42851D - Williams

iCAMA / V DREDGE & FILL L 1 ',
.
'IENERAL PERMIT Previous permit#
Mew Modification I '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 5A NCAC 114 , I'0 3 . ,
/" Rules attached.
t Name INay , J 0AuN Project Location: County t —
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State N4- ZIP Zb9toD 3) DSen 61 i—
( ) Fax#( ) Subdiv' ion 0 b... L)_U.-s V L'- 1
ed Agent City p A N 51-L L.. ZIP Z t J
CW *TA AS ❑PTS Phone# (cC ) 32$ • )34'15-River Basin 42"
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PWS: ❑FC: J tr. Body Pk 11 L ' "-c +�__ ,� 1 (oa r
no PNAC yQ ,/ no Crit. Hab. yes / no Closest Maj.Wtr. Body /'�,--•-�
'Project/Activity LEI S"-A L`— ° D ' 3. \ , J I (4)r (- ►.....0 Cr t,../ n L.` <
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not sure yes no P G.._
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iurn: n/a yes
yes 41111Zio
atached: yes 41301 a IL _ 3 A _
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ig permit may be required by: LT� i See note on back regarding River Basin rt

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l4.75' O 11 • 78.27' '0 1
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' —MOOD STEPS �'— -- /
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25 05 02: 40p ROMARA ENERGY INC 831 6595773 p. 1
[s Ub 11:Uba JoAnn Williams 910-328-1395 p.2
_ . ---------- - -- .... iuovwHtVtKVOKM
Name of Individual Applying For Permit: G-4 Lei i j, I S •
•
Address of Property: 3 I bS(f l),� .
(Lot or Street#, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to 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, 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 same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock, mooring pilings,breakwater,boat house or boat lift must be set
bck 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.
(I it Q49,&14/1 1195/9C
Sign Name 0 1 / Date
y1\ n R
Print Name �� ►�.
8 3 1 • Co Ste► 3 0=i-7-- �/._.,Y'_
Telephone Number with Area Code •��D���
MyRti Caaa aw.Mausone,.r a-
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25 05 02: 4Op ROMRRR ENERGY INC 831 6595773 p. l
'C.s Ub 11:Uba JoAnn Wiiriams 910-328-1395 p2
Name of Individual Applying For Permit: G-,q l
Address of Property: 3 l OS P
(Lot or Street#, Street or Road)
,1,t)A--Thy v/�.s47<< 4- .11 en yS
(City and 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.
4").41.-N„,v1LX. .
I have no objections to this proposal:
oposal:
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 same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
bI understand that a pier,dock, mooring pilings,breakwater,boat house or boat lift must be set
ck a minimum distance of 15' from my area of riparian access-unless waived b me:
wish to waive the setback,you must initial the appropriate blank below.) Y (If
I do wish to waive the.15t setback requirement.
_ I do not wish to waive the 15'setback requirement.SIlif
•
a cgligaltik. q1a5/oc
f
Sian Name
Date
• MiM 14- P-E -vi ,VS
Print Name ��
ii
E3I . CaS - 3 �- .'�,
telephone Number with Area Code NCDENR
w+..Gomm.*March.o+r or
Ea...tar.w]m AND M*tn.�alra .rp

Bank of America Advantage`
IARY A. WILLIAMS 05-83 5945
10 ANN WILLIAMS
10-328-1395 7-163/520 MD
1OSPREYDR. Date �_� _O� 8128
I.TOPSAIL BEACH, NC 28460-9290
2y/1/C-L11=,!(1�� $ /00. OD
the order of
OAJ- d� All Dollars
lank of America
�'
:.:H R/T 052001633 P
remo C-401,/ �c.-�rr+�Lb" c l -
:0S2001. 6331: 0070765La22511' 5945