53105D - Bald

TCAMA/ 'TbREDGE & FILL
3EN ERAL PERMIT Previous permit#
3'tew 'Modification ❑Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources II
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7 H'' • 2-9:0
❑Rules attached.
t Name y.!L V f e I L—O t "-TVO-- Mt Old.' Project Location: County 13112 til N�,v I«=
Po ex*( . Doc' Street Address/State Road/Lot#(s) C A PG ��
1.._0 { o IStfitatate NG ZIP aitPot Sal (CULL SlM t L
•(C11' ) 14(0-7-C17O0Fax#(Cl O) 14S"?-(o/.0(® Subdivision
ed Agent City ZIP
CW 1 EW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin Cl f 1'1
OEA HHF E 4I ❑UBA ❑N/A
Adj.Wtr. Body AT 1-411.1T F C- 0 C't-N /r
PWS: ❑FC:
1-03
yes / no PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body fT1-ert-rn C Q(.�
/ ��F Project/Activity lt�
a
(Scale:4.jj'i*
ck)length hip J • 4.L.0 TI OS ' UNtS
s _a _ ! i`tU� IT (R,R'IfaE (`+l ST 4 ( XA.r)....�-41--loll '_ ro
() E OR_Ier s
ngthIao �-
•
MEN
mber
.v..�FlIMLTZEtlii y �1 pAS Cis 74 •T i
d/Riprap length ii,_-a7Pitp
�►7il
distance offshore I. : I. ;-___L
uc distance offshore l, _ .._ _ _ _. `�
,annel {�iO!
bic yards r H�110
14.
\ i
Ise/Boatlift , . '' 1
__ • _ MI 111 li ' NI*. .11 ,, i ,
ulldozing 1 CCU j "' , Zp•' O �i?i . L�./
or
\ r -..
1 A� �.
e Length 4k I��� -a- -/f ome, AlljhalgAraii:
#WQ OF NOV ��� l��l%� I ►�1�i1111i,
not sureyes . lII a.:.- II I �`
^tom+ rf1 •
s: not sure yes o ?� �wratar � � `�— 1
ium: n a es o — .r . _ ,G: /i � 'i7>�t yr
yes n _ Mai i Th F- �" fIrra 1��.�s ?-f • ; tiie
4ttached: yes ii. -;,, •
�1.� al[q: 1 tu., r -.1 t • i_i
�A itc.nvi ry 11110N•
ng permit may be required
by: Ei AVIA 6S .fi'i.— 7 ( I See note on back regarding,/ River Basin ri
Special Conditions A�-1- (POD MOIJS op 7FF.�0, Ort.i s-rft--✓'? F-t �QAL- 1 V 1

9 fp —
r2
10 ,p
S
P
102
a-
jQ4 9
5 106 8
108 11 15 17 NO
O 21 c, 110 .
V 112 10 12 14
�' 1g 20
Sand Push./- 1,300 LF
1'depth from NLT to Scarp 17,. 113
X 4715 120 115
1713 k/ ✓
V11 ✓N
u„r ✓
Q 41
40
39 ��5
• 38 �27
35 36 129
33 34 /3/ 37�
31 32 39
29 133
30 41
27 '
4, P 43
21 18 c 4 • 11 + 14 46
24
19 3
16 � 9 12 2 5
17 14 ,`ll��a, 1
li") 0 4 7
15 12 b _. 6
11 4 2
13y,/ 10 15 4
Sand Push./-500 LF
1' depth from NLT to Scarp 11 17201 17 6
8 203 5 7 8
9 p` 205 7 6 5 8 10 8 1
7 207 9 8 3 C. 4 12 13
5 20 15
209
11 10 1,. 22 23 14 17
211
13 i2 24 25
213 1
36 34 15 14 26 27 16
215 16 28 29
32 17 j4
217 30 31
219
l-6 .0 12
30 32 33
221 28 34 35

