39787d - Williams

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• CAMA/ DREDGE & FILL
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GENERAL PERMIT Previous permit#
>Z New TiModification CComplete Reissue CPartial 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 I 5A NCAC 7/1 .1)UV
les attached.
Applicant Name {.i1.1jy W.��tIC:M-C _ Project Location: County °USN"'
Address 407 /tl&.,,) -, 41(. _-r-(-t. r Street Address/State Road/Lot#(s) SIfr —'
City /vR 114 I 1 ?�ik N State AC ZIP ak yb U lot /S , f�u-7 4/Ar✓Z
Phone# (�1ca)36,-076.1 Fax#( ) Subdivision 3/'� 3
Authorized Agent t//n.)c p( n/ft�E" City /1/0(1I A 1( P5 , / /k ZIP acc-y6 Ci
Affected cw f W UPTA ❑ES ❑PTS Phone# ( ) River Basin 14/* ' Grit,(AEC s : OEA 0 HHF ❑tH 0 UBA ❑N/A Adj.Wtr. Body5 I4'
( ) PWS: ❑FC: S �,r,�, � 7 -)/�� (nat n�unkn)
ORW: yes I no PNA 'Yes'/ no Crit.Hab. yes / no Closest Maj.Wtr. Body ��r' sOf�l't0
Type of Project/Activity vi+ Lk' ' , PZ
(Scale:)'= Y )
Pier(dock)length 5 / //ca�4,r
Platform(s) � , 6� , i i 4
Finger pier(s) ti
Groin length .
number I -- 4
Bulkhead/Riprap length ' ' "' ...._
avg distance offshore i /c
max distance offshore ; . . —"-
Basin.channel --- 4
•
•
cubic yards { • • r
Boat ramp •
i •
Boathouse/Boatlift ."
•
Beach Bulldozing ,- i
Other r [I , f
i
Shoreline Length _
SAV: not sure yes no , A L . -
r
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no I - -�.10".'^'
A building permit may be required by: ///4. /0PC4 J/ f/ . I I See note on back regarding River Basin rules.
Notes/Special Conditions f,pr S4 4/( 27fi`i0 4 a Ai h 'tt' f_ti i ;" 't./77f/ . A 0 /Nor r 71/4 `
I ` a All AaAr n,Ar Re U✓PR /WSW
�P
Agent or p• t Printed Name ' Signature
(Li -/y- ov 03 -/V- o5,
Si u **Please read compliance statement on back of permit** Issuing Date Expiration Date
ah
S
Application Fee(s) /00/ _ Check# 21/9c Local Planning 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(252-946-6481)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]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie,Hertford,Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I9 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)
Revised 10/05/01
www.nccoastalmanagement.net

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: I.7 1,A Y W , I ((- S
ADDITIONAL NAMES: -I),t c\j C f9
AEC DESIG: e T DEVELOP AREA:_ L).0 � PROJ DESC: P
(Will only take 6) _—— (Will only take 1)
WORK: P K i/v1
F5-
(Will only take 4)
;o
MAINT:
(Will only take 4) _7 �-
IMP: o D--
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 2
CAMA MAJOR DEVEL REQUIRED: i„ /C/-0 LI 6 3- /

Orr flfi f14 117774p lnhn f oscine 910.727•GTfi3 p.3
j raisin i-21 C'Oa5T L !p>lia
ADJaciartjtrupam PROMO= v1NEe renanosrlowiaavira FORK
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Name Of Individual Applying For Permit: �J� ��/h-j
Address Of Property: g0 7 N"4v f2IU 4
1144741 TD/0 f:/ iv(. deft o
(Lot or Street M. Street or Road. City ', County)
1
I hereby certif ' that I own property adjacent to the above-
• refexen'oed props ty. The individual applying for this permit has
described to me s shown on the attached drawing the development
they are proposi g. A desCription or drawing, with dimensions.
should be ovi d with tthie letter.
K I ha4e no objections to chip proposal.
I
If you beva obis ions to what is being i ranosedL. please write the
D lotion_ of tal Nanaaeaant. 12/ Cardinal Drive Extspsion.
. No CaaQline, 21405 or call 910 31;-39QO within 10
i np_Qbiectio. f you haven riptified by Certified Bail
musimmcum
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift ors gs must be set back a minimum distance of is'
from my area of psrian access unless valved by me. (If you wish
to waive the back, you gust, initial the appropriate blank
below.) ;
iA\ _____ti__ !
I (tlio wish to waive the fS'setback requirement.
I !
� te no wish to waive the 15'setback requirement.
I
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Pr�n� lea ' Otxba G„pty
Telephone Number (with-Area Code .
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Onatow County Planning'bwDealm
lm font op] g C, 604 College argot
Joakionvillo.NC 28540
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PILINGS AND MORE
JOHN CASSIDY 3495 tz
PH: [phone]
107 KATHY ST y 66-30/531
SNEADS FERRY,NC 28460 Date / /vrr'6� 457
�jorder of-7 1 $AN 0
0/4 6-14/122
Dollars 17±.
FIRST CITIZENS 457
BANK FirslClhzons.1,1 Trust Cortprt�y
Snords Farry,N.C.48060
www.firstc_itizens.com
For C1A f Re
01:053 L003001:00457 L3270 L 5