54369_TOWN OF RIVER BEND_20091208

❑CAMA / ❑ DREDGE & FILL �j�
GENERAL PERMIT K/!/%% Previous permit#
❑New ❑N-odificatfon ❑Complete Reissue ❑Partial Reissue Date previous permit issued_
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name 1'f''r APro•ect Location: County
Address Ve
City State ^',,ZIP
Phone # O Fax #
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
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City ZIP
Phone # ( ) River Basin `=
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit**
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Application Fee(s) Check #
PermitO icer's Si nature
Issuing Date r Expiration Date
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Local Planning Jurisdiction Rover File Name

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 1) 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
landowners).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythatthis 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 Quality. Contact the Division of Water Quality 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
Raleigh Office
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
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 -below New River Inlet- and
Pender Counties)
Revised 08/09/06

Lo"u.,ty _
Permit Number
Ocean Hazard Estuarine Shoreline
GENERAL.., INFORMATION
LAND OWNER
Name: �o �r vr2 •c3ENn
ORW Shoreline Public Trust Shoreline Other,
(For official use only)
Address: leS '511a z Z:.✓F 'v't -
City: X 'Vr/e d6:v0 State: Al,C- Zip: ,1hone:
AUTHORIZED AGENT
✓e n/ Toles
Name:
Address: 000 0. doe C11
City: 10,f y s v1' /le
State: -'�' C• Zip: a 7Sm- Phone: (9/°.) 935oe- 9" 7
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbodl.)0's of F of a.,,, fb�•vT(P,rRet/ 8-do/- od3� - FNTE*,C 4-jeae A:.vv o•v .511•44rfiver
bt. .t yD iaKr a 7 o .-V/•v r.*r, .J. Fs. %oww •✓A r,4k ' /t/"T o�/ F,rali hiwi I v b 7,_rear .oc% •64h
On/ A, r{, u vTtL 16oe Zew- t Se4.-,eC �O/q,vi . ?ZXgc4rvr ^lne- a A0 v _ S THC 7/loNi �e yet.
DESCRIPTION OF PROJECT: (List all proposed constr"tion and land disturbance.).rAu A a NT J,4A0#x i
MdMJ.-4 foe Cu,CteVT SCWd-IC /••vri' AN10 /'�e,*d✓e Ood 5"o0AAis .nt�idECs. �,/y T�ra3 oR IiP�eYNT,,,v
To �?E Ri=FE'cT60 . 6./t /ORoposc u Si NG .4 i'fRcK LA.d daw.�/ i o,Q ,n;N.' tk&-4vAT,Q 7�o ddr uSEO
SIZE OF LOT/PARCEL: square feet /o- A6 acres 1, ,,/A.r►,,, �-� N�.✓ •
/Q.rr 4caiw ���Cox. ... iz swwrrl
Z)6'- #V Tito- .i: a c= of i o/d' Ci4•tQov7- s~&L c j v c4.
PROPOSED USE: Residential ❑ (Single-family ❑ Multi -family ❑) Commerical/Industrial ROther ❑
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN (AEC): AIM square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): 380_ square feet (Calculations
includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios, etc. that are
within the applicable AEC.)(Attach your calculations with the project drawing .)/9 Ste`/o¢TS N/�. i •TAG of
Cho area that applies to your property: 2 . Q(,f afKjvfir,t T
1)withi feet of Normal High Water for the Estuarine Shoreline A
ithin 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality? YES ❑ NO Ej?
If yes, list the total built upon area/impervious surface allowed for your lot or parcel. square feet.

01 M— ERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit.
As a service we have compilgd a listing of the kinds of permits that might be required. We suggest you check over the list with your LPO to
determine if any dthese apply to your project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste treatment system), Building,
Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification, Sand Dune, Sediment Control,
Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or
a person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the
person listed as landowner on this application has a significant interest in the real property described therein. This interest
can be described as: (check one) �
/own► OF �C�vcsr/Z 86 _
19 an owner or record title, Title is vested in , see Deed Book /s3 / /Y1,41O
page 4 / q in theCRAVT4ounty Registry of Deeds.
❑ an owner by virtue of inheritance. Applicant is an heir to the estate of ;
probate was in County.
❑ if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(1) Df4V'- D �&y S / E2 /07 5A4ND /. pFiC c?—. N6= w ACXov,
(2)1XAKCr.44--(- C. C2: (Ly /0 5" S4-1,0AAr-t C7-
(3) e— r2 ;44,4 4 Z-5 -moo aw i t 'Vrw d6:4., I .v.c. a 8 d-d
(4)C• N . 0oPe -0 %w�/ of Riw�� 46P a11oCtr4,,, D4 IVG' dd2✓,
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
1 acknowledge that the land owner is aware that the proposed development is planned for an area which may be
susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular
hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization
and floodproofing techniques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents
to enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any
information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation
of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
This the 40 day ofk , 2009
Landowner or pe son aut orized to act as his agent
for purpose of t ' a AMA permit application