INN ASSOC.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
14E PVBL1G. T/LvSF AgeAS of
I hereby certify that I own property adjacent to w r s r B c h1 ,s
(Name of Property Owner)
property located at w L s r s 1.it cM A Ai() CAP E F E*R /t vE/�
(Lot,:Block,Road,etc.)
on itrI 46/r t roc c= ry , in r4""> t t, ° $c..4,r, ° N.C.
{' aterbody:) (Town andlor-CollntY}.
Applicant's phone#: 4'5 7- 7 P 4' Mailing Address 11.9-.
'art 14 tt-moo $ N - ZVI 71
He has described to me,as Shownbelow,the development he is proposing at that location, and,I
have no objections to his,proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
Dull- TO INe21:ASIrO Elk o$, o1,1 CAt,'Sr - Ft/OM l RoPIciL. SFolt 1 14(+IW/ , IJO
THE V/JNAMr0 STORM THAT' IMP AGrE6 Tit NC COASTL.IN ON SCel-6ma g.
24- Ze, 2008, T11 t VI LLA G€ TS PVRSVINC, A SA No POSH , To RE CuwSTRVcr
TIME PR"MRay FRONTAL Dvn/E SysrE^4 ALoN& A SECTION 6F W€ sr 8lcAell TN
IS AoaAC-LNT Tn yov/� p(&oPt.D1y. THE V1'-t-A6E, AS /i&QV12Eo F;y TI-fE plots,
CoA3rAl. MANR GLMC-NT 601A) AA,A 7H. 2500 gut-6- 3 MvST' 0BT41N 'Ire 1?orA e
.5TACENT' PRoe'/iry OwivaAS TO Pl'OroSED wo(K . 1F yov (1.4v€ No OS3-ecr,ONS
PLEASE FILL OVT' INFotivl.TloN STOW, si(2>J , Anr0 FA/ IT B/tGK TO Ct4RIS
MCC-4 -1., DEVELOPM1NV SERv(CES AtI-ECro2 GA AAA '.PO di r (1 1o) 457- 6 2e6
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
o. 5 ax 3+aal. ,.
Mailing Address ,ha e 13d o e.. 1/ Signature
WW) SSL,q.u1� ti e+i Z$4 7'� �� �Gt Hee,o(4 /i/ssy. ✓t"�I dtiP,-s•I
City/State/Zip Print or Type Name

S G-ACEAr
ADJACENT MPARIAN PROPERTY OWNER STATEMENT
TOE Pv8Lic TR vsr ARL-EAS oF
I hereby certify that I own property adjacent to iv r BEA c _'s
'(Dklame of Property Owner)
property located at L,ir 611 4iib cft FE"1- AWE&
(Lot;•Blonk,Roaketc)
on 4 V-L A"'r 4.07`144 B I__ (4'El I 5 LA 3 4y.1)
(Waterb 04) (Town and/or ConntY).
Applic,anes phone It: 45 7 7 P'44' Mailing Address ;c9• ft.!4!.
ftc
1-4,A L-r> AP,01.*P
hastlesolibed to MO,as shown tletovv,the developinent he is proposing at that location., and,I
haye no!ohjOetion,S.tt) proposal..
DESCIRIPTIOIsi I,/OR DRAWING,OP PROPOSD DEVELOPMENTI
(fOlte:gaa In try proem ovitet pronstiag dewlopowit)
Dvi,5- To issie-QJ--4 s E oS on/ v s tr- 0 Fit-o -1 r A.Pf sroArti 1-1 tin,A ^JO
THE VAlivAA., Sr ott.v, roAr Imp crr6 ri-t 5- NG COAST 1.-tiv onl SE/1" /vs (aGTit
Z4- 26, 2oo6I., TIE Vi 61.../4 GE: IS ev/ZSoliv A "SA No roji.,, ro RE Co wsrioicr
714 P k Al Ro NITA L bviv E sysr ,vi Lo N& A SE treoN 6F vvE sr seeNcti 774,
IS yOvA oly. T(4 i VII-t-m 6e, AS Ike QV!P.&.0 Div's)
tf- coi43rA L M4 NI &g.-"ma-6,7- (bcA4) AN a 7H. 2500 R net 6PS-1- ogr4'Iv A pet?, ,t4t. c
qt.5-A ceNr pP.oPtr, owIvercs To 12(top°se-0 tN0 AA< IF yov H AVE. NO d eTECT/ONS
PLE ASE F Lt. pvr iNF riotv 8 c Low sI(pi,J , ft NO FAic IT BAG*, To ctiais
mcc4 DEVELOPMENT SeR.V1 GE'S ortLits-croA. , c../1^4.1 LPo evr (1 to) Li S7- z o‘.
(Inforination for Property Owner Applying (Riparian Property Owner Information)
for Permit)
a. vIc. 3 oc.."
Mailing Addres& Signature
NAtt-i) L4toivi) r$4,""iyi>, C •4. Et
City/StateiZip Print or Tye Name

