43357D - Williams

_ICAMA / DREDGE & FILL
GENERAL PERM
L,NeW L ]Modification FComp let
IT
Previous permit #
e Reissue
❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental
concern pursuant to 15A NCAC
Applicant Name : f! / ✓, / A ^ rr 1
D.Rules attached.
Project Location: County � r ✓_t - .:
Address / / /� f�l ; n1 S 7
Street Address/ State Road/ Lot #(s) f/ , C
City d e,,-" State /`1 ( ZIP
--
Phone # ( ) YG 7 � Fax # (_)
Subdivision
Authorized Agent
City _ _ ZIP ----
Affected n CW _ EW [9' A ETES ❑ PTS
Phone # ( ) River Basin
O ❑ OEA I HHF ❑ IH ❑ UBA ❑ N/A
AEC s :
Ad'. Wtr. Bod � � �'` nat �
I y f� /� ^� ��% j- �j/ /; ( /man /unk
CPWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab.
Closest Maj. Wtr. Body
yes / no
Type of Project/ Activity
Pier (dock) length i
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other r
Shoreline Length
t ;
SAM notsure yes
no
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required by:
Notes/ Special Conditions
or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: )
7 See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that [)prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/OS

CAMA/ L DREDGE & FILL
3ENERAL PERMIT Previous permit#
New -iModification ❑Complete Reissue Partial Reissue Date previous permit issued
irized by the State of North Carolina,Department of Environment and Natural Resources ,..., , , D G
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC /
,,��j}/ yf1,Rttttes attached.
(/''`C.
it Name /-PN I-10/4/9ri i- .� Project Location: County_�(C y/iS�//C.�'
1 rCS /"/6fr Pl'' JZ- Street Address/State Road/Lot#(s) S;9/r7 C
O Id.e,d O//f`j State P✓C ZIP 2 T`to,z.
(//Q) /Y2 277 Fax#( ) Subdivision
ted Agent City ZIP
Cw -4EW lilytA -E5` ❑PTS Phone# ( ) River Basin
OEA HHF ❑IH 0 UBA ❑N/A Adj.Wtr. Body C,9/10L- d//L: /mow (natt
PWS: ❑FC:
yes,/ np., PNA ye air' Crit.Hab. yes / no Closest Maj.Wtr. Body /9114/
f Project/Activity Rc r/70 Lit C)< 'S 7 T"^'G 1 C /�ij G C!‹ 0` ..-i✓s/A// ,/\/tG✓ /:i[.
/9,,,j DO Cl( // (Scale:/ / =
)ck)length 2.`YZ x J n 1,.�r S
n(s) /2,x 74
:ngth i i
imber 7 -__
id/Riprap length /
g distance offshore 1-La R 1 #,
ax distance offshore
hannel
ibic yards r /
mp
use/Boatlift • f,�.—ffl1, , r --t-— i '
72,
3ulldozing
r100t II/ 'x 2
t
j
ie Length >Ta ,
not sure yes ,no
gs: not sure yes c .
num: n/a yes 62 yes (tfo. t 3 ..a,. .....
Attached: yes ` > t
ling permit may be required by: . 1 See note on back regarding River Basin

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAM/
MINOR PERMITS
iercby certify that ` own property adjacent to L4C40V Mii-U-4/3/4/ 's
(Name of Property Owner)
operty located at /6 } /-/ 6 / 4.tsii- c57",26
(Address, Lot, Block, Road, etc.)
k4cf r71,44i , in Giie ikMCiii k1c(ISLd. cJ(,N.C.
(Watcrbody) (Town and/or County)
has described .o me as shown below, the development he is proposing at that location, and, 1 have n
ject:wns to his F:roposal.
IE� CRIPTI'::N AND/OR DRAWING OF PROPOSED DEVELOPMENf
(To be filled in by individual proposing development)
e`-/`I r..z 1G cK ,4d•M P64601017-
9 AA,.-)/ ,) ���- c//Ld .D,44 Wi►J6.
Signature/'��14Q 6►, /% Z kf
Prin or T c Name
Telephone Number
Date: l ��

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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete
item 4 if Restricted Delivery is desired. ,� , G;.
• Print your name and address on the reverse c 0 Agent
so that we can return the card to you. ` !"" L 0 Addressee
• Attach this card to the back of the mailpiece, B •
A;
eceived by(Prild Na - '0 C. Qate of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from itenep IDYes
/ !, / If YES,enter delivery adc sgt y 0 No�J f14r .; . rrd'F• -
C1oa 6/424 4,/' 4
cokoi
�✓�j1 0.,2i0 3. Service Type
0 Certified Mail 0 Express Mail
❑Registered 0 Return Receipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number El Yes
(transfer from service label 7 006 2760 2 2 2 2 9839 7 8 3 IPS Form 3811, February 20 mastic Return Receipt
102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. —gnature
item 4 if Restricted Delivery is desired. X gent
��s�_-_.s Addressee
• Print your name and address on the reverse
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
6Ctrr 1<-
y I g Brook 14 ''e 1)1
CO3.b G` SC 0/2 /O 3. Service Type
/ 0 Certified Mail El Express Mail
❑ Registered 0 Return Receipt for Merchandise
❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes