35007D - Williams

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eiro,,:cAlviA , DREDGE & FILL ?77,07 U
pL ENERAL PERMIT Previous permit #
)� . New Modification Complete Reissue ❑Partial 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 7N • /2 CU U .
E Rules attached.
Applicant Name 60 r � GUI II IC i t I_i Project Location: County i r L'n& <)I C k.,
Address 'J.- 2. Lo.rid- c(I br'. vc Street Address/State Road/ Lot#(s) .2,9
City k c-lc.- +F-Ei ( I StateSC ZIP a9'7 32 Lee— S'fre -{-
Phone# ( 'f�3) 3 to(o ~1s. C Fax# ( ) Subdivision
Authorized Agent MCC I uv e. ' LA'i I d c r`: City(DG C a n I S(c l3 c c h ZIP `: 54-I(c CI
Affected CW EWTA ❑ES ❑PTS Phone # ( ) _ River Basin LL-t(tip be r
()EA ❑HHF ❑IH 7 UBA _N/A
AEC(s): Adj.Wtr. Body at I )c- \ (nat man /unkn)
❑PWS: ❑FC: _
ORW: yes llh-o PNA yes / ', Crit. Flab. yes / no
Closest Maj.Wtr. Body A 1 Lc.)Lt.)
Type of Project/Activity Cai)3tn. tC f Kf n,p a,-icy f- /ua i-7r7c9 2)GC/'j
J (Scale: 11'1_ I() I )
Pier(dock)length "t I CO /
Platform(s) $N 2.a" C/V AL
Finger pier(s) — r
Groin length
number
Bulkhead/Riprap length
avg distance offshore
max distance offshore 20 /
Basin,channel
%�rv�u5e d
cubic yards x-/o<< f?r�q
Boat ramp & ✓ �U G
Boathouse/Boatlik
— —' '— -
Beach Bulldozing
Other •
4
Shoreline Length SO' r
......._.............
SAV: not sure yes no f - U
Sandbags: not sure yes no 5v/ 5 h ore. i; P l--'
' ne
Moratorium: n/a yes
Photos: yes 2 Ce.nC rc-fe 5 h c..I l 1
Waiver Attached: yes no �L fJ - --
A building permit may be required by:_/ W� cc1 OCt crn �5 IC 3C4.CA1 See note on back regarding River Basin rules.
Notes/Special Conditions 0 // e ern d[' k 1)5 6 1 '7N /0Z 0 C.) /7/42/ i
1 r'' i`i 64,..i. IdC/'S C_lL /-f-(4...i,-_ AL
Agent or Applicant Printed Name Permit Officer's Signature
Signature v Please read compliance statement on back of permit** Issuing Date Expiration Date
•(/U U°� 2.7 9 l (7re,,,.1 (-1(... T,..,, At, '/,,...
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
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: [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 10/05/01

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: (a (,j 1 I t i a rn 5
ADDITIONAL NAMES:
AEC DESIG: ) h•( DEVELOP AREA: .C.D ( PROJ DESC: P - i2-
(Will only take 6) (Will only take 1)
WORK: P ►z- 4i-� !to
(Will only take 4)
TE $�2.0
MAINT:
(Will only take 4)
OLO
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 9l- • O3 1s • 9. 03
CAMA MAJOR DEVEL REQUIRED: 9 • 9. 03 /d • 9. 03 •

CAI r114- • • 4- uL L�1Prrn
• -: COM'LE 'l • COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Si. .ture
item 4 if Restricted Delivery is desired. 1 El Agent
• Print your name and address on the reverse X . `r •
• ■ Addressee
so that we can return the card to you. B. Received by(Printed Name) 'ate of Deliven
• Attach:his card to the back of the mailpiece, f ` ( 1 I Tt�i _� 31-��
or on the front if space permits.
D. Is delivery address differe from item 1? ❑ Yes
1. Article Addressed to:
If YES,enter delivery address below: El No
R1 Ch — 4+EA-�l
rNlncieY► -reCf
b 6l� nC gl ""3 3. S ice Type
Certified Mail ❑ Express Mail
El Registered ❑ Return Receipt for Merchandis.
El Insured Mail El C.O.D.
4. Restricted Delivery?(Extra Fee) El Yes
2. Article Number 7002 3150 0003 2209 9906
(Transfer from service label)
DS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-154

UNITED STATES POSTAL SERVIC T FirarCiasaidal.,
Postage&F.pes Paid
p
LY_ GS9 E 137/3 1 "art
6 I ,
• Sender: Please priritry,O , address, ap4-Zifr+-21117-thi8-tex-•'.
•
lure
Bulidc.,,. •
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C,ausevray Dr
Dean isle Beac:).. ,
02. Irililliiiiiiiiiilittlililltilloithillitilititilililtiiititil

PM)H - (A,Se C1LGAL £2 wins
ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete Signat re
item 4 if Restricted Delivery is desired. ,Ja Agent
• Print your name and address on the reverse �L ���fI ❑Addresse
so that we can return the card to you. •eceived by(Printed Name) C. Date of Deliver
• Attach this card to the back of the mailpiece,
or on the front if space permits.
Is delivery address different from item 1? ❑ Yes
1. Article Addressed to: �r ` f YES,enter delivery address below: ❑ No
W `
i
�I ��r1oLT�./^l rl
n
J•
-511 Aiver P4- C
n� g(o 0 iti�-) '� 3. S ice Type
nj I � I t Certified Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandis
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7002 3150 0003 2209 9913
(Transfer from service fa
DS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-15.

UNITED STATES POSTAL SERVIC 0% q 0 - " ~~ 1� ens e�F es Paid
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• Sender: Please print) �r rlarpaddress, n - ..
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Ca bt vli y111 tL t o ms
Address of Property: . ova (.?,�. Ctir-GQ�: it
(Lot or Street#, Street or Road)
OCCOA 1 e acPr, 1 5n4,11 sIC
(City and County)
I hereby certify that I own property,adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing.. A description or drawing,with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail. V
WAVER SECTION
I understand that a pier,dock,mooring"pilings,breakwater,boat house or boat lift must be set
bck 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign Name - Date All::
i( 3 Poi
ia-- a
� n R tv ev t1C- at(poi ��-
Print Name NCDENR
NORTH CNROUNA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Telephone Number with Area Code S:\cama\shells\riparianproperty.fu n

I
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AL
ANK
\...- COASTAL
�AS T BEACHRNC88468
E BUILDERS, 1NC• g/g/2003 B
R.H. NICCLUR 67 7235/2532
., 24 CAUSEWAY DR. i
t OCEAN ISLE BEACH, NC 28469 **400.00 4
[phone] $
PAY iri<it is*'h is it i<i<i�i�hit i<i<i<i�i�it i,i<rt is iris i<i�i�i'hi`iY i<irk**i
DOLLARS TO THE NCDENR 8
\ ORDER OF k h hi i h{ki k Yiri iri kits it i<{r kit it i<i<i i i is iti hi i iri i
Hundred and 00/100
Four
NCDENR •
--- AUTHORIZED SIGNATURE _
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