74270D - Willis

_] CAMA / 1 DREDGE & FILL
GENERAL PERMIT
} INew --]Modification ❑Complete Reissue [-]Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quali
and the Coastal Resources Commission in an area of environmental concern pursu
Applicant Name U+-6 T W � u-' I S
Addres$ ;.043 \rV A,rjE 1tJ6,7-t ,N
City hAState NL ZIP
Phone # ()(. L �•- L.A� E-Mail
Authorized Agent j4 L (� � oN i (
Affected ❑ Cw I W �Z PTA ❑ ES ❑ PTS
AEC(s): D OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
L PWS:
ORW: yes )'ho > PNA yes
Type of Project/ Activity
Pier ath
Fixe(
Flom
Fingi
Groi
Bulkl
6;it
Boat
Boat
Beac
Othi
Shor
SAV
Mor
Phot
WaiN
No. 74270 A B Q
Previous permit # `% 04:> fI
Date previous permit issued i I I "I
ant to I SA NCAC
❑ Rules attached.
Project Location: County ✓f i 4-
Street Address/ State Road/ Lot #(s)
Subdivis7)�-AA(5
I N(I . PT. %T�-�S
CityTP-ZIP
Phone # ( -"�""-�^ River Basin IN H iT*-� oA--
Adj. Wtr. Body C,0L'E1e_ (nat�n./unkn)
Closest Maj. Wtr. Body Te)C<p, �V
f
(Scale: 1 w 46 )
ng Platform(s)
■■■■■■■■■■■■■�1�■■■■■■■■■■■■■■■■iil
r pier(s)
MEMO
i length
■■■■■■■■■■■■■■�V■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■«►y■■■■■■
^■■■■■ri,��■■■■■■
number
■■■■■■■■■■■■■■�7■■■�!■I/■■!�l■■■■■■■■■■■
max distance offshore
■■■■■■■■■■■■■■■■■■r'�ia'1■■_■■■■■■■■■■■■■
i■■■■■■■■■■■■■■■■a_
i1►11�:1�1���■■■�■1r■�■�■J�■1■■■■
cubic yards
ramp
■■■■■■■■■���■■■■■■■■■�►l��i.7■■■■■■■■■■■
notsure
■■■■■■®■■■■�■■�il�■■■■■®■■■■■■■■■■■■■■■
yes
•
■■■■■■■■�Q.�■■■■■■■■■■■■■■■■■■■■■■■■■■I
tr s: , r,1:�■W■,■■■■■��■■�■�■■�■■■■■
■■■■■■■
A building permit may be required by: �, S! ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
or
Please read compliance statement on back 9Ffermit **,
Permit er's Printed Name
Signatu e
U .Iz. lq --+2-
Issuing Date Expiration Date
Application Fee(s) Check

CAMA Y v DREDGE & FILL INTO 7VJ6`t A B C��
GENERAL PERMIT Previous permit #
,New Modification i Complete Reissue OPartial Reissue Date previous permit Issued
As authorized by the State of North Carolina, Department of Environmental Quality ! S�
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 6)?9 /cZOo
� Rules attached.
Applicant Name Mer Wj LL,I s Project Location: County?FNPA;)(-
Address ;3 l, -+- Lorz D T)P—- Street Address/ State Road/ Lot #(s)
City W1�1� II )&" to _ _ _ StateNC. ZIP Z ZD'9�/3, AIWII/AI ArOAJ d44105 /0'
Phone # (i- ) %(aZ �Z-�/a E-Mail _n �. Subdivision (��✓� //• ���T
Authorized Agent _ tlL - �n1 ti Cam- I�MQ��) City-_ � ZIP ZK�3
Affected ❑ CW PW ]PTA S j4.PTS Phone # (1— River Basin
AEC(s): ❑ OEA /❑ HHF ❑ IH ❑ UBA F N/A Adj. Wtr. Body A0,157 (na[ unkn
Cl PWS:
ORW: yes io PNA yes'
Closest Maj. Wtr. Body,
Type of Project/ Activity (1A-fFi
DAFt 6AS(J( ]rXPK& L)(LA Q A4 � ANP
j C41 tWAP &At 1-k)o
Pier (dock) length
-
Fixed Platform(s) __ q
1 -
t /
i--
-•
-_
__�
Floating Platforms) �Q�ts•i_
Finger pier(s)
iJA't,
Groin length
number
--
-
ulkhea iprap length j"b
avg distance offshore
max distance/offsbore
.sin, c annel "[-+ w Il
-
_
/ G�[•
/
/
cubic yards 'r
j
Boat ramp
Boathous oatlift
Beach Bulldozing
Other
�`�p<ND5
Shoreline Length -`r— 1I13
SAV: not sure yes ® 4— -- -
-. _
Moratorium: n/a yes - NV
Photos: yes - - - _
Waiver Attached: yes -
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
t f
N
461r Applicant Printeo Name
Algna�Wre ** Please read compliance statement on back ofpermit ** Please read compliance statement on back of permits'*
Application Fee(s) Cho& #
N
11--tJ --- i
(Scale: �
tHbt�- i�ouuD . _
❑ See note on bath regarding River Basin rules.
K 1A M
Penn fker's Prinm ted Nae
Sign re
•t- /P_
Issuing Date
Expiration Date

Date Received
Date sited Check From Name
Name of Permit Holder
Vendor
Check Number
Check
amount
Permit Number/Commems Recei for Relund/Rea/located
Columnl
COlurnn2
Column3
Column4
Column5
Column6
Column?
Col-8 co'...4/
1
1
R rd Penn C.-s bon
h Wes
'Na Federal
201'
0
P1/74 700 J r 8207