39779D - Williams

CAMA/ I DREDGE & FILL
aENERAL PERMIT Previous permit#
New "'Modification Complete Reissue Partial Reissue Date previous permit issued
•ized by the State of North Carolina,Department of Environment and Natural Resources /ol U(J
;oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 7I.
Pilules attached.
Name C.,/fti (,J, (I t/'vrv. ( Project Location: County E R1v.Sw 4
J • J5 )5 Street Address/State Road/Lot#(s) c 7 K4^- cart
?v,n c K-- StatWC ZIP S 7
(qt5 ) g93-///7 Fax#( ) Subdivision
Bd Agent /1°4 e d y' /7/0 Sky City n C*n- ,. ,<(--47 ' w ( ZIP D/VIC
El CW E•E`V G I.P'FA ❑ES ❑PTS Phone# ( ) River Basin `41i 4
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body rAf� ty�F Q-�(„/Iti
^' (natd
❑PWS: ❑FC: �}- ,
yes / ' PNA yes /(i Crit.Hab. yes / no Closest Maj.Wtr. Body !T W
Project/Activity f /d4C,n?e.✓�. o4- fix/ r�Ai F/04-'fj't& bOLfC A/1'D
l•c-lc .7 a F 3047 /,l --y -A) &:,-- ;54// Cy , C)(-•r-.. .
(Scale: / — .
:k)length
(s) r-, ,
er(s) ,----. Ci-1*/ 1
,gth1---
c� ( .0
` rnber
I/Riprap length ‘4, hi; If I
distance offshore
x distance offshore e
annel 1►'' ,, 4 A.
ti
iic yards 13'
s B t 1 oatlift / ( I .."__
illdozing
=/011-f - 1 X/L
a Length 1 PL. e /--
not sureyes o
not sure yes o . .
m: I I- i ,
u
n/a yes n
Yes
ktached: yes n 1_
ig permit may be required by: ()C /v' "9 ,�(e t i- . See note on back regarding River Basin rt.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
lame of Individual Applying For Permit: 1a ,A j r ilc,/71 5
iddress of Property: S 7 (o,1co J
(Lot or Street#, Street or Road)
Oczwrt 15/e- P2610 1 61a0 J(
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individw
pplying for this permit has described to me as shown on the attached drawing the development the
re proposing. A 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 Coasts
lanagement, 127 Cardinal Drive Extension, WilmingtonnNC 28405 or call 910-395-390
ithin 10 days of receipt of this notice. No response is considered the same as no objection i
)u have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, moors ilings, breakwater, boat house or boat lift must bi
t bok a minimum distance re f riparian access- unless waived by me. (I
iu wish to waive the setback, ou must initial t appropriate blank below.)
I do wish to waive setback requirement.
I do not wish to waive the 15' setback requirement.
44,/ 77 RcH 5 25-
En Name Date
EASEL 1.0W29 AVA.:•

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 64
Address of Property: 57 (O,2cdr(J
(Lot or Street#, Street or Road)
Uu .1Sle- eel ti Afat 60/4
(City and County) '
[ hereby certify that I own property adjacent to the above-referenced property. The individu,
applying for this permit has described to me as shown on the attached drawing the development the
are proposing. A description or drawing, with dimensions, should be provided with this letter.
►� I have no objections to this proposal.
[f you have objections to what is being proposed, please write the Division of Coast.
VIanagement, 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
Tou have been notified by Certified Mail.
WAIVER SECTION
[ understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
;et bek a minimum distance of 15' from my area of riparian access-unless waived by me. (I
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
- A -
izrish'? waive15' setback requirement.
n 4:4), �f + 13o not a the ...,tbac:. .�Li..,me..t.
-gym 13_
;ign Name KL Date

': COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
•
ete items 1,2,and 3.Also complete A. Sign-
if Restricted Delivery is desired. ' 0 Agent
our name and address on the reverse V� _ /v-•- 0 Addressee .
I we can return the card to you. . • :1 .-1.'. Date of Delivery
this card to the back of the mailpiece,
he front if space permits. GuAAOAN o SAFE
D. Is delivery address different from ite 1? ❑Yes - - - -
4ddressed to: If YES,enter delivery address bete: 0 No
rel Lt,v:txJr
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3. Service Type 'n p
Certified Mail 0 Express Mail >0 ! off-<
(Jk ei r��� 0 Registered 0 Return Receipt for Merchandise _ i m
0 Insured Mail 0 C.O.D. : N X O
4. Restricted Delivery?(Extra Fee) 0 Yes 0 $
a
Ni et' 7003 3110 0000 2146 5744 r
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3811, February 2004 Domestic Return Receipt 102595-02-M-1540 co n' ' Z
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COMP in 1
LETE THIS SECTION ON DELIVERY
COMPLETE THIS SECTION W
ete items 1,2,and 3.Also complete A. Sig u>re 0 / I 0
if Restricted Delivery is desired. ❑Agent ; 0
our name and address on the reverse ©Addressee 0
NJ
I we can return the card to you. by nt Name -, C. Date f_q livery
this card to the back of the mailpiece, � � �'� I l)
he front if space permits. 77)7)1
_ .�
D. Is delivery address different from item 1? Ye re
4ddressed to: If YES,enter delivery address below: E No u
❑ \
0
eCI /41,1 ey IP
LL7� Crl
qgq `4, tt 3. Service Type
JJ /' edified Mail 0 Express Mail 0
)—)ke v i it fJc, Registered ❑ Return Receipt for Merchandise y.i I>
1 0 Insured Mail 0 C.O.D. �7 m
�72
' 4. Restricted Delivery?(Extra Fee) 0 Yes w
Number
er from s 7003 3110 0000 2146 5737
3811, February 2004 Domestic Return Receipt 102595-02-M-1540•
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