34542_HUNILTER, DALE AND SUE_20030708

171CAMA / [-]DREDGE & FILL
GENERAL PERMIT
DNew ❑Modification ❑Complete Reissue ❑Partial Reissue
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
Applicant Name D16,4
O e �} .? u t / 1 v Ov, 14, L.
Address 5570
r rJ
t ^... = jt f4
City—` , L 0, 00
State H, ZIP 1,♦ 16— 7-
Phone # ( � 9) 9S 211 Fax # ( )
Authorized Agent
' ` A
Affected 0 CW
DEW El PTA ❑ ES ❑ PTS
AEC(s): '- OEA
❑ HHF ❑ IH O UBA O N/A
C PWS:
❑FC:
ORW: yes / no
PNA �% 4 /no Crit. Hab. yes / no
Previous permit #�=
Date previous permit issued
i
(: 70
Ej Rules attached.
Project Location: County /,, . it • �
Street Address/ State Road/ Lot #(s)
t, r �• < � rF' 13G� � Subdivision
City , . �: i ! :z. ZIP
Phone # ( ) River Basin 1{
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body �� �Lr d f - k '� !'✓�a'
Type of Project/ Activity
C � 7
c tom, ^44 (4) t t
i - 4 i^ , . v v 1 % �V
rt rt,
^ f�tl'� IwP I,t_,
.. 6 tnP.� s+.wUr
J ��
(Scale: VC. Ajlz-
Pier (dock) length 5 , S °
Platform(s) t (. (-
t
I
Fingerpier(s}
}
1-7
-
Groin length
number
Bulkhead/ Rlprap length
EF
avg distance offshore_;
ffshore
j
<
max distance offshore
_.,
Basin, channel
_
•
i
! i
cubic yards
-
- - j - _..
Boat ramp-
K4
Boathouse/Boatlift
ry
_ -
�'b ►�_ �t S ;
is
Beach Bulldozing
1
Other
-;
I
Shoreline Length
SAV: not sure yes
i
Sandbags: not sure yes
-
Moratorium: n/a yes
-
: -—
Photos: yes
2 O L
f
Waiver Attached: yes
A building permit may be required by: I q t -! �' ; /C
See note on back regarding din River Basin rules.
Notes/ Special Conditions
All i'
Ma fA� �s vtr �rt�
' d �f t{
rw d, / t
I
Iy
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�t�c /i
AICyWf
/✓` ► / ' r r•
or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
"icC© 17
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
�J„ if , ' �C- 7 1. -7,'( Z It //
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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-41RCOAST
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)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastaimanagement.net
Revised 10/05/01

SUE HAMILTON
J. DALE HAMILTON
DALEHAM ILTON @TRITON. NET
5520 BUFFALO RD
BUCHANAN, MI 49107
rn01�vrorlu:
1
2086
3 �a 74_7727/2724
)AI 1:'
United
www-unitedfcu.com
FOIZ C�
_ 0144022u■
2086 __..
CYNTHIA SAFRIT, Broker
Office: [phone]
Home: [phone]
Fax: [phone]
Mobile: [phone]
EDDY MYERS REAL ESTATE
131 Middle Lane �
P.O. Box 389 ri11JF�
Beaufort, NC 28516

