60390_PDL BEACH PROPERTIES LLC_20120810

'Ll
Id ' No. 60390
❑CAMA / DREDGE & FILL
GENERAL PERMIT
Previous permit #
❑iC'eW ❑Modification ❑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
a t
i"`+�! j'c '
n Rules attached.
Applicant Name _ ,? ; : ' k... i
Project Location: County
Address_ :j
Street Address/ State Road/ Lot #(s)
State ZIP 3
Phone # (- ) - Fax # (_)
Subdivision
Authorized Agent r:
City i— ZIP
Affected ❑ CW ❑ EW 0 PTA ❑ ES ❑ PTS
Phone # (_ _ _) '? I- 407_) River Basin
❑ OEA HHF ❑ IH _i USA - N/A
AEC(s):
Adj. Wtr. Body O a r,__.(pat /man /unkn)
'jGC,;
PWS: ❑ FC:
q
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body —
Type of Project/ Activity
Pier (dock) length
Platform(s) Zi
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozi (^
Other
Shoreline Length
SAV: not sure yes
n
Sandbags: not sure yes
no,
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no —
A building permit may be required
by:
Notes/ Special Conditions
2n �_.1.z (oP L 1121%C.
(Scale:
s f ❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name Permit Officer's Signature
Signature ** Please read compliance statement on back of permit Issuing Date
Expiration Date
Application Fee(s) Check # Local PlanningJurisdiction 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
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 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 Citv 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)

I.
HEVERLY CONSTRUCTION 2273
PH. [phone]
P.O. BOX 5171 66-W531
EMERALD ISLE, NC 28594 342
DATE
PAY
TO THE
ORDER OF A /V s,
DOLLARS
First Citizens
Bank
FOR
X
ell
11300 2 2 7 3111 1:0 S 3 100 3001:00 3 L, 12 30 30 S 2111
. . . ............ . .....

July 20, 2012
PDL Beach Properties
12450 Cleveland Road
Suite 203
Garner, NC 27529
To Whom It May Concern,
I, Don Lane of PDL Beach Properties, do authorize Carl Heverly, to remove
existing dock and to install the pilings for a dock and gazebo at 208 Emerald
Drive, Emerald Isle NC.
Sincerely,
Don Lane

I f
VVESTERNI IMONEY WESTERN UNION F&JANCiAL SERVICES INC.
UNIONI 10RDER '.,able at Wells =3rgo Bank Gard Juicts- -.Downtown, .14 A, Grace Junchon, Cclo,avo Englewood Coloiwr'_;
14-616582615
A 374429 D 1214121
T 1001 02
146165826155 L 000906 $ 200.. 00
PAY EXACTLY TWO HUNDRED DOLLARS AND NO CENTS
-PAY TO THE
ORDER OF N
PURCHASER'S ADDRESS
1: 10 2 100400i: 40 ViC3 I 6 513 26 I S Sol
PAYMENT FOR/ACCT. 4
PuRcm SER'S A*MIRE

■ 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.
Article Addressed to:
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B. Received by ( Printed Name)
D. Is delivery address different from Rem 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se ce Type
-Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service lab 7 011 1570 0000 3561 2397
PS Form 3811, February 2004 Domestic Return Receipt 102595 02-M-1540 I'

UNITED STATES POSTAL SERVIQE ift Ag"'
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Certified Mail Provides:
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valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the j
fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for !
a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired, please present th"e arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
PS Form 3800, August 2506 (Reverse) PSN 7530.02-000-9047

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` ■ 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.
Article Addressed to:
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3.
g546ertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑
2. Article Number
(Transfer from service 4 7 011 1570 0000 3561 2403
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
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rq Sent To
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or PO Box No.
city ZIP+4
PS Form 3800, August 2006 See Reverse for Instructions

Certified Mail Provides:
■ A mailing receipt
■ A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years
Important Reminders.
■ Certified Mail may ONLY be combined with First -Class Maih or Priority Maile. i
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
I
■ For an additional fee, a Return Receipt may be requested to provide proof of j
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage tQqWver the
fee. Endorse mailpiece "Return Receipt Requested". To receive a feavaiver for
a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is j
required.
i
■ For an additional fee, delivery may be restricted to the addresst?e or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT. save this receipt and present it when making an inquiry.
PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047

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PS Form 3800, August 2006 See Reverse for Instructio

Certified Mail Provides:
■ A mailing receipt
■ A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First -Class Mails or Priority Mails.
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece"Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPSs postmark on your Certified Mail receipt i
required.
■ For an additional fee, delivery may be restricted to the addresse
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. if a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail. -
IMPORTANT: Save this receipt and present it when making an -inquiry.
PS Form 3800. August 2006 (Reverse) PSN 7530-02-000-9047 J

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■ Print your name and address on the reverse
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B. Received by (Printed Name)
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or on the front if space permits.
Date of Delivery
1. Article Addressed to:
D. Is delivery address different from item 1? Cl Yes
If YES, enter delivery address below:
❑ No
3._2'epAc0 Type
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❑ Registered E3 Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
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4. Restricted Delivery? (Extra Fee)
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(Transfer from service rauey �' S 7 Q 0 0
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Certified Fiber Sourcing
www.sfiprogram.arg THIS ENVELOPE ISAECYCL49LEANDMAOEWITH 30%PUsr cuiv u—.,�.,.....,
102595-02-M-1540 ;

CERTIFIED MAIL.. RETURN RECElI T REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiON]WAIVER FORM
Name of Property Owner: Ln
Address of Property: 4 ✓ri < < -K5 �,eT�
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Y 1 14V Q v Mailing Address:
Agent's phone #: ,7 (�2L' Z kA L CSC: 2.J r _e rt^c (.e
I hereby cartify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400
Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be contacted at (252) 808-
2808. No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, 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)
kg -nature ' I
�CCr'1 �e-Gey-
Print or Type Name
Mailing Address
City/State/Zip
2c�2. - ZLA — (lu 2-t2
Telephone Number
Date
(Adjacent Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/StatelZip
Telephone Number
Date
Revised 6/18/2012

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PS Form :00 August 2OU6

Certified Mail Provides:
■ A mailing receipt .
■ A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First -Class Mail® or Priority Maile.
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPSe postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
`,IMPORTANT: Save this receipt and present it when making an inquiry.
�s Form 3800, August 2006 (Reverse) PSN 7530.02-000-9047
I

E Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
j ■ 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:
A.
by (Prnte,0 Name)/ C.
❑ Agent
V/e'r/i-xe-A-'O'44,A-)I "l !_-'(-,
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address s below: ❑ No
3. ServjGe Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(rransferfrom service 1 7011 1570 0000 3560 8581
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540

UNFEDL�7A ,&,5 F, �,Q;JAL $ ' d e i ti*
• Sender: Please print your name, address, and ZI`fhis box-
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