I--1- £J, JC E 1;V L 1 10'1'1 1JIL fThj
2,1
ADIACENT PO,A11,1AIN PROPERTY COWER STATEMENT
1-tiE PvRt.te, rAtisr 4S OF
I hettbY certit7,that °WA prOpoty adjaci6ut ter Iv V 86A dm .3
grope Owner)
propoOrlotated at 16"5cr 11044/1 A ,O e/teif FP, Ro.iers
:Pk;alOa;Road,iet(4
el,!1,4:All')c ‘r•e;k071..00. 41,,
Matabocty) ,
•
AptilicOrs 06rie AtIthei*j!..0g,
‘•10 9,01
•
4.s.:044zAw11,ttetow.,the ptiieis Feiming at that lecatie4, avi,
1"c ilq0340000!tiOSPIOxoptigat.
DESC WYMAN AMOR DRAW : VIZOOND DUITEIMMENT
in l*prooly omolerproptning dekietopmero
skTo EA as v P.) A vo of 4 FROM 7-Apr'GA . rot ifwA A AJ 0
-rw 1.014.4Amea sr on.A" rt-rAr rAlroA&fgrs Ts N . C"Irt-l" PNJ SEPTE01 aCa.
24- 24, 2008, 'NI Viutsi 6E IS eilA4vtivC, A "SA NA ev.g#4 4 fa Re Co vsrittoLT
THE Ntion Arky oNsw °Lim g Sy srcivi A Lop,& A se LrioN oF vv0 130-^of 7-044r
IS 401A eCikpr yOvlk pp.()eg:A,fy. i4Vis-L.4 06, AS 14.60tii11,60I TI4boric/oh
C0otir#4 L A14NA eivr (60101) AND 714. 2500 Ruk-er• mwsr oBT-4 IN A OPAo v'A I., of
Alb TAUNT FROPA OvvPiAS To PROP 0303 W00.1( . IF you lqAvj No 08,TEetioniS,
PL-sAs F,Lt. INFoiftroartory eCianv, 51@hf MCI FAA if BACA. TO Goal s
MC.c.4 ,DG V OLOPelbrivr sktli GCS cA mut 020 "r eci o) s - 6 244
OnforroOon for PropeWery Oftnar 000,4i.tn'ProptrtY 0,w0er Plfornligti*
fOr eetinto •
tuati. .7)40,
Mailing Mikes& Sigitautt
wviz, 37:4L!‘"rop,. tiro "ILL . rjt6•
ty/stateiZip Prim or typt flttrrie

17 s / S LRCrVL
ilyn Spivey
•
Mary Lewis [[e-mail]]
Wednesday, November 26, 2008 6:03 PM
Daralyn Spivey
)ct: Re: FW: Scan Data from FX-2BDF10
ived your e-mail regarding the sand push and have no way to print and sign.
have my okay to do this.
k you,
• Lewis
?36-5548
.ave also discussed this with my ex-husband and he agrees also.
Ted,Nov 26, 2008 at 4:04 PM, Daralyn Spivey <[e-mail]>wrote:
,ewis,
is the document that we need to have your approval on. As we discussed
phone conversation earlier, if you have no way to sign, scan and send
then just give us the ok in the return e-mail with your phone number so
re is any questions the staff from Division of Coastal Management can
ou.
ks so much and have a great holiday!
)riginal Message
: workcenter24(a,villagebhi.org [mailto:[e-mail],]
Wednesday,November 26, 2008 4:05 PM
[e-mail]
:et: Scan Data from FX-2BDF 10

