Ward, William 78869C

®XCAMA/DREDGE&FILL (� 7886o A B �f D
ENE!! PERMIT Previous permit #
7TNew NE!! PERMIT
IComplete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 0
,' f�l, 'A/ D ales attached.
Applicant Name .W i -6w `' i GJ Project Location: County amverj
Address d0 (+pl-' ' Street Address/ State Road/ Lot #(s)
City Stater �C�ZIP. .17(4Q
Phone # X9) 7 a- OjQ- E-Mail ram' _ .. ... .. Subdivision
Authorized Agent City ZIP
AffectedCW ❑ Es ., PTS Phone # nR'ver Basin
C [!
OFA f- HHF C! IH ) UBA -! N/A j �j / `' V�:A 0/ma /unkn)
AEC(s): Ad. Wtr. BodyQ'
PWS: 1 J; rL S
ORW: yes nt.) PNA yes /foj Closest Maj, Wtr. Body f_ 4(
Type of Project/ Activity—
Pier (dock) length 'r
Fixed Platform(s) �
Floating Platform(s)'r
Finger pier(t)
Gran length
number e
Bulkhead/Fbprap length r
avg distance offshore
max distance offshore
Bmin,channel—_
cubic yards
Boat ramp
Boathous oat11
f
Beach Ildoa /
othe��z 51,�)
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes n
Photos: yes
Waiver Attached: (Pno
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
, - _
(Scale:) IO )
See note on back regarding River Basin rules.
riwspT eact compnance staceme or perm¢-- algna[ure
Fee(s) Check# Issu g toraOlDat/

XCAMA / ❑ DREDGE & FILL �j�v N° 78869 A B (f) D
91�ENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality ��tyy
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0 7*i / O`t-�C/
j � � /� ules attached.
Applicant Nnarr a VV I Project Location: County ( S q V Pal
Address o�D� © Street Address/ State Road/ Lot #(s) OQ}V
City 5, State C-ZIP 00
Phone # X)6 f-- E-Mail e-� Subdivision
Authorized Agent City ZIP
Affected �CW �[W- PTA El ES ❑PTS
A
Affecte El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
CRW: yes no ' PNA yes
Type of Project/ Activity
Pier (dock)length
Fixed Platform(s)�
Floating Platform(s)
Finger pier(s)
Groin length
number /
Bulkhead/ ftiprap length /
avg distance offshore
max distance offshore
Basin, channel
cubic yards /
Boat ramp
Boathous oath ll �
Beach Bulldozing
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes no
Photos: yes
Waiver Attached: O no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions _LI'
Afent o ppli - t Printed Name -
Si nature ** Please read compliance statement on back of permit"
�w e—M !�Aw
Application Fee(s) Check #
Phone # (
Adj. Wtr.
Closest Maj. Wtr. Body
Basin s
(Scale:' —/0 )
❑ See note on back regarding River Basin rules.

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 INC 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, INC 28557
252-808-2808/ I-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

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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to WILLIAm F. Wn -Ur 's
of Property Owner)
property located at G 75O2- 014
^IA D Ad&r�ss, Loot, Block, Road, etc.)
on I t�M>E h1�/E� in �� I �tfe^&'4�EIJ ('--a N.C.
(Waterbody) (Town and/or ounty)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
ZSZ Z61 b l��
Telephone Number
Date
RECEIVED
FEB 2 4 2021
DCM-MHD CITY

' ... � � .4 _'�_L i .. ..., i'

ACCEPTANCE OF SERVICE
NOW COMES Alexei Kuznetsoff, and hereby states that he has received a copy of the
letter from William F. Ward, III, dated February 11, 2021, regarding his permit application and
proposed project. p
This the
day of
STATE OF orl CtyV01 L'w
COUNTY OF Cyaau-\
I, N0.y\eq P. kayrizty, , a Notary Public in and for said county and state do
hereby certify that ALEXEI KUZNETSOFF personally appeared before me this day and
acknowledged the due execution of the foregoing instrument.
Witness my hand and notarial seal this Wg ' day of 2021.
IINIII/
My Commission Expires: saH�N auN UTI�(iPn.A G6� l •
��-a1-aOal ,.�Gl a� 6� Notary Public
e Q,•'0`l6 AR)A0 `'i, Printed Name: i�i, v�r.a R %I'(i.Yri ion
RECEIVED
FEB 2 4 2021
OCM-MH® CITY

Receipts for
Certified Mail
(Staple Here)
Date
2-//-Z I
�A7 [,(ETSoFr—
A jacenl Property Owner Sao
WJ1 0+ D Id Cl,a
a lin d ess
e� �2►S . (v . L. ZR.S1,n
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I, ALLI &, rwun have applied for a CAMA Minor
Properly Owner O
Permit on my property at 2Soz old C ke-fM Pt- ka in COUNTY
Property A ess
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at Z-1 &70 74 (oo or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Sincerely,
W L.LI Ay,-, Ir-, W*e—n Mr
Property Owner
2$02 D U Chum, P+-
Mailing Address
N.�. Z�SfoO
City, State, Zip Code
RECEIVED
FEB 2 4 2021
DCM-MHD CITY

,'i
� '�

2-//-Z!
Date
KFnT' �LowFRS
AJd'acent Property Owner
v�OO �E\FE2'r
Idarl��ddr�s� i N • G. ZiSl%O (City, State, Zip Code
Dear Adjacent Property:
Receipts for
Certified Mail
(Staple Here)
This letter is to inform you that I, WILL/at F• WIkID have applied for a CAMA Minor
Property Owner
Permit on my property at ZSb2 d �� Cl\e��h Po. i d h/(_, in COUNTY
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at ZS? 6-76 74(e 0 or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME
Local Permit Officer for -LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Sincerely,
Vil(_LIArn f= WA-fz0.1,Trr-
Property Owner
ZSoZ OI, C P-r kO
,,MlIailing Address
Nn
ea &KA � , \ . e—
City, State, Zip Code
RECEIVED
FEB 2 4 Z021
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to W I L L I Am-t P.- VVW 's
(Name of Property Owner)
property located at 2SoZ go (
(' Address, Lot, Block, Road, etc.)
on (VeV( ,e 91VE12_ ,in '`/ii7W rJE)rM/C9AVEnCc>,N.C.
(Waterbody) (Town and/or Coulft
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Ke r
Print or Type Name
ZS�2 (PI-7 go3-7
Telephone Number
2 �Z 3 [z\
Date

ACCEPTANCE OF SERVICE
NOW COMES Kent G. Flowers, Jr., and hereby states that he has received copy of the
letter from William F. Ward, III, dated February 11, 2021, regarding his permit application and
proposed project.
This the 2 �j day of February, 2021.
KENT G. FLOWE S
NORTH CAROLINA
&xye n COUNTY
I, 4cwvieov� a Notary Public in and for said County and State, do
hereby certify that Kent G. Flowers, Jr. personally appeared before me this day and
acknowledged the due execution of the foregoing for the purposes and intents therein expressed.
Witness my hand and notarial seal this the A 33"' day of February, 2021.
My Commission Expires:
��-o2-11-10al �G,.•°pTAR'wi`t, NOTARY PUBLIC
rinted Name: AIA^(c 5 o v\,
RECEIVED
FEB 2 4 2021
DCM—MHD CITY