58863_SHULTS, THEODURE F_20110923

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 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

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue
Governor
September 23, 2011
Theodore F. Shults
1021 Parchemin Trail
Chapel Hill, NC 27516
Dee Freeman
Secretary
Attached is General Permit #58863C to install a 12' x 22' platform and a 13' x 13' boatlift, at 214 Smith Street
in Atlantic Beach, NC. In order to validate this permit, please sign the permit as indicated. Retain the white
copy for your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
stamped envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of Violation and
subsequent civil penalties.
We appreciate your attention to this matter.
Sincerely,
t
Heather M. Styron
Coastal Management Representative
Enclosures
400 Commerce Ave., Morehead City, NC 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
NorthCarolina
An Equal Gpportunity'i Affirmative Action Employer

THEODORE F. SHULTS BANK OF AMERICA 9710
KATHARINE F. SHULTS 66"246W'
1021 CHAPELRHILL, NIC 27P511I6 (919) 96&7806
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Theodore F. Shults Esq.
1021 Parchemin Trail
Chapel Hill, NC 27516
September 15, 2011
Heather Styron
North Carolina Division of Costal Management
400 Commerce Ave.
Morehead City, NC 28557
RE: Dock Permit - 214 Smith Street, Atlantic Beach NC
Dear Ms. Styron:
As I mentioned to you on the phone this morning I have a beach house at 214 Smith
Street in Atlantic Beach. The property has an approved dock and lift. The dock was
severely damaged by Hurricane Irene. I would like to request a new permit to
repair/modify and add an additional lift to the dock structure.
PXCEIVEI)
k
SEP192011
DC 14-MD CITY
I have attached PDF copies of the plan which is based on a photograph of the
existing dock, and the executed Adjacent Riparian Property Owner
Notification/Waiver forms from both of my neighbors, As you can see I would like to
take this time to raise the dock to the level of the sea wall and add an additional skiff
lift to the right (south) side of the dock The overall size should be approximately
the same. (narrower but wider).
I am sending hard copies of all these materials to you with the application fee in the
forms of a check for $200.00.
Please let me know if you have any questions or if there is anything else you need,
My home telephone number is 919-968-7806
My cell number is 919-475-6994
I know you have your hands full, thanks for your assistance.
Sincere
Ted S

9/8/2011
Revision to Dock Repair and Remodeling
214 Smith Street - Atlantic Beach NC
Proposed Changes:
Add 4 pole skiff lift to right side of dock (red line)
Raise dock to sea wall level
Bring dock to sea wall - (blue outline)
Reduce with of dock to approximately 12 feet wide
Replace fish cleaning station (not in picture - lost in storm)

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CERTIFIED MAIL • RETURN RECEIPT REQUESTED CEP 19 2011
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FQRM-MHD CITY
Name of Property Owner: f 1C ���0 2 F - `—� ht 5
i`.ddress of Property: _Q bfn;_Sli A -A � n , c: �,c h . K� C_
(Lot or Street #, Street or Road, City & County)
Applicant phone #: i - 06- b 1 ") Mailing Address: j CL� j G1r;: ►Ier & fir-).
I hereby certify 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
thVareprosing. Adescription or drawing with dimensions must be provided with this letter.
ve 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. Contact information for DCM offices is
available at www.nccoastalmangement.neticontact—dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER 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 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)
Signature
i �ylc0t' ShUJL 51
Print or Type Name
Mailing Address
City/Sta elZip
Telephone Number
ej
Da
(Riparian Property Owner Information
Signature
Print or Type Name
212
Mailing Address
City/State%Zip
Telephone Number
Date

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
RECEIVED
SEP 19 2011
DCM-MHD CITY
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property: �t-A Snmi`A AL
(Lot or Street #, Street or Road, City & County)
Applicant phone #: c� I I �}7�' `r Mailing Address: 10.2 j ��-AIrt ;-V Y i r,Ts"I
C i�
I hereby certify 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. Contact information for DCM offices is
available at www.nccoastalmangement.neticontact—dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER 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 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.
(Propert wner Information)
Signaturere
r�
Print or Type Name
�ccr -,A er(i )7- a i
Mailing Address
0-ha-vai
City/Stat Zip
91 C) - tl- 7S -toy r 5
Telephone Number
( ar an P p Owner Information)
S' rratu e
'Print Name
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Mailing Address
City/State2ip
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Telephone Nu ber
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Date Dat

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Describe below the HABITAT disturbances for the application. All values should Match the name, and units ofLasureent
found in your Habitat code sheet.
Habitat N.arne
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
i ct amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes an/
restoration and/or
temp impact
amount
(vomov
Dredge ❑ Fill ❑ Both ❑ Other
redge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both Cl Other ❑
Dredge ❑ , Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
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