36921D - Williams

er G4 MA/ g�DREDGE & FILL 36921
GENERAL PERMIT
Previous permit #
��= L'New El Modification Complete Reissue ElPartial 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/V /100
❑Rules attached.
Applicant Name id (.0;1(/GI'Y) Project Location: County 13I1r/ ..5.0/C
Address (w(p (IFJtyr ly a C ti by i VC Street Address/State Road/Lot#(s) (p U(o
City - 15(o via- State NC ZIP .' 5L(oS. G(JCS1 Yet c hi 6 r1 vc
Phone# ( ) Fax# ( ) Subdivision
Authorized Agent (3([' PrCV(,L1- City -k- l5 lk"let ZIP .�(-i(o S
❑CW W PTA :ES PTS Phone # ( ) River Basin t a4'i bC -
Affected
❑OEA ❑HHF ElIH UBA N/A I Body (nat , ,unkn)
AEC s : Ad'.Wtr. ��LC�LcJ
❑PWS: ❑FC: 1100
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ORW: yes /o) PNA yes / Crit. Flab. yes / no Closest Maj.Wtr. Body
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Type of Project/Activity -CO(oLe 1 l" f? - 5u 4 /ic i,ci
U (Scale: /'I1 Zoe/-" )
Pier(dock)length G n /v
Platform(s)
Finger pier(s)
Groin length
number — — •
Bulkhead/Riprap length MO
avg distance offshore 1, )
max distance offshore 0' W I
Basin,channel f ---y^
cubic yards
Boat ramp
Boathouse/Boatlift
T �_
Beach Bulldozing
. ,-,_j
Other
1 .
Shoreline Length /20 �` ��/ d' -tom be
SAV: not sure yes 1�j Tj.,,,tItc t`
5 Sandbags: not sure yes t6 r) r(d plc - .
Moratorium: n/a yes 0 �� i
Photos: ye no P(,
Waiver Attached: yes ®
A building permit may be required by:10- yj bl66-.•4 Is(G,IG-f�J . I See note on back regarding River Basin rules.
Notes/Special Conditions 4t( (" (;/(b 2IJ /
ci !/I ,iI(1(J /ii,2
Agent or i t Printed Name Permit Officer's Signature
---t-T . GeV/u/0 06 t li
Signature lease read compliance statement on back of permit""" Issuing ate Expiration Date
.$/00 " 22-41 - 0A-k� lS(and 4,b.1018b
.:?-.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
919-733-2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza 11 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

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: ECG' Zod/1 -
ADDITIONAL NAMES:
AEC DESIG: 6-5 DEVELOP AREA:_ C%ccL. PROJ DESC: /© - /J
(Will only take 6) (Will only take 1)
WORK: 914 (p D
(Will only take 4)
MAINT:
(Will only take 4)
IMP: 5 f)'(Q U •
(will only take 6)
N6 (Qoc
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 4/v! 3 070
CAMA MAJOR DEVEL REQUIRED: l02-7/ Q 7 3 3 h D/Ot{
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••••rm... —.•••r•••••111=.11•MI
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' nrvicawiF n en ACT Al MiNtiGPMENT
A• llIACTNT RIPARI•01 PROPERTY OWNER NOTIMATION/VV&INIR'EOM
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Klux Of Individual Aisplying For Permit - ..., -
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Address Of Propertr (-1)t ?)/iCilt gar.
SZ h ctj
(Lot or Street I,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 described talk as shown on the stanched drawing the develOpment
they are proposing. A description or drawing;with dimensions,'should be provided with this
1 have no objections to this proposal.
aimIne.a.mmimo
If you have niljectines tn arhat i being praposed_ piense_who the Divitinn fif cpg.tai
Inlngernm422liordiXrdbo1 flt1vkammingtanazatthcmumam4flnscca1Imum
19nfl witiiin In days of tereirt of thie twice. No response is ennadered the same ac;in nIllertlan
if yrm have heen notified hy CerriOeri Mail
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WAIVER SECTION
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I und-ntaand that a pier,dock,mooring pilings;breakwater,boat house,lift or sandbags must be
set back a minimum distance of 15'from my area of riparian access unless waived by me. (If you
wish to waive the setback,you must initial the appropriate blank below.)
Ichi wish to waive the 15'setback requirement.
AM" 7
1 dnj)t wish to waive the 15'setback requirement.
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ek/ts...1 -24 1-•ro-a., All:111911rA
i DAVID L, OLIO
Najawi?Managor
Prki.0 -Oak Island, N.C. NCDENR
Telephone Number With Area Code _ Nom.ComouPv.Dowatiortitr
weemokoson Apto Noma.nopaueoss
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SENDER COMPLETE THIS SECTION CL-n.,PLET.:r THIS SEC 1101'.ON.0F/eVER,
COmplete items 14 2.and 3.Also complete -A. Signs
item 4 if Rester:tad Delivery is desired. 0 Agent
X / .7
• Print your name and address on the reverse D Addressee
so that we can return the card to yOu.
C.Date of tielivery
el Attach this card to the back of the mallpiece, 71181/Liez
Or on the front if specs permits. se -
D.le delivery Maitre from!testi? CI Yes
1.Article Addressed to; OYES,enterdefivery address below: CI No
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fium CI Express Mai
istersd CI Return Receipt:(or Merchandise
El Insured mau 0-0.0.0.
4. Restricted Delivery?Pare Fee) 0 yen
— —2.Ankle Numl
7003 1680 0002. 2 -745 7659
(Treepier fro, •-
PS Form sail,August 2001 Dariesfic Return Receipt PACPRI-03-2-005,5"
SENDER COMPLETE THIS SECTION C:C.,./.1PL--7E;NIS EL C NON ON DEL PIER V
a corrolete'ltems 1,2,and 3.Also coniplete A,Signature
item 4 If Restricted Delivery is desired. "7,A1 0 Agent
NI Print your name and address on the reverse "—X - 0 Addressee
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• ISO diet we canteturn ttie card to you.
.5. Re W cehred (: ronit Mime) C.DUUfDjLvWY
Attach this.card to the back of the mailpiece. •
or,on the front if space permits. 1 I 2. a
D.le del - •from item if
1.Article Addmssed to:
- • • .betow: CI NO
e•-e‘rSIN°N
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4(2\41-S n :beer 9latar; e.. CI M
dA/AK V''t Iteilidt D31 tit Elr4 .
D Rea, ' • - •m Reoelpt far Merchandlsa
0 Insured Mail • C.O.D.
•4.Restricted DeltvereHecee Fee) G Yea
2.'Ankle ' —— ——
rransfar .7003 1680 0002 2745 7666
PS Form 3811.August 2001 Domestic Return Receipt EACpal-ce-Zasas
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28461
PAY TO THEhl
DATE
ORDER OF .
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