12172_MYERS, EDWARD_19910603

CAMA AND DREDGE AND FILL C
GENERAL NO '
PERMIT cop
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and t �j �oastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC � 1l / � "
Applicant Name
Address
City _r� 9r r -r State Zip , / :4 5 / I
Project Location (County, State Road, Water Body, etc.) C �' f "" ' }"�' iXa�� �l•r'
Type of Project Activity r ; ?� 1 -� 7
PROJECT DESCRIPTION SKETCH
Pier (dock) length
�Z l 3 77J-
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
i Other
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,
imprisonment or civil action; and may cause the permit to be-
come 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 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
Phone Number
(SCALE: A/ )
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77
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attachments
application fee
applicant's signature
permit officer's signature
issuing date expiration date

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UNITED STATES POSTAL SERVICE
Official Business
IJAY
118
1991,
_NC
PENALTY FOR PRIVATE
USE TO AVOID PAYMENT
OF POSTAGE, $300
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• Print your name and address on the reverse of this form so that we can
4) return this card to you.
m • Attach this form to the front of the mailpiece, or on the back if space
does not permit.
I also wish to receive the
following services (for an extra
fee):
1. ❑ Addressee's Address
• " Write "Return Receipt Requestedon the mailpiece below the article number.
r 2. El Restricted Delivery
•. The Return Receipt will show to whom the article was delivered and the date
c delivered. I Consult postmaster for fee.
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7. Date of Deliver
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8. TYddressee`'s Address (Only if requested c
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, December 1991 *U.S. GPO: 1992-323-402 DOMESTIC RETURN RECEIPT

STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES Isee front).
1. If you want this receipt postmarked, stick the gummed stub to the right of the return address
leaving the receipt attached and present the article at a post office service window or hand it to
your rural carrier (no extra charge).
2. If you do not want this receipt postmarked, stick the gummed stub to the right of the return
address of the article, date, detach and retain the receipt, and mail the article.
3. If you want a return receipt, write the certified mail number and your name and address on a
return receipt card, Form 3811, and attach it to the front of the article by means of the gummed
ends if space permits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT
REQUESTED adjacent to the number.
4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,
endorse RESTRICTED DELIVERY on the front of the article.
5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If
return receipt is requested, check the applicable blocks in item 1 of Form 3811.
6. Save this receipt and present it if you make inquiry. 102595-93-Z-0478
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TOTAL Postag , Q. RT
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NC

UNITED STATES POSTAL SERVICE
Tr.l���3��1i !� . i.e . ice' 'f71►�'�� _ _
Official Business LTY FOR
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1994
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Eddy r(v4 -e r s
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SENDER:
I also wish to receive the
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y • Complete items 3, and 4a & b. following services (for an extra V
.
• Print your name and address on the reverse of this form so that we can feel: `
> return this card to you.
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• Attach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address
does not permit. t.
r • Write "Return Receipt Requested" on the mailpiece below the article number. 2. ❑ Restricted Delivery a
+ The Return Receipt will show to whom the article was delivered and the date V
c delivered. Consult postmaster for fee.
3. Article Addressed to: 4a. Article Number
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, December 1991 *U.S.GPO:1992-323-4W DOMESTIC RETURN RECEIPT

STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES (see front).
1. If you want this receipt postmarked, stick the gummed stub to the right of the return address
leaving the receipt attached and present the article at a post office service window or hand it to
your rural carrier (no extra charge).
2. If you do not want this receipt postmarked, stick the gummed stub to the right of the return
address of the article, date, detach and retain the receipt, and mail the article.
3. If you want a return receipt, write the certified mail number and your name and address on a
return receipt card, Form 3811, and attach it to the front of the article by means of the gummed
ends if space permits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT
REQUESTED adjacent to the number.
4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,
endorse RESTRICTED DELIVERY on the front of the article.
5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If
return receipt is requested, check the applicable blocks in item 1 of Form 3811.
6. Save this receipt and present it if you make inquiry. 102595-93-z-0478
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TOTAL Posta
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Postmar or Date
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NC

UNITED STATES POSTAL SERVICE
Official Business
PENAL
USE TO
Of
Print your name, address and ZIP Code here
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2-� - 4, Box, 4(,o

07 SENDER:
y Complete items 1 and/or 2 for additional services.
I also wish to receive the
d • Complete items 3, and 4a & b.
following services (for an extra ml
` • Print your name and address on the reverse of this form so that
0
we can
fee):
return this card to you.
• Attach this form to the front of the mailpiece, or on the back if space
1. ❑ Addressee's Address cn�
does not permit.
d • Write "Return Receipt Requested" on the mailpiece below the article
p 4 p
number.
2. Restricted Delivery ,R,
• The Return Receipt will show to whom the article was delivered and the date
e delivered.
fJ
Consult postmaster for fee.
d 3. Article Addressed to:
4a. Article Number
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4b. Service Type m1
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and fee is paid) MI
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2 PS Form 3811, December 1991 *U.S.GPC:1993-352-714 DOMESTIC RETURN RECEIPT
I

STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES (see front).
1. If you want this receipt postmarked, stick the gummed stub to the right of the return address
leaving the receipt attached and present the article at a post office service window or hand it to
your rural carrier (no extra chargel.
2. If you do not want this receipt postmarked, stick the gummed stub to the right of the return
address of the article, date, detach and retain the receipt, and mail the article.
3. If you want a return receipt, write the certified mail number and your name and address on a
return receipt card, Form 3811, and attach it to the front of the article by means of the gummed
ends if space permits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT
REQUESTED adjacent to the number.
4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee, M
endorse RESTRICTED DELIVERY on the front of the article.
F-
5. Enter fees for the services requested in the appropriate spaces an the front of this receipt. If iy0
return receipt is requested, check the applicable blocks in item 1 of Form 3811.
a
6. Save this receipt and present it if you make inquiry. 102595-93-Z-0478

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(See Reverse)
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Certified Fee
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Restricted Delivery Fee
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to Whom & Date Delivered
Return Receipt Sh o Whom,
Date, and A
TOTAL P
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& Fees
Post Irk or Date
15°4)
NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that•I own property adjacent to
Eddy and Christy Myers 'S property
Name
located at 2560 Lennoxville Road on
(Lot, Block, Road, etc.)
Taylors Creek in Beaufort , N.C.
(water Body) (Town and/or County)
He has described to me as shown below the development he is
proposing at that location and I have no objections to his
proposal. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
s 4A-'% w�ll� To IZ� IS` se�tba�0c. ✓�
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDMDUAL PROPOSING DEVELOPMENT)
igna ure
Ose� J •'}k0�t t ►1eS
C-k u r tv Sy M • lac- AA-- S
Name
3c ,g 2S7-3cr-r-r1
Phone Number