1�
SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The Local Permit Officer will help you, if requested.
PHYSICAL DIMENSIONS
❑ Label roads
❑ Label highways right-of-ways
❑ Label local setback lines
❑ Label any and all structures and driveways currently existing on property
Label adjacent waterbody
PHYSICAL CHARACTERISTICS
❑ Draw and label normal high water line (contact LPO for assistance)
191braw location of on -site wastewater system
If you will be working in the ocean hazard area:
❑ Draw and label dune ridges (note spot elevations)
❑ Draw and label toe of dunes
I A ❑ Identify and locate first line of stable vegetation (contact LPO for assistance)
❑ Draw and label erosion setback line (contact LPO for assistance)
❑ Draw and label topographical features (optional)
If you will be working in a coastal shoreline area:
❑ Show the roof overhang as a dotted line around the structure
❑ Draw and label landward limit of AEC
❑ Draw and label all wetland lines (contact LPO for assistance)
❑ Draw and label the 30-foot buffer line
DEVELOPMENT PLANS
❑ Draw and label all proposed structures
[ir raw and label all areas that will be disturbed and/or landscaped
[Note size of piling and depth to be placed in ground
❑ Draw and label all areas to be paved or graveled �J 3-
❑ Show all areas to be disturbed
❑ Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and / or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing?
• signed and dated the application?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary? (Must be signed by property owner)
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
Date of Action: Issued Exempted Denied Appeal Deadline (20 days)

O l51 CRAVEN COUNTY DOES NOT WARRANT THE INFORMATION SHOWN ON THIS MAP AND
Feef SHOULD BE USED ONLY FOR TAX ASSESSMENT PURPOSES. INQUIRY YEAR 2009
�oA1) A��R�ss.
Curt
W & AUDREY A
102 8-201 -0Si
J A & PATRIC D ADA.MAKIS, GEORGE PETER
8-201-7-MI 7
HONEYCU SHEILA
8-201-7
GONZALEZ. SEA & IRIS T
GA1a
1 3
, JQkCEA
8-201-7
MILLS,,
8-201-7-013 �
RIVER BEND - TOWN OF
I:
8-201-7 -W5-A
CRILLY. MARG,
8-201-7 47 '
PORTOFE, AMY M
PI
8-201-7 31
ROYSTER,
jm
CUMMINGS, Gwy H & LINDA E
07
SGWEQ
8-201 -023 /A 1<w
RIVER BEND TOWN OF
rlb
C
8-201 -022
POPE, C H JR
rF
& TI NY Al
THE CRAVFN COUNTY GEOGRAPHIC INFORMATION SYSTEM

W
Z / db
C r o v e n County Geographic Infarmation System
Parcels mapped as of July 20, 2009 A S 4 0 0 Year: 2010
C r o v e n County does NOT warrant the information shown on this pagge and
should be used ONLY for tax assessment purposes. Printed July 20, 2009
Parcel ID . . . . . : 8 — 2 0 1 — 0 2 P Parcel Ref 1 28634
Recorded Owner Name RIVER BEND — TOWN OF
Mailing Address 4� SHORELINE DR NEW 8 E R N NC 28562
Property Address
Property Legal Description: ODD FELLOWS FARM
Lot Dimension Description
RLC0RDING Information
Date : 9 11 1996
Book : 1 13 1 Page : fi19
Plat C o b i n e t
Slide Number —
Estate Number
VALUE Information for 2009
Land value . . . 256,000
BuiIdjng value 700
Total value . 256,700
Tax Exempt . : YES
Number of Recycling fees 0
ACREAGE Information
Calculated acres
Deeded acres
Survey acres
Assessed acres
City code
Fire district
Special service
S o n i t a t i o n district
Drainage district
Zone code
L o n d Use code
Neighborhood id
10.236
10.24
River Bend
Utility — G o v e
8 2 W A
Land and Building / Improvement information is not available for 2010
Select o prior year and try this option again.
Pr In fed h. NA P PINC7 usr na the Craven Caun 1. Geo a a o h is Inf orma lion Sr stem

