Beaman, Carson

10 j)0po Vz-
• ❑izv
CAMA / DREDGE & FILL �y, ► / I EKEW
GE RAL PERMIT 0A Previous permit #
❑New Modification{} ❑ plete Reissue ❑ a ial Reissue Date previous permit issued
As authorized by the Staltk NAMPA, i epartment 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 # ( ) Subdivision
Authorized Agent City_ _ ZIP
Affected ❑ CW I EW pI�TA ❑ ES ❑ PTS Phone # (_ _) _ River Basin
AEC(s): ❑ OEA -! HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑FC: - - - -
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
IType of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
yes no
Sandbags: not sure yes not
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required
by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale:
Ia I
CM
n See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction
Rover File Name

t
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
Neuse River Basin Buffer Rules
0 Other:
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

GIC I'Mu3S9013 Of Cc nz�'z I ®.4%3t. �3a bit at Iriaa nct com-P43-1y..r sha-at
Applicant: Cl.�
Date: y
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
Oq
)�q
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both' ❑ Other . ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-308-2800 :: -1-8€384RCOAST :: v���e�.n� � �8alsdiars�es��n�.r:e revised:02103/i0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
heeeby certi y that I own property adjacent to �d 6- &,41-74 7" 's
/ (Name of Property Owner)
property loca gad at.. 2/3 Q"� � .
(Address, Lot, Black, Ro�jd, etc:)
on rO-V A _, in �Fi/� 'L /..3P�Z4 , N.C.
(' Nai:erbody) (City/Town find/or County)
Thelappliicant has described to me, as shown below, t"ie development proposed at the above
localtiont/
I have no ob,ection to thi> proposal.
I leave objeclions to this proposal.
IiE14P.IPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(IncOv/dual F ro,:)osing developmentmust gust rill in description below or attach a site drawing)
LIC:
WAIVER SECTION
I understand th, it a pier, dc. ck, mooring pilings, breakw: iter, boathouse, lift, or groin must be set
back a minir turn distance of 15' from my area of riparian access unless waived by me. (If you
wish to waivo th a s atback, Iou must initial the appropr ate blank below.)
10 wish to waive the 15' Setback requirer lent.
I do not wish to waive the 15' setback req.airement.
i — (Property
O tin:.r I nformai:ion)
Sig�wture
Printor Type Var.7
567. S-r' , Ac—
Maitin Add�s�, , t( N`.2YEO
Tel pholl3_ne Ni umber
Date
--
(Adjacent Property Owner Information)
Sig.:aature
Prir t or Tf e Namt;
Mai iin7ess tJ AIC- 2 Y S-6 Y
City,'State&ip
_
Tekiphone Number
Da!e
(Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to Ca,rsey.. —AP_ affW-) 's
hit , Name of Property Owner)
prc
The applicant has described to me, as shown below, the development proposed at the above
location.
`� I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
�3 `
i
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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 below.)
I do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Si ature t ture
Print or TyplVarne. Pn or T e e
Ma' ' g Addr ss ►I' dr
Ino
CitylStatelZ- CitylS�yteo�2 Sy- 131- 65�'t�t''��i
Telephqne Pmber Tel hone Nqj be
VKAQ
Date Date
(Revised 611812012)

s
AL
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, III
Governor Director Secretary
Date '
Applicant Name25�,''
Mailing Address
�6ts' a
I certify that I have authorized (agent) iCt{lz)e�to act on my behalf,)orhe
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
213 f �) Alt wL at (location)
This certification is valid thru (date)
Signature
400 Commerce Ave., Morehead City, NC 28557 One
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net NofffiCarolina
An Equal Opportunity l Affirmative Acton Employer N���"` ` ally

