Briggs, William Wood

Al
CAMA / � DREDGE & FILL
N2 71310 A B C D
-. GENERAL PERMIT
Previous p ermit #
New -Modification -Complete Reissue -Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Rules attached.
i� Project Location:
Applicant Name i
County
Address
. ' " Street Address/ State Road/ Lot #(s)
State J U IP t �°
�A. .., }
City
Phone # (_ _) '' / -1�1ai1 — Subdivision
__ `" "'� ,•.
Authorized Agent
City
- t` ZIP
CW ❑ EW A El ES ElPTS Phone # ( f`-
Affected Al
ft'verE asin
- OEA ElHHF ❑ UBA ❑ N/A
AEC s : Adj. Wtr. Body
-.
PWS:
Closest Maj. Wtr. Body -----.,.A
ORW: ves / no PNA yes / no
Type of Project/ Activity
2
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number.
Bulkhead/ Riprap length
avg distance offshore ... ''
max distance offshore --.
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning Jurisdiction) '
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature *t Tlease read compliance on back of permit *
Application Fee(s) Check #
(Scale: )
[7. See note on back regarding River Basin rules.
Permit Officer's Printed Nam
Signature}
�— --- —
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 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 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
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)
Revised 7/06/ 17

ADJACENT RIPARIAN PR&ERDLOWNER STAI, -EIVENT
I J ,
I here certify that I own property ad.acent to i(A"111a
(Name Of Pro erty Owner)
Property 10,,zated at Y'0`14'ww
(Address, Lot, Block, Road, etc.)
on 57-/i-r> I N,'
I in 4-5r7-eel- 2 , -, - -
(Waterbody) (City/Town andior County)
-'Int has describead to me, as shown below, the development proposed at the above
I ra�.'e no ob;e,-tion to this proposa',
I ha-',,-- objections to this p,cposa,.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individuall proposing development must fill in description below or attach a site draining}
0-C , 13 3'
;>
ILI'
WAIVER SECTION
unders`:a-A that a Pier, dock mooring pings, breakwater. boathouse, iift, or groin must be set
back a mi,,mmum distance of 15' from my area c* roarian access unless waived by me, (1;, you
�Ylsh to wanve the setback, you must initial the appropriate blank belov.i.%
I 7do wish to wave the 15'setback re-qjirernent, 4&111- 1
I do not wish to waive the 15' setback requirement,
(Property Owner information) (Adjacent Prope wrier Information)
7vpe- TrP.
Print cr
Sd6 La Print or Type Name
Uaifir"�;r
�' A =rpl SS
V
A-47cf-
�7/ r7 -
Tefepl; ;ne
elepl, e Nu*e
Date
Date
(Revised 611R,,'2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
C /` c I hereby certify that I own property ad;acent to
{Name t�f Pro erty owner)
ProPert loil tedat GJ f��'r'�E!✓ SL�>. x7[ _ �'�/e
y .� tia
!� (Address, Lot Block, Road, etc.)
oil dL L fryo ✓tu t7 in N.C.
(Waterbody) (Cityrown and/or County)
The a,z!-Vc nt has described ,ti rne, as shown below, the developrne: it propose: at the above
locato^.
I F,a,.=e no objection to this proposa-.
I have objections to this prcposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
{Individuall proposing development must fill in description below or attach a site dra ving)
&15-Fr�/b
e�X J 5 t`:
n.4 ft�rt,6S-� ,4i�?? y
r `a
r
rJj;c,, M
f ,
��SYi�L i-iYjtlt JJF r �1���/
WAIVER SECTION
I uraders}a <d that a pier, do j moorirg p sings, breakwater boathouse, lift, or groin must'e�� .�
back a m. limu r distance of 1 E' from my area cT r;parian access un ess waived by me- i , you
wish to vaa r.e the setback, ycu must initial the acprepriate blank belo-w.; M
ti QG •
I do wish to waive the 1-` setback requirement.
I do notwisi. to ;naive the 15setba-k requirement.
(Property (Dwner Information) (Adjacent Property (caner Information)
;Sn
it %9 '-'f2tYc p
It
Print or T jp�; Name
Prh7t or 1pe Name (7 j
M kr ,
�i7L�t S+
ti G 6h} `!fi t A ``LSSk,itylst Xir Al 0' �' l
T-elOPF:v °? .`lIfJ7"ber -_ `fJlF�yJ�i OY ^ ?I
e" /Date `� — --
i' xe
rRavised 6J1 a,2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby oertify that I own property ad.acent to s
(Name of prop" Owner)
PrQ!Pe°tY to--ated all 73-4-"z'. �7 e 64e14_
(Address, Lot, Block, Road, etc.) IN--. C.
on jFo6iil- 50vr-r-,
� in
(Waterbody) (City/Town and/or County)
The a:),I'c�nt has describec m me, as shown below, the developrne,t proposed at the above
location.
I ra:ve no objection to th',s proposa;.
I h objections to th:? e p,c posall
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individuall proposing development must fill in description below or attach a site drawing)
wt,14-1,7 rex, -TP — L,-X,5—
Z
%eyvtO-1
WAIVER SECTION
I understa—A that a Pier, dock mooring p iings, treakwater, boathouse, lift, or groin must be set
back a rnirflrnum distance of 15'from
my area of riparian access un!ess waived by me. ellf you
wish to wah-,,ie the setback, you must initial
the appropria!-- blank be!ov,,.;
—I do wish to wa',.,e the 1 -'-' setback reqjirernent.
I do not wish to waive the 15' setback requirerent-
(Property Owner Information)
(Adjacent Property wner Information)
si
Print or Tipte Namq�-
Print or Narne
Ae )�- 7
5-
Y,P-
-ass
Z'
city"'SW
9w� -
Telepts-re il`,Vainbpr
/5'
Teleph-c'ne Nualper
Date
Date
('Reosad 6/1 6,z20^1 2U--x$-
V*J

