Everhearts, Zac

d'CAMA / ❑ DREDGE & FILL No. 75095 A B C' , D
GENERAL PERMIT Previous permit#
PNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC l
.. ❑Rules attache.
Applicant Name .. Project Location: County
Address k Street Address/ State Road/ Lot #(s) :,NL
State t i rZIP �
Phone # (—)
E-Mail
Authorized Agent
ElCW
FIEW TA El ES
❑PTS
Affected
AEC(s): ❑OEA
f7HHF ❑IH ❑UBA
❑N/A
❑ PWS:
ORW: yes / no PNA yes / no
Subdivision_
City -
Phone # O_
Adj. Wtr. Body
Closest Maj. Wtr. Body
i
FM
River Basin
(nat /man'/unkn)
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Agent or Applicant Printed Name
i
Signature "PleaserAadc mpliance statement on backof permit••
ii_
A
Application Fee(s) Check #
iv i . ii i
PermitOffcers Printed Name/
Signature
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ZCiC f✓ V2� 11(1�r
Mailing Address: -PO (�OX 1 zZ 5 S
New'bern , NC
Phone Number:
2 S ,2 - (,,. j I -
q
111
Email Address:
z ve-r" vx r �
@
(W' C uvw
I certify that I have authorized �2 l�u(_k j bc'WV C-j Vlrlcai.V �h v1
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at J 11 CCdG1 r V
in CC1r---e CC � County.
l furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print Print or Type Name
(7w e.r
Title
71 // 1 i 9
Date
ADO OHW-Wcla
This certification is valid through / ! 6W 6 1 lnr
03AI303H

CERTIFIED MAIL • RETURN RECEIPT REQUESTED RECEIVED
DIVISION OF COASTAL MANAGEMENT JUL 19 2019
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER Fo&
��M'MHD CITY
Name of Property Owner: % _ a C V 2 r ht (J r
Address of Property: II-1 Ce c` G' t- Sh6re S , (, c Z 8 S }
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #:
�( 1 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 1,
g they are proposing. A description or drawing, with dimensions must be Provided with this letter. i
I'have no objections to this proposal. I have objections to this proposal.
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_http://www.nccoastalmanaaement.net/web/cm/staff-listing orby calling 1-888.4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail
eJ �^
n WAIVER SECTION
V 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
O you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
l C I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
IaL C-v cr- heo-r �
Print or Type Name
_1\`( Cedar gar
Mailing Address
tptr\E V-no1C- 28Seq
City/State2ip
(Riparian Property Owner Information)
Signature
41&yA2 (T
ri tt ore Type
Mailing Address r
t�l er
City/State2ip
aS"� - (o (1- ` 1 � I Ze`/ey, �itGfr4 @mo 33�/ 4��c �
Telephone Number /EmailAddress (,V� Telephone Number/Email ias
ul 10 9 ,loll
Date Date
(Revised Aug. 2014)

RECEIVED
JUL 19 2 iiy
CERTIFIED MAIL - RETURN RECEIPT REQUESTED 0CM_MI-I,4F r;1Ty
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Z 0\C CV Z r h e a r �-
Address of Property: Ivi P-(+. Pink SVAuffS,NC 2kS&H
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #:
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 developmen `'
X
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
P✓ I have no objections to this proposal. I have objections to this proposal.
Q
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 athtto;//www.nccoastalmanaaementnet/web/cm/staff-llstingorbycallingl-88&4RCOAST.
_
No response is considered the same as no objection if you have been notified by Certified Mail.
_
5
J
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
of
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
5
you wish to waive the setback, you must initial the appropriate blank below.)
G
I do wish to waive the 15' setback requirement.
C.
Q
n
X I do not wish to waive the 15' setback requirement.
x
(Property Owner Information)
Signature
7-0\C CyeY h20o- k
Print or Type Name
W1 Ge,-C\ar ?,A:
Mailing Address
Ioa_ Knot\ SVA6'a S .NC 2?58q
City/State&lp
(Riparian Property Owner Information)
gnature /
1.62/ cleowtCz
—
Print or Type Name
/ 7 CYarC5y 0-T
Mailing Addres
P/1/F�kNe// sl2exne5
City/State/Zip
2S7_- (,"Ti-clll] J-Z,%Ve.rhear� otol 1--3-z-2f7-6,1�1a
Telephone NumberlErhad Address [Jrn Telephone Number/Email Address
0-� Io's ICA -z-,r, g, aq
Date Date
(Revised Aug. 2014)