P7 / � 3"
OCT 22 2013
DCM VMD CITY

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT ' RIPARIANPROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner.
Address of Property: 13 f'or--J 'et'i--'�
(Lot or Sheet #, Street or Road, City & County)
Agent's Name #: MailingAddress: A'f
Agents phone #: 2 g - gol - -2 41Y � " vtrc
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.attaehed drawingihe development
they are proposing. A description or drawing. _ ` ith dimensions m t•be-rsrovid d_ with this letter.
4— I have no objections to this proposal. Y have objecstions to US proposal•
if you have objections to what is being proposed, you mustnotily the Division of CoasfalMansgernent
(DCM) in wddng within 10 days of receipt of this notice. Contact information. for DCM offices is
available at wwrs or by calling 1-8884RCOAST_• No
?VSjLonse is considered the same as no objection if yog have been notified P1 Certified Mail.
WAIVER SECTION
.1'.bWerstand thata..pier, dock -mooring pilings, breakwater, boathouse, lift. or groin 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 below.)
RECEIVED
I do wish to waive the 16 setback requirement.
I do not wish to waive the 15' setback requirement. 0 C T 2 2 2013
(Property Owner Information)
r2
Signature
print or Type Name
Mailing Address
City/Statemp
Telephone Number _
Ddfe'••.
(Adjacent property Owner InfofifilMdR CITY
v�
Signature
Print or Type Name
.3`�� u�C. A- -
Malling address
u.k 0
City/Staft0p
Telephone Number
. .. . • •Daft . .
Revised 6(1 &2012

`- "-41
btf 2 2 202
RECEIVED
DCMM MCUY
„3
DCM-MHD CITY
Cl
,�i'3 1p,4 b-

10-21-13;02:10PM;
;:2525230255 # 1/ 1
ADJACENT RIPARIAN PROPERTY OVifNEjz STATEMENt
I hereby certify that I own property adjacent to — � 25a►+J � U/t. 's
property located at
13 Pwd &I%- (Name of Property Owner)
(Addross, Lot glo ,, R!ds a
on 60{Itr , Irkf! G l) . N.C.
(Vllacterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the. above
iocatio
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposl> development must f il. In description below or att1ch a site dmwing)
�N. Q� r31 r
,dv�'/ill^ • � •
el--
w
.S �+
l
r&J ax� Po�rd DAL
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, li , or groin must be set
back a minimum distance of 1S from my area of riparian access unless'waived by me. (if 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 IS setback requirement
(Property Owner Information)
Sigmat�re J
Print �a9reNome
aS¢vr�f�,%cls.4 Mai
crYy/srara 'P 5-1 Cl_ 31 53 3 _
Te/sphong0Nunfb 2-
1- / 3
(Adjacent Property Owner Infonaatioh)
C��ca4
SIVWwrff.e4wzw
Print or pe Name
! 0 7 og..& «z ad
Mar7ingA Less �—
C/ty/State/�JP
5-2.7-7C-2; j,
Telephone Nu ba
is zt �3
Date
(rbv►sod G/l8/�0l2)
.2 4/%- 713 D

) s) - f3-^I- z 533

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Cq'Z-50'y �2 .s
property located at
13 AvLa ell- (Name of Property Owner)
(Address, tot, 10 k, Ro d, etc.)
on Ue..1`'�` in 1/iJG l , N.C.
(Waterbody) (Clty/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED QEVE>i OPMENT
(individual proposing development must fill in description below or vfl ah a site drawing)
I 13' r
zri � 2r3
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, li , or groin must be set
back a minimum distance of 1V from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 16 setback requirement.
1 do not wish to waive the 15, setback requirement.
(Property Own®r Information) (Adjacent Property Owner Information)
$ignta�ren r:, J 1 )�AMl�•��
Av
11 Alt--
clty's"ate'z'P,2Sz <737 b533
Telephone Number
70- 21--t 3
Date
Signature
Print or Type Name
Mailing Address
city/statemp
Telephone Number
Date
(Revised 61WO12)

10-21-13;06:05AM; ;:2525230255 # 1/ 1
• xl
i
i /f �Y . ��✓fjr^� .
1 �G `L I�Jrj•p �J
� � • 213
Y