C r o v e n County Geographic Information System
Parcels mapped as of July 20, 2009 A S 4 0 0 Year: 2010
Craven County does NOT warrant the information shown on this paga and
should be used ONLY for tax assessment purposes. Printed July 20, 2009
Parcel ID . . . . . : 8 — 2 0 1 — 0 2 2 Parcel Ref 1 28633
Recorded Owner Nome POPE, C H JR & RIVER BEND — TOWN OF
Mailing Address 262 SHORELINE DR NEW BERN NC 28562
Property Address
Property Legai Description: ODD FELLOW LD
Lot Dimension Description
RECORDING Information
Date 12 1 1998
Book 1664 Page : 1029
Plat Cabinet
Slide Number —
Estate Number
(VALUE Information for 2009
Land value . . . 1,050
Building value 0
Total value . 1,050
Tax Exempt . : NO
Number of Recycling fees 0
ACREAGE Information
Calculated acres
Deeded acres
Survey acres
Assessed acres
2.24
: 2.24
City code
Fire district
Special service
S o n i t a t i o n district
Drainage district
Zone code
Land Use code
Neighborhood id
River Bend
Vacant — Mapped
8 2 W A
Land and Building / Improvement information is not available for 2010
(Select a prior year and try this option again.
Printed hr YAPPING2 ssinu the Craren County Geoarsohio Inlermr t Srslem

W
Craven County Geographic Information System
Parcels mapped as of July 20, 2009 A S 4 0 0 Year: 2010
Craven County does NOT warrant the information shown on this paga and
should be used ONLY for tax assessment purposes. Printed July 20, 2009
Parcel ID . . . . . : 8 — 2 0 1 — 0 5 7 Parcel Ref 1 41354
Recorded Owner Name ADAMAKIS, G E 0 R G E PETER
Mailing Address PO BOX 12411 NEW B E R N NC 28561
Property Address 210 GULL P 0 1 N T E
Property Legal Description: 2 D I V 3 GULL P 0 1 N T E LANDING
Lot Dimension Description
RECORDING Information
Date 4 30 2001
Book 1816 Page 898
Plat Cabinet
Slide Number —
Estate Number
VALUE Information for 2009
. Land value . . . 74,750
Building value 107,760
Total value . 182,510
Tax Exempt . : NO
Number of Recycling fees 1
ACREAGE Information
Calculated acres
Deeded acres
Survey acres
Assessed acres
City code
Fire district
Special service
Sanitation district
Drainage district
Zone code
Land Use code
Neighborhood id
3.654
3.7
River Bend
01
Residential — 0
8 2 W A
Land and Building / Improvement information is not available for 2010
Select o prior year and try this option again.
Pr in tetl be 9 A P P I N G 2 using the Cr aeen Coun lr Ge oar 0ohia Information Sv stem

LNJ
�16
Z,—:�
x IJA
Craven County Geographic Information System
Parcels mapped as of July 20, 2009 AS40O Year: 2010
Craven County does NOT warrant the information shown on this paga and
should be used ONLY for tax assessment purposes. Printed July 20, 2009
Parcel ID 8-2.01-7 — 0 0 5 — A Parcel Ref 1 33014
Recorded Owner Name CRILLY, MA.RGARET C
Mailing Address 10D- SANUP. ER CT NEW B E R N NC 28562
Property Address 105 SANDPIPER
Property Legal Description: PT 5 — A REVISED T R E N T BAY ESTATES
Lot Dimension Description
RECORDING Information
Dote : 8 19 2008
Book : 2751 Page 739
Plat Cabinet
Slide Number —
Estate Number
VALUE Information for 2009
L o n d value . . . 19,890
Building value 112,940
Total value . 132,830
ITax Exempt . . . . : NO
Number of Recycling fees 1
ACREAGE Information
Calculated acres
Deeded acres
Survey acres
Assessed acres
City code
Fire district
Special service
Sanitation district
Drainage district
Zone code
Land Use code
Neighborhood id
0.536
0.57
River Bend
01
Residential — 0
8 2 1 A
IL and and Building / Improvement i n f o r m o t i o n is not available for 2010
Select a prior year and try this option again.
Pr in led ha YAPPINGI using the Gr 0tan GounIY Ge o9r c p h i c Information Sps f em. INQUIRY YEAR 2009

