57062_MERCER, JOHN_20110705

❑ CAMA / ❑ DREDGE & FILL le
GENERAL PERMIT Previous permit#
C]New ❑Modification El 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 15A NCAC 0 V
® Rules attached.
Applicant Name
Address -Z 1 ) ,
City _20 fTC`i or o State i ZIP -�
Phone # () 1 Fax #
Authorized Agent.G.t
Affected ❑ CW n EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWs: ❑ FC:
ORW: yes / no PNA yes / io` Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
i-d � Lr \ & -r- j Df,,
Subdivision
City - V"-.ePC'jr) _I II'. ZIP 1
Phone # (,)24i4ezO River Basin
Adj. Wtr. Body - va �C"A rna /man /unkn)
t
Closest Maj. Wtr. Body ����� V s c • - a
•
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
T")t 111
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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
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

HEVERLY CONSTRUCTION
[phone]
7306 CANAL DR
EMERALD ISLE, NC 28594-3007
2069
DATE % - — l ( 66-30/531
342
DOLLARS ' �,•�;�•••
First Citizens
Bank %
v Witizens com
FOR � )
n'00 20 6 90' 1:0 5 3 L00 3001:00 3 4 L 2 30 30 5 20

RECEIVED 'I
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM JUN 2 3 2011
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DCM-MHD CrrY
I hereby certify that I own property adjacent to JO t!TN Y"��/�ls�Ll s
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on �4L[lJ�_ in /�/� N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: .TLtIZa Mailing Address: 5 i
Agent's phone#: qlq-4ZQ--57
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
--------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
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.net/contact 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.
(Property Owner In*rmation)
S1?6(ure
r6 I& I a_d�
Print or Type Name
310 /
Mailing Address
City/StatelZip
9/I -g2,6- ��03
T ee phone Number
Da to
(Riparian Property Owner Information)
yUuq 1,fl Sy,�1t s G C b
Signature
Print or Type Name'
Mailing Address
City/State/Zip
Telephone Number
Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
'1�4,,
'11-1
d
I hereby certify that ! own property adjacent to �Q„����U�L���[L.J ��,
(Name of Property Owner) s '�C`r
property located at
(Address, Lot, Block, Road, etc.)
on�.�J�- in
- (Waterbody) (City/Town and/or County)
Agent's Marne #:��T� Mailing Address:
Agent's phone #: 91 g ,
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
� :5�,tz x � rl&�, ,�> aez-�4j C- l96;7�4111AJ C.,
If you have objections to what is being proposed, you must notity the uivisron oT wasial �r�a.aycuca
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact_dcm.htm or by calling 1-888-4RCOAST. No
res onse is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner In rmation)
Si to e
Print or Type Name
Mailing Address
Cly/SlalelZip
4A-wumber
/ - s / I — / /
Date
(Ri ian Property Owner Information)
Si at re
Print or Type Name
Mailing Address
City/State/Zip
_ QI ? Q& 7 ?/6 S _
Telephone Number
l t; /�LD l(
Date
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