10-21-13;07:06AM; ;:2525230255 # 1/ 3
KINSTON HEAD & NECK PHYSICIANS a SURGEONS, P.A.
WALTER A. SABISTON, M.D.
ROBERT H. HOS% M.D.
CHARLES B. BEASLEY. M.D., FA.G.S.
BARSARA L. GOHEEN, M.D.
MARC[ I-. LAM M.D.
TO:
FROM:
REGARDING:
aroLacr
ae20sccr
FAX COVER SHEET.
,,o.,r-/
SENT TO FAX NUMBER: arR 9Ir/7 333o
NUMBER OF PAGES INCLUDING COVER SHEET:
.IIM DODWNG, AUD
AUOIOLOGIST
5UE M. BAIN. M.S., OCGA
AUDIOLOGIST
COMMENTS: .
The documents accompanying this telecopy transmission contain confidential information belong-
ing to the sender that is legally privileged. This information is intended only for the individual or
entity named above. The authorized recipient of this information is prohibited from disclosing this
information to any other party. If you are not the intended recipient, you are hereby notified that
any disclosure, copying, distribution, or action taken in reliance on the contents of these docu-
ments is strictly prohibited. If you received this telecopy in error, please notify the sender immedi-
ately to arrange for the return or destrUction of these documents.
Please call our office at [phone] or FAX us at [phone] if you have any questions or
do not receive the complete fax. Thank You.

10-21-13;07:08AM; ;:2525230255
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL, MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAIVER FORM
r
Name of Property Owner.CAAs,;YJ Q.4.� •a^� JrL•
Address of Property: 13 /3^4 Z� 101A-'7'LIC- 1364a ,./L
(Lot or Street #, Street or Road, City & County)
Agent's Name #: MallingAddress: 5"Df-
Agent's phone#: .2r.) 909 -.2 94? /h 1u L ,a Y—y7
I hereby certify that l,own property adjacent to the above referenced property, The individual
applying for this permit has described to me as shown on the attached drawingthe development
they are proposing. A desWptlon or drawing, with dimensions must be„provided with this letter.
Y have no objections to this proposal. Y have objections to ibis proposal.
lfyou have objections to what is beingproposed, you must oofdy the Division of Coastal Management
fDC11f1 1n writing within 10 days of recelpt of this notice. Contact Information for pCM offices is
avallable at dcny.hten or by calling 1-88"RCOAST. No
response is Considered the same as no O6 eCUon If You have beet notified by CerWed Ataft
WAIVER SECTION
• I understand that a pier.,dock,.mooring pilings, breakwater, boathouse, lift or grooin roust 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 roust initial the appropriate.blank below.)
I do wish to waive the I& setback requirement. �-
✓ I do not wish to waive the 16 setback requirement.
(Property Ow,)er Information) r
Signature
4,4--Jj..j ,9,e4,4">a d2
Pdnf or Typo Name
,S&32 . S-tL- -&,dam ` -L'
Mailing Address
xw+.-r4%11 mac- .0 Y.-Zr 0
city1meft ip
Telephone Number
Dare.!.
t4
O
(Adjacent Property Owner Information)
Aavi
Signature
Print or Type Name
Mailing Address J/ .
GtylStatelZlp
Telephone Number • .• �U/-
...Wars •.
. Revised &/f WO92
t

• 10-21-13;07:08AM; ;:2525230255
# 3/ 3
N.., .

A.M.
FOR DATE Q TIME P.M.
M
OF 1 O ©�L
PHONE% �CELL
MESSAGE /�[ 0 6J1? TELEPHONED
'J
RETURNED YOUR CALL
aPLEASE CALL
" ❑ WILL CALL AGAIN
FICAMETO SEEYOU
SIGNED 1:1 WANTSTOSEEYOU