Craven County Ceogrophic Information System
Parcels mapped as of July 20, 2009 A S 4 0 0 Year: 2010
Craven County does NOT warrant the information shown on this pagge and
should be used ONLY for tax assessment purposes. Printed July 20, 2009
Parcel ID . . . . . : 8-70.1-7 —005-8 Parcel Ref # 35789
Recorded Owner Name R0YSTER, 0 A V I D
Mailing Address 107 SANDPIPER CT NEW B E R N NC 28562
Property Address 107 SANDPIPER
Property Legal Description: 5 — B REVISED T R E N T BAY ESTATES
Lot Dimension Description
RECORDING Information
Date 3 17 2003
Book 2013 Page : 448
Plat Cabinet
Slide Number —
Estate Number
VALUE Information for 2009
Land value . . : 58,500
Building value 117,250
I. Total value 175,750
Tax Exempt . : NO
Number of Recycling fees 1
ACREAGE Information
Calculated acres
Deeded acres
Survey acres
Assessed acres
City code
Fire district
Special service
Sanitation district
Drainage district
Zone code
Land Use code
Neighborhood id
0.885
0.88
River Bend
O1
Residentic. — C'
8 2 W A
Land and Building / Improvement information is not available for 2010
Select a prior year and try this option again.
b
Pr in te4 ba YAPPING2 usinu the Cr 4r en Coc r, It Ge aqr a Dc Ia(o 1 mo ti 0n 5Y 5tem.

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date 7/31/09
Name of Property Owner Applying for Permit:
Town of River Bend
Mailing Address:
45 Shoreline Drive
River Bend, NC 28562
I certify that I have authorized (agent) x e v e n Jones to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Install replacement pilings/supports for
effluent discharge pipe.
at (my property located at) Gull Pointe, River Bend ( map 8-201-023 )
This certification is valid thru (date) October 1, 2009
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper

TOWN OF RIVER BEND
45 Shoreline Drive, River Bend, NC 28562-8970
Phone [phone] Fax [phone]
Web Page: www.riverbendnc.org
July 27, 2009
C.H. Pope, Jr.
262 Shoreline Drive
River Bend, NC 28562
Dear Mr. Pope:
I am writing to seek your assistance in our effort to make urgent repairs to the effluent discharge
line at our Wastewater Treatment facility on Gull Pointe in River Bend. Because you are an
adjacent landowner, the Coastal Management Division of the North Carolina Department of
Environment and Natural Resources requires that we notify you of our intent to obtain a permit to
work in the riparian area along the Trent River.
The project, as described in the enclosed statement, calls for the replacement of 38 pilings that
support 19 cross -members that elevate the pipe. Over the years, these pilings have begun to decay
and are at the point where we are unsure of their ability to survive severe weather events. Our
contractor will place a small platform on the ground along one side of the pipe to support the
mini -excavator he will use to install the new pilings and remove the old ones. Once he is done,
he will remove the platform and properly dispose of the old pilings. He will endeavor to disturb
as small an area as possible when performing this work in recognition of the environmental
sensitivity of this area.
I ask that you take the time to review the enclosed statement form, and if you have no objections
to the project we are pursuing, sign and return one of the copies of the form in the enclosed
envelope.
If you have any questions or concerns, you may reach me at 638-3870 x-213 or via e-mail at
managerP,riverbendnc. org.
I thank you in advance for your prompt attention to this matter which will allow us to submit our
permit application and to make these needed repairs.
;Sincerely,
ffaVvens.,
w
Town Manager