OFFER TO PURCHASE AND CONTRACT
Jemmy Dals Hamilton and wifg, Neva Sue ,
hereby offers to purchase and SEIFCO. Inc. Hamilton as Buyer,
as Seller,
upon acceptance of said offer, agrees to sell and convey, all of that plot, piece or parcel of land described below, together with all
improvements located thereon and such fixtures and personal property as are listed below (collectively referred to as the "Property"),
upon the following terms and conditions:
1. REAL PROPERTY: Located in the City of M rrimon
County of Carteret State of North Carolina, being known as and more particularly described as'
Street Address SR 1300 M rim noad Zip 28516
L�e..gal Description: SR 1300 p rc I # 4 4 00/10/84e5
(RAII ❑ A portion of the property in Deed Reference: Boo lQ ge No Carteret County.)
NOTE: Prior to signing this Offer to Purchase and Contract, e is a vised t e 'ew estrictive Covenants, if any, which
may limit the use of the Property, and to read the Declaration . ive C ts, y-Laws, Articles of Incorporation,
Rules and Regulations and other governing documents of the own as ction an - h division, if applicable.
2. FIXTURES: The following items, if any, are included in the purc price free of liens: any built-in appliances, light fixtures,
ceiling fans, attached floor coverings, blinds, shades, drapery rods and curtain rods, brackets and all related hardware, window and
door screens, storm windows, combination doors, awnings, antennas, satellite dishes and receivers, burglar/fire/smoke alarms, pool
and spa equipment, solar energy systems, attached fireplace screens, gas logs, fireplace inserts, electric garage door openers with
controls, outdoor plants and trees (other than in movable containers), basketball goals, storage sheds, mailboxes, wall and/or door
mirrors, and any other items attached or affixed to the Property, EXCEPT the following items:
.I/A
3. PERSONAL PROPERTY: The following personal property is included in the purchase price: 1 /A
4. PURCHASE PRICE: The purchase price is $ 3$ 000.o0 and shall be paid as follows:
(a) $ 1000 00 EARNEST MONEY DEPOSIT with this offer by ❑ cash X personal check ❑ bank check
L certified check off- ther: - N/A to be deposited and
held in escrow by . Eddy Myers Real Efate ("Escrow Agent") until the sale
is closed, at which time it will be credited to Buyer, or until this contract is otherwise terminated. In the event: (1) this offer is not
accepted; or (2) any of the conditions hereto are not satisfied, then all earnest monies shall be returned to Buyer. In the event of
breach of this contract by Seller, upon Buyer's request, all earnest monies shall be returned to Buyer, but such return shall not
affect any other remedies available to Buyer for such breach. In the event this offer is accepted and Buyer breaches this contract,
then all earnest monies shall be forfeited upon Seller's request, but receipt of such forfeited earnest monies shall not affect any
other remedies available to Seller for such breach.
NOTE: In the event of a dispute between Seller and Buyer over the return or forfeiture of earnest money held in escrow by a
broker, the broker is required by state law to retain said earnest money in the broker's trust or escrow account until a written
release from the parties consenting to its disposition has been obtained or until disbursement is ordered by a court of competent
jurisdiction.
(b) $ -NIA-, ADDITIONAL EARNEST MONEY DEPOSIT to be paid to Escrow Agent no later than
N/A TIME BEING OF THE ESSENCE WITH REGARD TO SAID DATE.
(c) $ N/A , BY ASSUMPTION of the unpaid principal balance and all obligations of Seller on the existing loan(s)
secured by a deed of trust on the Property in accordance with the attached Loan Assumption Addendum.
(d) $ N/A , BY SELLER FINANCING in accordance with the attached Seller Financing Addendum.
(e) $ 37,000.00 , BALANCE of the purchase price in cash at Closing.
5. CONDITIONS: (State N/A in each blank that is not a condition to this contract.)
(a) Buyer must be able to obtain a ❑ FHA ❑ VA (attach FHA/VA Financing Addendum) ❑ Conventional
❑ Other: N/A loan at a ❑ Fixed Rate ❑ Adjustable Rate in the principal amount of
N/A (plus any financed VA Funding Fee or FHA MIP) for a term of N/A year(s), at an
initial interest rate not to exceed N/A % per annum, with mortgage loan discount points not to exceed N/a % of the loan
amount. Buyer shall apply for said loan within N/A days of the Effective Date of this contract. Buyer shall use Buyer's
best efforts to secure the lender's customary loan commitment letter on or before N/A and to satisfy
all terms and conditions of the loan commitment letter by Closing. After the above letter date, Seller may request in writing
from Buyer a copy of the loan commitment letter. If Buyer fails to provide Seller a copy of the loan commitment letter or a
written waiver of this loan condition within five days of receipt of Seller's request, Seller may terminate this contract by written
notice to Buyer at any time thereafter, provided Seller has not then received a copy of the letter or the waiver.
Page 1 of 4
This form jointly approved by:
North Carolina Bar Association
North Carolina ssociation of REALTORS®, Inc.
PEALTOR-
Buyer Initi;#�,
�J� Seller Initials
I
This form produced by FOrMUIartle Forms Software 800-336-102 T
STANDARD FORM 2-T
© 7/2002

