Williams, John 78286C

cAMA / G DREDGE~ & FILL M 78286 B C D
^ GENERAL PERMIT Previous permit #
❑New lModification �;omplete Reissue ClPartial Reissue date previous erASS"
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources ommission n an are of environmental concern pursuant to I SA NCAC El Rulop attac ad.
Applican ame Project Location: County -
Addre r _ Street Address/ Sta Road/ t # s
.State.... ZIP._.__._
City....... ..__ ___._ _
Phone # _ _ E-Mail'"
Authorized Agent
Affected O cw 14w ' ITA Prs
U OEA U HHF Ci 1H O USA U N/A
AEC(5j: [j PWS:
ORW: yes / nr PNA yes /
Phone #
Adj. Wm BodyRO
Closest Mai. Wtr. Body

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
Iandowner(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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

A
� A a r SS r d ((i�5 vp �
y � � 1 L
d 0 �) aJ�! a' F.f]Ly i yR
4 �. %mow �..��
NMI�i�.mi�A r.1;4% % 1 �11 `r
c + ,1F3l. j��jt�t i�`rf"#�.•: `t ....�s5?...ho-,,iii
Jtl nit i. �.l 4s ... - .. a•.. k::q
t •r' fr��� tt�p`.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: John Williams
Mailing Address: 2612 Grant AvenUe
Phone Number:
Email Address:
I certify that I have authorized The Cullipher Group P A ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: dock and boat lift
at my property located at 114 Pond Drive, Atlantic Beach
in Carteret County.
I furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature -w
,John Williams
Print or Type Name
Title
Date
This certification is valid through 12_1 31 i2.02Q_

-1 hereby goMfy that I own proparly adjacent tQ_
Ma&E
(Na»A60MOOtty0whoi)
property located at I J2 20nd DrIvA .13CC. El::N) . . Atlanb3aa&ISIAS
. '(Addrois, Lot, Rloobl(, Road, W.)
on,_ B=02qvad In MOOG R%MblGAdMt Q041
(Uty/.To".aP.dlor County)
Yhe applicant hetpdesorlbod to me, as shown, below, .the dovelopmont.PrOW0 61- ihe'above
I ti n
I'hava no obJ04od to lids propowl.
040040
J hav6 objedons to this proposal,
ON
OF
sue. �;�1-o�hQ� s fie .
WAIMER §qQ770N
I understand that a Met, dock, moorino pUlngs, boat romp, breakwater, boathouse, lift; or groin
must be setback a knimurn distance of 151 from my tired of riparlon.saws'un1w, waived by
me: (it you wish to valve the setback, you must Inl0al the aq*piifa blank below,)
I do wish to waive the 1 Wsewaok reqoirsmeht.
I do not wish to "Iva, the .151 setback NquWmenl.-'
(Proporty ()wner InfOrrostlo) (Mlatcaht Property)Dwner Informotlo'n)
Si igatltre
Mark Ferrell .10ba A Katherine WItIaMs—_
Print or Type Name Pitnt or 7),Pe Ham
112 Pohrl Odue GM nt AvAn, A
Allanfir, EnnVh NQ 2851-P W r. 19 nq
CrWISWOZIP
rokphon 7 a ; V7 WUG s 0, me# address.
7/N
-owe DWO
(RevWo All. 2014)
Wand for one Calendar Year after 61.9nahn*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to John Williams Is
(Name of Property Owner)
property located at 114 eQnd Drive- 27West Part of L28 ,Atlantic. Reac h Isl .S
(Address, Lot, Block, Road, etc.)
on ...RogueSound In Atlantic Beach/Carteret County N•C
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location,
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill In description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
John 1Arllianns
Print or Type Name
2F312 Grant Avenue
Mailing Address
Bal£'Jgh N 97608
c/statW7ip
'qQ tL1.3 G X ,
er
Telephone Numb/emall address
3h-)I).o
Date
'Valid for one calendar year after signature'
(Adjacent Property Owner Information)
.Signature*
Mir,haat R Sallies Rll�nnK Sallia�����n
Print or Type Name
Mailing Address
Atlantic Bea(
City/StateZp
Telephone Number/email address
Dale« ---
(Revised Aug. 2014)

herebyf that I own property adjacent to, john W111gMg PS
(Nam Of PMWtY •
(Address, Lot..
on amue •• 1 • In Atlantic 1 : 1 l: • 1
(Waterbody)
I he leant has described to me, as shown below, the deveic wt proposed at the above
„� I have no objection to this proposal.
rr, i r rr•�• •r
DESCRIPTION AMOK DRAWING OF PROPOSED DEVELOPMEW
(11XNV4U$1 pr*poal/n9 dwWopmont must fill 7n`cHr4arlptlon boloiw of Otech*$lh'dYswlng)
SQL. a,�6c�� P)�
I understand that a pier, dock, moodnp pilinps, boat ramp, breakwater, boathouse, K or prole
must be set beck a minimum distance of IV from my area of riparian aocess uniass waived by
me, (if you wish to w*m ft setback, you must Mal the appropriate blank below.)
.� X I do wish to waive the 16' setback requirement,
I do not wish to waive the IV setback reguirernwt.
l
jam
•.• / H A
i 1. ••• .a '•/• r
How 'M
rervphoov Wurriber / &iW address
`Valid for one coWdar year afar s4Wum*
Terephona Nwriw / w*N ad"u
(f ftfted Aug. 2014)

