67109D - Williams

:AMA / ❑ DREDGE & FILL Vim, _
IIENERAL PERMITS Previous permit#
New JModification ❑Complete Reissu Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources 7 f � h 1200
2 0 �0.
oasthl Resources Commission in an area of environmental concern pursuant to 15A NCAC V 77 ❑ Rules attached.
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Name l/ � lz �kf -.1 S.
Project Location: County
j1CJf 1. �/ Street Address/ State Road/ Lot #//(s)
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Subdivision
ad Agent �'"7% % /L t',�c City1.t14'4tt ZIP E"9J
❑ CW SEW PTA ❑ ES ❑ PTS Phone #
River Basin
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body vv r
❑ PWS:
Closest Maj. Wtr. Body
no _ PNA yes k o
' Project/ Activity (/q S`lI `7i�G�r
ck) length W' r, '7 / f 1
atform(s)
Platform(s)
amber
id/ Riprap tongth_
g distance offshore
ax distance offs) qro
not sure yes no
)rium: n/a yes no
yes
Attached: yes n
Jing permit may be required by:
f.;
❑ See note on back regarding River Basin
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NC Division of Coastal 'M9t. Habitat impact- CoMputer Sheet
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Describe below the HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
(Applied for.
FINAL_ Sq. Ft.
(Anticipated final
TOTAL Feet
(Applied for.
FIB
(An
DISTURB TYPE
Disturbancetotal
includes any
disturbance.
Excludes any
Disturbance
total includes.
dirt
Ex(
Habitat Name
Choose One
anticipated
restoration
any anticipated
restoration or
rev
tern
restoration or
temp impacts)
and/or temp
impact amount
temp irri acts
am
1/11)
d ❑ Fill ❑ Both ❑ Other
-
Dre g
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both [IOther ❑
Dredge[]. Fill❑ Both ❑ Other ❑
=Dredge Fill ❑ Both ❑ Other ❑
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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
A. sign.
❑ Agent
X ❑ Addressee
B. eceived by (Printed ame) C. Date of Delivery
or on the front if space permits.
1. to:
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D. Isdel ddress t from item 1? El Yes
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3. Service Type
❑ Priority Mail Express®
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❑ Adult Signature
❑Registered MaiIT^'
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❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
9590 9402 1594 5362 4240 29
ACertified Mail®
O Certified Mail Restricted Delivery
Delivery
❑ Return Receipt for
- - - -
❑ Collect on Delivery
7 Collect on Delivery Restricted Delivery
Merchandise
0 Signature ConfirmationTM
7 015 0640 0 0'0 0 1716 8 314
1 Insured Mail
Insured Mail Restricted Delivery
El Signature Confirmation
Restricted Delivery
_ (over $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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A. Signatyffe / l ,
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(% ❑ Addressee
B. Receive by (Printed Na
Ae) Cfl,Dpte of Qelivery
D. Is delivery address different from item 1?' U YA:
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Expresso
❑ Adult Signature
❑ Registered Mail —
El Adult Signature Restricted Delivery
❑ Registered Mail Restricted
XCertified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
El Signature ConfirmationT^

February 24, 2016
Michael Memoli
130 Nanette Way
Lewisville, NC 27023
Dear Adjacent Property:
This letter is to inform you that I, Michael S. Williams have applied for a CAMA Minor
Permit on my property at 3 Inlet Court, in Pender County. As required by CAMA
regulations, I have enclosed a copy of my permit application and project drawing as
notification of my proposed project. No action is required from you or you may sign and
return the enclosed no objection form. If you have any questions or comments about my
proposed project, please contact me at 252-229-2684, or by mail at the address listed
below. If you wish to file written comments or objections with the Pender County CAMA
Minor Permit Program, you may submit them to:
Jason Dial
Local Permit Officer for Pender County
P.O. Box 1519
Burgaw, NC 28425
Sincerely,
Michael S. Williams
301 Tall Ships Lane
Hampstead, NC 28443

February 24, 2016
Colonial Capital Real Estate LLC
6752 Jade Post Lane
Centreville, VA 20121
Dear Adjacent Property:
This letter is to inform you that I, Michael S. Williams have applied for a CAMA Minor
Permit on my property at 3 Inlet Court, in Pender County. As required by CAMA
regulations, I have enclosed a copy of my permit application and project drawing as
notification of my proposed project. No action is required from you or you may sign and
return the enclosed no objection form. If you have any questions or comments about my
proposed project, please contact me at 252-229-2684, or by mail at the address listed
below. If you wish to file written comments or objections with the Pender County CAMA
Minor Permit Program, you may submit them to:
Jason Dial
Local Permit Officer for Pender County
P.O. Box 1519
Burgaw, NC 28425
Sincerely,
�Jzi6
Michael S. Williams
301 Tall Ships Lane
Hampstead, NC 28443

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