86349A_Williamson, Gay_20220407

WCAMA M DREDGE & FILL N9 86349 a C C)
Previous pennft
GENERAL PERMIT Date prevkKz permit issued
ENNew E]Modification El Complete Reissue
[] Partial Reissue
As audwarized by the State or North Carolina, Departrrient of Environmar" quality and the Coustal 114mourew Commisoon in an area of aw*.onmentai concern pursuant to:
I SA NCAC El Rulai, att-had General POMI't RUISS -NA" at the f.Awft Ink. —49Q,x-,ihm "MAnd,
ApjAcant Name k2jg6&4 &diortced Agent 'S)
Ad*. 10 _V;rC�A re �e�
I>r_ pro*, L.W. (Counq�)
city W"rj --stm ZIP _A29 Street Ad&../Stm RoadA- #(q) 6�
phone * &I—C 204 tic t Ste za.,"S t n
Email Subdiwcin
City - U-544q-
Affected F-1 CW Dg Ew PTA ES RVrS Adj.VV.1;8.dy_
Arzc(s): [JoEA EIMA 11uw EISPIMA OPWS Ck-S1Ma. VV.-.Body leAll'O'SAN
ORW- yew PrAA- VesAR)
TYPe Of ProjeCt/ ACIUVIty
Shoreline Length (Scale: r -Aid i
Access Length I
_j 177 —jj
Pier (dock) length
Fixed PLitfamis)
L
Fli-ting Plat"s)
—1. 7
_LJ7 _71=1
:-4- 4—
_4 A
Finger pier(s) L
4-
Tcal Plaftnin am
Groin kwqthl#
UI
lenth 7 Iprap _A R g
4
4H,
Avg distance ofthore
Break"ter/Sill
_4i
Max tfistance/ length j
Basin, channel
Cubic yards
__T
Boat ramp -4-
Rcafttfs^4 Eloatlift _j.ice-4
A
Seach Sullclazing
Other
4
4
SAV observed- yes
Moratorium 1 T
Vr
ft
J Site Photos. no
Riparian Waiver Attached, Yes I =1
A building permit/zoning permit may be required by{
-
(et t1M_S
I
C,.UA6,AAr td iinL ❑ TANPAPM8.15MUFFER (.rd. one)
IL
wt
Pe Conditions =---
7 See note on back regarding River Basin rules
F-1 See additional nates/condirtlons on back
I AM AWARE OF SUMM, cpc RULES AmD coNDffKNO1H0 APPLY 70 THIS PNOJKT AND REVIEWED COMPLIANCE SEVEMENT. (Pleasafriffial)
Applikation Fee(s) Check S/Money Order
rv'7/22-
Issuing Date Expiration DM

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Date:
Name of Property Owner Applying for Permit: Go, � •� < < < Q ��� S � �
Mailing address:
I certify that I have authorized agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all LAMA permits
development of/0�1,Q-
neccssaryfor the proposedF'
This certification is valid through
ropeivOwner's Signature
T-o 0. u) I l l l a nl) a n
Print or Type Name
q 10 b 3P
Telephone Number
1367 U.S.17 South, Elizabeth City, North Carolina 27909
Phone: [phone] FAX: [phone]nternet: Wm.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper
(date).

Rork Pi Wowarsk l
DIVISION OF COASTAL. MANAGEMENT
ADJACENT RipAR#AN pR©PERTY OWNER NOTIFICATION[WABVER FORM
i �mt; of Property €?vet.
Address of Propedy: 1 rYl R Yl cj
(Lot or Street#, street or Road, CRY & Cotmty) Pe r
Ageni's Name #: �:.'�111-u-L2-�A Y) Mailing Address: SGt YY) S Q b DUB
Agent's phone'�-
2 -r q 4g
3 hereby certify that 3 own property adjacent to the above referenced property, 1 he individual
applying for this permit has described to me as shown on the attached drawing the development -
they are proposing. A d cri lion or dramn with dimensions must be rovided with this lefiterr.
\-/// i have no abjections to this proposa?. I have objections to this prop©sai_
if you have objections to what is being propased, you mast notrfythe Division Of COastaiiViartargwneat
3CM} in vuriEing within f o days ofreceipt of this not e. Correspondence shouldbe rnal'7ed tol357' US
97 South, Ellzabeth City, NO, 27'909. DCM representatives can also be contacted at(252") 2 901 NO
res erase is consider -ad the some as n0 have been named bY Cert+faed t adfi.
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of t 5' from rr area of riparian access unless waived by me. (if YOU wish to .
waive the setback, you must initial the appropriate blank below.)
✓ 1 do wishto,vaivs:the 15`setback requirement.
r-
1 do notwish to waive the t 5' setback requirement.
Information)
riO-T
IVlcr. i i F19A aa r 4--55
73-q
a m .er
(Ripaa'ian properly Owner lnformat!W0
Ll
Sa t Ur'e
Arint or Type Name
►1 3 5as s -� 55a
Mailing Address
CitylShtfBlZip
S
Telephone Number
•3
Daie

,Jm)M\/ bhQU
r_'IIVISJON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of property owner. I ryl
Address of Property: q�i rn 6 Y,
(Lot or Street C Street or Road. CRY & UntY) Per
Agents Name #-. MaHing Address:
Agents phone
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as sN.wn on the aftached drawingthe development
they are proposing. 1. dim. n ' s- must be rovid with this letter. -
I have no objection to this proposal. - I have objections to this proposal -
If you have objections to what is beingproposed., you must notify the DivisiOn of Coastal Management
tDCM) in writing within a 0 days ofreceiPt Of this nOtfce. Cormspondence shouldbe mailed to 1367 US
'117 South, Elizabeth C1136 ivc, 27909. DCM representatives can also be contactedat(252) 264-3901' No
17 if ors have beer' notified hy
response Is -considered the some as na� ol'�,
VV/VVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, Or lift 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 _M_UjL1_n_1 W' the appropriate blank below.)
I do wish to.Awve'tOe .1.5%setback requirement.
I do not wish to wa - Nd the 15'setback requiremeni,
P 0L/ C tct 0 fnFortn#*fi;t1
.
az`Wv
print or
Type Name
� Pro
r
'4 o I < "2
Mailing Address Mailing Address
it ie/zip
75- 7 - S 2 V
Telephone Number
0
Telephone Number
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4/4/2022, 9:13:42 AM 1:564
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For tax purposes only Not a Wo docunwo or survey Perq *rwm nor Slate of NC assurre any NoWy resu*V from use of 06 map