I 5 SEA 6v L-L
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
TtiE rAvs; AREAS oF
I hereby certify that I own property adjacent to iv r 8 A6"
IS
(Name of Property Owner)
Ai
property located at 1^' r BE46 •1111 ° cAptc. Alt vEtk
440ti Mel,Road,AO
op it 1...tivr rg 4,p Oforfs) c_ro-evir) Re.
(Waterbociy) ,s, (Town.and/or County)
APplkagel Phone it:. Addteisl. ..tfk:VK
.tecti*-040.0 2s4.11
Fle bag.deSet*ed tt TO',M.0034%helowc the development he is proposing at that location, and,I
have nO•Ohleetionc to his proposal.
DESCRIPHON AND/OR DRAWING-10 PUOPOSUD DEVELOPMENT' •
(04e•Pli4 Opropgr0 wnerproJw8i71.g divekv#000
tLiL To 1r44-42_g:mst;t3 El. oSorJ CA k)StE 6 FROM TAPP I 401 STOReti 1-14nrivq A. O
THE insinmA,g-o sr ort,4,-, r-b4Ar rmrAcrE6 T-H es NG COAST IAA) ON SE eiEm
- Z6, 206.6, TI1 VI-AL: IS rvetSvII,I A SA NO P‘i.Si-e TO k6
üwSrtLIT
me Przkrtn.4,41 PRoNTAL 1L'NE sy srErvi LON& SEGrtaN oF Vkr.- Sr Se AC.W TM
IS (33'4 Ctf- T Tv yovik e fLo Pg.:R.1y T4 1 VILLA 66 AS le-E61t)114.&t, Ry TH
te coa3rAL iv14 (601,4) qNb 711. 2500 it-'Si OS T4(N A re/70 ,,,, e
iqt.TA GENT' PROP Ty vvv^leekS TO P(tOf oSED VvoItIC , IF y Dv 1-1Av NO .0 GTE G riolvs
PLEAS F r" /Alf 1214 Tio('J 8 g.•.-Low I 4 NC) F A-A IT BA GK. TO CH RI S
Se,tkIt ceS r/ Groit. cA m/+ LPG. A-r (411o) Li - C zC
anfOrnlatiOn for Property Owner Applying (Riparian Property Owner Information)
for Permit)
ox 3 Goel, (5-eceif
Mailing Address Signature
13A vi4,0 e, evi 7 fetAlliA6 1/' 5/4' e+4
City/State/Zip Print or Type Name

rL=t
ADJACENT Ijf PARLAN PROPERTY OWNER STATEMENT
MENT
THE PVBLIG rA vsr RtsAS of
I hereby certify that 1 own property adjacent to I,v Es r e r_A c'1 IS
(Name of Property Owner)
property located atwesr.,.gt tcti R o CAP FEA-2 /t1vEti
( , Block,Roa eke)
on 4 r:Lr l *: t to fiO S t 1 : ? lY h a:1...yy
Vatei:boiJy) .. N f (Town rr o t y)
Ap,PlicAIPs` bone t , 17. t0., lVlailing Address•
has...d0oOritted to trio,asOo n.lbelow,the development he is prc using at that location, and,I
have no objections to'his,proposal.
DE RIP TION AnifOR DRAWING-OP PROPOSED DFVELOPMENTt
(To be `led in by p operly otwt&proposing dl clopment)
DVL TO tJ -Qi et Sao EKoston/ C/At1SEA F/- ft I RoPICAI. STootM 1.1Rt '#1 ean.,0
THE VNNAn-,gO sr van., n-iAT / ifAGricO THE NC. COAST ON SEeTEN136R
24- 26 2008, Tt1 t' VI I-LA 6E= IS rv/tSVrniG A SA No /'vSH M To RE Cowst-Rvcr
TIdE PRtMRAI PtoNrAL DUNE SySrEI" ALoN& A SECTtcA/ 6F WEST REAGy TM�
IS A Daft c-I'ni- To yovP, 1572..oPERTy, TUt; Vlt-LACE, AS /LE.QVr/LEO Py TI4e Div IS
CCA3rAL MA NA GI_-Mt-NT ( CA ) AND 7R. 2500 RV1-LS ML)51 OQTA,N Al'PRov 4L a
46TAGENT" fRoPk=Rry Own/EAs To PRofostD wo(.K , IF yov E1ftvE No oeTecr,oNs,
PLEas F.LL 0V r 8 ow SIC,nl RNO Fhlc rT BACK TO cif 2/S
1C .qLL, b VELOP, ,r SC-RvtcE:S ol/tt Grog / GAnnR LPO AT Cglo) 4S7- GZo6
(information ion for Property Owner Applying (Riparian Prop ation)
far Permft)
ailm ;Address' _
tore
del 4E; ,*Sur", M G r.$4 7 7 •
f• 1 140/ ..
City/State/Zip Print or Type Name

