62569D - Willis

J" ( State - ZI P
( �� —� ro Fax # ( )
ed Agent A/ 4 4-
CW � PW %: PTA AES PTS
OEA El HHF ❑ IH UBA N/A
PWS: ❑ FC:
yes / :no PNA yes no Crit.Hab. yes no`
A Project/ Activity Vy/ S
1
lock) lengtt
'm(s) I II t Xo 2— O
pier(s)
length
lumber
gad/ Ripraplength
vg distance offshore
nax distance offshore
channel
ubic yards
amp
w oadift Z
Bulldozing
ine Length U
notsure/ yes no
igs: not sure yes no'
�rium: n/a yes no
yes no
Attached: %y s o
ling permit may be required by:
OrAMA / 'DREDGE & FILL
IENERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC U o U
❑Iles
Name /Aiin VVI L L I S Project Location: County
1 32Z �omnwa Street Address/ State Road/ lot #(s) _
IC,il 14An
eS
Subdivision / AIA---
City OY S t/' ZIP
Phone # ( ) I River B '
Adj. Wtr. Body �'1 wl C L
Closest Maj. Wtr. Body �tJY1�
V �- 1 A"i"W V" i; t/v 6LJ f
rol
(Scale: ( rr_
r < kit yV V I . ❑ See note on back regarding River Basin

opllcant: !�V I
ate:
Permit #: (ji z -S b
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
:)itat Name DISTURB TYPE
Choose One
TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet
(Applied for- (Anticipated final (Applied for.
Disturbance total disturbance- Disturbance
includes any Excludes any total includes
anticipated restoration any anticipated
restoration or and/or temp restoration or
temp impacts) impact amount) temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
dFill ❑ Both ❑ Other ❑
D!TEIJ
❑ Fill ❑ Both ❑ Other ❑
❑ Fill ❑ Both ❑ Other ❑
❑ Fill ❑ Both ❑ Other ❑
❑ Fill ❑ Both ❑ Other ❑
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 ❑

STRUCTION, INC.
VETT LANE
2RY, NC 28460
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BankofAmerica.
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66-19-530
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Ownerg w. S !,J ; l ; r
Address of Property: 0 w c c (c tS In o A f
a (Lot or Street #, Street or Road, City & County)
Applicant phone #: ! i1'1��►I oe' i bmf Mailing Address: a a E i-w to -
� 3L) 71;'
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 -ate-proposing_ _ _ i#hAr+w4a u4rwnQ- r"". # ..aa".s.:_ 4---
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 DCM offices is
�. available at www.nccoastalmangementneticontact_dcm.htm or by calling 1-888-4RCOAST. 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, 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
wai a set ck, you must initial the appropriate blank below.)
V v I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
A
(Property Owner Information)
XA-,l
�gnatrrr•e -
IN�'If���.
Print or Type Name
2 a a nnw�.erc c
Mailing Address Marl Address

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Properly Owner: X W i 6 l G �► w, S (,J ; i 4 t
Address of Property: ` cQ W i c I( o "I -IJ A f
(Lot or Street #, Street or Road, City & County)
Applicant phone #: Anh lio ' [by) S+ Mailing Address: oZ � o`Z �Yl I t Qf� Lr1-
sftead-s n M 184W
i� 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_ lle development
they are proposing. A description or drawing, with dimensions must be rovided with this letter.
/ I have no objections to this proposal. I have objections to this proposal.
if u 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 www.nccoastaimangement.net/contact_dcm.htm or by calling 1-888-4RCOAST. 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, 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 tback, you must initial the appropriate blank below.)
1
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
i
(Property Owner Information) (Riparian Property Own formation)
dC
rgnat�u e tt V gnalurrej 11
}
� nSv
X
Print or Type Name Print or Type Name
`32a e-) rn� ,1J
Mailing Address Mailing Address
N e, wJ 8 e,,i Al L l �S so 2 �' 4 n 1 c .a -A L

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date �ZDj
Name of Property Owner Applying for Permit:
-... ox V/ t' 11 t M S. t✓,' 1(..s
Mailing Address:
13 2-0
I certify that I have authorized (agent) An� 0 DYQ ( 00 f ` j(Q 6 • to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 1Vj_JL, �r(_[,1 � ,(,(( 4/
r /}
at (my property located at) 1,011 ��(� if j('�iJV f 01
This certification is valid thru (date) � /Z V 14
Property Owner Signature Date

Permission to tie into bulkhead. Thanks
Sent from my iPhone
Begin forwarded message:
From: Deborah Taylor <deborah.taylorl988kyahoo.com>
Date: August 2, 2013, 2:06:50 PM AST
To: Bill Willis <BWillisa
Jmwsinsurance.corn>
Subject: Re: Bulkhead at my lot 1011 Chadwick Shores Dr
Reply -To: Deborah Taylor <deborah.taylorl988 ,yahoo.com>
thanks for your email; you have our permission to do as you
need.
thank you, and have a nice weekend.
Deborah and Bud Taylor
From: Bill Willis <BWillis(@lmwsinsurance.com>
To:"'deborah.taylor1988(o)yahoo.com"' <[e-mail]>
Sent: Thursday, August 1, 2013 6:09 AM
Subject: FW: Bulkhead at my lot 1011 Chadwick Shores Dr
Bill
bwillis(a)Imwsinsurance.com
From: Bill Willis
Sent: Wednesday, July 31, 2013 8:36 AM
To: '[e-mail]'
Subject: Bulkhead at my lot 1011 Chadwick Shores Dr
David,
Thanks for your time. I have to have your permission to get my permit from Cama to tie into
your bulkhead.As I mentioned to you your bulkhead stops approximately one foot from your
property line and we would have a gap that would continually be a washout problem for both of
us.Please just respond to the email saying that I have permission to tie into your existing wall on
your lot. Thanks for your time and if you have any questions you can reach me at 252-636-9104.
Many thanks, Bill