44020D - Williams

:4'CA,MA/ `?DREDGE & FILL (1rD
3ENERAL PERMIT Previous permit#
rtlew Modification Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC • , `'C
❑Rules attached.
t Name n E 12as S. \W'L *-1 Project Location: County "---)/")- I I‘. Q
e S Ri v x-Yl )t „t_ Street Address/State Road/Lot#(s)
QC, A G 20.A-1 State L ZIP Z6'1 ) gS ►�-� �x rLSZ t�c ti
( ) Fax# ( ) Subdivision
.ed Agent CNtNi-1-€c 1 Oar-. P St-1 City 5 r) AD 5 F c 211 y ZIP 2,-6 (
CW ❑EW ❑PTA XES ❑PTS Phone# ( ) River Basin \A/Vkl1 t
OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body N r v✓ Li/
❑ PWS: ❑FC:
yes cp PNA yes Crit. Hab. yes / no Closest Maj.Wtr. Body A 1-•
Project/Activity I L L E:�r - , .'e- f�, �') ` / Z
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ck)length y(
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ier(s)
ngth
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Riprap length 0.1 8 RE^` r S
distance offshore
x distance offshore
cannel
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se/Boatlift _
JIldozing X
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a Length 1 3Z
not sure yes
s: not sure yes + .
cum: n/a yes ,1)
yes
attached: yes
ig permit may be required by: 1 See note on back regarding River Basin ri
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ROBERT MILLIS �A 1 tan do arrytliinq through
7 . Hun mbogilus strength 1215
P,O BOX 1.122•. —Ph hppo
313 OLD FOLKSTONE RD 2
SNEADS FERRY,NC 28460 ' ,,,. (— ll�a D - L'6B-30/531'.:
Dare 531'
Pay r of / ( � $(90O,es
Order of I(� -//
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1 D YO T
ARIAN PROPER TY OWNER NOTrRIC a TIONIWR 'ORM
1
Name of Individual pplying For Permit: {,/l j r a.s P I,()j I ( 1 Rim 5
Address of Property: /n--- 4,2,,,,- ,
. ......__;9„--
t or Street#, Street or Road)
roS €ai< / � 1 &sos,.�- 6j.
ity and County)
I hereby certify that wn property adjacent to the above-referenced property. The individual
applying for this perm than described to me as shown on the attached drawing the development they
are proposing. A des ription or drawing, with dimensions,should be provided with this letter.
Y I have no objections to this proposal.
1
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the came as no objection if
you have been not11le4 by Certified Mail.
WAlvEESEC
I understand that a 14er, dock, mooring pilings, breakwater,boat house or boat
be
set bck a minimum di+Lance of 15'from my area of riparian access-unless waived by me.t(If
you wish to waive the lsetback,you must initial the appropriate blank below.)
w.)
I cio wish to waive 15'
a�ve the setback requirement.
I c}o not wish to waive the 15'setback requirement.
�_- I
al, " / b 4
Sign Name Date
cfa1 ATA
Print Name
7- q//1 _ L-j ' ,c; v, / 2, NcDEFIIi

CERTIFIED MAIL—RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: m el nos c _r I 'ick r\,S
(J,5jQo , I
Address of property: / b L 5 1�f`G 1)r(Lot orr streestreet of road)
5n c a S re cr`y o n 5 /a2,J
(City&County)
I hereby certify the 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
dime sions,should be provided whit 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 Ave.,Morehead City,NC 28557 or call [phone]
within 10 days of receipt of the 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,lift 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 requirements
I _______--
Si u e Date