48462_ELLIOTT, LOUIS & TAMMY_20071126

` ❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New El Modification ❑Complete Reissue ❑Partial Rei /ue 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 15A NCAC
❑ Rules attached.
Applicant Name Project Location: County
Address - Street Address/ State Road/ Lot #(s)
City State `- ZIP
Phone # ( )
Fax # ( )
Authorized Agent
❑ CW
❑ EW 'C] PTA :n ES ❑ PTS
Affected
ElOEA
ElHHF ElIH ElUBA ElN/A
AEC(s):
❑ PWS:
❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes [no
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity s
(Scale: )
Pier (dock) length
Platf
Fing
Groi
LT —
Bulk
Basin
Boat
Boat
Beac
Othe
Shor
SAV:
Sandbags: not sure yes (no
Mo
Phot
Waiver Attached: yes t_no
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
orm(s)
er pier(s)
n length
head/ Riprap length '~ �
avg distance offshore
max distance offshore
channel
house/Boatlift
h Bulldozing
r
eline Length
not sure yes
ratorium: n/a yes no
I_
i I
number
i
cubic yards
ramp _
----- -----_--- - - - -
I
i
i -
i
os: yes `� no' -�
Agent or Applicant Printed Name Permit Officer's Signature
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date Expiration Date
Local Planning Jurisdiction
Rover File Name
Agent or Applicant Printed Name Permit Officer's Signature
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date Expiration Date
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
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
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

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Locality
Permit Number
Ocean Hazard Estuarine Shoreline
GENERAL INFORMATION
LAND OWNER
ORW Shoreline Public Trust Shoreline Other
(For official use only)
Name: Louis Howard Elliott, Jr. and Tammy Brown Elliott
Address: 175 Broad Creek
City: New Bern State: NC Zip: 28560
AUTHORIZED AGENT
Name: Jonathan Howell - email: [e-mail]
Address: 400 Commerce Ave
City: Morehead City
State: NC Zip: 28557
Phone: [phone]
Phone: [phone]
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) 175 Broad Creek, New Bern, NC 28560; Neuse River
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL: square feet 2_1 acres
PROPOSED USE: Residential ® (Single-family ❑ Multi -family ❑) Commerical/Industrial ❑ Other ❑
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN (AEC): 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): 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 .)
Choose the AEC area that applies to your property:
(1)within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2)within 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 ❑
If yes, list the total built upon area/impervious surface allowed for your lot or parcel. square feet.

UNITED STATES POSTAL SERVICE
Permit No. G-10
• Sender: Please print your name, address;
Louis Howard Elliott, Jr
PO Box 12442
New Bern, North Carolina 28561-2552
F+„f.3 fj .l �131311111111313 fill 1111111 I 1111131111! 111111 i 111!J1111111!
(,vr,�c.Ce Foa S / /6 0 no o a =L 9 0 �ca�rA
UNITED STATES PgSTA� ERVI Fr,t;,,!f ;I } t Ial:a!:1!�:!1 ;First -Class M ild t•.In
!iI !Postage & Feas'1'di
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Louis Howard Elliott, Jr
PO Box 12442
New Bern, North Carolina 2856172552

■ 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:
Fairfield Harbour Property Owners
750 Broad Creek Road
New Bern, North Carolina 28560
A.
X
Addressee
Q. Receive ,* ( Printed Na e) Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. S rvice Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7005 1160 0002 3290 4055
(Transfer from service label)
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:
CWS Systems, Inc.
2335 Sanders Road
Northbrook, 1 L 60062
A. Sign
X , . � J El Agent
❑ Addressee
received by (Printe N e) C. D to of Delive
D. Is delivery address different from item 1? Q Yds
If YES, enter delivery address elow: ❑ No
3. ice Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7005 1160 0002 3290 4079
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

Mw
i E -T ms-s
UNITED STATES POSTAL SERVIC ,.
D n! ,� a
JAN c — -
• Sender. Please pri l• ha " , address, a F}4iTt-thie°d�ex
Louis Howard Elliott, Jr
PO Box 12442
New Bern, North Carolina 28561-2552
:.a.:..i�,_ .'",,,'....- .. �!!!!illif!!t!t3?ii?i4?Fail4!{jlltllE}lffta�4flitt�?tfi4i+il4!F
loos /40 0o02 3a,I0 5/055
UNITED STATES POSTAL SERVICE First -Gass Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Louis Howard Elliott, Jr
PO Box 12442
New Bern, NC 28561-2552
B C3{) h !Illh d !I1ii!l�I4!!!tillti!lISFiieil4�i:i4�i{!till 1!H illd
7 00 5 11 G O (9 0 o 2 3 r-I O S00 7�/

