37975D - Williamson

' ;/ CAMA / , DREDGE & FILL
GENERAL PERMIT Previous permit#
! New Modification Complete 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 7///,2L
E Rules attached.
Applicant Name ; 71iri Lt.);//ia,.-- 5a'f-J _ Project Location: County .j/ri/
Address /6 2.7 �14�, / �'/v r Street Address/State Road/Lot#(s) 4e28
City /. /u � State A/C ZIP ,2b'Z// A-'G e- 1 /.--/
Phone # ( ) Fax# ( ) Subdivision
Authorized Agent_/•' Y%7..a 6K/ e.. City 5t ii / c /7 ZIP .2Pi
cw ,`EW f 'TA ❑ES ❑PTS Phone # ( ) River Basin l�L0r7-7bec
Affected 0EA O HHF ❑IH ❑UBA ❑N/A ti
AEC(s): Adj. Wtr. Body G -•r--)6.-( (nat (an:/unkn)
PWS: ❑FC:
ORW: yes / no PNA yes / o Crit. Hab. yes / no Closest Maj.Wtr. Body w/-' ?
Type of Project/Activity ?fe ie-C6 c c- t-; ' ';c-c.-__
h (Scala / Z , )
Pier(dock)length <lt x•ril
Platform(s) //C X O p
— , i ,.._.
1 I Cc.- h-f
!
Finger piers) ; , I j �`--� I I
I
Groin length } ' — — —r r
1
number 1 i i i
Bulkhead/Riprap length r..T- :. _ j
avg distance offshore j ! _� T
•
max distance offshore —4 I I T
Basin,channel I /`
' {
/i
--r
cubic yards i
Boat ramp 1 1' g I i • i __
t
Boathouse/Boatlift _ Ci A. w I i `
—' = -j if 7-Jr —t I I -..
Beach Bulldozing I • y �&— i W. ± 1
! f / ti-
Other ! LT If-
• ; 1 -4 t j s , -! .- t - j -"t""" 1
-- Ji Ili ' ' i 1 1
t56 al / I f
Shoreline Length 5h � � I
L.__ I
SAV: not sure yes 0 1 1 1 rre-r-r1.--
`�' �.-.Sandbags: not sure yes 6 ± — ! i !
Moratorium: n/a yes 1 I !
Photos: yes 1 i 1 1 i " , I —
i
Waiver Attached: yes
A building permit may be required by: 74 6 C-G t_`j i See note on back regarding River Basin rules.
Notes/Special Conditions 4/L . /.I>D'7/S cA 7N ./.2,6994/J4 Q U� 5 7<c/ (
I-2r74 �'XC-ucl //.3 GLjtci5 i r1 ``f/i? LrJK Z Udc
.%(,-, <:r.(-e (-;/' /G G Cat. rrlt -e_ ec-eE'c.,4-
Agent Printedoo`r/nApplicaanttP amen Permit Officer's Signature
J``•iN Y S .' W yj° ' Z fir. '0 1 L U YL
Signature *'!`Please read compliance statement on back of permit'!"!' Issuing Date Expiration Date
Application Fee(s) Check# Local Planrijng 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 I)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(252-946-648 I)or the Wilmington
Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-6481
Location: Fax: [phone] Fax: [phone]
Parker-Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford,Hyde,
Dare,Gates,Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
919-733-2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9I 9 733 I495 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret.Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised 10/05/01

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: ck' r to //(af)?,5e;
ADDITIONAL NAMES:
AEC DESIG: EI,J /� DEVELOP AREA: _. PROD DESC: -
;.
� take 6) _ c i �(Will only
•
(Will only take I)
WORK: �z g
(Will only take 4)
• MAINI':
(Will only take 4)
IMP: G l . 6,c
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 44•ZG • O V .7. 2 • o,�
CAMA MAJOR DEVEL REQUIRED: 1/26' •ay 7. 26 •0%

