52078D - Williamson

❑CAMA/ ❑DREDGE & FILL t 3
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ?,/. /.- e'49 _
/ [$Blues attached.
nt/Nam ,, ^ dr O v- C_ +,4.4,. �`//^'Q ill/ r-/..icAi Project Location: County3 ' t�i,.-5 c.✓/c%
t!r y;4 /�'ti" S C� $� Street Address/State Road/Lot#(s) .f7/h el—
di �<'t., ,v State V( ZIP -2- 7,4
iSf49('2) i ) ,c 4•--4_'2`r` Fax#( ) Subdivision
zed Agent $' oft # Z. q r' f°22/-14 ._ City ZIP
❑CW DEW ❑PTA DES ❑PTS Phone# ( ) River Basin Z4,/,4
❑OEA CIHHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body/,/ /l r,./Gp•o//c/% i ,-;,..giiiii
❑ PWS: ❑FC:
yes /'no PNA yes C`39, Crit.Hab. yes I no Closest Maj.Wtr. Body ��/��
Af Project/Activity , iz,U,a /< i f,-, /�G'rA"
j (Scale/ -
1 ock)length 2 D �X y ' g 4 i" /, 'e 4
m(s) j` ',C 1G ,coved / // r I f
pier(s) �y f L d t`1l z-.t C N S / 41l r 4/ "."- -``- , i—
I
length I /2/ /G'
umber
i
gad/Riprap length r 00 `A� 'i
vg distance offshore _ _ _t, ______
lax distance offshore I
channel i i I i 0i
4 r
{ f
ubic yards l.1 i kitLe I'
imp } i S
i
>use..Boatlift •c/ >1 /f %�'� t_
! 4 4 U lr tfrl 1—kJ 1.4 !....:- k..,
Bulldozing
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t
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I
ine Length /., ; sj, + a 4
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not sure yes n9 - ,.,� —I , — h - 4._,—.;
>gs: not sure yes n
{
)rium: n/a yes
yes I 1 P
•Attached: yes 0 W Z U, .S/ PT: _ h i P, (. ,s,/
ling permit may be required by:.F✓L i-/� - / y !See note on back regarding River Basin
r-72 ,. x/�

SINE CONSTRUCTION 5073
66-112/531
BRANCH 03003 i,
61 7-25-0 2 +
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1C0FNR I $ 400
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor James H. Gregson, Director William G.Ross Jr.,Secretary
Date > -
Applicant Name 17r let\e Geory DQvi cl °I---CAr(1 /,`rte LI I1icrt--15'c)rl
Mailing Address C C CD?/Sl-er S'tort 15 C4- S'vf
EY
I certify that I have authorized (agent) 5 .ve Line Mari,- t to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) pj /
Ae / l��ct�'r Dock / 6,t l+ f-4--
at(location) S jdtoc.,lS . A/,["
This certification is valid thru (date) •
Signature AG--6- 9/o— 6V5`6 - 4 oL y

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: f-1 tirc ezrt oc/JS
Address of Property: i 6/5 — aao/5-
5 4/e /f/C
(Lot or Street#, Street or Road, City&County)
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, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management,400 Commerce Avenue,Morehead City,NC,28557 or call(252)808-2808 within
10 days of receipt of this notice.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, boatlift or sandbags
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.)
I do wish to waive the 15' setback requirement.
t_ I do not wish to waive the 15' setback requirement.
(Applicant Information) • rian Prop er Info atio
(02 cD)6.5-71ri cQ%
Mailing Address S' nature
/ L
Ci ate/Zip Print or Type Name

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: n rlt/c CcvrC /SU72j
Address of Property. 6,2 d yS/ems G77
57/4 A)- ,2S.Wo z
(Lot or Street#, Street or Road, City &County)
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, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management,400 Commerce Avenue, Morehead City,NC, 28557 or call(252)808-2808 within
10 days of receipt of this notice. 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, boatlift or sandbags
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Applicant Information) (Riparian Property Owner Information)
Oyf4r- v2"
Mailing Addfess Signature/
Ci y to Zip Print or Type Name
K`�/ r) - /5� ft' , -7