(b) There must be no restriction, easement, zoning or other governmental regulation that would prevent the reasonable use of the
Property for Residential purposes.
(c) The Property must be in substantially the same or better condition at Closing as on the date of this offer, reasonable wear and tear
excepted.
(d) All deeds of trust, liens and other charges against the Property, not assumed by Buyer, must be paid and satisfied by Seller prior to
or at Closing such that cancellation may be promptly obtained following Closing. Seller shall remain obligated to obtain any such
cancellations following Closing.
(e) Title must be delivered at closing by GENERAL WARRANTY DEED unless otherwise stated herein, and must be fee simple
marketable and insurable title, free of all encumbrances except: ad valorem taxes for the current year (prorated through the date of
Closing); utility easements and unviolated restrictive covenants that do not materially affect the value of the Property; and such
other encumbrances as may be assumed or specifically approved by Buyer. The Property must have legal access to a public right
of way.
6. SPECIAL ASSESSMENTS: Seller warrants that there are no pending or confirmed governmental special assessments for
sidewalk, paving, water, sewer, or other improvements on or adjoining the Property, and no pending or confirmed owners' association
special assessments, except as follows: None
(Insert "None" or the identification of such assessments, if any.) Seller shall pay all owners' association assessments and all
governmental assessments confirmed through the time of Closing, if any, and Buyer shall take title subject to all pending assessments,
if any, unless otherwise agreed as follows: N/A
7. PRORATIONS AND ADJUSTMENTS: Unless otherwise provided, the following items shall be prorated and either adjusted
between the parties or paid at Closing: (a) Ad valorem taxes on real property shall be prorated on a calendar year basis through the
date of Closing; (b) Ad valorem taxes on personal property for the entire year shall be paid by the Seller unless the personal
property is conveyed to the Buyer, in which case, the personal property taxes shall bc; prorated on a calendar year basis through the
date of Closing; (c) All late listing penalties, if any, shall be paid by Seller; (d) Rents, if any, for the Property shall be prorated through
the date of Closing; (e) Owners' association dues and other like charges shall be prorated through the date of Closing. Seller
represents that the regular owners' association dues, if any, are $ MIA per N/A
8. CLOSING EXPENSES: Buyer shall be responsible for all costs with respect to any loan obtained by Buyer. Buyer shall
pay for recording the deed and for preparation and recording of all instruments required to secure the balance of the purchase
price unpaid at Closing. Seller shall pay for preparation of deed and all other documents necessary to perform Seller's obligations
under this agreement, and for excise tax (revenue stamps) required by law. If Seller is to pay any of Buyer's expenses
associated with the purchase of Property, the amount thereof shall be $ N/A , including any FHANA
lender and inspection costs that Buyer is not permitted to pay, but excluding any portion disapproved by Buyer's lender.
9. FUEL: Buyer agrees to purchase from Seller the fuel, if any, situated in any tank on the Property at the prevailing rate with the
cost of measurement thereof, if any, being paid by Seller.
10. EVIDENCE OF TITLE: Seller agrees to use his best efforts to deliver to Buyer as soon as reasonably possible after the
Effective Date of this contract, copies of all title information in possession of or available to Seller, including but not limited to: title
insurance policies, attorneys opinions on title, surveys, covenants, deeds, notes and deeds of trust and easements relating to the
Property. Seller authorizes (1) any attorney presently or previously representing Seller to release and disclose any title insurance
policy in such attorney's file to Buyer and both Buyer's and Seller's agents and attorneys: and (2) the Property's title insurer or its agent
to release and disclose all materials in the Property's title insurer's (or title insurer's agent's) file to Buyer and both Buyer's and Seller's
agents and attorneys.
11. LABOR AND MATERIAL: Seller shall furnish at Closing an affidavit and indemnification agreement in form satisfactory to
Buyer showing that all labor and materials, if any, furnished to the Property within 120 days prior to the date of Closing have been
paid for and agreeing to indemnify Buyer against all loss from any cause or claim arising therefrom.
12. PROPERTY DISCLOSURE AND INSPECTIONS:
(a) Property Disclosure:
[❑ Buyer has received a signed copy of the N.C. Residential Property Disclosure Statement prior to the signing of this Offer to
Purchase and Contract.
❑ Buyer has NOT received a signed copy of the N.C. Residential Property Disclosure Statement prior to the signing of this Offer
to Purchase and Contract and shall have the right to terminate or withdraw this contract without penalty prior to WHICHEVER
OF THE FOLLOWING EVENTS OCCURS FIRST: (1) the end of the third calendar day following receipt of the
Disclosure Statement; (2) the end of the third calendar day following the date the contract was made; or (3) Closing or occupancy
by the Buyer in the case of a sale or exchange.
X Exempt from N.C. Residential Property Disclosure Statement because (SEE GUIDELINES)
El The Property is residential and was built prior to 1978 (Attach Lead -Based Paint or Lead -Based Paint Hazards Disclosure
Addendum.)
Buyer Initials
This ram po&ced by"FOrmLl►atOr� Forms software
Page 2 of 4
Seller Initials
800-336-1027
STANDARD FORM 2-T
(D 7/2002

