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0 CAMA / DREDGE & FILL !�. N9 34299 b
GENERAL PERMIT (AI 4 ToPrevious `
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Nev; Modification Complete Reissue Partial Reissue Date previous permit issued
a
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 I 5A NCAC '7N ./TO 0 .
L Rules attached.
Applicant Name �f I r1(/l y)f£ /�'1 j/(r _/-10 i'1T'Cc" 6-4.r Project Location: County 13r7.i nS t.t,)l G k
Address /r-9 q z,cr.i II,//ec.0 d Street Address/State Road/ Lot#(s) .w
City &d//v/c State NG ZIP 8�-/ -_ 1 vr_v l iat( 5 c mcc,d
Phone # /U) 75-5' 70 2OFax# Subdivision
Authorized Agent (-1'eN E El/a vl S I�lr(,lC i.e. C✓G vi 5 City Ql�► yt- _ - ZIP 2&/12.a.
Affected G CW W 'TA ❑ES ❑PTS Phone # ( ) River Basin L.fir•r-->b cr
AEC(s): ❑OEA ❑HHF illIH ElUBA ❑N/A Adj.Wtr. Body L O C k- (,J0(4 I u l / . man /unkn)
❑ PWS: ❑FC: 1
ORW: yes / no PNA a no Crit. Hab. yes / no
Closest Maj.Wtr. Body Luc.ik WooCi T 1/1 k`I yC
Type of Project/Activity VOA-f 731A5 1 n it-LA r ") metric c hrG di; rn G]
o (Scale:/f or To )
Pier(dock)length I --- —
Platform(s) __ _E-G I i . �', —r 1 I
Finger pier(s) �_. r' I
i
e
Groin length i vi� _ ` 4/1
1
. �! 1 W r
• V ��
number i I
Bulkhead/Riprap length I I } I
, i
avg distance offshore
max distance offshore 1
Basin,channel iv 1
rtryo 1 f r„R4 1 .
r
t_DoS _ _
IN ,
cubic yards I. 1 11 '
Boat ramp /1 - ► , 1 -- : -. . . 1 5
Boathouse/Boatlift ! 1 '3 j tu iA 1
Beach Bulldozing I 1 1 c
i, l
Other
_.- i i ' V - IA-34
.
t -1— t p�GK
I t
Shoreline Length _?7/0U 1 1 .......1--- _'.. l -i — —
SAV: not sure yes (no — I -- _-
Sandbags: not sure yes 00 ta
~A
1 : Pf Vr y Y 3 —
Moratorium: n/a 0 no — i r2f� ecL f . '�
Photos: yes no d
— I ( i
r!t .
— — � + _ ^t
Waiver Attached: yes rio I
A building permit may be required by: 'E ft./i c5 j 1//C /c. l_..Oi.a c)4. . u See note on back regarding River Basin rules.
Notes/Special Conditions ,r4 // Co-y 7 4(T Z C.),'t S GF ?N /�Q(J h/ r. _.,c.c l TCfiC ACC Ni
Agent or Applicant Printed Name Permit Officer's Signature
. -e. 1/22-7-1.4) s , „i:-,,,t,_, 4.7• 7
ignatu Please read compliance statement on back of permit** Issuing Date Expiration Date
H' '3 - ' k_ 6
Application Fee(s) Check# Local Planning Jurisdiction 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 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,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 Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-648I
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort,Bertie, Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I 9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Carteret, Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised I0/05/0I

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: ? Eve-i H S
ADDITIONAL NAMES: (VkC i s 5
AEC DESIG: f7 T ,E ) DEVELOP AREA: . 1 L/ PROJ DESC: -
(Will only take 6) , — (Will only take 1)
WORK: 1313 / (.o1 ./
(Will only take 4)
MA.1NT:
(Will only take 4)
IMP: ©e-v 90-a p.
(will only take 6)
73 2 Ito•
ACTION EXPIRATION
DREDGE &FILL REQUIRED: 972/a 3 /212-3
CAMA MAJOR DEVEL REQUIRED: '/ Z-/G) 3 /2/2-G3

HUb.'17.CIJFJ. j ibrl'I DRu11 vl.L .
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: e 6/
Address of Prope -e/ r 1-.
•(Lot or Street 4, Street or Road)
B0/02g— f)e— '"'9S/V°-
(City and County)
•
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 drawing,with dimensions, should be provided with this letter.
VI have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. 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, breakwater,boat house or boat lift must be
set bck 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.
•
•
Sign Name Date
ra . „Ag7ivr,,A
Nr
Print Name r �°�'•�
NCDE$R
Ql O — ff�/ — OOc auNN ear or
�.n RQNtNT AND NATURAL R=OURCES Telephone Number with Area Code
S:\cama\shells\riparianproperty.fiu1

