Eastman Creek HOA c/o Wise, Mark

CAMA / ❑ DREDGE & FILL
A B C D
•
,
GENERAL PERMIT
Previous permit #
New ❑Modification ❑Complete Reissue Ell Partial Reissue
Date previous permit issued'
As author'ized,bythe State of.North Carolina, Department of Environment and
Natural Resources
And the Coastal Resources Commission in an,area of environmentro rn Vsuant to I SA NCAC
ules a ched.
Applicant'Name 7 �.'.�{.1 {� 'a Project Location: County
Address ' fA, f VIC? Z i
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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 I) 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, certifythat this project is consistentwith 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of 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 - South of New River Inlet -
and Pender Counties)
http://www. nccoastaimanagement. net/
Revised 08/27/ 14

AMA / El DREDGE & PILL
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{ A BC D
ENERAL PERMIT
_ _
Previous permit #-
❑Modification ❑Complete Reissue El Partial Reissue ` Date previous permit issued
authorized by the State of North Carolina, Department of Environ"ment and
Natural Resources
1 the Coastal Resources Commission in an area of environment gO7�woppsuant to 15A NCAC
pllcarit Name Fig., t f j KjlN'i e
ules attiched.
Project Location: County
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Permit Officer's Hrinted Nary
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SignatTd/
ion Fees)
Check#
Issui g Date
Expir ion Date

May. 2. 2016 8;18AM beautort p. t
No.3991 P. 2
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 5- 7- -' &
Name of Property Owner Applying for
Permit:
Mailing Address:
HDt �a-fJj�ecd --
B(, �t� ,Uc. as G
11 1 / 1 ,ems.
have authorized (agent) d� Iu t\ V��t� to act on my
I certify that I ha (g ) ., ,
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) _� �aITM.�►. `%
at (my property located at) 1)0&�" '�is.a� C�'� �'�^�'� - �� q0 t
�s
This certification is valid thru (date) SJ�y o
C
Property Owner Signature GS< a� C fp � C j"Date
RECEIVED
A110 ®HV4 -VYOG
APR 10 2017 110Z 0 I ddb
®CPS- PA"FI CiTY ®30�l30

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C_C'STryAsV%- 6� k �-ib� 's
(Name of Property Owner)
property located at yD ( S..; t"liZyJ
(Address, Lot, Block, Road, etc.)
on s� w►a� Cr`cn-(C , in Bf_ccv,r+ N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc I .
f I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing. development must till in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
(Adjacent Property
RE: E
APR 10 2017
R VID Cg-rY
Signature S Uatur`
��� � �RECEIVED
Print or Type Name Print or Typb Name
LG -1-;i i UeS P R 0 2017
Mailing Address Arlin Addre s
Xi �' Nf, c2 511
City/State/Zip Ci /State/Zip D (� 01
�S5 Li-N-6760
Telephone Number/email address Telephone Number/email address
Date Date* J '
(Revised Aug. 2014)
*Valid for one calendar year after signature*

glPMEIED MAIL • RET! fifM RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
WAIVER FORK!
Name of Property Owner_ �S# mW o
Address of Property: _ y� f 541 lmFec..3
(Lot or Street #, Street or Road. City & County) L
Agent's Nam-vAarS8-,4 MaftAddress: S5 66 Awe 74 wC� !—
Agent's phone: oy a- 7 7 3 - 07 IJ AK.aG14C, M570
T
I hereby certify that I own property.adjaoent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached dnawinq the development
they ar71have
ng. A.cte�icrfric.dtriruf i(liriistbiis.i ivirled aia thisi:
no objections to this proposal. - I have objections to this proposal.
Nyouhave objacboastowhat isbe1ngpmpmw4you mustnotifyMeDfvWwarCaasftlUn Mmasot
(DM In writing within 10 dr o of r+ece;pt of thfs node& Contact WWwa[ion for. DCU ofltces is
avablgeathorbyc&ffhxr 14W84RWAST..
WAIVER SECTION I
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a ini 'mum distance of I V from my area of riparian access unless waived by me. (If i
you wish to a the setback, you must fnftlal the appropriate blank below.)
t
I do wish to waive the 16 setback requirement
I do not wish to waive the 1V setback requirement.
APR 1®2017.
(Property Owner information) (Riparip Property Owner Inciryi
Signatwe
Aa 5fmwj Lm K. 4o A
Print or Type Name
Ua ft Address
ze-o"., 04 ,IDS
CilylStstaOp
yyo _ SU-
Telephone NumberlEmar7AftoW
5f-1Ii(.
A 6. 6.1 wPer,
Print or Type Alamo I
04SO4, t/C �-
1hone N7:t:
r/ at Address
7 A
(RewsedAW 2M)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT -
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: --�5
Address of Property:
(Lot or Street #, Street or Road, City & County)
Agent's Name #: A-VX r S D ,^J Mailing Address: s55 03 t(w r?o w C5
Agent's phone #: a5 o(- 7 7 3 07 q 3 r ,, p 0* c f- C- aG Sq O
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 attached drawing the development
they are proposing. provided with this fetter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you.must notNy the Division of Coastal Management
(DC* in writing within 10 days of receipt of this notice. Contact information forDCM offices is
available athttg://rvww,nccoastalmanaaementnet/web/cm/staff-lis6naorby calling 1-888.4RCOAST..
No response is considered the same as no ohiection .if van haves Kann nntwad hu CA.tinowi MAir
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
se.
Signature
#"a 5T mwu Cx&, 140 A
Print or Type Name
q©1
Mailing Address
t3�.,, ©of-L . M L a�Cy�iO
City/StatelZip
qqo-
Telephone Number/Email Address
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
i
Mailing Address . ;" V fr1 j
Citylstateaip APR 1.0 2017
Dc-`�-3�
Telephone Number/Email Address ry
Date
(Revised Aug. 2014)

