66658D - Williams

CAMA / ❑ DREDGE & FILL KL' A B f
!ENERAL PERMIT �` Previous permit #
slew El Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
)astal Resources Commission in an area of environmental concern pursuant to 15A NCAC I Rules attached..
i
nName �/ �� �V,'/ ) Project Location: Countyf �'` `r 1-��� LL�-
Street Address/ State Road/ Lot #(s)
S e ZIP
r l 0' ✓tip � �
� _ . �.,,� •. Subdivision
1 ZIP
W Agent City ' 'V : ; `� �' (l, �i` i
[ICW '�j EW �pTA El ES ❑ PTS Phone # ( ) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA El N/A Adj. Wtr. Body ; -t i n n
❑ PINS:
„O—\ -� Closest Maj. Wtr. Body
yes /
Project/ Activity
:k) length_
itform(s) _
Platform(s)
ngth
tuber
d/ Riprap If
g distance
ix distance
nannel
ne Length =
not sure
)rium: n/a yes
Attached:
ling permit may be required by:
1 ^-1 Pinnnina Jurisdiction)
I A
❑ See note on back regarding River Basin

RC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Permit #:
Date:
I
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
im act amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both Q Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

I hereby certify that I own property adjacent to
r Ow ,per)
propert ocated at
_ (Address, LGtrBlock, Road,
in
on
(Waterbody) (CitylTown 11 and/or County)
The licant has described to me, as shown below, the development proposed at the above location.
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)
s
(Na of P
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bacl
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wa
the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
o er f nation) I / (Adiacent rope y Owner Information)
ut e n
rnn •rType
Print or Typem��j� 6� % 4 v T s L
AAnilinrr A!'%l�YA+?S7 .'y .�

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN 7PPERTY OWNER/ NOTIFICATION/WAIVER FORM
Name of Property Owner: �U '/^'v9��� ' • ���<�Ta���
Address of Property:
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #:
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.
I have no objections to this proposal. I have objections
s 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. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
AdL_ I do wish to waive the 15' setback requirement.
______ I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Pant or Type Name
Myail� Address
Adjacent Property Owner Information)
C� `
,Sig ttire
Print or Type Name flDIn
Mailing Ad ess

�� y

PLAT OF SURVEY FOR
RICHARD WILLIAMS
LOT 100, THE ARBORETUM
SMITHVILLE TOWNSHIP, BRUNSWICK COUNTY
CASWELL BEACH, NORTH CAROLINA
0' 30' 60' 90' —
I
I
THE ARBORETUM
SUBDIVISION
CASWELL BEACH, N.C.
MB 'T' PG 219 B.C.R.
NOTES:
SETBACKS SHOWN ARE BASED ON
MAP RECORDED AT MB 'T' PG 219
30' FRONT, 25' REAR, 8' SIDES.
IMPERVIOUS AREA CALCULATIONS
TOTAL AREA WITHIN LOT = 18009.8 SQ.FT.
EXISTING HOUSE = 2071.4 SQ.FT.
EXISTING DRIVE = 1394.8 SQ.FT.
TOTAL EXISTING IMPERVIOUS = 3466.2 SQ.FT
IMPERVIOUS AREA WITH IMPROVEMENTS
HOUSE = 2316.4 SQ.FT.
DRIVE = 1394.8 SQ.FT.
TOTAL IMPERVIOUS = 3711.2 SQ.FT.
A r r AD— — r: a AT--
PINEY POINT CREEK
MEAN HIGH WATER +1.65' — --\
S 84'5341- EIP S\
83.53' \
S7 0 \
LOT 100 60� 8 S7
18009.8 SQ. FT. \
0.41 ACRES Z
N
91
Un Z6 r
CURRENTCK TO
BE CLOS `1Cry
OVERHANG --]SCREEN 20.00,
_m
IPI 0%
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1 I 46.50'
75, p.E.G�LINE
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1 46.50,
COVERED PARCH\?
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-` A=72. 96, R= 90. 50.
EIR
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S 85*11'00'
E TBM=5.80'
10.18'
EIR \
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