54154_SMITH, LEE & CATHER_20090707

-7,Oci 16
❑ CAMA / L I�DREDGE & FILL 4 i Ca 4!� '
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue El Partial Reissue L' e 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 15A N'
Rules attached.
Applicant Name_ Project Location: County
Address
City
Phone # ( )
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax #
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body _ (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: � )
Pier (dock) length
Platform(s) i
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift i �'' ! ,
i
:�
Beach Bulldozing
Other a
Shoreline Length
SAV: not sure Y es no
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
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❑
See note
on
back
regarding
River
Basin
rules.
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Officer's Signature P-7
�.)p-7rig --4,
Issuing Date pir ion lbatJ
Application Fee(s) Check # Loca�ningjurisdiction Rover File Name

lip
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 (252-946-648 I) 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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

SECTION.iER: COMPLETE THIS
For
■ 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:
Ak),�
■ AgentC. Qatp of r)elivpiu
D. Is delivery ad ess different from it�n 1? ❑ Yes
If YENS, endelivery address below: 11 No
i JUN U 8 2009 j
3. SSice ee
GCertifd
or Merchandise Registered
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7006 0810 0006 1715 3979
ps Form 3811, February 2004 Domestic Return Receipt 10259e-02-nt-11540'

UNITED STATES POSTAL SERVICE First -Class Mail
Postage & Feeg Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
A,?
� <.
�AG� ° �'�s'Jl,j'jjj 637
maim MR
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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.
1. Article Addressed to:
ALlWe*ve---
��� A � 61,
yjzqwc
A. Signature
X
B. Received by (Printed Name) C. Date of Delivery
r�i�cs f„ke.�•� �v�.,s �,Z�rA
D. Is delivery address different from item 11 ❑Yes
If YES, enter delivery address below: ❑ No
3. ' e Type
Zrtifled Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise j
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7DD6 D81D DDO6 171,5 3962
(transfer from service label)
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
• Sender. Please print your name, address, and ZIP+4 in this box •
�Z.Z_ Slw�
M

11 CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
Address of Property:
mailing address if different
o � P IDJ,Ave
telephone number you can bq reached
at
I ggs5-7
(Lot or Street #, Street or Road, City & County)
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, should be
provided with this letter.
I have no objections to this proposal.
l'f you have objections to what is being proposed, please write the Division of
Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (252)
808-2808 within 10 days of receipt of this notice. No response is considered the
4f-you have been
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
. waived by me. t0f 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.
i iia is v
Print Name
Telephone Number With Area Code

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 'J
(Name of Property Owner)
property located at `17�0 `x^"^ C'� ,7 J�,z� 7
(Lot, Block, R/�oa�d, et/c.)/
on 1'e P�ic�- , in L40 --,- ,T' (� �1�"' �" , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: �� 6Sg Mailing Address: 9197 RDrJo-
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)
(Information for Property Owner Applying
for Permit)
00"7 rlt JzAA
Mailing Address
City/State/Zip
Telephone Number
6
Si nat re Date
(Riparian Property Owner Information).
Signature
U �•
Print or Type Name
Telephone Number
Date

��') � � 7 -

*7ti bLllchead
t1
i 3`xl?
4 piling boat lift
\ ev- Dczk
4711, San ?aan Cif
ramp xiating ��' x ]' ttcatin� ?c k
'CS an Juan C%r
i
&ustui_ Boat 31iFs ;
1

,411
June 17, 2009
Eric,
Here is some info for you.
Lee & Callie Smith
207 Florida Ave
Morehead City, NC 28557
252-659-2035
*attached is the info that was sent to Thomas F. Taft Trustees (they own 4712 San Juan Circle).
They returned it signed (By Melodie Taft Harris (the trustee).
The other adjacent owner is Mike Weaver (Penco Land Company). He received the info on June
5, 2009 @ 12:00pm.
Let me know if you need any additional info.
Thanks,
Lee

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
d(Name of Property Owner)
property located at
�7la S,, ,j',111 G
(Lot, Block, Road, etc.) n
on Pele ',<rr , in C rc 7 �' d L2 J L , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 09 T51 zU35�' Mailing Address: 907 PorJe, Ave-
lyjoj e,"at ) S�7
s
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)
-------------------------
(Information for Property Owner Applying
for Permit)
007 rial A),(
Mailing Address
City/State/Zip
Asa - 6'
Telephone Number
6�
ASinatre Date
Sf�N
(Riparian Property Owner Information)
Print'or Type Name
Telephone Number
Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
Address of Property: �1716 ±r111 6-4 ✓UZ ��SS�
mailing address if ifferent
ati� I-' jDri�r Ay1
telephone number you can be reached
at off- '` _ 2
(Lot or Street #, Street or Road, City & County)
, Nr- ASS -7
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, should be
provided with this letter.
I have no objections to this proposal.
if you have objections to what is being proposed, please write the Division of
Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (252)
808-2808 within 10 days of receipt of this notice. No response is considered the
some as -f�-ebjeefiejq, 1`:�'', F'ou he ve been notified by Gertified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags
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
5�G below.)
• I
do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
_ W,
Sig�nnature 'barte
Print Name v
;? 5�4
Telephone Number With Area Code

00 7 1 = 9.33
*75` bulkhead
i6.000 lb.
x:
4 piling boat lift
N Deck
4„10 :an J,:an Cif
4-CS _an J,;an Cit
i
Existui_ Boat Slips W,