RECEIVED
JUL 1
EI M-MHL;
Dm Live Loodofl
L.w Pofik Dock L
NOi10E1 Am16D kLuuleE W^mmY �ertfellY. �^m^! olh¢WiuP.QDook bammt xanntEwnBM
Gmunauxasaueeq�wo®f aatifi.�tionafQDxk FAdo<t evNa �vuWonuG cu Lmmi MM
QDarY P1aArt
m
PmjW Name:
,w
DicminMr Nuea
sinorxsomwe.
MI nwn3
Dnwu by: a.un.e.iwn
De DWGNavw.Ni .
aoo A3bncrroso
YL13uc341vc
B)B Fe9 HigbmY60
Mwcu, (SM) 66/-6168 81Q
Fbnoc:l )DS-2212

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
RECEIVED
JUL 19 2019
DCM-MHD CITY
Name of Property Owner Requesting Permit: Z.GIC Eve 1-V w - "{
Mailing Address: -PO (Sby IZZSS
NeeW'Qerri , NC I8Sb 1
Phone Number: 2 S 2- (01 I- g 1 � 1
Email Address: Ze VZr hA r k Q Ab �' (6vv1
I certify that I have authorized CZ (0o[ -c 10cC \AC3 Oa-\ h.J ' h YA
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: , 6cv" rl
at my property located at _ 1 1l wka r V (�- r�1�2 Y-Y-No\ Syv\re s S 5' `j
in L(,lr If" Ir County.
I furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
-� Signature
' Pnnt or Type Name
Owtn er
Title
%t // / /9
Date
This certification is valid through

RECEIVED
to
CERTIFIED MAIL - RETURN RECEIPT REQUESTED JUL 19
DIVISION OF COASTAL MANAGEMENT DCM-MHD CITY
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: % _ G c Cye c he oar k
Address of Property: II-1 Cec�c1r '2d- P\t-)e knG\\ Stn6r`eS ,Nc Z 8S ey
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
Mailing Address:
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. A description or drawino with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
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 athtta:((www.nccoastaimanaoeinent.net/web(cm/staff-listing orby calling 1-888.4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
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.
C ' ' I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
Signature Signature
Z41C. CvfrheCkV- dAZA2 (T-(S�Gnlil(�
Print or Type Name Priht or Type Name
1\i Ced(xr- 1 J Sit Lf�1�Grr�^y /ls.
Mailing Address Mailing Address r
Poeyf)611 Shares l oc 2ssSy
City/State2ip City/State&ip
)S"z (olI- `Ill 112eye, 1-)zar} @cool 33Gam/ �yO �
Telephone Number/Email Address ' co'y j Telephoneflumbe' a /rmailAddress
u:l I �)rJ 11 1 fU j /U -kd
Date Date
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED RECEIVEp
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORMAL 19 2019
Name of Property Owner: Z oc, Eve r h e a r -� 0CM-MHL) CITY
Address of Property: 111 C tdQr- P-({. Pink V-Y10\\ Shb�--eS ; N 2351'y
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #:
I hereby I
certify that own property adjacent to the above referenced property. The individual
applying for this has described to me as the drawing the developmen `.
permit shown on attached
X
they are proposing. A description or drawing, with dimensions must be Provided with this letter.
9, I have no objections to this proposal. I have objections to this proposal.
p
rJ
�
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
�C7
available at http://www.nccoastaimanaaement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
_
No response is considered the same as no objection if you have been notified by Certified Mail.
_
WAIVER SECTION
(�
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
o!
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If:
5
you wish to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
Q
(�
IV L19 I do not wish to waive the 15' setback requirement.
x
(Property Owner Information) (Riparian Property Owner Information)
G
i,Eel
Signature Signature
7_cnc Over tne0d k 62F C4/Cd o leOVt-tC 7--
Print or Type Name Print or Type Name
11`1 C t C`G1r % �Y/'�&-ys '�-!.
Mailing Address Mailing Addres
Pt�e Knot\ SinoY?S NC2458�{ P/Nr1-KHe// S/ci2r�iz
City/State/Zip City/State/Zip
(I-elll7Lztve.rhear� @ 00i 2g z 2J �aGa
Telephone Numberl Efhail Address [dM Telephone Number/Email Address
0-7 1os 11C1 &n �g,�19
Date Date
(Revised Aug. 2014)

RECEIVE®
JUL
DCM-MHO C17y
Dark Live Laadofl
Low rro610 Dock L
Project Name:
.Nc
OiMbWm Nemc:
une,lm.,e�
am>k sN.6ms
19311 nwm
Dnwa 6y:0�+N4da+oo
DyC)lYID19
DWGN9mc: ae^ixx9Yrrom
tl DOrk.l
878 Dgfthway 60
Mwdl, Mi .6nm
Phme:1(800)6 8168
F,: (417) ZS-W2
NOI%RIAmaFZDwk L'miW WammywMolln �waa amcltiNe. F2Dmkd9eeaa w.mmm�a
Lilure ordehmuld bYmanErcvd �fiotimofEZD 11Pmlwi. �o6brwulhori'cf �rodvvU MM
PZDort PloAoct