59150D - Williams

CAMA DREDGE & FILL
GENERAL PERMIT Previous permit #
'New _-Modification El Complete Reissue El Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources 14
Coastal, Resources Commission in an area of environmental concern pursuant to I SA NCAC
6;]Rules attached.
t Nadie D�� K NILI-i IU Project Location: County 13k t,k N),�Vi
X -
;s ?)C2,3 I41!2(-E i1 L, Street Address/ State Road/ Lot #(s)
"OA-f-E i-crr- State jN; ZIP ZJ S I-AJ 's T-
# (-104 C Fax# Subdivision
ized Agent Q nS �i N-a (li-N6paw n oN City (,MK-- 1SL-rNNO —ZIP —e--u
F-1 CW [:� EW PTA —ES El PTS
El OEA El HHF 0 1H E UBA D N/A
El PWS: El FC:
Phone# (—) River Basin I I)a
Adj. Wtr. Bod OA-v i s,PtL
yes PNA 0�- lil ,
-is / no Crit.Hab. yes / no
of Project/ Activity ek i y A -TV P (E-�-
(Scalle-
3ock)'engt;
rm(s) i Its 97 MIII
� (ExlA�
pier(s) =OEM
length
■■■ ®■■�■1 ��®■■ ■®■■■■■■ ■�■ ■■�■
iumber
ead/ Riprap length
-!v_g, distance offshore
■■■■■■i ' %�■■ ��■ �i■■■■■■
■
rr I MEN NEI 0 MENUff, 2"timommom�m
channel
:ubic yards
amp
ouse/ Boatlift
Fr
Bulldozing
MENE
line Len h
ding permit may be required by: El See note on back regarding River Basin
A

DISTM
VICINITY MAP
Nar'TO SCALE
WEST OAKI ISLAND DRIVE
t5
ra
W
s
IF S 75'20'00" E
CONC. 60.00'
DRIVE
20' MBL
I
EA-10,621.3 SF / 0.244 ACRES
1z
MUM IMPERVIOUS AREA-3,186.4 SF
L IMPERVIOUS AREA=3,727.5 SF I
3' x 3' x 3' PIT
iE-1,524.9 SF
FILLED WITH f 57
RED PORCH-341.6 SF I
PED
STONE WRAPW/
:EN PORCH-204.0 SF
'RETE
FILTER FABRIC (Off
APPROVED EQUAL)
DRIVE=1,657.0 SF
I
I
J
~
AREA FROM REAR PROPERTY
O
TO 75' AEC UNE-4,524.1 SF I
x-
5' IMPERVIOUS AREA ALLOWED I O AEC AREA=1,357.2 SF I 18 r, rn
0)
IMPERVIOUS AREA WITHIN
EC7 9� SF53.5 SF
EN PORCH-204.0 SF
75' CAMA
INAGE CALCULATIONS
AEC LINE
111
WOUS AREA OVERAGE=541.1 SF
I SF X ((1.5in)//(12in/ft))=67.6 CF REQUIRED
iE DRAINAGE PITS (3'X3 X3 (6�(.4) = 64.8 CF
p
O
DRAINAGE PITS=(3'X3'X3')(2 .4)
21.6 CF
_ RETAINAGE PROVIDED = 86.4 CF
r
I
30' CAMA
Z
LANDWARD BUFFER
I
IRF
I
I
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y
i
i
i
IRF
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IQ-
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O
n
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m
O
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AE-13
—-AE-14-
PROPOSED
I
`r
r-
RESIDENCE
SCREEN Y
il PORCH w
17.0'
1
P
rt
1
N
OR
loo IRF
L2$
L1 CID
p
NORMAL HIGH
_
o WATER LINE
8/17/11
S3
5.0' 11.0
o
'voeY�
BIG DAVIS
CANAL,
I
I6b 1 16, 0 1
nnk

LVI
•r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Goverror Director Secrelary
AGENT AUTHORIZATION FORM
Date: i—(o -I?.-
Name of Property Owner Applying for Permit: Name of Authortzed Agent for this project:
"DESK Ii�t�UlillVl5 ��JR7l 6mig�4 F 1• roN_
Owner's Maifi.ng Address:
Phone Number
Agent's Mailing Address:
Phone Number (Q[t7) 45?- WZZ
I certify that I have authorized the agent listed above to act on my behalf, for ttie purpose of applying
for and obtaining all LAMA Permits necessary to install or construct the following (activity):
i ACK WAV -f PX- 44 N 14u5
(my property located) at 1`L7 S'V�% Jr SG 2$4kT�-
This certification is valid thru (date) 2 • �f�- f �i
Property Owner Signature Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/iYIOORING PILLNGSIBOA TLIFTIBOA THOUSE)
I hereby certify that I own property adjacent to-D6K61L ALLIA*0
(Name of Property Owner)
property located at [.UT— L I BwC4x 2l i `'� 15 ?RAt)( UIL t{lZr�
(Lot, Block, Road, etc.)
on ,Ar11bL , in �Aff /SL& , N.0
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location, and, I have
no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set
back a minimum distance of fifteen feet (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.)
I do not wish to waive
I do wish to waive that setback requirement.
----------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
SEE MIACW�>
A s)'n
e kotd A 1,Cbrho-e6
y
(�qQI anti------------------------------------ - -
s said
(Information for Property Owner/Applicant
Applying for permit)
CU M-n'> 51<1 pPEP, C4�/sr,Ki,C1rioN
smwen7>C ^12R1116-
Mailing Address
(Riparian Property Owner Information)
S ignatu
Ali
Print or Tvne Nar

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER11I0ORLYG PILL-NGS/BOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to -D6K914'0lWP4"
(Name of Property Owner)
property located at L&-r 11 ?MALU011- tk-Rr�r
(Lot, Block, Road, etc.)
on '17*ytS , i, N
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location, and, I have
no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be se
back a minimum distance of fifteen feet (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.)
I do not wish to waive
I do wish to waive that setback requirement.
----------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
SEE MIA54a>
(Information for Property Owner/Applicant
Applying for permit)
Cu m ,,> 5t<1 prE-P- Cis-mxnoN
mom% sPmt4e n7> ^tRtt1C
Mailing Address
SAM49Q1?r NC Zed 4t
Citv/State/Zit)
(Riparian Property Owner Information)
rJ Signati
Print or Type Na

iplicant: w ll-- 4 f\T� Y)L- -�'-K
ite: 2�IS f 1 Z
Permit #: 5Gf (so
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremei
Ind in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated fir
bitat Name
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration anc
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount)
`,� `
ov "'
Dredge ❑ Fill ❑ Both ❑ Other Q�
2
Z-7
lj w
Dredge ❑ Fill ❑ Both ❑ Other Lj-
Dredge ❑ Fill ❑ Both ❑ Other P
Dredge ❑
Dredge ❑ SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1, 2, and 3. Also complete A. Signature
Dredge ❑ item 4 if Restricted Delivery is desired. X ;Agent
-
■ Print your name and address on the reverse ❑`Addresse
so that we can return the card to you. B. Received by Printed Name) ateo f Deliver
Dredge ❑ • Attach this card to the back of the mailpiece, O ll I
or on the front if space permits.
D. Is delivery address different from item 1? ❑ Yes
Dredge 1 • Article Addressed to:
❑
g
T " CAn� If YES, enter delivery address below: ^No
�vU0..t�r� � TOOL, ye
Dredge ❑
3 1+5 Z 1-0n9s PQ-ak
Dredge ❑
r k�S� 3. Service Type
Dredge ❑ Certified Mail ❑ Express Mail
n
1 3 p b Registered Return Receipt for Merchandisf
; V ❑
Insured Mail C.O.D.
Dredge ❑ 4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number. 7011 0470 0002 1384 5818
Dredge ❑ F i i (rmnsfer from service label) -- — --
-)rm 3811, February 2004 Domestic Return Receipt 102595-02-M-154
Dredge ❑ Fill ❑ tsom U valet U
Dredge ❑ Fill ❑ Both ❑ Other ❑

FIRST CITIZENS BANK
LSC XPRESS, INC.
DBA CURTIS SKIPPER CONSTRUCTION
3848 SPRINGTIDE DR
SOUTHPORT, NC 28461
w
PAY TOTHEC D �� R I�
ORDER OF
�W ,o 4
a
MEMO
C2o I- -fS % ^C AUTHORIZED SIGNATURE
11200 106 ?II' i:0 5 3 L00 300i:004 5 3 b 2486 2anm
11