(ti) Property Inspection: Unless otherwise stated herein, Buyer shall have the option of inspecting, or obtaining at Buyers expense
inspections, to determine the condition of the Property. Unless otherwise stated herein, it is a condition of this contract that :
(i) the built-in appliances, electrical system, plumbing system, heating and cooling systems, roof coverings (including flashing and
gutters), doors and windows, exterior surfaces, structural components (including foundations, columns, chimneys, floors, walls,
ceilings and roofs), porches and decks, fireplaces and flues, crawl space and attic ventilation systems (if any), water and sewer
systems (public and private), shall be performing the function for which intended and shall not be in need of immediate
repair; (ii) theres hall be no unusual drainage conditions or evidence of excessive moisture adversely affecting the structure(s);
and (iii) there shall be no friable asbestos or existing environmental contamination. Any inspections shall be completed and
written notice of necessary repairs shall be given to Seller on or before N/A . Seller shall provide
written notice to Buyer of Seller's response within N/A days of Buyer's notice. Buyer is advised to have any
inspections made prior to incurring expenses for Closing and in sufficient time to permit any required repairs to be completed by
Closin .
(c) Wood -Destroying Insects: Unless otherwise stated herein, Buyer shall have the option of obtaining, at Buyer's expense, a
report from a licensed pest control operator on a standard form in accordance with the regulations of the North Carolina
Structural Pest Control Committee, stating that as to all structures except N/A , there was no
visible evidence of wood -destroying insects and containing no indication of visible damage therefrom. The report must be
obtained in sufficient time so as to permit treatment, if any, and repairs, if any, to be completed prior to Closing. All treatment
required shall be paid for by Seller and completed prior to Closing, unless otherwise agreed upon in writing by the parties. The
Buyer is advised that the inspection report described in this paragraph may not always reveal either structural damage or damage
caused by agents or organisms other than wood -destroying insects. If new construction, Seller shall provide a standard warranty
of termite soil treatment.
(d) Repairs: Pursuant to any inspections in (b) and/or (c) above, if any repairs are necessary, Seller shall have the option of
completing them or refusing to complete them. If Seller elects not to complete the repairs, then Buyer shall have the option of
accepting the Property in its present condition or terminating this contract, in which case all earnest monies shall be refunded.
Unless otherwise stated herein, any items not covered by (b) (i), b (ii), b (iii) and (c) above are excluded from repair negotiations
under this contract.
(e) Acceptance: CLOSING SHALL CONSTITUTE ACCEPTANCE OF EACH OF THE SYSTEMS ITEMS AND
CONDITIONS LISTED ABOVE IN ITS THEN EXISTING CONDITION UNLESS PROVISION IS OTHERWISE
MADE 1N WRITING.
13. REASONABLE ACCESS: Seller will provide reasonable access to the Property (including working, existing utilities)
through the earlier of Closing or possession by Buyer, to Buyer or Buyer's representatives for the purposes of appraisal, inspection,
and/or evaluation. Buyer may conduct a walk-through inspection of the Property prior to Closing.
14. CLOSING: Closing shall be defined as the date and time of recording of the deed. All parties agree to execute any and all
documents and papers necessary in connection with Closing and transfer of title on or before _ July, 9, 2003 ,
at a place designated by Buyer. The deed is to be made to Jimmy Dale and Neva Sue Hamilton
15. POSSESSION: Unless otherwise provided herein, possession shall be delivered at Closing. In the event possession is NOT to be
delivered at Closing; ❑ a Buyer Possession Before Closing Agreement is attached. OR, ❑ a Seller Possession After CIosing
Agreement is attached.
16. OTHER PROVISIONS AND CONDITIONS: (ITEMIZE ALL ADDENDA TO THIS CONTRACT AND ATTACH
HERETO.)
A. Offer subject to Buyer obtaining CAMA permit for dock.
B. Offer subject to Buyer's satisfaction with survey perimeter lines.
C. Buyer request Seller provide 3 Bedroom Septic Permit.
17. RISK OF LOSS: The risk of loss or damage by fire or other casualty prior to Closing shall be upon Seller. If the
improvements on the Property are destroyed or materially damaged prior to Closing, Buyer may terminate this contract by written
notice delivered to Seller or Seller's agent and all deposits shall be returned to Buyer. In the event Buyer does NOT elect to
terminate this contract, Buyer shall be entitled to receive, in addition to the Property, any of the Seller's insurance proceeds payable
on account of the damage or destruction applicable to the Property being purchased.
18. ASSIGNMENTS: This contract may not be assigned without the written consent of all parties, but if assigned by agreement,
then this contract shall be binding on the assignee and his heirs and successors.
19. PARTIES: This contract shall be binding upon and shall inure to the benefit of the parties, i.e., Buyer and Seller and their heirs,
successors and assigns. As used herein, words in the singular include the plural and the masculine includes the feminine and neuter
genders, as appropriate.
20. SURVIVAL: If any provision herein contained which by its nature and effect is required to be observed, kept or
performed after the Closing, it shall survive the Closing and remain binding upon and for the benefit of the parties hereto until fully
observed, kept or performed.
Page 3 of 4
STANDARD FORM 2-T
© 7/2002
Buyer Initials Seller Initials
This tam pro&tea by FarmularueForms Software 800.336-1027

