47254_JACK AND JESSICA AYERS IRR TRUST_20060922

9'z5-vro 15K'
❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
� Previo s permit #
GNew- ❑Modification ❑Complete Reissue ❑Partial Reissue Datelprevious 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
a 0 Rules attached.
Applicant Name ✓t r� Z" Project Location: County
Address E 1"^ '�`( Street Address/ State Road/ Lot #(s)
City
f?tlr
State !� ZIP
Phone # (' ) C'7' L.47
Fax # ( )
Authorized Agent
O1:lh
d CW
❑ EW
D VfA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA
yes / no. Crit. Hab. yes / no
Subdivision
CiZIP
Phone # ( ) River Basin
Adj. Wtr. Body ,✓ai'-fJp'' f (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
_ (Scale: �'• )
Pier (dock) length S % / /
Lg y I
Platform(s) -- — -- - -- - --
Finger pier(s) r k
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
i
Boathous / Boatlif�
-.
Beach Bulldozing -
Other -
i
I
�
I
}
-�
--
-- ---
-
�1,
/
---
„ r:
-.
- -
-' --
1
-t
-
- .
-- — T-
--- :---
/•r
i
Shoreline Length 7-
SAV: not sure' yes no F `
— —
Sandbags: not sure yes 'no- I
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
J
--'See note
,1
--
rules.
on back regarding
River Basin
J/
v, SEP 2 2 Nub
Agent or Applicant Printed Name grrpit Officer's Signature
f Morehead City Ddm
Signaturrg ' Pleas/e� read compliance statement on back of permit Issuing Date // Expiration Date
�-11 A
Aoolication 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
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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 06/29/05

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTIBOATHOUSE)
T e,# rs 2-
,r, %r v s4
hereby certify that I own property aqj acent to - J� t,rs s
(Name of Property Owner)
property located at
(Street Address, Lot, Block, Road, etc.)
on JOj , in 8, , N.C.
(Waterbody) (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 this proposal. Y understand that a pier/mooring
pilings/boatlift/boathouse must: be set back a minimum distance of fifteen feet (15') from my area of
riparian access unless waived by me.1 have indicated my intentions by initialing below:
.I do not agree to waive the 15' setback requirement.
I do agree to waive the 15' setback requirement.
(initials)
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Print or T e Name
Telephone Number
Date: 9 ��

AyERs HMDT & TRABUCCO P.A.
ATTORNEYS AT LAW
307 Metcalf Street
Post Office Box 1544
New Bern, NC 28563
James M. Ayers II
David J. Haidt
Slade C. Trabucco
[phone]
[phone] Fax
[e-mail]
September 1, 2006
Via Certified Mail
Mr. and Mrs. Stuart Smith
129 Orange Avenue
Long Beach, California 90802
Re: Dock
Dear Stuart and Lisa:
Wilmington Office:
7110 Wrightsville Avenue
Crosspoint Plaza, Suite B-6
Post Office Box 448
Wrightsville Beach, NC 28480
[phone]
[phone] Fax
[e-mail]
Enclosed please find the dock consent forms I e-mailed you about last week. I have to send by
certified mail to confirm that you received notice (sorry for the formality). Please waive the
setbacks. I do not foresee a problem but it is easier to deal with CAMA if there is a waiver. We
will likewise waive when you build your dock. I hope you are well and look forward to seeing
you during your next trip to North Carolina. You can return the form to either me or Don
Oxendine. I have enclosed an envelope for your convenience.
TharLking you and with kindest regrrds, T rea_ <-,-
Sincerely,
J ers II
CC: Don's Marine Construction (with enclosures)
Don Oxendine
5114 Kershaw Road
Oriental, North Carolina 28571