10-17-13;01:59PM; ;:2525230255 # 1/ 3
KINSTON HEAD & NECK PHYSICIANS & SURGEONS, P.A.
WALTER R. SABISTON, M.D.
R08ERT H. H08% M.O.
CHARLES B. BEASLEY, M.D., F.A.0.5.
MRI3ARA L. GOHEEN, M.D.
MARCI E. LAIT, M.Q.
T0:
FROM:
DATE:
REGARDING:
SENTTO FAX NUMBER:
61b:00r
caco:ocr
FAX COVER SHEET
NUMBER OF PAGES INCLUDING COVER SHEET:
COMMENTS:
JIM DOOLING, AuD
AUDIOLOGIST
SUE M. BAIN. M.S., CCC•A
AUDIOLOGIST
The documents accompanying this telecopy transmission contain confidential information belong-
ing to the sender that is legally privileged. This information is intended only for the individual or
entity named above. The authorized recipient of this information is prohibited from disclosing this
information to any other party. If you are not the intended recipient, you are hereby notified that.
any disclosure, copying, distribution, or action taken in reliance on the contents of these docu-
ments is strictly prohibited. If you received this telecopy in error, please notify the sender immedi-
ately to arrange for the return or destruction of these documents.
Please call our office at [phone] or FAX us at [phone] if you have any questions or
do not receive the complete. fax. Thank You. `

10-17-13;01:59PM; ;:2525230255 0 2/ 3
X_
CERTIiFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: C4xs-y-i fir`"
Address of Property: -� 13 A-.- &Z e4MA- 7e. 13&Ac,
(Lot or Street #, Street or Road, City & Gounly)
Agent's Name -0• oq, „ Wiling Address:
Agent's phone#: .2ra 1uc-
I hereby certify that I .own property adjacent to the above referenced property. The individual
applying for this permit Ns described tp me as shown on the attached drawing_the development
they are proposing. A descoRtlon ar drawinq, with dimensions. must be provided with this letter.
Y have no objections th this proposal. Z have objections to this proposal.
if you have obJections io what Is being proposed, you must notify the Divisiotl of Caasfai Management
(DCAV In writing within 10 days of recalpt of this notice. Contact informatfon fcr Ccm offie" is
avallablc at r orrtat - dk:zuiiba or by calrmg 1-088-4RCOAST. No
i+casponse Is considered the same as no objection Ifyou have been notified 6y Cedfified Mail.
WAIVER SECTION
I understand that a pier.,dock,.moodng pilings, breakwater, boathouse, lift, or groin rmtst be set
back a minimum distance of IT from my area of dparlan access unless waived by me, (If 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.
(Property Owner lnformadon) (Adjacent Property Owner Information)
Signature Signature
Prini or Type Name Prim or Type Name
Mailing Address p Mailing Address
city/statemp City/Statemp
." 5.2 93 3 6 12 7
Telephone Number Telephone lYUmber ••
4.
Dore.: . ,. ..Dote .
Revised 6(152012

• 10-17-13;01:59PM; ;:2525230255 # 3/ 3
• ZLj
a d r, FbO l
JJL

Fax Send Report
Date/Time OCT-17-2013 09:46AM THU
Fax Number
Fax Name DCM MHDCTY
Model Name SCX-5x30 Series
No.
Name/Number
StartTime
Time
Mode
Page
Result
110
912525230255
10-17 09:44AM
00136
ECM
003/003
O.K
Divisio
North Carolina
Pat McCrory, Govemor
DATE:
i of Coas
e
NCD
Department of Env
Braxton Davis
FAX C
al Management
NR
onment and
Director I
I
VER
Natural Resources
John E Skvarla, III, Secretary
TO:
OFFICE:
FAX #:.
•
TELEPHONE
TOTAL PAGES INCLUDING
COVER SHEET:
FROM:
Morehead C
400 Commer
orehead City, Norl
Phone: 252
FAX: 252-
www.n oastalmanagement.net
ity Offce
a Avenue
i Carolina,28557
08-2808
47-3330
RE:
I
I
T.Fmtarnorm
I
I

