36887D - Williams

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CA+VIA/ DREDGE & FILL e - 36887
GENERAL PERMIT Previous permit #
►� ew -1Modification Complete Reissue ❑Partial Reissue
P Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources • 7
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ! ` I Z 0O
L Rules attached.
Applicant Name Re, "-1 vvf in L.-J d 1; c,.�.1.i Project Location: County Pe'Nei t
Address c' L O 6 ni Ie,xDSq P/A c e Street Address/State Road/ Lot#(s)
City Lam/ I 1 ►'`'t 'v\0 4I' . State 'C ZIP Z11t-S — I Z D 150 r y k 4 vQ
'J Phone # (' O) Z5/ —0761 Fax# ( ) Subdivision /j I
Authorized Agent ,D l f e fie ril.ki City (OpSq: I ✓Ca'r 1, ZIP 2-8 4-/q 5
Affected ❑CW )PTA DES IIPTS Phone# ( ) 731 - 0331 River Basin (Aft Fee
D OEA ❑HHF ElIH ^UBA N/A
AECs : Adj. Wtr. BodyG1 t 41
( � ❑PWS: FC: M M�Ql�e `�c,✓ (nat �/unkn)
ORW: yes /.1no PNA yes / ng Crit. Hab. yes / no Closest Maj. Wtr. Body v�S9 fo t^''
Type of Project/Activity C e.—NOV e r p' i e«.. rtr e x ;J-) i•'-SJ eqo C k, . .•Y r. s4A I 1 /,Q W -.Pi OGt
(Scale: I/1 )
Pier(dock)length
Platform(s) IC'X/4/ /IDtr+
Finger pier(s) r r +�
Groin length `� A
number --
Bulkhead/Riprap length
avg distance offshore
max distance offshore
Basin,channel /t i 4..
C t� 1 er k 16/F i o,i
cubicAJyardsretwi!
Boat ramp GThSi �j J
SZ !�r�
Boathouse/Boatlift ..__-_, pi _� E""" L 1�SIvtr� (7� �' I'� >�llf
Beach Bulldozing 1 T
Other
Fxi_C-4 ...t�1 EY,;.5-1 ii Pt
tocirA a!t. 6,11fri"'
Shoreline Length 4061—/
I20 130r7t A✓C
SAV: not sure yes /nd� . L- In
Sandbags: not sure yes /no
Moratorium: n/a yes no
Photos: es ; no
Waiver Attached: yes no
A building permit may be required by: ! f/f C- P 1a ps.-j ;I UC aC k See note on back regarding River Basin rules.
Notes/Special Conditions
entor n7nntkdfoam Permit icer'sSi nature
c 3/2 y%a� 6/Zq f o Li
Si nature Please rea omplia a statement on back of permit* Issuing Date Expiration Date
/(9�• (4131 -7-d-t.Jr) n-rT s,, ;I & 1(L. PO7Z-4P/4
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,Berrie, Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I 9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] 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 10/05/0I

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RIYIS t OF'CSAST41, M&N4f;ic. 7
'�i.A.CE'1T RIPARIAN P-RQP are. 0352ZEa MIELC,.An W AriT R FOR PA
Name Of Individual Applying For Permit ieG!` cf' ��.fickit f'v.//v
Address Of Property: /AO Qo i•ii k (/e
TO 54, / ge C. /VC A#
(tot or Streets,Sheet or Road, City,at County)
I hereby certify that I own ( f e'er Jer- Co
property adjacent to the above-referenced property. The individual
applying Tor this permit has described to i4e as shown on the a
they are"proposing. A shed drawing the cSevelapmcat
. or drawing, with dimensiions, should be provided with this
X_" I have no objections to this proposal.
If you-have, okOrtinnc to what is bring prnpncrxt plracr
if you have iron notified Mxil as�n°h3 n
MirSEER.SECraN
I understand that a pier, dock, mooring pilings, breakwater,
set bark a minimum disflm,-,e of LS' from my a>ra of - boar bolts.., lift or sandbags must be
wish to waive the s- �`�axes �� waived by me. (If you
setback, you must ininal the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I d .=with to waive the 15' set sea: regiurcznerc
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Print Name
4(6)9? NCDENR
Telt-phoneNumber With Area Code �..,.
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Id WeitS:90 EKE tt 'daS 0046 989 0t6 : Th Xt1� UM itit)H $ HaW tf+ 13a WCki�

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ORM
Name Of Individual Applying For Permit PJ ± 5 %
Address O Property: l20 '`7 e
/Q%.s%("/ &5w ,./;c ,2 7
(Lot or Street I, Stret or Road, City County)
I herebycertify that I own (4.<4, Co'
property adjacent to she above-referenced property. The individual
applying for this permit has described toitie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter. •
have no objections to this proposal. --
A
if vD.I a e h n notified by J rertif ied Maid
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I iind=rand that a pier, dock, mooring pilings, breakwater, o lift
set back a boat Notts.., l ,,�or sandy must be
�of15' frommyareaof
wish to waivethe se � e ` unless waived by me. (If you
��, you mt=v initial the appropriate blank below.)
I do wish to waive the 15' sethaek requirement.
I wish to waive the 15' setback requirement,
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Print Name
?i® 32. 8 • IG3t NCDENR.
Telephone Number With Area Code
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td WUIS:90 WOE TT `day Li 989 0L6 : Th 313 l i t't 1t 8 )I3O J d '! T tad

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