11/25/2908 12:43 9104576206 VIL_A3E BHI PAGE 92/02
3 ci4A
ADJACENT MP:ARIAN PROPERTY OWNER STATEMENT
T IS PVOL1L, TS744eAS 00.
tleithY certifY I-At I own.propOrf:ya aceq)t WL r 8 A 's
( me of Property Owiner)
pxopm.ty locada.0 IN L=sr .B.LtAz.11 A."0 FE. 1-12-• . yo-(4.
:044ytiBicierd,R.Oati4*)
on et r.L*4`t4 •Pt-'4+C-?0?k .,. •ei-t/ , LA'.0
- „
(Offiteirboil,4
00/
App*.4041041:e Akilih*§04.- .
• siot:
•
ha5.:dtst*Oetivo%lisAbow01,10100', TioveloPtMat prives#1sat tat lzicaticY4, gad,/
Itive i.tilifOtiot10tajtiziotpposal.
. . . • .
ANDYGIR toRAWINO,OP rtt:OPOStro 1)trVVLOTV.TEIC't
00,:heOeti ih otOgrip owner'prnposiv
I'vei ive-tc;'m s g *. DSt CA,-)C 1;-:6 FAolvl rAPPI 9L, ,Od%
vntiveinne6 ST e•Advt rt4 r imp A crE6 40.4s rLdiv 014 s E co.)a L174.
z4, 26 06 xs. rilltSvwC. A ' Sicevjk ro A6
114 PR. /my 10 eJrA L. binv& S7 rg Ivy ALoN,6f A $E crecry 6F WE;Sr !SCA cif 7-1A4 r
is "fr,s-A re) you". eitoe,*itry, T(fll 9t .L4 AS It E.SlOgil,ab Pry TH E
consrAL /614,44 A.&iv:a/yr (bcl.l) Jure. 711. 2500 Rv .5 .mv$r 0137-4 rrao of
mbrAcEnrr pito/ v-7 ovolv*tkr, To Pitoros tl wort! iF 7ov (f Ave- NG CaSeCrioNti
fLE'ASe P4L.L. pvr PIP DAAr147telv 131.74-014, S &Ai, 6410 F.+A dr 8./tc-i4. TO ctlaa
AlCtouL,, .0&voLoeev!6tvr sg.%/4 ces ti?ikc-ro/k , c-Amh I-1)0 T Jo) S - Z
(bentiinAikn tot P.t.tiptquy 13ciiqOr (OpAkitlik PrPpOty Orner Precirknatkolt)
'rot kettnjt)
Mailing A1'M: —
S.wititb ur
F.P.414 .,to•.ytt..hdr›.,, I/0, e. I, G S
City/8 tate/Zip or ti00.144.,
- 3 .

