46259D - Williams

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CAMA/ DREDGE & FILL
3ENERAL PERMIT Previous permit#
New '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 r J - 1 2.--cy4z)
Rules attached.
It Name H 'EA E. (LI- \'V L L L. . q.>S Project Location: County ��,3 wl.., )
Z. "'-N E. t- s e a.V C ) g 1,L Street Address/State Road/Lot#(s)
,r) Ai'ti - L LL State t\) C.-ZIP I_a` °1 Li I C,to%pv✓z C.IL- S t-\•..
If F11c)) SN L - 572,(oFax#( ) Subdivision CH p\/-) 6,\( S tAs.3,ty
zed Agent y?'z.+✓Z %-)U s i iYN Jd..Z City a-A- C C Q.-{L 1 ZIP,_Z/'�-1(,
i ❑CW ) W XPTA ❑ES ❑PTS Phone# ( ) River Basin NT'(C
❑OEA ❑HHF ❑IH LI UBA LI N/A
Adj.Wtr. Body k^L L#1%t..,Ds 7.f2.is-&-IL L(nat
❑PWS: ❑FC: ``,,
yes / ) PNA no Crit.Nab. yes / no Closest Maj.Wtr. Body iV `1') 12.-Z�1% (La.'
if Project/Activity T.J S'i+1L�f (,-X ZZ) ..._)/ ( S-X `l L--- 0 t A 1) 1 L 1 L
XT L 1 1- 3 il Z 1 1'i.J V g rL cr 12 x c r z a( E f. •
(Scale: 1� :
ock)length LO A Z.ZO
pier(s) r A Z.9 ) . I 2,, 1 1 ' ,
ength 3- T ,--I-. '
umber G I • • S ' L�
ad/Riprap length Zy/ y
ig distance offshore 1,_
.
lax distance offshore j
:hannel
ubic yards I
j
imp ( J
i us Boati Z.x 2 ' __ i
T
Bulldozing T —'
ne Length I�b
i
not sure yes IC, . I 1
gs: not sure yes tL) —
p
mum: n/a yes ` _... +
yes . 1
Attached: yes

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JOHNPILINGS ANCASSIDYD MORE 4623
PH: [phone]
169 LAKE HAVEN DRIVE / rl 66-30/531
SNEADS FERRY,NC 28460 Date / J 457
Yto the �C 9NG/� $ 02o0. 00
• order o
7 ti "rd'-#X-4, Dollars 8
OFYRsr CITIZENS BANK
www.firstcitizens.com 7i
For la, a1-S 9r —Gthme-n-gs
1:oS3 L003001:00457 L3 270 L3 046 23

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: f.-.fy j Gv/Zz./4"1
Address of Property: chV c_f .tfa
'o 724'72/tghw (Lot or Street #, Street or Road)
- 1/ / 1/1" (City and County)
c. 9/Jsya - c57 2
hereby certify that I own property adjacent to the above-referenced property. The individuh
ipplying for this permit has described to me as shown on the attached drawing the development the
ire proposing. A description or drawing, with dimensions, should be provided with this letter.
7C_ I have no objections to this proposal.
:f you have objections to what is being proposed, please write the Division of Coasts
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390
vithin 10 days of receipt of this notice. No response is considered the same as no objection i
rout have been notified by Certified Mail.
WAIVER SECTION
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understand that a pier,dock, mooring pilings,breakwater,boat house or boat lift must be se
Ick a minimum distance of 15' from my area of riparian access-unless waived by me. (Ifyoi
vish 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.

1 plvz%QK OP COASTAL ItANAGSHNNT
WACNHT RIPARI4 PROPZRTIT OW= $9TXYICATIQNJWAIVER FORM
Name Of Individual Applying For Permit : /7`^0/15tT A, ` J
Address Of Property: ✓- 7 ?yf C if j w - Abkiy
9 rb .71/r A ''c 1( • _dtb_lC'
(Lot or Street #, Street or Road, City & County)
&1(ftl2 ,� �'�- 0 - s--P- a;-6
I hereby certif that t own property adjacent to the above
referenced props ty. The individual applying for this permit has
described to me a shown on the attached drawing the development
they are proposi g. A description or drawing, with dimensions,
should be provid d with t,hie letter.
/// I ha*Fe no objections to this proposal .
If you hive ob - . ions to what is being promised please write th4
Divi.ion of - Management- 127 Cardinal Drive T.`.Yf-0!1 s ioo
tenon. No grolina- l0405 or call 910 395-390D within li
dave ot xeCeint •). this not ice, No response is co.Dsidered the Sam'
anla_110 obtectio8 ;you have been notified by Certified Mail
„ SUMER_MX
I understand that a pier, dock, mooring pilings, breakwater, boa
house, lift ore gs must be set back a minimum distance of 15
from my area of parian access unless waived by me . (If you wis
to waive the a back, you must initial the appropriate blar
below. )
I do wish to waive the 15' setback requirement .
I doj_not wish to waive the 15' setback requirement .
r
Maw'/ e r �Q_y`oy, 7 tea:, o‘ `;
Signature_ _ Date AA