52494D - Williams

CAMA / ,DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources 7
Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 7H N c (a C C
it Rules attached,
nt Name .iL 1 � 1 I
I Project Location: County j1 to I-;1 m Y7✓ Ct .
-
.s 09 t`if,i 1l1it ii 7t('r1 D(1 tip, Street Address/State Road/Lot#(s)
t 1 State ? ZIP ,,•,.')i ( \r Nria t as �-i-r f'F-�-
# ( ) Fax # ( ) - Subdivision I A 4(,1I ff
•ized Agent City �/U ra 1i-�/j 1 le bea(h1 ZIP :;O"1(1
d •
-cW EW _PTA ES ❑PTS Phone# ( (1) )tt U"V G l C River Basin Lja.
OEA ❑HHF ❑IH ❑UBA ❑N/A ft S C��tr�� I
: Pws: ❑FC: Adj.Wtr. BodyEAflat
Closest Ma Wtr. I ��rYIVIii-f �Uh
no
yes(no PNA yes Crit.Hab. yes (no l' y
of Project/Activity V\ A i r' IV `C7i 1 k le Li 1 S t i 11( c)t,
(Scale:
dock)length
r
NW Irl..-IiiillIMMINNIIIIIIMMIIIIIIMMW411101ttikti ‘''!----
r pier(s) I I
-tow ilength I 1
d +
number `•
ead/Riprap length j
avg distance offshore — ,'1 I. - _ i
max distance offshore �_ _
channel b X ' „,{ p,
cubic yards j ' t • « I i
/�,/ / �O' I i l
ous Boatlift V X 'Q I `
Bulldozing _.___..' I to'
line Length _ _- • i l eil
,i V" Nfl ii =14 '6/
not sure yes no
ags: not sure yes no ; — , —` I t/� -t�r. I - —
orium: n/a yes no � `CJ � " V \ 9�CI*
At, '�
s: yes no i l i ref p
f I� 1
r Attached: j'yes� no
i f 1t 11 j, !l Q I
ding permit may be required by� n (4 �'`V r)c r t of 1 ,dt a ti\. 1 I See note on back regarding River Basin
i
c-- C.t o V. ,lib 'i Li it'l n A

• !A 004
'2009 10:42 FAX
ItirA
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
MlcfiaO F.Easley,Governor Charles S.Jones, Director Milan)G.Ross Jr„Secretary
Date —1 _U9�
Applicant Name 6v2-or►n* W; tte-.W..S .
• Mailing Address —7 SO kcz rk • r
•
•
I cortitY that I have authorized (agent) e ke,. ^�__Cer.5k. to act on my
behalf, for the purpose of:applying for and obtaining all CAMA Permits necessary to
install or-construct(activity) ,a# 41471- ,
at (location)-- r ln..)e) 64-k ✓1 c .... .12221,-: 1, r'I,I�',
This certificatleu is valid thru (date) 1�;�j' D^7 •
Signature •

rid aos
3/2009 10:42 FAX
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(I'UR A PIER/MOORING PILINGS/BOAT F /BOATHOUSE)
4 ww.*-
[ hereby certify that I own property adjacent, to ;,,. c_, +4, r, 4".. . t" ;s
(Name of Property Owner or Appttcont)
Mailing address if different from location address_ --73..c.fi l t,, -.. .,,
(town,state and zip) eii ?.0 / _
phone numbers you can be reached at i~ ,911_! ,:? 9 ..,. '.a . 1 .. -: .. ` _,
property located at .04 f
(Lot,Mock,Road,eta.)
on__, tt L„ _ w�_..�..._.. , _1 __
>er~�� in [< ��� � � .,..� N�� ��....._._.._.._......... „�,N.(;.
(Waterbody) . Crown la d/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. 1 understand that a pier/mooring pilings/boatlift/boalhouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian aCeecs unless
waived by me.
_ I coo not wish\to waive the setback requirement.
iniiin
.. _.. _IW I do wish to waive that setback requirement.
initial; ,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled In by individual proposing development)
,.., ,.e.A , ./ e fto;i iVia,` Xi:. ,'#t -4 s
c,E
0 q
' ! , - fr.--, t
1 i
I

ri005
1/2009 10:42 FAX
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PI,ERIMOORING PILINGS/BOA.TZIFT/ROOATHOUS.E)
I hereby certify that I own property adjacent to 3,�z000vz "+ ?-Ke l(is
(Name of Property Owner or Applicant)
Mailing address if different from location address. -73704 (Je ar !,b.
(town,state and lip),_ . .... 1� � ?id. ...._.___.__. ._.�,
phone numbers you can be reached at (.1})9!1 :0,7611 9 CO` t`�._. -34 "`5 769.
property located at 4 . k4- . j3e .. C.._?8qe3
(rot,)stock,Road,etc.)
on t ks . �nr. � , in L1 f r:tbalv(Waterbody) (Town or County)
lle has described to me,as shown below,the development he is proposing at.that location,
arid,I have no objections to his proposal. I understand that a pier/mooring pilings/boatlifi/boathouse
must he set back a minimum distance of fifteen feet (15) from my area of riparian access unless
• waived
by me.
kO'"`^" I do not wish\to waive the:setback.requirement.
initial•
I do wish to waive that setback requirement.
inhi*
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) ,
Ale n L•F'f- ctc/c ed w , •� Ct c4x/', #;LlS. / - �sh f
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BOGUE BANKS MARINE CONSTRUCTION II Wachovia
111-D TURNER'S DAIRY RD Wachovia Bank,N.A.
wachovia.com
MOREHEAD CITY, NC 28557 66-21/530 ++,
PAY TO THE `off��c�-- /v`cs.�e $
ORDER OF C v
c / / mot
MEMO P 5N9LiD 0\1.14- ,) .._. .__...._
AUTHOR SIGNATURE
000 L 54 Le 1:05 3000 2 L91: 20000 248 3 L4440