3 s CA PC F
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
THE PvBLIG r, vSr 4R41S of
I hereby certify that I own property adjacent: to w r:s r B I;A C n Is
(Name of Property Owner)
property located at IN!Fs r B E chI Rho cat p At vE/L
(Lot, Block,Road,etc.)
on 1 L/py r ie. tlC t 3 IN , in 1 i.n (-th.710 s c,e4/vt) N.C.
(Waterbody) (Town and/or County)
Applicant's phone#• et S 7` 4 7 Of u Mailing Address: l' r6vx
to LE (-4 e-,1-0 44-1,v, Me- z s`{71
He has described to me,as shown below, the development he is proposing at that location, and,I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
DVS To INGQjAsIc'O I=RoSIors, CABS*. A F/toA-, %AoPtcAL SroAM I-IIIMNA aAi
THE Unintolov,E0 STORM 1`'tAr IM/'AGf&D THE NG COASrLtej ON SE/*TEMt3aR
" M1
Z4- 26, 2008, TH r` vi t-LA GE IS evASvu ' , A SA No Fv.SH to RE ComsrRvcr
TIME PR‘MAa+.y FRONTAL DuA/E Sysrg-M aLON(, A SEGrtoN 6F WGSr Se AGy TM
IS A03RG11: ,T T17 yov/Z P/LOPERry. Tu 6 VI1-LRGtt AS t1,C-Qv,/LEt) F{y Tt- E Alvts
CoA3rAL MA NA GI_-Mt "T (OCnn) A ii 7H. 2SO0 RuLL 5 MLes ogre IN Af'PRoYAL
ego TAGeNr PROPR owNEfS TO PRoeosE'D wo2K , IF yov [1AvE No aGTECr/oNS
PLEASE FILL DVr /NF oft/via r,oN 8 GLOW 5I&n1 , fN0 FAJC /T BACK To CtiRt5
MGGALI., DEvLOPMI:N'r SCR'/tcES Ot,'.?Grote GA MA t.PO Ar Celo) 4s7- 6206
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit) „
r'a. fox at 041
Mailing Address Signature
BA LP t4 Yif) r S Lotv.Ad), N ti �$ 7 j
Print'Sr'T'v M.,w«,

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Svr7'v 4snt/_.t ?nand 3l1 i
UJWWMO AJ4Th1daftat MVPIV4DJ JIP a r.

iti : TI IC CArrc.-; FR.'. HO. : 0011071 Dc.,. 10 2000 ©1:21f r1 f 1
`l c.4 E Ftei&
AuJAcEd"vr ii.1F•AB1AN pr OP .r mV CAVNIFIR.STATEMENT
THE PvaLIG retvsi AAIFRs of
I.hercby certify that 1 own property adjaczat to_l4,is r 86n�, 4I/ ,s
(Name of Property Owner)
propezty located at w 60r ZEAdht et iv* cit.04 rrerc Rlvt=1k,
(Lut;1klodk,Road;etc:)
on et r.►,_r ./r ie.. 4.46.-we ill A J,4 IA? 1't:01. ? $t41v'd ,NBC.
Materboii3A) (T fl.nntlibe.C:0Y1 Uty)
Applxcaflt$phone th. . 4'5.1.`.q 7.4f. Mailing Addrosa: :not. . `"'
,
ie has:deserOcd to roe,as,.sawn h*ktW,tiro devetopmeahe is pxoposing at that location:,and,I
have 4o:objk4tions to liisTroposal. M
DESCRIPTION ANDIOR IYR4WING.OF PROP°SFnDV.ELOPIVI NT. .
'lehaitled ill byp.1"vpgrty h'tVster propospig development) .
I7VL+ TA 0-144..rrn s cp Eit psi 0P1 GADS*4 FAQM 7 ito/I eAt. SFDitem IdRKK"I ANO
TµE VNNAMr4 5rof.M f4. r wirAe_rcO 7-tie NG GOASrLIN)f ON sa'TL .'1 ER
Z4- Z6, 200fr, Tff t of►.6A 6E TS t°vitSUf4Cr A ..SA Ne Po5I4 % To RE{4,0,STRVtr
TI46 P,[,MR01 Pitorrt44. f)VNa SysrEM A Lc)NfY A SEGTfofV `F WelST $EAC}i rmar
oP ftr if4G- AnuLA4 , AS PG& It try Toe o'vIS1o'
zs Ro7RF�Nr �► your" PR Y•
tP CueorA .. MIINertiL'Mg-Nr (eCM) AND 7H. 2SOO Rl,/1-f<.S MI'sr °sr.tN Af/fl,vA4 OF
46S-te.ENT ritoPt7 ow'SKS T13 Pao/cSr47b WOA . , IF yov HAvf No 08TEer/orvs.,
Pt.eASe ftta. 0Jr• /Alf. .A^ATfoN 8GLDL', SIfoNe /1.M0 Fh?t Ir BAo44. ro CUl (S
MCG44Ir, O&VOLOPMat"1 Sg-RJiGES 004E:GroRf Cal IAA ►PO Ar eg1D) Li S7, 4z04 .
Okfortn10100 Or PrupdttYOwner ARp lye (RiparianYroper y Owner r attar)
fur Permit) !' (4} I
( ,frt >
� .
/ 56f 29},2 O "A
1?a, �x h c 'i - J S II.t e
Mailing Addre9s
r,:t..rctpi-R./'/.in Pritit or Type Name