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DIVISION8F .COAS1AJ ,'MANAGEMENT '
ADJMENT RIPARIAN PRQPERTY� OWNER�NOTIFICATION/WAfVER RORM
Name of Individual Applying For Permit:,,
\
Address of Property: - _N _ ---------------------
(Lot or Street #, Street or Road, City & County)
. ~
I hereby certify that I own property adjacent to the above
_ referenced property. The individual applying for this permit has
_ _ Nescribed to me as shown on the attached drawing the development they
are proposing . H description 'or drawing, with dimensions, should be �
provided with this letter.
' '
I have no objectiyes to this proposal .
1/614p!�Jhave objections_ to what_ is b _pr.oposed, pleas so rite the
'| , 127 Cardinal Drive Extension,,
Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of
this notice. No response is_ considgred th��.��amg.^a��'n/�-ctU��ction if
y�)U� h�a\/�� ���*.���i 71 W�- by_ ce�t_ified_ mail�
`
-__________________________________________________________ ---------
`
------------------------------------------
-WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat '
house, lift or sandbags must bq sat back a minimqfn distance of 15' '
from my area 'of ripaeian acqess unless waived by me. ( If you wisn co
waive the setback, you must initial the appropriate blank below'. )
�
I do wish to waive the 15' setback requirement. ^ ^ r
_ I do not wish to waive the 15' setback requirem�nt,
~ _
� .
__________________________________________________ _____________
' _
LnabowwE To cou-o, '� `��������'������/�-���-���-���
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Moboesq'
--------------------- -------------------
Print Name . � � � '' ` ' .' '
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/ �45~ �h � �
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Telephone Number with Area Code ~
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DIV SION' OF COASTAL MANAGEMENT '
NER NOTIFICATION/WAIVER FORM
ADJACENT RIPAR�AN PROPERTY OW
\ < �
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Name of Individual Applying For Permit:
\
�ddress of Property: ._�____�___________
\ {�~
-��-~�����----------------d�-Cit & Co� nty)
(Lot or Street #, Street or Roa y �
. .
�
I hereby' certify that I own property adjac�. t to the above- �
~ referenced property. The individual applying for this permit has
�escribed to m� as shown on the attached drawing .the development they
' dI--
i with dimensions should be � �
are proposing . A description or
pro i d with this lett,er .
objectives` to this proposal .'
'--------
�f you have objections to ! at is being pr.oposed, pleas rite the
�ivision of Coastal Management, 127 Cardinal Drive Exten��zon ,
Wilmington NC 28405 or call 910-395-3900 within 10 days of rec�ipt of
' i considered the same as no objection
th� s notice. Np response s |
v�u have been nbtified by certified` mail ^ i
' |
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_.............
WAI�ER SECTION .
` nderstand that a pier , doc ' mooring pilirgs, breakwater, boat , ! �
' ^ t /N sa�� back ' mir\imum distance of 15
no se lift or sandbags mus ' oe �
` i d b me ( If you wish co
' m my area of ripari�� access l/nless wa ve y . .
`ro t initial th` appropriate blank be1ow. ) �
the setback, you mus = _ m^
'
5' �tb � uirement �
I do wish to waive the � s ac ` req . x
o not wish to wa *' e the 15' setback requirem�nt.
o ^ .
. ..........__
............���������������������������������..... ........... �����������
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•. 147A
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory, John E. Skvarla, HI
Governor Secretary
June 3, 2014
CAMA Field Staff Training,New Bern
Check Handling Policy Change
DENR Controller's Office requires removal of copies of checks from permit files.
Date removed:
Check number: 19(
Amount:
5t1D .00 dfr\-
Check date: ( -a 6 - c7y
Staff initials: `P
�3P
127 Cardinal Drive Ext.,Wilmington,NC 28405
Phone:[phone] FAX:[phone] Internet:www.nccoaslalrnanagement.net
An Equal Opportunity':Affirmative Action Employe;

STATE OF NORTI-I CAROLINA
Department of Environmental and Natural Resources
• 127 Cardinal Drive Extension
Wilmington,North Carolina 28405
• [phone]
FILE ACCESS RECORD
SECTION _ 1& 1 D ( C ft.A.FC
/
TIME/DATE 4 ( - ( 1 , f
NAME ( .l'✓l �� � �'�s,�i��, _:
REPRESENTING
Guidelines for Access: The staff of Wilmington Regional Office is dedicated to making public records in
our custody readily available to the public for review and copying. We also have the responsibility to the
public to safeguard these records and to carry out our clay-to-day program obligations. Please read
carefully the following guidelines signing the form:
I. Due to the large public demand for file access, we request that you call at least a clay in
advance to schedule an appointment to review the tiles. Appointments will be scheduled
between 9:00am and 3:00pm. Viewing time ends at 4:45pm. Anyone arriving without an
appointment may view the files to the extent that time and staff supervision is available.
2. You must specify files you want to review by facility name. The number of files that you
may review at one time will be limited to five.
3. You may make copies of a file when the copier is not in use by the staff and if time permits.
Cost per copy is$.05 cents. Payment may be made by check, money order, or cash at the
reception desk.
4. FILES MUST BE KEPT IN ORDER YOU FOUND THEM. Files may not be taken from
the office. To remove,alter; deface, mutilate, or destroy material in one of these files is a
misdemeanor for which you can be fined up to$500.00. No briefcases, large totes. etc. are
permitted in the file review area.
5. In accordance with General Statue 25-3-512, a$25.00 processing fee will be charged and
collected for checks on which payment has been refused.
FACILITY NAME COUNTY
QC S D9 :Ce I U� 73\1-( 3 C'`' '� -cA,Y4s u ti c lC
3. 3c; s57 1 La q
4. n.-, •-,(` t' _a'`1-f " (I J<, -7 2-
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.4)`I..J (: I
/ l 14 /f:3o 2 2
S �n ure and Name of Firm/Business Date Time In Time Out
lease attach a business card to this form
IES MADE PAID INVOICE
S:AdminJile access