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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 ])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
❑ Neuse River Basin Buffer Rules
❑ Other:
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 how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-888-4RCOAST
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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(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

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 Cull nher 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 nrive Atlantic Reach ,
in Carteret —
County-
/ furthermore certify that / 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
.John Wlliamc
Print or Type Name
0M'4./-/f xV
Title
3 113 / zouJ
Date
This certification is valid through 12 / 31 / 2o2o
RECEIVED
AUG 2 4 2020
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Mark Ferrell 's
(Name of Property Owner)
property located at _ 112 Pond Drive 40 R 20, Atlantic Bea h Inl c
(Address, Lot, Block, Road, etc.)
on ue Sound In Atlantic 8 ach/ -artarat -r mtv . N.C.
Uterbody) (City(Town and/or County)
+✓The applicant has described to me, as shown below, the development proposed at the above
I III
W/
I have no objection to this proposal.
I have objections to this proposal,
y OnOlvldue/ ptopos/ng devilopni vritinusf All (n descdpflon beloi of eY( ch'
1
i
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, Iitt; 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.)
(✓Y_ I do wish to waive the I setback requirement
I do not wish to waive the 15' setback requirement:
(Property Owner Informatio } (Adjacent Propertypwner Infonnatlon)
Stgna"tore S attire•
Mark Farrall John A Kathpdnr+ Williams
Print or Type Name Print or Type Name
Mailing Address
Aflantir. Rash
Clly/State/Zlp
Telephon No bar/am##address
S //-s
Data
'Vatld for one calendar year after signaturs•
(Re1lf0ArS YM4)
RECEIVED
AUG 2 4 2020
I1S'M-MHD CITY

I hereby certify that 1 own property adjacent to John Williams s
(Name of Property Owtler)
property localed at 114 Pond Drive, L27 West Part of I 2A B 0 Atlanfic Beach Islas
(Address, Lot, Block, Road, etc.)
on f3oflue Sound in Atlantic Roach/Carteret Got!nt _,�, N.C.
(Waterbody) (City/Town and/or County
The applicant has described to me, as shown below, the development proposed at the above
1
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
f7haWkW proposing development must fill in doscriptfon below or attach a site dravring)
See. 04-G cl e,� J J
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, hit. or groil
must be set back a minirmim distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must Initlal the appropriate blank be"v.
xA> I do wish to vnfve the IS' setback requirement.
I do not wish to waW the 15' setback requirement.
Tatrphala NunlOar/earl address
(Adjacent Property Owner I rmation)
Sig atureo
Mark Farrell
Print or Type Nerne
112 Pnnd ntive
Maft Address
Atlantic RparhNC 2A512
_ oen
Tole^" Nwtpar/anal sddnsa r=iVED
Do& Dnlr
'Void fcr Ore calendar year after sIgnaturel
AUG 24 2020

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to John William.,; 's
(Name of Property Owner)
property located at 114 Pond Drive L27 West Part of L28 R20- Atlantic Beach Isles
(Address, Lot, Block, Road, etc.)
on Bow Sound in Atlantic Beach/Carteret County N.C.
(Waterbody) (Cltyrrown 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Si ature
.Inhn Williams
Print or Type Name
2612 Grant Avenue
'Valid for one calendar year after signature'
(Adjacent Property Owner Information)
Fri ix prd lots V AJ
Signature'
Michapl R Sallip Rurtnn
Print or Type Name
116 Pond Drive
Mailing Address
Atlantic Beach, NC 28512
City/StateMp
Telephone Number/ email address
Date• RECEIVED
(Revised Aug. 2014)
AUG 2 4 2020
DCM-MHD CITY

�LeLwfex+,t,\d peirml_}
L CAMA / ❑ DREDGE N FILL ,
ENERAL PERMIT
ew CJModiBcatlon ❑Complete Reissue C IPaalal
As authorised by the State of Noah Carolina, Department of Environmen f
and the Coastal Resources Commission 1 an are of environmental conce F
Applicant Name_-�-
,Previous perms[ *�—
Data pr vious perms[ Issued--�'�
Pu as
m
t to I SA I,ICAC
Project Locatlon: Count (si —
Street Addr S to ,
���Lot
WIN
Visit
■■�■■■�
Floating Platfoffn(s)
Groirt length IN
NO
runtber
avg distance offshore
max distance offshorv�
IN ooly
w�■■;�■���i�
flfi-
Sasin, channel ONE
e�
'
■1A . a��raaa
rt rt- �rti ali �E�ai\■■■■�
_
■■al.,��/�
Beach
Other
s
Shoreline Length
SAV: not sure yea no
Montorlum: n/a yes no
Photos: yes _
Warver Attached: no
A building permit may be required by:
( Note Local Planning Jurisdiction)
Basin 11
LL u kn
1
(Sole:
❑ See note on back regarding River Basin rules.
"I t .,., /A Mr-p
ElphatlonDate �- Check# IssunliigTDate / g�ECEIVED i
Fossils)
"-lGWMHQ CITY