tt' CAPE FEAA.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
T II PvRLIC. rotvsr Age4S of
l hereby certify that 1 own property adjacent to w Es r 8 E A c n is
(Name of Property Owner)
property located at wl=sr gk/GN Ako cA e- FEAR, AivEtt, ,
(Lot,Bloch Road,ete:)
in 43 ti 1:A t4,t 710 .Z S f.;4N0 ,RC.
on �rc.gtvrl�. t�t��� -
(Waterbody) ,$ (Town.andlor-County)
ApplicaiaL phone :
'IS'7- g 7 ,) Mailing Address: n,q, 1"r 4 ui.
He has described to me,as shown below,the development he is proposing at that location,and,I
have no objections to his:proposal. _
_---.....--
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT!
('To Ile filled in by propero)owner proposing development)
Dv TO InteRe'cAS�G ElkoSton! CA,15tc4 FROM r Apr tcAli STDttM MRNnrA AA+O
Ewe VIJNAMa6 Sretnn TtAAT /MpAGT&O rw a NC coASrLt?lc oN SE'TEMia s
Z4- Zb, 2008, TF/t Vt t.LA 6t= IS PvRSYuMC A " SA No eoiN y TO RE CovstAver
TM& ?Ai",/Nay (''R0N1-4L buNE SySrENt ALONG A SEGrtoN 6F waSr B A"H rNA•
is AoaAG tGNY Tyowl,yov PRoPeary, TUE VtLLAGE, AS P.EQv1itbo Pry TNt Gtvrsio
ry. Cq*STAL MA NA (S. 0.1E/T (60.4) AMD 714. 2SOO Ru-t&'S Alv r OSTA/N Al'elto,,AL. OP
,qo 'A CENT f Rot awAr7 owNtccRs To PRo?o.s 0 woRK , 1F rov ItAvE No OBTEtt/oNS,
'LEASE ftt-L DVT' lNFoRniAT,ON 8“DW, Slew, *WO FAA IT BACK TO CttAiS
MCG4t-t., DcvELO'M>:N'r S&RVtcas DIF-a Groot, , GAdAA LPO A.r ell. 457- 4Zo4 .
--' '— - ------ a
(Information for Property Owner Applying. (Rip �;n Property Inifarmati,e__________on)
for Permit) rai
r..0., V,o/C 3(net, till -
Mailing 1ddress Signature
l$1_0 t4 vii,t, X5LA..4:1., tJ t, as4 ?/ 0--jl f1 be(6 / ( elik: (J j)A tit -- ,
City/State/Zip C / Print or Type Name
r, . , ���� 7'O Zc7 cr ems' /i`i _ ‘� ���?4g

