Willis, Eddie

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t-MAMA / ❑ DREDGE & FILL N9
78476 A B //c D
GENERAL PERMIT Previous permit#iakll
Vqw ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality "' ] /, / /UL) ` , i ( !'
and the Coastal Resources Commission in an area of envir nmental concern pursuant to 15A NCAC / r.
❑Rufesattached.
C "V + f ` Project Location: County
Applicant Name GG _ U`` � j
Address �U k Street Address/ State Road/ Lot #s).
City �-yf v' State ZIP i �
Phone # (�>L ') �c / E-Mail Subdivision
Authorized Agent City l ", ' . / '.1 ', ZIP v'cv'c 11_
❑ CW "gEW au PTA ES ❑ PTS Phone # ( ) River Basin `�_ ! ` /` (✓Y`,�
Affected ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
AEC(s): Adj. Wtr. Body (na_t /man /unkn)
❑ PWS:
Closest Maj. Wtr. Body C
ORW: yes / no -' PNA yes/,no l
Type of Project/ Activity
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or Applicant
Name
Sig a jw Please read compliance statement on back of permit"
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Check# IssuinADatet f Expirafion 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, 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 comply with 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)
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)
fittp:Hportal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

I hereby certify that I own property adjacent to /J'd(,, 61 1( Z ( S v _'s
Property located at S�S 0/j ( 14 (Namepf�Property Owner)
(Address, Lot, Block, Road, etc.
on p oit. in 4-4 �(A N.C.
(Waterbody) —T (Cityfrown aridlor County)
The applicant has described to me, as shown below, the development proposed at the above
locab.
(1�`zIL I have no objection to this proposal.
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must Rll In description below or attach a site drawing)
14654mg=14b.
WAIVER SECTION
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.)
/C7 (/ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Sigr� 1 r��� T `w I i 1114j SM a c-" D1�7 --KP rluy\ r"
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OOS $
(Revised Aug. 2014)
'Valid for one calendar year after signature'

i
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL
ADJACENT RIPARIAN PROPERTY OWNER NOT FIEMENT CATION/WAIVER FORM
Name of Property Owner.
Address of property:
..J.t.,�
(Lot or Street *, Street or Road, City & County) 5�12)1
Agent's Name #: � r n Mailing Address:_f�r p (l-=3 yn p
Agent's phone #: rl
I hereby certify that I own property adjacent to the above referenced property, �f
applying for this r PertY• The individual '( J
Permit has described to me as shown on the attached drawing the development jet O
they are proposing. Adescriotion or drawing. with dimensions must be provided with this letter. ( �(
✓ I have no objections to this proposal. I have objections to this proposal.. 7e�
If you have objections to what Is being proposed, you must notify the Division of coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at htin:llwww. nccoastaimanagement netlweb/cm/staff listing orby calling 1-888-4RCOAS T.
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
V I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement
(Pro arty Owner Information)
Signature
Al'��n T W�11i5
Print or Type Name
585 oak Hac-c�mrr.� 17r.
Mailing Address
Nkany—ecfs
CitylStatelZip cr11
Lq4) q'rl I- �Ao5
Telephone Numberl Email Address
Owner Information)
Print or Type Names
5660 ah 14,ii'l
Mallmg A dress
rrimyzi6�7a �¢
Cify/Statemp
3X, N, a 1-zFrgdrn 143a �y rn�l(,ean
Telephone Numberl Email Address
Dates
(Revised Aug. 2014)

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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner.
Address of Property:
(Lot or Street N, Street or Road, City S County)
Agent's Name P Flyt=•) y myis—>
Agent's phone #: (9LcDc rl 1—�AD
I hereby certify that I own property adjacent 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 drawing with dimensions must be provided with this letter. n�
✓ I have no objections to this proposal. I have objections to this proposal..
If you have objections to what Is being proposed, you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for nCM offices is
available at h!gp:/Avww.nccoastaimanaoementnet/web/cm/statf-listing orby calling 1-888-4RCOAST.
No response Is considpred fha < ma ne nn h.— w..,.......ue:_..... ..__.:. .._..
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
V I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Ac,-!�-Cn --r- W't11iS
Pdnt or Type Name
'5a5 oak HammmY N--
Mailing Address
Oany-)�s
City/State/Zip
Lgiq)gri I -ploy
Telephone Number/Email Address
(Ripa ' n-P-roperty Owner Information)
/ t/ -iI
Signature
Print or Type Piamel
5650 ale'5 �
Malling dress
City/Statemp
3?6, N, W1 1-Jrtdrp en Qy riot/lei
Telephone Number/Email Address
✓/ 0 b04-6
Dale
(Revised Aug. 2014)

I herebycodify property 1 .1 T - ' %l5
dify that I ownadjacent to C ( S s
o j i / (Name'' Property Owner)
Property located at '1 l) N, Ak Y
on -id(Address, Lot, Block, Road, etc.L
�t.Ei in UA -rk Pre 1ci4 N.C.
(Waterbody (Cityrrown arid/or County)
The applicant has described to me, as shown below, the development proposed at the above
locab.
fh2R I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must Rll In description below or attach a site drawing)
WAIVER SECTION
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.)
_ N92 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
o oS 9
Teleph ne Number/email address
►real �n1q
Dare
'Valid for one calendar year after signature' (Revised Aug. 2014)