May. 2. 2016 8:18AM Beaufort 0 No. 3991 P. 1
S Y '1r,AL THERAPY
R
106-A Professional Park Drive Beaufort, NC 28516 252-838-0222
nrk Wise, PT, M5, OCS
Director/Owner
Grace Deely, PT Rebekah S e fo—n, PTA Dawn Freels, Receptionist
Kathy Rutz, PT Suzanne Williams, PTA Patty Dunn, Receptionist
NN Facsimile Cover Sheet ~~
Company:
To Fax#:
From Fax#: [phone]
bate: 6 i1(o Total # of pages including cover sheet: L
Subject: dL LrAg
Comments/Notes: rgent or Review ❑Please Comment ❑ Please Reply
cd VC
APR 10 2017
I C �iou � Thank you, °L'HIL
a4'I �i Beaufort Physical Therapy Staff
This document accompanying this facsimile transmission contains CONFIDENTIAL information. The information is intended
only for the use of the individual(5) or entity named above. If you are not the intender recipient, you are notified that any
disclosure, copying, distribution or the taking of any action in reliance on the contents of this facsimile information is not
permissible. If you have received this telecopy in error, please notify us immediately by telephone or fox.

jgRTIFIED MAIL . UTURN RECEIPT REQUESTED
DPASION OF COASTAL MANAGEMENT -
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMtAIVER FORM
Name of Property Owner.:-C'StN�tr�+2 fl t
Address of Property: 7 f 54 : W ¢C:�•�
(trot or Street #, Street or Road, City & Cou*) i
Agent's Name # 6'A .toed' S a tl! Matting Address: s5 &6 t(w
Agent's phone: A- 773-- Q7 q3 A,16 .taor I+ C, "76
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 attached drawing the development
they are 7Ihavce
Ing. A.ctescr<oiii�ti -dt tiit►gii t i �i slbi 14Y+ ed Lv fit iti Eli:
no objections to this ptbposal. - I have objections to this proposal.
Nyouhave objections to whatis beingPmPos94 youmustnotifyft Division 9fCoaslal ManaV&nw*
aWAQ In writing wiffim 10 dov of receipt of this notice: Cantact IMbrm Non tior DCU of>tces is
avra#able athtm:/ jwoossWmmnsvement 'nor arby caftg 14MO- RCOAST..
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a mi "mum distance of I V from my area of riparian access unless waived by me. (if �`
you wish to a the setback, you �qst kfflal the appropriate blank below.) t i do wish to waive the 1V setback requirement
I do not wish to waive the 1V setback requirement
(Property Owner Information)
Signatwe
Print or Type Name
wl Gee k
Mai ft Address
, tat+
CRYISM&OP
iqO- SQ- &706
Teleplwe Nambv1EmaAd*QW
5 f-1 I m.
(Ri Property Owner in }-- -
t e
�r
Pnrd orre Name
�fl, �00/��� �I APR102017
Marng d r
ihOM NAddress
Date f (, Date ,
(Rsevbed Aug. 2014)

May. 2. 2016 8;18AM beaufort p, t
No.3991 P. 2
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date ►
Name of Property Owner Applying for Permit'.
Mailing Address:
tioi �a-`(Jjecc1
11 1 / ems."
certify that I have authorized (agent) d� �2{" f� �c� to act on my
I r y (1; ) ,
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 4�QCA, tT ¢�.� T►'+1 �
at (my property located at) -Dply — W-yN Crte
This certification is valid thru (date) 5-064 o _,
Property Owner Signature �C C.�- �i�S�a- Date
APR '10 2017
®CM® N"','FID Cj T

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to & ST AAcv.. (Sr-� lC 14ots 's
(Name of Property Owner)
property located at u 1 �`�' � rr iz�
(Address, Lot, Block, Road, etc.)
on , in &-C-,.4�+
(Waterbody) (City/Town and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
locatio .
V I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(l raUv�alu f praposit►g atevelop ent mtirst>�fl m alescnptron below oratta�h'a site draW ng)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
L/ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/email address
r.UM
*Valid for one calendar year after signature*
(Adjacent Property Owner Information)
we$Io q (96uuYteo- .e.
Print or Typb Name
1431, klP's &T0\Y--
atlin Addre s
n
City/State/Zip
1:255 qlq-6766
Telephone Number/email address '�R 10 2017
rAA - i
Date �ry
(Revised Aug. 2014)

0
May. 2. 2016 8:18AM b e a u f o r t P. t No. 3991 P. 1
B U_ O R T
PHYSICAL HBAAPY
106-A Professional Park Drive Beaufort, NC 28516 252-838-0222
c Wise, PT, MS, OCS
Director/Owner
Grace Deely, PT Rebekah 5Tiefton, PTA Down Freels, Receptionist
Kathy Rutz, PT Suzanne Williams, PTA Patty Dunn, Receptionist
--o-v Facsimile Cover Sheet ^00W
To: I a 11 � /'%}�
Company: tT
To Fax#: 6q b _ bn From Fax#: [phone]
Date: �6116 'Total # of pages including cover sheet: L
Subject: 20 c L d` ifAg
Comments/Notes: rgent Xor
eview ❑Please Comment ❑ Please Reply
�7(4o APR 10
2017
I � iou /Waj� � Thank you, DC�,4® V�1 -% (Cr
Beaufort Physical Therapy Staff ��
This document accompanying this facsimile transmission contains CONFIDENTIAL information. The information is intended
only for the use of the individual(5) or entity named above. If you are not the intender recipient, you are notified that any
disclosure, copying, distribution or the taking of any action in reliance on the contents of this facsimile information is not
permisslble. If you have received this telecopy in error, please notify us immediately by telephone or fax.

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