77974A_Williams, Alonzo & Margaret_20210202

'JCAMA / "'DREDGE do FILL N9 -1--,
GENERAL PERMIT B C D
Previous permit #
✓New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality t,
and the Coastal Resources Commission ;n an area of environmental concern pursuant to i SA NCAC 7 t-f _
11100 -^ules attached.
Applicant Name A 6Z Project Location: County C4vt •'{z G/L Cary Y_ I MAP
Address �36 _ 0�^ e She-4- Street Address/ State Road/ Lot #(s) t 1
City_ 1 N D�E`� Statel)k zip_P 3 SQ_3..
Phone # ( 75}) . 334 Idl7 _ E-Mail /biW_4wg&C A.4,:q 's * IeAv cw- Subdivision
Authorized Agent fit;,, Sri:-Fi._ Crcy +ti?ra^r. 1 _. ZIP a ?h39
Cw /EEW %PTA !ES PTs Phone # { O River Basin P
Affected OEA HHF tr
AEC s : IH USA N/A
PWS; Adj. Wtr. Boc1y_C. -_ ( +v' *,,jay 140Y. (nat_ ,an /unkn)
ORW: yes / no PNA yes C9 Closest Maj. Wtr. Body C44t .`4 GC h 'S31-41
Type of Project/ Activity tCt.,PLc g nKy. .fp-
a
(Scale. j a
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)_ _
Groin length
number F
Suikh Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic }cards I
Boat ramp i
Boathouse( Boatlift
Beach Bulldozing
Other
Shoreline Length t `a
r
SAV-. not sure yes
Moratorium: n) yes no ♦_ 3"t t
Photos: no
Waiver Attached- yes ``- 3-
A building permit may be required by: �n/t t`{"tsck,. ` 'If
( Note Local Planning jurisdiction)
Notes/ Special Conditions _
Agent Applicant Printed IN, me
Signature **Please read compliance statement on back of permit#
Application Fee(s) Check #
A) A
( t r - 1
See note on back regarding River Basin rules.
�o� 7 40 b,! t t
Permit Officer's Printed Nam
Signature
11- a X_
Issuing Date
Expiration Date

WWA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor Jams H. Gregson, Director Dee Freeman, Secretary
Date l,,
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) 1 1 -0 eI-:: to act on my
behalf, for the purpose of applying for/and obtaining all C/AMA Permits necessary to
install or construct (activity)
at (my property located at) /l 2—
This certification is valid thru (date)
1,t"It
Property Owner Signature Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opporturdty \ Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper

DIVISION OF COASTAL MANAGEMENT
Ad,lACENT RIPARIAN PROPERTY OWNER NOTIFICATION FO[JM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
1 hereby certify that 1 own property adjacent to ��'l�lc'7` 1�/l7Jclgf�l'f��f r s
/ (Name of Property Ownor)
Property located at • ��,l�f/�
(Projej t Site: Address, Lot, Block, Road, etc.)
on ! t t =1� G>ll�'tGf in ?/,� 4 NC
(Waterbody) ( ityfrowri and/or County)
Agent's Name Mailing Address..,`�?�� rkyc 2 y 7
Agent's phone #: Q' Q �! t�i`A'l ,YL- i- t ` )1
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------- -----------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or apach a site drawing)
�_— /
/7
7/ 0
If you have objections to what is beingproposed, you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Correspondence should be ,mailed to 401 S.
Grtfrn St, Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264.
3901. No response is considered the same as no objection if you have been notified by Certtfled Mall
(Property Owner Information)
Sign Cure
Print or ype Name
(Adjacent Property Owner Information)
Signature`
-M-rK F'orr-e,✓
Print or Type Nance
143) 1) UAL 15� 173 Ln,rf, e U t ti'
Mailing Address r Mailing Addross
j A -�i f 1Fa �� Ci �t iMortl VA 2 7 i i/
It c►tyrs�ra� it ,gtt . �} . kjr LLOK) C.J L-.r) r -a tq cityistattialp
Q7 S`JoIQ I fs8a J%\Lr6t,(0Nrwj,,,&t-t,l,r el -
Telephone Number/Email Address Tolaphono Number! Emod Addross
' K t1 � 1. �, l) l $)a 1
Date Date"
'Vaud for one calendar year after signature' Raved Jan. 2017
Scanned with CamSc<
r- -

X
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: c
h- l v C �T'rJ
9590 9402 5869 0038 1158 28
7020 0090 0001 5724 0034
�n t
❑ Agent
EfAddressee
B. Received by rrnted Name)
1 C. Date of Delivery
Nk c_.t `1 15- s 'r"_"V
J 1-
- l- .7-4
D. Is delivery address different from item 1? CJ Yes
If YES, enter delivery address below: 0 No
3. Service Type
❑ Priority Mail Expresso t
Q Adult Signature
❑ Registered Mall-
❑ Adult Signature Restricted Delivery
0 Registered Mall Restricted E
El Certified Mail@
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
* Collect on Delivery
Merchandise
- - dlect on Delivery Restricted Delivery
111 Signature ConfirmationT"
tired Mail
❑ Signature Confirmation
tired Mall Restricted Delivery
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

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