POND
Cawu
-- i
I-... r pOND DRIVI AY
r ' "`i '• —= r / 40' PU811C 'RIGHT OF
r ° x...... +wawa.
ATLANTIC BEACH ISLES
ill AHD 114 POND DRIVi
ENLARGED MLW
w nv —
Wall,L�

POND
CANAL
-.1c K.1CX
Y
orc+
^d'N'Sry rc•^^lO fi a amf.
4 t
---- / .� •J'�t'A /
I :Ui--_.. _............._
inIIN tAN(w.CMI[KT caller .,1 _prray Tg
„
_._
`` i(f/ (
.�
�,a
��
ANNN I.ItIK(SI/
N,H,ffy a «fK
1L1'
q
awry I
�1
�
Komi., 4, '
FAIT OIgA mxfll•Jrc
11AIt o 4a1�X craw, caPl;f rx cAeRai �
L'w"ie� o.n j
L sty{.1y-p�jagljx r. Ffp vl.. a
diH g.t}r`
�r,.�
Kp(
rldaiirr!(1 YIrS AIASrINIatt RO.MllleiSAiU IT<�JC{I�. I
�lx4 rPr �,r
"full'lot.
I
iti'i�-Yiik1T-
AIMf01t1 (qnW( �
�G�'/
r I.aoN COXKit,«RIIr iMl M RAI
lq M.VII ry K fIW NI MIUa
q/!(Y LLa( ylfe YY 9n R.q(/1 IafO «fp.191
`• 1
� 1
KlAla[e N 106/t KlOCY�1rNt rra 1a14gt5
INI NRAY[D AK of KY !R 1{D At aUF IgUI
'
1
'. NMWIpy epee N /Oalf Illllr[K[0 JI M fAK
O! IM 11Ail II111 M Mt0 Q Mlt6rll M
a Nuwco
_
_
I(fl n b 0.aoe Mix 1M 1l
NO 9lK�IK,I., to dl�M+kgA� 1C1�S•
,NO
•��4.!
"y
:. LJ10x
'• I{.02
BOND F
[iP9f tiNl----
"W'.11 cotall «clef IAI !M RIr
Nj
401 PUBLIC RIGHT
Mx�•.aa
WAY
01Nj1� 11«.IUX
Nq/I(vau. wo aA+lr./OP
-._.•...............
aI,1 al, or"wxM
_
-- --
I:tar w:n a+nr rue �w IR
N�a�l'ir ,to an,Ko Ka n I 11tr
JOtIII M(!(MIn KNt•Mlol! WII.fRI CONAMr.
.rlrwu+
{{f`1lpN xM yN(y t11ar0�Mf N¢.t(
A. IlKtft, N[h, Yll �xjr�� q MIt..
I�`�����
ru M.rr�� r�;r•
� "Ieac
�9u�li�Mum
"v i e•„
io to
o to 10
I
_
Noon
l((pa'.NAxla NAY
ATLANTIC BEACH ISLES
1OHNSON.PERRELL A WILLIAMS PROPERTY
YASN(AO I�jllf°. [ ( 11T. IM71I! 'AA x 1 IA
CL I(NII YWA f(I+P('-L 1X 01/il/i0
AO�e[S51 11! POO ]cell DNAMI
4 Ile 9[A" IIC x1S17
P.M,p(�L(304-21111H-136Re WE01
teal �,_A^"'ll�d�\ 111Y1 p .11 CC
>;iKHi a�'ol i.i/ra �aeex 1n1Aio
La I

LAMA / ❑DREDGE & FILL No 75206 B C D
G " L� P RMIT Previous permit #
❑N DAM dification Complete Reissue ❑Partial Reissue Date previous Qermit issued i
New
_ o i
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources ommission an are f environmental
�concern pursuant to 15A NCAC_
Am, ];�nnt Ninmp L� V V U V ►'L _ Project Location:
City.
ZIP
Authorized Agent /l
Affected ElCW EW )TA ❑ ES PTS
AEC(s): ❑ OEA ❑ HHF ❑ N ❑ UBA ❑ N/A
0
County
Street Address/ Stag Road/
Subdivision n
1
Adj. Wtr.
ZIP
er Basit