AUG.19.2003 3:16PM BRUNSWICK BU51NU55 5UKV1Ct
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOl IFICATION/WAWER FORM
•
Name of Individual Applying For Permit: £4e /1 S
Address of Propert/(
• (Lot or Street#, Street or Road)
s6(9/02 . •
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permithas described to me as shown on the attached drawing the development they
are proposing. A description or drawing,with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. 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, breakwater,boat house or boat lift must be
set bck 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.
Sign Name Date
Print Name
NCDENR
Noan.G..ouwA ChavletreNT or
ENMIRONMTNr AND Nauw ReGURc611
Telephone Number with Area Code
S:\cama\shells\riparianproperty.frm
5,

HUB.17.CUUJ .i 1brrI Dr'ui i.Jv,w-, . --
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO1'1FICATION/WAIVER FORM
Name of Individual Applying For Permit: ••eiVe 6/4/1S
Address of Pro ertd A&/ r/�a ��.
p
(Lot or Street 11, Street or Road)
/ BO/02g— . -
(City and County)
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 drawing,with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC. 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
I SECTION
•
I understand that a pier, dock,mooring pilings, breakwater, boat house or boat lift must he
set bck 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. •
• —_— _
•
. ; a, _
-Sign Name ate
A/ ePARkeiL. 461911f,A
print Name NCDENR
9 n C(�r - " Now c1 N DayucYMertt or
` ✓ 1( ENwRONMD+r AND N�cuw_FCOVRC�
•' Telephone Number with Area Code
S:\cama\shells\riparianproperty.frm

HUB.17.Cl7aD •1brI•I Drcui1ow.L .n. �
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: %,/ve e,/ S -
e . A&,l/,44' 11.C�� . .
Address of Prop r ��
_(Lot or Street#, Street or Road)
sg(9/0/. Pc) os0D-
(City and County)
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 drawing,with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC. 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as nu objection if
you have been notified by Certified Mail.
WADER SECTION
•
I understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must he
set bck 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.
_,!Worff g-27-57- 03 •
ign Name Date
AMA
Print Name NCDENR
t. /� /� /-,/ (.1 U NOQrw rawcuw.Cm.mmr_tiT er(7`/ EN�Rottmo+t.wo Kamm_FCotRC:a
Telephone Number with Area Code
S:\cama\shells\riparianprope .frnx

HU .1.J.CWOd ..tori i Df\VI1JW1l f♦ i�.,�•
DIVISION OF COASTAL MANAGEMENT RECEIVED SEP - 2 2003
ADJACENT RIPARIAN PROPERTY OWNER NO'I'I1 ICATION/WAWER FORM
Name of Individual Applying For Permit: i 4'e Egos -
Address of Prop rt/c. ?(7) A
,(Lot or Street#, Street or Road)
&//0/. PC-± .
(City and County)
I hereby certify that I own property adjacent to the above-referenced-property. The individual
applying for this perrnithas described to me as shown on the attached drawing the development they
are proposing. A description:or drawing,with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail. •
WAlVlR SECTION
I understandp e
that a ir dock, mooringpilings, brea •%titer,boat house or boat lift must be
r,�
set bek a minimum distance of15'from my are: of 'p• ian access-unless waived by me. (If
you wish to waive the setback,you u'hust nitial 'e pars , late blank below.)
I do wish to waive the 15' -et a c ; emeni.
I de not wish to waive the 15' setback requiremen
gu Name . ate
John M. Wallace, M.D.
2792 Trident CourtAllCirA
Southport. NC 98461 7ibr
Print Name ��••••�
7(0 - 911 // //� • NC
GwDuntN ENR
DaN i
�vlgp,µgrr AND Ncut -Rez8URG 68.r Telephone Number with Area Code
S:\eama\shells\riparianproperty.frn

,-• - ' • •n y; To nsurance iuverage Provided2,.
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WIN1�IN� RIVER 0 7 � �l A USE.
Plantation �` ` .
.=-
age
1899 Zion Hill Road 7001 2 510 0008 4544 1499 CertifiedtFee $ A-6/3
3 •
Postmark
Bolivia,NC 28422 =El Return Receipt Fee Here
(Endorsement Required)
0 Restricted Delivery Fee
0 (Endorsement Required)
0 EirMill
,q Total Postage&Fees
Ronald & Linda Myers Ronald &Linda Myers
PO Box 425 a ' 469 Blade Skimmer Circle
•
Supply, NC 28462 0 • Bolivia NC 28422
A ❑ MI t`
OC ❑ rA,r�", PS Form 3800,January 2001 See Reverse for Instructions
❑ 1---
S i NOT DELIVERABLE AS ADDRESSED .A. iiiir- -
- UNABLE TO FORWARD .•",:,RETURN TO SENDER
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