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--
POND DRIVE
40'PUBLIC RIGHT
OF W AY
��+i"larn lAE17N
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4f4q.9f17R..
ATLANTIC BEACH ISLES
ioxl+eoe�,ruas�� a w�u.ure rxovai
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0.1[Mf, Yr. I[r[ll w)}1
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RECEIVED
AUG 2 4 2020
T)CM-MHD CITY

i lw
law
""" DRIVE
P'WDCR*Hr()FW4y
• ATLANTIC BEACH ISLES
RECENED
AUG 2 4 2020
,M-Ml4D CITY

NC Division of Coastal Management
Cashier's Gfficial Receipt
Received From: (�Gl nd W ill i (o S
Permit No.:
Applicant's Name: V Q kM IA)(1 i4r-h S
Project Address: I I q Pond ice. 4ma yikc beach . NC,
10149 A B C D
Date: &rJI LO 20 20
Check No.: oi�5 D
County: Ca4-kr-eN
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant:
Date:
Signature of Field Representative: Date:

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: John Williams
Mailing Address: 2612 Grant Avenue
Raleigh- NO 27608
Phone Number:
Email Address:
I certify that I have authorized The Cullinher 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 l 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
John Williams
Print or Type Name
0i'4�/.m941
Title
3 113 /.zozo
Date
This certification is valid through 1 / 3 / 2020

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to John Williams 's
(Name of Property Owner)
property located at 114 Pond Drive 7 VVeal Part of 1 28 B 0 Atlantic Beach Isles
(Address, Lot, Block, Road, etc.)
on Roque Sound in Atlantic Beach/ art r t County N.C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc lion.( 1 F 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)
See. 0' �- Cw p�
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
erty Owner Information)
Sig lure
Jnho Williams
Print or Type Name
2612 Grant Avenup
Mailing Address
Raleigh Nt 27fi(18
City/StatelZip
Telephone Number/ email address
"Valid for one calendar year after signature'
(Adjacent Property Owner I ormation)
Signature*
.Mark Fprrpll
Print or Type Name
112 Pond Drives
Mailing Address
City/State2ip
Telephone Numberl email address
Date*
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to John Williams s
(Name of Property Owner)
property located at 114 Pond Drive, L27 West Part of L28, B20, Atlantic Beach Isles
(Address, Lot, Block, Road, etc.)
on Bogue Sound 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
loc
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)
See. 6 .,AaC W p) la�
WAIVER SECTION
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
erty Owner Information)
l' A
Sig tore
John Williams
Print or Type Name
2612 Grant Avanua
Mailing Address
Raleigh, NC 27ROR
City/State/Zip
Telephone Number/email address
Date
(Adjacent Property Owner I ormation)
Sigifature*
Mark Farrell
Print or Type Name
112 Pond Drive
Mailing Address
City/State/Zip
Telephone Number/email address
Date*
(Revised Aug. 2014)
'Valid for one calendar year after signature*

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\ N/F MICHAEL BURTON
D.B.1270 PG.416
NCPIN 63751285361!8000
\� EAST/ZLOT 25 8, LOT 26 BLOCK 20
\ M.B. 11 PG. 29
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PROPOSED PROPERTY
LINE
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JOHN RAND WILLIAMS �' �'•
1 1633 PG. 321
'� il►-�Ip —_
W&11 PG. 29
NCPIN 637512854 578000 I ---
ADDRESS-- 114 POND DRIVE 1 �,
MAILING AD?RESS N/F MARK FERRELL
2612 GRAN AVENUE D,B, 1496 PG. 239 I —
RALEIGH, NC 27608 NCf1IN 637512855658000
919-827-3658 tr C BLOCK 20
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REVISIONS:
s81015.0 .•
REFERENCE ! i ' Na BY DATE DESCRIPTION
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BEACH ISL'rD-JS
GENERAL PERMIT APPLICATIONS
ATLANTIC aju,
112 AND 114 POND DRIVE
MOREHEAD TOWNSHIP, CARTERET COUNTY, NORTH ES RO LIDNA
GN
CLIENT: RAND WILLIAMS 8. MARK FERRELL
RDC
DRAWN:
ROC
APPROVED:
TH CE 'ULLIPHER GROUP P.A. C-4482 RDC
ENOINERRINU & SURVEYING SERVICES DATE
15]---A --N-C--IU O H W A Y 24 03 / 1 1/ 2 0
MOREHEAD CITY, N.C. 28557 SCALE:
(252) 77, -0090
RONALD D. CULLIPHERIIP.E.
lilt = 20'
PROJECT No. PM2817