■ 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:
Fairfield Resorts, Inc.
8427 South Park Circle
Suite 500
Orlando, Florida 32819
A.
X
❑ Agent
B. iv by ( Printed me) I C. ate of Delivery
fur �'°2-�-
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7005 1160 0002 3290 4086
(Transfer from service label)
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:
E.J. Carawon
1016A kings Way
New Bern, North Carolina 28562
A. Signature
`Agent
❑Addressee
B. eceived by (Printed ame) C. D elivery
r N�
D. Is delivery address rlfffBrent from ft Yes
If YES, enter delivery address b No 9r
3. Service Type
Certified Mail ❑ Express Mail
JLJ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7005 1160 0002 3290 4062
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit.
As a service we have compiled 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 of these 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)
® an owner or record title, Title is vested in North Carolina, see Deed Book 2368
page 474 in the Craven County 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) E.J. Carawon 1016A Kings Way New Bern,NC 28562
(2) Fairfield Harbour Property Oweners 750 Broad Creek Rd New Bern, NC 28560
(3) Fairfield Resorts Inc. 8427 South Park Circle Suite 500 Orlando, Florida 32819
(4) CWS Systems Inc. 2335 Sanders Rd Northbrook, I160062
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I 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 20 day of March, 2007
Landowner or person authorized to act as his agent
for purpose of filing a CAMA permit application

AI'JA_CENT RIPARIAN PROPERTIY OWNER STATEMENT
I hereby certify that I own property adjacent to ,L & ui3 aMNr/ ii«�
(name of property owner)
property located at
ot, Block, oad, etc.)
on , , s-s d i in e nr c c ...J NC
CWaterbo y) (Town and/or County)
He/She has described to me as shown below, the development he/she is proposing
at that location, and I have no objections to his/her proposal.
A E
C n5
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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�•5 @ �� �� �,� r Print or Type Name
4- '.."Y Iffe
Telephone Number
D at
b�— C1`) Ms. Sondra C. Mitchell
1016A Kings Way
New Bern, NC 28562-4328

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FROM FAX NO. :2526330024 Apr. 23 2307 123:50PM P1
fl4123�� A7 t3:55 5�9�430??� ! 13ECK 1 STYBLr PAGE 02102
Louis Howard Elliott, Jr. and Tamt%y 0. Elllatt
PO Box 12442
175 Broad Crook Road
Now Bern, North Carolina 285¢1-2552
April Z3, 2007
Charles and Jeannie Tyson
Ike: Proposed Improvements to Property
Dear Charles and Jeannie Tyson
We the property owners of 175 Broad Creek Hoad, New Burn, North Carolina are
notifying the adjacent property owners as by the requirements of C.A.MA 01 our plans
to install shore protection starting at the marsh grass. The shore protection we have
chosen is vinyl sheeting that will be capped off with a walkway, We are also going to
apply for a permit to Install a pier to be located at the end of the vinyl wall.
Your help as an adjacent property is needed to obtain our permits. Please sign this
letter stating we have your permission to make the upgrades to our property and fax to
Mr. Jonathan Howell of C. A.M.A at f x * 252-247-B^G6- ; 3 "3 3
Charles Tyson,
ie t yson
We are excited about this new development and appreciate your help.
Thank you,
Louis Howard Elliott, Jr.
4AVO-9 1 ;_
Tammy B. Elliott

Louis Howard Elliott, Jr. and Tammy B. Elliott
PO Box 12442
98 Broad Creek Road
New Bern, North Carolina 28561-2552
January 19, 2006
CWS Systems, Inc.
2335 Sanders Road
Northbrook, IL 60062
Re: Proposed Improvements to Property
Dear Adjacent Property Owners,
We the new property owners of 98 Broad Creek Road, New Bern, North Carolina are
notifying the adjacent property owners as by the requirements of C.A.M.A. of what our
plans are for the newly purchased land. We are going to build a house and install a well
and septic system at the locations that are on the attached drawing. We are also going
to apply for a permit to repair the boat ramp and install shore protection from the boat
ramp up to the start of the marsh grass. The shore protection we have chosen is vinyl
sheeting that will be capped off with a four -foot walkway. We are also going to apply for
a permit to install a pier at the location on the attached drawing.
Please complete the "Adjacent Riparian Property Owner Statement' form (page 2 of the
package) and mail back to us using the enclosed stamped envelope. If there are any
legal concerns about the plans and improvements that we are going to make to the
property as an adjacent property owner you have 10 days to respond back. If we have
not received any legal concerns with in 10 days we will apply with C.A.M.A. for our
permits, so we can start our improvements and occupy the property.
We are excited about being your new neighbors and appreciate your help.
Thank you,
Louis Howard Elliott, Jr.
Tammy B. Elliott

TAMMY B. ELUOTT
DL 3766658 PH 898-4790 WK 966-7162
BEAR CREEK, NC 277207 TON RD
Z
iJ
4577
66-7704/2531
DATE
I $ 45�
State Employees' Credit Union j 4(D z,(
Siler City, North Carolina 27344 —
159
FOR IJAL� ^4
• 564577
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