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address,1
Phone Number:1 35r 7
Email Address: Woo
I certify that I have authorized 1'U e t �
Agent ! contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
ed at� �[vrQ �``4'p"
at my property located y1:
� 1
in Cc, —County.
/ furthermore certify that 1 am authorized to grant, and do in fact grant permission to
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:
N
G
Signature
W w0c, - 9 N 'j U
Print or Type Name
Title
))ql
ate
This certification is valid through I 1.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i5lS s
i hereby certify that I m n property adjacent to N`L�r� Owner)
tName of Property
Property located at jS �i�''t'rfr✓ ,3t�a. /s"z 'e
(Address, Lot, Block, Road etc.) N.C.
OnQ6 itl' Sa• N in
(Waterbody) (City(Town and/or County)
tY }
The applicant
location.
has described to me. as shown below. the development proposed at the above
w
I have no objection to this proposal.
I have objections to this proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVE
(Individual proposing development must fill in description below or -•• - ----
b�'cn '20ce /", f0urp'C'.'
T!A
OF -12at.K
c�1�tSir�.6 f/crw.6S. .4�?��
l'5
p• rtF�
E
/Ff/ fe;1ilvG 6r1V-Yr v6 PocfK
l WAIVER SECTION
I understand that a pier, dock, mooring pilings. breakwater; boathouse, lift, or groin�l�13t be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If Teg
wish to waive the setback you must initial the appropriate blank below.)
1 do wish to waive the 15' setback requirement. ®O
G�
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Jtgnarwe
Print or Type Name
5-i6 k- -760ee SiaC�tT
Mailing Address •-
211C11C/G,u NC 29603
CrtylStateiZip
9/9 - 3L
Telephone Number
1C-%S'- 14?
Data
(A77V77n-
ation)
Si ure
Print or Type Name
_�ZIZ f-tJ-T-
Mailing ,Address
RAcsf�r-,42
City te/Zp
Tisphone um r8 T
Dare
(Revised 66/18/2012)