21. ENTIRE AGREEMENT: This contract contains the entire agreement of the parties and there are no representations,
inducements or other provisions other than those expressed herein. All changes, additions or deletions hereto must be in writing and
signed by all parties. Nothing contained herein shall alter any agreement between a REALTORO or broker and Seller or Buyer as
contained in any listing agreement, buyer agency agreement, or any other agency agreement between them.
22. NOTICE AND EXECUTION: Any notice or communication to be given to a party herein may be given to the party or to such
party's agent. This !offer shall become a binding contract (the "Effective Date") when signed by both Buyer and Seller and such
signing is communicated to the offering party. This contract is executed under seal in signed multiple originals, all of which together
constitute one and the same instrument, with a signed original being retained by each party and each REALTOR® or broker
hereto, and the parties adopt the word "SEAL" beside their signatures below.
Buyer acknowledges having made an on -site personal examination of the Property prior to the making of this offer.
THE NORTH CAROLINA ASSOCIATION OF REALTORS®, INC. AND THE NORTH CAROLINA BAR ASSOCIATION
MAKE NO REPRESENTATION AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION OF THIS FORM IN
ANY SPECIFIC TRANSACTION. IF YOU DO NOT UNDERSTAND THIS FORM OR FEEL THAT IT DOES NOT PROVIDE
FOR YOUR LEGAL NEEDS, YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU
SIGN IT.
Date: June 4 2003
Buyer Ad &Z (SEAL)
ate Hamilton
�4june
Date: 4 2003 /
Buyer
N. Sue Hamilton
Date: I iJjune_q00A
1
Seller h--(SEAL)
SEIFj O, lnc.
Date: J1
Seller (SEAL)
Escrow Agent acknowledges receipt of the earnest money and agrees to hold and disburse the same in accordance with the
terms hereof.
Date June 4, 2003
Firm: Eddy Myers Real Estate
By:
(Signature) Cynthia Safrit
Selling Agent/Firm/Phone _ C +n hia Safrit / Eddy Mvers Real Estate / 800-321-9240 _
Acting as ❑ Buyer's Agent X Seller's (sub)Agent ❑ Dual Agent
Listing Agent/Firm/Phone CynthiaSafrR/ Eddy M rrs Real Estate / 800-321-9240
Acting as X Seller's (sub)Agent ❑ Dual Agent
Page 4 of 4
This form Kodu-d by FOrMUIarOf Forms Software 800.336-1027
STANDARD FORM 2-T
© 7/2002