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _Town of River Bend 's
(Name of Property Owner)
properly located at Gull Pointe Lot 8-201-023 ,
(Lot, Block, Road, etc.)
on Trent River ,in River Bend N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: [phone] Mailing Address: 45 Shoreline Drive
River Bend, NC 28562
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
---------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
Replacing 38 pilings that support 19 cross -members that elevate a
ductile iron effluent discharge pipe running from the wastewater
treatment plant to the Trent River. The operation will involve
installing new pilings using a mini -excavator, and removing and
disposing of the old pilings. The contractor will only disturb a
m1nimal amount of vegetation to allow a small track to be put in
place to support the mini -excavator.
(Information for Property Owner Applying
for Permit)
45 Shoreline Drive
Mailing Address
River Bend, NC 28562
City/State/Zip
252-638-3870
Tej,aphone Numb
/z,
Sign ure a e
(Riparian Property Owner Information)
Signature
DrovA) 1_?0/57702
Print or Type Name
��►�� 257 3Ll9 "858
Telephone Number
a 7 51,rlJ r--IpC 2 cT-
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Town of River Bend is
(Name of Property Owner)
property located at Gull Pointe Lot 8-201-023 ,
(Lot, Block, Road, etc.)
on Trent River. ,in River Bend N.C.
(Waterbody) (Town and/or County)
Applicant's phone #
638-3870
Mailing Address:
45 Shoreline Drive
River Bend, NC 28562
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
Replacing 38 pilings that support 19 cross -members that elevate a
ductile iron effluent discharge pipe running from the wastewater
treatment plant to the Trent River. The operation will involve
installing new pilings using a mini -excavator, and removing and
disposing of the old pilings. The contractor will only disturb a
m1nimal amount of vegetation to allow a small track to be put in
place to support the mini -excavator.
(Information for Property Owner Applying
for Permit)
45 Shoreline Drive
Mailing Address
River Bend, NC 28562
City/State/Zip
252-638-3870
Tele hone Numbe
2
(,,Sign ture ate
(Riparian Property Owner Information)
c
Signature
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Print or Type Name
Telephone Number
a3i fI
Date

- Hou NUMBER -3,
SPYGLASS HILL' Go- COURSE
KEVEN A JONES
�sassst�'
P.O. BOX511
p'
MAYSVILLE, NC 28555
DATE
m'. PAY 3-0 THE
ORDER OF._-------
DOLLARS
1
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fK _ F
Y: 2 5 3 L 7 5 38 ►,l: L080 L L L 7 600 311- 3 2 12

COMPLETE
■ Complete items 1, 2, and 3. Also complete A. Signature
item 4 if Restricted Delivery is desired. X
■ Print your name and address on the reverse
so that we can return the card to you, g, 'ved b
■ Attach this card to the back of the ma(lpiece,
or on the front if space permits.
1. Article Addressed .
ill �
�}- ❑ Agent
❑ Addre
Name) C. Date of pelf
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
,421 6ertified Mail O Express Mail
El Registered 01Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D,
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number �1 /�
(Transfer from service label) �O 61 3//d 0 G a// �j / 7 /
PS Form :3R' z004 Domestic Return Receipt 102595-02-M-1540
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
pu C
'JUL 312009a�5�
A. Signature ,
X I,. ❑ Agent
❑ Addressee
B. 4d by Pri a e) C. Date of Delivery
D.. Is Oje ery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Serves Type
Certified Mail
❑Express Mail
O Registered
eturn Receipt for Merchandise
❑ Insured Mail
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7ag9 2 //DO 00 j � lG� �J Y / ��
(Transfer from service lab-1) ` r %" / [ / (O
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: �y
JUL 3
A. Signature
❑ Agent
X O Addressee
B. Re ive r`(PTVt Name) C. Date o� f Delivery
�/M! rl �1v7
D. Is delivery add4s different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. &vice Type
AKI Certified Mail ❑ Express Mail
dd Registered )K.Retum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4, Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 74 q 9� d©jr S/ q 7 74 8s
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

Design !Build
Accepts
All Major
Maintenance
Credit Cards
Snow Management
Member of
ALCA & TCNC 8 SIMA
Pesticide Licensed
Insured 16 yrs &Growing
Keven Jones
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
` j �TLID. , Tr
ag�Gz
AUG 0 3 2D09
A. Si nature
Agent
❑ Addressee
B. Received by ( Printed Name) C. Date of Delivery
4-b.MVI 40 81,3107
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3, Service Type
,O-Cgrtified Mail ❑ Express Mail
❑ Registered —iTRetum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Q fN�jVER BEND W 3 �y 6
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
JONEIS
Lawn & Landscaping
P.O. Box 511
Maysville, NC 28555 Mobile [phone]