52466D - Williams

JCAMA / ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
IlNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
)rized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC i �-' }
! LRules attached.
nt Name I)SL. rLR."c � W t) S 4•--S+\r,,5 Project Location: County >>t.‘__Th- if_" k—
g Z"1Oii INA r '. Sta \ L-C 4- t.z.- Street Address/State Road/Lot#(s)
It L r^s Co j ^J State k) C-ZIP Z>IA S I i' o;L N-` \L-• 4=i v
(9(.4)34/12109 Fax#( ) Subdivisiori—
ized Agent I` };,_c.rT �� City--I N z Se✓ ,i—N ZIP — t'I
d ❑Cw EW CPTA C}ES ElPTS Phone# ( ) River Basin• CA-
❑OEA ❑HHF ❑IH ❑UBA III N/A ------
• ❑ Pws: III Adj.Wtr. Body i" PS►-1? 1� -- a Oat
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body N
of Project/Activity — 1 e\•- I- 87 v 1 L., 72.- .,. —\ . • ,a n .,., . , 1 Zj� 1 Z. L T C
(Scale: /
sock)length
I '
rm(s)
-pier(s)
length -
-umber
I
sad/Riprap length
avg distance offshore
Tnax distance offshore -
channel I I
:ubic yards 1
amp
ouse/Boatlift)J 11-IAZ- I ,
Bulldozing �f
t l
ine Length l.i'3O I • i
not sure yes'� \
ags: not sure yes 'j— !\\ , l \ \ N., -N N N+N
orium: n/a yes () f�
: yes o j.._ i_ ! r SS I ,k 37_,.._ - 1
L., ,
r Attached: yes n - , . I i -
ding permit may be required by: 1 ‘i'SFN+`-L �i- •<-. n See note on back regarding River Basin

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
rame of Individual Applying For Permit: Dr get r f W!f6Q 5
.ddress of Property: /'2o Q o r y 4\re-
(Lot or Street #, Street or Road)
C
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individual
)plying for this permit has described to me as shown on the attached drawing the development they
•e proposing. description or drawing_ with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coastal
.anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
ithin 10 days of receipt of this notice. No response is considered the same as no objection if
,u have been notified by Certified Mail.
W V R SECTION
mderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
bck a minimum distance of 15' from my area of riparian access -unless waived by me. (If
u wish to waive 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.
•
Date
67ciy Ar•11
71,
it Name
2.76, C 2 l, NCDENR

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AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor James H.Gregson,Director Wrdbam G.Ross Jr.,Secretary
Date /a228
br-
Applicant Name ,&r '1 �'1 5
Mailing Address ` 0Cd. // /7 1 0 5 G_ ,lac e-
/ Al& 028e)3
I certify that I have authorized(agent) rl `l I Ee( /41a 17 ii G to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) !Q(.l i< `-2.. 6 d c- / pc-iL
at(location) /,7? C SO r /< 4�e /
This certifican is valid thru (date)
Signature

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
ame of Individual Applying For Permit: (h r Bo T t)(1I((`q_ekt 5
.ddress of Property: ( 20 60 r Y l( A V G
(Lot or Street #, Street or Road)
cep 5 et(7 6-et.t.G-k -
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individual
pplying for this permit has described to me as shown on the attached drawing the development they
re proposing. A descri tion a V - s ul
V
PER T/,E ,+�F.LJ PV9n1 co Alta M9i /S sE F
" I have no objections to this proposal_
f you have objections to what is being proposed, please write the Division of Coastal
lanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
ithin 10 days of receipt of this notice. No response is considered the same as no objection if
ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
hck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
ou wish to waive 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_
Vcc4A44-- /Va.
ef3 arr3e ate
)3RucE 6344R1\IE►R 41;4;jr.
ant Name
6/— a 3 3 - s a a ? (OFFfc NCDENR

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Bank of America
ALLIED MARINE CONTRACTORS, LLC ACH R/T 053000196 3484
910-367-2159 08-03
92 HAROLD CT. 66-19/530 NC
HAMPSTEAD, NC 28443 702
THE /� / , I i— 7— — U_j
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of
DOLLARS 12
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