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOA7LIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ��L�' �%,q�rLTD� 9s
(Name of Property Owner)
property located at ,S Z 13 b o
(Lot, Block, Road, etc.) '
on C M ►V7 / N c C,t & &^/< , in c: M ,c I �,c,,T �ry) �Ki r� v�v , N. C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
✓/ I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) !-
(f(.Wm I N S C t'5t'1r-
Sigv'dtule'�
Print or Type Name
Telephone Number
Date:

07/07/2003 00:27 2522232105 4 7285005
Eddy Myers
N0.787 UO2
919-729-5005 p.3
A')J--kCEN7 IW'ARTA,N PROPERTY OWNER STATE M.Wr
(FOR A PIER/,1100RING PILINGS/ROA-a'yr /Bq t7NDUSL)
I hereby certify that I own property adjacent to 044e" k1A*fz47- 0"1
s
(Name of Property Owner)
propery located at /3 p o
(Lot, Block, Road,
on GvM,�
(waterbady) N.C.
('Town andlor County)
Re Us described to me, as shown betow, the development he is proposing at Ulat
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boa&.ouse must be set back a mirdmum distance of fifteen .feet (15') from my area
of riparia-h access unless Waived by me.
I do not wish to waive the setback requirement.
I do wish to wzuv�, that setback requirement.
- - - - - - - - - - - - — - - - - - - - - - --------------------------------------- ----------
DESCR]pTiON AND/OR DR4W7NG OF PROPOSED DE`VELOPNEuNT: ----
(To be filled in by individual proposing development)
s'
,p s'
1
------------------ ----------------------------- ------
Si
Print or Type Nar e
Telep lone Number
Dare: #7 p jr

Eddy Myers Real Estate
133 Middle Lane / P.O. Box 389
Beaufort, N.C. 28516
Phone [phone] Fax [phone]
www.eddymyers.com
June 20, 2003
CAMA
Brad Shaver
Hestron Plaza II
151-B Hwy 24
Morehead City, NC 28557
Dear Brad,
,1UN 3 0 2003
I am requesting a dock permit for a property in Merrimon, on Cummings Creek. I have
mailed certified letters to all riparian neighbors, and am awaiting the return receipts. It
will not be a large dock, coming out approx. 8 ft. off the shoreline, and running 20ft.
long. We are scheduled to close this property July 9th, and are hoping to have permission
for a dock by closing.
I've enclosed a copy of our proposed dock for you to review. Please let me know when
you can go out and take a look at this property. I will be glad to come by and give you the
return receipts, and $100 check for the permit, as soon as they come in the mail.
Please let me know if you need further information.
Thank you for your assistance.
Best Regards,
4thia Safrit
Eddy Myers Real Estate
Office: 728-1310
Mobile: [phone]
/r4 MtJJ01. N;Y� L— 9f�cc
,a �1t nPC d I44 o (rat Ic_ i
�4 ve

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to DAL&' 14, tplre7-o_,I )s
(Name of Property Owner)
property located at .S ,tom 13 b o
(Lot, Block, Road, etc.) '
on N c c,c ��Ic , in_
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement. JUN 3 0 2003
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) 1
<f(, MINS cl-9CIC
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Signature
Print or Type Name
Imo,
�3 Telephone Number
Date:

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SUE HAMILTON
J. DALE HAMILTON
[e-mail]
5520 BUFFALO RD
BUCHANAN, MI 49107
ORDER
H OR F OTE
ORfV )P-
United
FOR
2 7 2 L. 7 ? 2 7 0
2086
74-7727/2724
V) N1 E
DOLLARS ........
www.unitedfcu.com
1440 2 2 P 2086
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JUN 3 0 2003