36975D - Williams

�GCAMAN ERAL/DREDGE & FILL -), 36975 1)
P �c`✓/
E PERMIT M I T Previous permit#
> . New -Modification Complete Reissue OPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources r �j
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC I k. 1/6 0 l /H•2 I Co
_Rules attached.
Applicant Name (3Ct r y 4,Tc,s.i 0 G' (J,//) k'1-\ Project Location: County OA S f O LA,'
Address +e-5 C (1.44f^.1,,'a 4, 7)0" Street Address/State Road/ Lot#(s)
City He;••••.pS-Iagtq StateC zIp2.9 L043 L_o'f .5 O Sprc-j Die , ✓e
Phone # (V)) 276' -9 221 Fax#( ) Subdivision 0 C QG'-'N C I(47 U;(Ie c SC'C.r;Q„k 2-
Authorized Agent City Alei4 -ref Sot r, B e A c I, ZIP 2-S 6 4 0
Affected ,CW SEW TA ES PTS Phone # ( ) » River Basin (n/1,,cl e 6a k
AEC(s): OEA ^HHF ❑IH UBA N/A Adj.Wtr. Body q^}O/ /m na /man /unkn)
PWS: E FC: SM J 417
ORW: ,yes. / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body '� illli 9 Q✓ y
Type of Project/Activity New v-i lay bul kite.d t, (Air -1 Itt►,r{ F/o- E'C+,ort
I (Scale://' r,' )
Pier(dock)length �} �y
Platform(s) L e ,1A 1 6CEh , tlki /be
,✓1 If �,� R 0
Finger pier(s) .}.,e of " • J l y
Groin length y lie lee wg-tc/N/q' 4 11 f"r 4-/Dx LSD
(� ✓
number 1
ulkhead/Rip length /Q i or-��• �Y�
avg distance offshore _ //4C
max distance offshore
Basin,channel
74'1s. 1' fo
cubic yards I''f�'�`
�,��,,�� •' - Lniell #0. , ►1rt-71,8.-,
Boat ramp I:1:11/ I riI•Ts`r I''A n�A� ,4400. `
eekla
Boathouse/Boatlift ---_--
Tans:-/:
Beach Bulldozing .f�(,,/e{l.�hl�
Other — jh��l
r tt,iQt4
J�
(,o4S
Shoreline Length IA 86' \ .
p
SAV: not sure ye no
Sandbags: not sure yes 19 ft
Moratorium: n/a yes 1n.3''
Photos: ( no
Waiver Attached: yes — -- —
A building permit may be required by: No 74 1 Tty,f 1 (3C4C& [I See note on back regarding River Basin rules.
Notes/Special Conditions //
71 Al k)I l.,Z, leg r'IS 4 ' �`
Agent or Applicant Printed Name Permit O rcer's Signature
QA,L7L.---- 631_1)2:4„ _.
Signature **Please read compliance statement on back of permit** Issuing Date No(.1 I., 7o05.^ / sc4ck Expiration Date
it So. oo S,3 4/ 5/40 — � 4 Co M ren 1'0211201
. Application Fee(s) . -Check# 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 252-946-648 I
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9 19-733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: 9I9 733 I495 I5I-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 I0/05/0I

r
GENERAL PERMIT COMP TER FORM
APPLICANT NM£: C ci'''‘i 30 7-o rift e L'/ (1 ieot wN
f- Zy,
ADDITIONAL N MES:
• P - 1l
AEC D£SIG: W) •ice 1 )CS DEVELOP AREA: 0 .© I PROJ DESC: �� t-
(Will only take 6) —— —
WORK: 9 6 •
(Val only talc 4)
M.AI T: f
(Wl I only take 4)
IMP: S"-� s�^, D w '7 S
.•. (will only take 6) .
•
C_, 375
• ACTIONIRATION
r
._:DREDGE&FILL L REQUIRED: z j 1 o 9 5./1110 9
_ CAMA MAJOR DEV£L REQUIRED: 21 1/I°y S1 I f I O E
i

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X 1 ❑Agent
• Print your name and address on the reverse( % , •r • ❑Addresser
so that we can return the card to you. B. Received by(Printed Name) . C. Date of Delivers
■ Attach this card to the back of the mailpiece, ,
or on the front if space permits. AN�A Gv�/rC
D. Is delivery address different from item 1? ❑Yes
I. Article Addressed to: If YES,enter delivery address below: ❑ No
Ili
73 L L 2 A A ID 3. Service Type
- ❑Certified Mail ❑Express Mail
❑ Registered 0 Return Receipt for Merchandise
s W I C 1 1 P • ❑ Insured Mail ❑C.O.D.
5 QC2)% 1 4. Restricted Delivery?(Extra Fee) ❑Yes
?. Article Number
(Transfer from service label) 7003 2260 0004 9929 0340
'S Form 3811,August 2001 Domestic Return Receipt 102595-02-M-154

UNITED STATES POSTAL SEIM
co‘o R fi Fi
PM 7 0 NIIISr.-0/T-9
cri
• Sender: Please p t ypyfma e, addressrend-Z 4115--z41Trtt-is-15-6- • ----
6— Ag-/
3 C._ 1-471-01 e le A.) 3 .
PJC .

•ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. 0 Agent
I Print your name and address on the reverse X ❑Addressee
so that we can return the card to you. :. Received by(Printed Name) C. DI of Delivers
I Attach this card to the back of the mailpiece, 1
or on the front if space permits. J
D. Is delivery address different from item 1? ❑Yes
. Article Addressed to: If YES,enter delivery address below: 0 No
�C ►2 k J v%J
h3 1)0 k tONC.p s . 3. Service Type
ElCertified Mail 0 Express Mail
L l n. IL( C,'- , ❑Registered ❑ Return Receipt for Merchandise
61 �� El Insured Mail El C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
'. Article Number 7003 2260 0004 9929 0357
(Transfer from service label)
'S Form 3811,August 2001 Domestic Return Receipt 102595-02-M-154

UNITED STATES POSTAL SERVICEY,St C, First-Class Mail
J Postage&Fees Paid
p h" USPS
Permit No.G-10 •
• Sender: Please print your name, address, and ZIP+4 in this box •
(2-1/4-t r i
) _-1 C 14i y . IoAi t � .
1--hq tll PS TZ-ti9 D , /V C .
�`�L-ly

- - INTATERWSTAL R//� �� 1�•Q'A��
WATERWAY
\ 4 7-.(L
OSPREY GIR �� ` � �` N 68V/ri �.(
/ \
. OSPREY DRsa. 'O w
1` rya NGSR I50 / 3 86``4-
II ,
ATLANTIC OCEAN i i
rt) /
VICINITY SKETCH
NOT TO SCALE '1.J /
LEGENDrkj
R.I.S.F. - REFERENCE IRON 3/ Recorded data.
STAKE FOUND - Lines not curve ed. �` I
I.S.F. - IRON STAKE FOUND o a y ,ni Alligator Bay
R/W - RIGHT-OF-WAY �I rrj .� —t Stump Sound—
C - CENTERLINE 0-!in 2 o- (Open Iwater)
M.B.L. - MINIMUM BUILDING LINE �V N
( ) - FIELD DATA Z N 11
C ] - DISTANCE TO / Lot 5 `
REFERENCE IRON N.B. 35, Pg. 160 '
yyyy���� ( 2.06 Ac. i
(Vacant Lot) Q�
404 Wetlands Line lt'�% ' ' N 44'38'17" E �,p��
surveyed by \ N 55'09'15' E I 26.00'
Porker 4 Associates, Inc. 20.37' 1.0
04-20-°. _ r •� n D
—• —• N 26'1T38' E -, (`te 7
20.56' /.
•t N D 1 NSi►iGU. .
act5....
etea'!' Nth
J$ 39.23•
r 1a NO t("r
Mean High Water Line I t: Lot has had major
w^' by g•a 20 92'41 erosion at waterline. L .iC()C�-
Parker 4 Associates Inc. t,.'=r 1 I.44'. W'tn O
12i08i02 g o�� � i� :Di t o=
T/0A.I LJ I LC a C:.5ff/14;11
ct lt I 43.00' i,0 -1 m m by /4 /e.o`Y.G Sc=N 7147 t ti :
4 X II 4.04' I ' 10 FLfl»1. r D i vi s ho,.!
� �' ,2of it 1:a Syr P�A51 - t-
1N.1 �,�RISF RISF�C N Flood /, A.�S.0C � ��
/� OQ`�r 4 Building ,o' N...K Zone AE
( n1 la W Envelope in ( El. 12 ) M i-. 4-Me-5Q,j4 Ac.
P KINS Sc:FF►2Gy
o - IA3 Iry G0�
.01
30' MBL. 70.10'
R% •
1777.04' to R/W
Osprey Circle /
R/W ISF 15F
o (5 48'22'53" VI - ci0.13') D
•
5 48'22'53" W - 90.13' '
—� _OSPREY DRIVE_ _
60' R/W NOTE:
(18'Asphalt) Flood Information taken From
R/W F.I.R.M. map map #370466 0008C
\eFfective March 6, 1998.
THIS MAP NOT FOR
RECORDING PURPOSES PHYSICAL SURVEY
This is to certif 4 �' 11v4Snap is a true reprensenta-
tion of the p � �,��{fila eon as compiled by -
actual survey'rj°)'i'`keE340di 4'4nd that there are no Lot No 5 Block
encroachmalr,t� la ording`1' ; i1k best of my knowledge SUBD Ocean Club Village, Section II
(EXCEPT AS SIONN3Eatib iof decision: 1:10.000
Sf.1Knn Sound TraMPOC ID Onslow rnl INTY ICI r

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A.WILUAM !E
JORANN WILLIAMS Date
PH.910-270-9221 ��
183 CHAMPION DR. B ""�"
HAMPST�D,NC 28443 $ .
Dollars �
I
Pay order of lam,//l:'` t . ;w'� ,
Bank
erica �— .a �1 -' "'
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ACH RIT 05200j63y _I"'� 11
3 b �rG �,0
MemoCJ 0070?65 L8 2 25° 5 L _—
5
2D0 L633��
5139
GARY A.WILLIAMS 7-lssr520 M0
JO ANN WILLIAMS � �O __._ ,
PH.910-270-9221 Dote.
183 CHAMPION DR.
HAMPSTFI\D,NC 28443 $ f Q(�" (�v
Pay �� / Doll rs 8 I
to the order o
Bank of America.��� $i .•l. i . ,. - ;
ACH HIT o52o01e�3 ,,
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7Nerno /7' -- /1i1/% t//i,
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