ry C i "t ❑ See note on back re gar ing River Basin rules.
4 ,
�r

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: TOM 1a'4t4AJ
Mailing Address: 1-11b
Phone Number: 48
Email Address:
I certify that I have authorized � �{ c ii ,�. % Ynas • )\Y% - i, ����ori,a
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 1 n 5
V
C� Y%6 a i") 500 Or-P4 Lr;i�
at my property located at e-1 I & . �r �,0 T ►7L., �a �i
in ( r cr-J County.
! furthermore certify that I am authorized to grant, and do in fact grant permission tom
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Print or Tvne Name
Title
_ 11
Date
This certification is valid through Id, 1 3. t l 1 `-
Rece/l/IZI) 16,
MAR022017
®CA4® A4H®

ConnectGIS Feature Report
.
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Page 1 of 1
WCONNEUGIS Printed February 15, 2017
WEB 1405TING See Below for Disclaimer
'XI ' Address Points
I j Parcels - Updated C2-C2-2017
y 11 i Centerlines
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NC Railroad Right of Way
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Cwounty Boundary
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PIN
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Lot Number
_ RECEIVE®
MAN 0 2 2017
JCM- MH® CIT-Y
S 1 : 33 Feet
the information displayed by this website is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, and othe
Dublic records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for verification o
the information contained on this site, Carteret County assumes no legal responsibility for the information contained on this site. Carteret County does not guarantee thatl
the data and map services will be available to users without interruption or error. Furthermore, Carteret County may modify or remove map services and access methods a
,Vill.
https://carteret.connectgis.comIDownloadFile.ashx?i=_ags_mapac l 33cOf4be5423bae l 09c... 2/15/2017

MAR 0 2 2017
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