10 08 01 : 35p Ethan R. Wiesler 336-723-1723 p. 1
13 c..4 1la-4h
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
TuE Pva1.t4 r(tvsr AROAS of
I hereby certify that I own property adjacent to w
(Name of Property Owner)
property located at
wr=sr gLncM An.O c1tPa. F:aA-& Rt egtt.
(Lot,Blot%Road,-etc.)
,gr •1- 6'r•tc.. a t /v , in 34o? lr, rx� st,,r�v0 N.C.
on (Waterbody) CTorin.Andfor COntity)
s
Appircapt phone#a t
c57 o;v Mailing Address' P;,°'
u 0.*.P. r 44_441 , NE 2 . 7 q
He has described to rim,as shown below,the develops Wnt he is proposing at that location,and,I
have no objections to his`proposaL
•
'DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
("To.be jilted in by proppV owner proposing a evelvpt1terrt)
AIIt To j73GQ.IcAslim EJtOSIon, GAvJSGBe rlIOM 7-'torIcAL STo*M 14 isrA A O
THE uNf..7AAA00 sroAM T1.Ar fMrAGrEo ref is. NG COASrt_Iw'li On! SE ITEMf3 R
Z4` 2.4, 2046, 7H VI1•l.A G eV(lSVfNG
A SA NO ev.Sh To R6 cDpsrl<vtr
?ftfc PR..MA•A,y r. or7T4L Aviv E sysrEM AL.ON& A SEC.rtoN 6F W Sr SEA Gi'/ Ti-4
ovll t'Roe*A.Ty_ TF+E Vt%.t.A66, AS p. eQvlfta6 tryTtJ� 4tv7S,
I S A p an atr ry z' To 7
t'JF• CpA3rAL MAl'iFt �7r CoA.i) AND 7H. 2500 Rtit-tt.5 MVS'r OBTAIN AP oP4 1. t
405Ac,ENr ►RoP&Rry
owN6=lts To Ptiof ost0 woRK , tF 7Dv flAseE NO OS?EGr,oNs
PLEAse FILL. OVr /A/feetl✓IA7*70N 3aLow St6N, A.WO FR)c rr BACK TO CEIRIS
MGCAt-�, DGVicLOPM:EnT 564A/felts alit CtOL , c-Awnh LPO hT Cgio) 457- GZO4
TrtfOrill;ltlW1�
(Information for Property Owner Applying (Riparian Property 0
for Perrrrit) �j
v. fax 36occ Signature
Mailing Address
L.s k X.'51.,4-M1J, Vt.. eV-I 'll Yrt-f
City/S
Print or Type Name
�-, � \ -7 -7 — (1gl- 9

a 14 ta ss-o6,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
THE evaLic rievs; 4 R&E.A.c oF
I hereby certify that I own property' adjacent td w r BEA c ft ,s
(Name.of Property Owner)
property located at 14'IF r 81.4/1 61'1 A d!''° CA/6 F6; AIYE/k
:(LS;litloac,Road,retv)
r r p<G in 3#44! 11:019: F Ne.
(Waterhody) (tOwn.aralor-t-Onnty)
APPljeant'S•Pone Addreits 1!-
to,01::010t4:_ 01:4fei0
lie has de * ed to In%asthown hetow:,the develornent he is proposing at that location,and,I
baye no.ohjeetioni Obis proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DtVELOPMENtt
flik41 proper owner proposlng development)
Dv 6E: To frie-4LIEA si.-;O E oSi of,' GA 0S* F Aori r RoeI A t-44 erne." A NO
THE Hanifteete 0 Sr*Am !Mr A cTE Tf6 NG GOASrl,..ifJ on, SE eTE !AEI(
26, 20 o6 g" VI 1•1-A 6C XS evItSveive, A "SA No seo_fk .' ro CumsrAv
THE pftyPito NT4 buiv Sy SrSAA 4 LoN& A SE Green/ 6F ING sr sir^ cif
xs #4034 c-aNT To yovik f lz,o flEary THE 6E, AS Ike QviA.Eo Fty 114 i)
ceasrAL m4NA 6.12A4C-Nr (beA") ANA 7 H. 2500 R 1-C "%nods," oar*IN A relto ref
ADS-AGE-Or flkofi•A T-7 °wet/a.f.3 TO Prkoroszt) vti RAC IF you PI AvE No 0&Toe cr,0
f a As E FILL ()yr INF olknotarioN 8Lovki.„ S I to 0 FAx tr BA-Gic. TO atars
MCG.414., DE•V*1-0PN7- SaitVtGES o 111-i;GroA. , GA IAA LPO •41- (.110) Et s - o
(InfortOtion for FrOpetty Olivner Applying grxikaliari Provetty Owner Iliforrnation)
tor kern0)
0. 5 4,-K 3 Ocaat ,
Mailing Address. • e 5oce-(9 I/ Signature