Division of Coastal Management
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory, Governor Braxton Davis, Director John E. Skvarla, III, Secretary
FAX COVER
L IFAWKs r p
• /, �� _
FAX #: '
TELEPHONE #:
TOTAL PAGES INCLUDING COVER SHEET:_
Morehead City Office
400 Commerce Avenue
Morehead City, North Carolina 28557
Phone: [phone]
FAX: [phone]
www.nccoastaimanaciement.net
RE:
"v
TAFax Cover DCM

on
4�2�materbody)
AIaJACEI;JT RIPARIAN PROPERTY -OWNER STATEMENT
heiteby certi y that I own property adjacent to COA. d L&�7,1,a U'` 's
n {Name of Property Owner)
prolIerty located at 2/3
(Address, Lot;Black; Ro d, e1
(City/Town
N.C.
ndlor County)
Thelapplicant his described to me, as shown`'below, tie development
location
,.
— , I Have no ob'ection to thi ; proposal.
at the above
I have objeclions to this proposal,
IGfECRIPTIOIAI ANDIOR DRAWING OF PF,.OPOSED DEVELOPMENT
(lnajiv'ldual F ro):)osing det-elopment nrust till in desci apSon below or attach a slte'drawingj
t
dbCk
WAIVER SECTION
understand the it a' pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minir ium distance Of 15' from my area- of riparian access unless waived by` me: "(If you
wish to waive: the s,tback, ,rou must initial the approprate blank below.)
I d) wish to waive the 15' setback requirer-ient.
I do not wish to waive the 15' setback re
- q airement.
(Property O wn .r I nformadon) (Ad,jacent Property Owner lnformation)
Sigcature Si nature
­024g.
C'aMa-� C� ar /j
Print or Type Var. -.-. or Typ
_...�-, Prirf4 3.eName
6.:
mallinp AddrE c '
(� N"- Mailfngr Add ess.
lG �, .. 2 Y S
Ci t dip _ r T 33
Cif 'State/Zip
_
Te! phone Ni rntler Telephone Number
Data --
Dare
(Revised 6/18/ om

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10-28-13;07:29AM; ;:2525230255 0 1/ 2
KINSTON HEAD & NECK PHYSICIANS & SURGEONS, P.A.
WAL.TER A. sA8isToN, M,D.
ROBERT H. HOSEA, M.D.
CHARLES B. BE4SLE4 MA, F-kC.S.
8AR8ARA L. OOHEEN, M.D.
MARCI E. LAIT. M.D.
FROM: CAa-e (0. lenX
/3
REGARDING:
oro�n�r
r �
nrrain�ry
FAX COVER SHEET
SENT TO FAX NUMBER: Z S Z q7 3 3,3J
NUMBER OF PAGES INCLUDING COVER SHEET: _
COMMENTS:
JIM DOOUNG. AuD
AUDIOLOGIST
SUE M. BAIN. M.S., CCC-A
AUDIOL9013T
The documents accompanying this telecopy transmission contain confidential information belong-
ing to the sender that is legally privileged. This information is intended only for the individual or
entity named above. The authorized recipient of this information is prohibited from disclosing this
information to any other party. If you are not the intended recipient, you are hereby notified that
any disclosure, copying, distribution, or action taken in reliance on the contents of these docu-
ments is strictly prohibited. If you received this telecopy in error, please notify the sender immedi-
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Please call our office at [phone] or FAX us at (252) 523-o255 if you have any questions or
do not receive the complete fax. Thank You.

r
Styron, Heather M.
From:
Barbara Barry [[e-mail]]
Sent:
Monday, October 28, 2013 9:17 PM
To:
Styron, Heather M.
Subject:
Dock at 213 Pond Dr - Carson Beaman
Hello Heather,
I am sending this email to you at the request of Carson Beaman, Jr. of 213 Pond Drive,
Atlantic Beach.
Mr Beaman called me today and'we had a telephone conversation this evening in which he told
me that he has revised the plan for his dock. He said that the boat lift would now be built
closer to 211 Pond Drive. He said that Dr Beasley was willing to waive his 15' setback
requirement. He said that nothing would be build closer to our property at 215 Pond Drive.
I am sending this to say that we have no objection to this plan as he described tonight.
Although he said that he dock addition would not come within 15' of our property, we do not
wish to waive the 15' setback requirement.
If you have any questions, please feel free to reply by email or call me at 919-848-0800.
Sincerely,
Barbara Barry
Sent to Heather Styron, Agent
Division of Coastal Management
1