Williams, John

�CAMA / ❑ DREDGE & FILL N9 78446 A B (C ) D
ENERAL PERMIT Previous permit#
(lew ❑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
< El Rules attache
Applicant Name ��i hn ( �1 I � I o iyl ) Project Location: County /
Address '" ( ; I f Street Add ss State Road/ Lot #(s)
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City � tate ZIP S �v �"
Phone # C J E-Mail Subdivision f
Authorized Agent L'; )' ! %/�l- City k.vk/ W; ZIP
❑CW El El Li El Phone# (• ) X_ 1 �% River Basin
Affected
AEC s : � O� ❑ HHF ❑ IH ❑ UBA El N/A Adj. Wtr. Bocl\
El PWS:
Closest Wtr. Body
Ma'.
ORW: yes / no PNA yes / no I , y '- —:•r -'I c.. 1
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V •ER: CompLETE THIS SECTION•SECTIONN ON DELIVERY
Complete items 1, 2, and 3. A, 5I9
■ Print your name and address on the reverse X ❑ Agent
so that we canieturn the card to you, ❑ Addressee
■ Attach this card to the back of the mailpiece, S. Recel br iPnnfedJJ )C. D of w
_ or on the front if space permits. Gv &d}L(f1nl
1. Article Addressed to: - ery address different from Rom iT ❑Y
x..�*-� r , i r y >� , ter delivery address belrnv: ❑ Nc
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to OCa� C � 00 c,
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9590 9402 4915 9032 3548 83 0 teamed Mali® Davy
❑ CertifiM Mal Ras4ictod Delivery ❑ Return ReceiptIbr
❑ collect on Delivery MemhanCise ;
service labaI O DWiect on Delivery Restlet•d W,vwy osignatwo , atjmoTM
7018 0360 0001 9723 8436m su ❑slg l e�ibn
mi Restric eW Delhrery RestriW D av
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PS Form 3811, July2015 PSN 7530-02-000-9053 Dom is Return Pecelpk
<11

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to John Williams 's
(Name of Property Owner)
property located at 725 cannons Gate
(Address, Lot, Block, Road, etc.)
on IGW in New Port N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
o tion.
a 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.)
1l1 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
.Signature
Print or Type Name
Mailing Address
City/state2ip
Telephone Number / email address
Dale
`Valid for one calendar year after signature'
(Adjacent Property Owner Information)
S n Vakovy
or Type dame
�n =" Le h-r 7 e 1- Card t i
tg Address
uryia[atercrp
Telephone Npmberl email address
3
(Revised Aug. 2014)

WAMA / . DKtDUF= & FILL NO. /-1168
C
EN RAL PERMIT Previous permit # A B D
ew • Modification [ "'Complete Reissue --:Partial Reissue /Datte�p vious permit issued
As authorized by the State of North Carolina. Department of Environmental Quality
00
and the Coastal Resources Commission in an are of environmental concern pursuant to I SA NCAC _
ached.
Applicant ca
Name Project Location: County
Address _� _ '� ! c Street
tAAdddrelss/�S tto} Road/ Lot #(s)�
CityF\vj _ to l� IP
Phone # _ )E-Mai t __ Subdlvlslo n�.
Authorized A ent C✓1 1 Pad
3 1 f f City _�� l Y ZIP��>���
Affected CW )iw ;PTA ;ES :'PTS Phone # (... River Basin
((((: ♦♦\ ::USA 1, I N/A a
AEC(S) : OEA HHF IH Adj. Wtr. Body _ not man junkn)
PWs: dO%/J�'`�
ORW: yes / no PNA yes !(r(o j Closest Maj. Wtr. Bod
Type of Project/ Activity
Pier (clock) length A 0 7
Fixed Plallorm(s) 1 1
� )
Floating Platform(s)"'—'__ _
Finger pier(s) _
Groin length -
number -
Bulkhead/ Rlprap length -�
avg distance offshore-''
max distance offshore
Basin, channel
cubic yards'
Boat ramp
Boathouse/ Boatldt —�
Beach Bulldozziinlgn p`�kc L�
Other �riStYV:7 fa(/ //�y..� _.
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes o
Photos: yes .,
Waiver Attached: es
A building permit may be required by:
(Noce Local Planning jurisdiction)"\
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rid
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Agent or Applicant Ptinted Name (`{�,/���•�� � � �
Signature **Dease mad pliance statement t on back
rm -Apolication Fee(s) Check #
permit
Sign ture
Issum
111rDatee
See note on back
[I (Scale: l� () )
River Basin
. xp bn Date
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