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOA LIFT/BOATMOUSE)
Jai .4 1�, /rvs�
I hereby certify that I own property aqi acent to � � s
(Naive of Property Owner)
property located at
(Street Address, Lot, Block, Road, etc.)
on I.,/ S Q in in N.C.
(Water body) (Town and/or County)
He/she has described to mb, as -shown below, the development he/she is proposing at that
location and I have no objections. to this proposal: I' understand that a pier/mooring
pilings/boatlift/boathouse must be set back aminimum distance of fifteen feet (15') from my area of
riparian access unless waived by me. I have indicated my intentions by initialing below:
.I do not'agree to waive the 15' setback requirement.
(initials)
I do agree to waive the 15' setback requirement.
(initials)
---------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
D
Signature
Print or Type Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIM00JUNG PIL.INGSBOATLIFT/BOATHOUSE') _
cya.G# 4ye rf -T"'. 2r v s�
hereby certify that I own property adjacent to
(Name of Prop
.Li Owner)
property Iocated at
Uu� '
(Street Address, Lot, Block, Road, etc.) L I o
Oil A, in SEP 2 2 20 C.
(Waterbody) v (Town�an�d/orCoufiyjrRhea
a �;ty
He/she has "described to me, as -shown below, the'development he/she is proposing at'�+l
location and I have no objections to this proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back.a minimum distance of fifteen feet (15') from my area of
riparian access unless wai-ved by ine. I have: indicated ra— intentions v'y' iidliliFis belo-x:
.I do not agree to waive the 15' setback requirement.
(initial y .,
I do agree to waive the 15' setback requirement.
(initial
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
C Q
n
-------------------------------------------------------------------; —---------- -- ------------------------
S ignatuie
Print or Type Name
Telephone Number
Date:

■ Complete items 1, 2, and 3. Als
item 4 if Restricted Delivery is
■ Print your name and address
so that we can return the card
■ Attach this card to the back of t
or on the front -if space permits.
nPe>e
d.PM `tT
reverse
4.4 SE° J,
1. Article Addressed to:
D. Is delivery 8ddrt
if YES, ewer del
Mor
Lon �R! a c,/ i �9 O
9Certified
Service Type 3.
Mail
Registered
❑ Insured Mail
different from (OM
�
;ry address below• ,
SEP. 2 2 20O6
0 Express Mail
Return Receipt
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2, Article Number
(Transfer from service label /
Ps�F&rtf�' 11,Au August j' ':: r1 s 16tt: 1� 1r
g omesfic e urn eceipf
102595-02-M-1540

UNITED STATES POSTAL SERVICE First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
&A►yers & JEWdt9 P.A.
POst Office Box 1544
New Bern, NC 28ft3
r

Jim and Tina Ayers
3510 Canterbury Road
New Bern, NC 28562
[phone]
Xiitayers q)cconnect.net
September 21, 2006
Mr. Stephen Lane
N.C. Division of Coastal
Management
400 Commerce Avenue
Morehead City, NC 28557
RE: 5081 Kershaw Rd. Oriental, NC
Dock Construction Permit
Dear Mr. Lane:
fs �-
ep P1.1
ore
h�a4, e0osv'
Enclosed please find the original Certified Mail Return Receipt and the original
Adjacent Owner Statement from the Smiths. This should be all you are lacking to
issue our permit. If you need further information, please give us a call.
Thanking you and with kindest regards, we are
Since ely,
4--110
Jim and Tina
Enclosures
cc: Don's Marine Construction (w/enc.)

Donald Oxendine NCDL 3584956
Donna Molina NCDL 8050154
5114 Kershaw Rd.
Oriental, NC 28571-8723
Ph.252-249-1301
Pay to the
Order of
STATE EMPLOYEES pIT UNION
NEW BERN, NORTH CAROLAN'
k �
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a� l2
Dollars
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1:253 17701,91:08630948679°' IIB3
®CHECK GALLERY. 2001 STYLE> p50 1.800-354-3540 W .thmkgellery.mo
printed on iegGed pApe1usj�q��lebaceE lNu ®MARIE BUCHFINK. LICENSED BY RICH `N'SEMAN.
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