19748D - Royster

, t
+• , CAMA AND DREDGE AND FILL
GENERAL 9748 -,.-,
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health, and Natural Resources and the Coastal esources Commission
in an area of environmental concern pursuant to 15A NCAC n • 12Uu
Applicant Name 6VSPA r\ Tot5 'r \ Phone Number 9 1 9 '4(c1 —6 V` I
Address 13I° rf� N �r% a C/ � `/'� )
City Cr.( State ,/ N)d Zip e, 1� I
Project Location (County, State Road,Water`Body,etc.) j '�d `,0�r\� , ' , ,"1 y�v-
pl
��,.,11�.-,u� TT <� , 0 Fict. tQ A', 1 S�r.<0
nV ufr )O' X 1.a1 PMC� 0 MOO(; n�
Type of Project Activity t�r 1 1fl
P n
PROJECT DESCRIPTION SKETCH "1'� �' � �_1 (SCALE: I.J T) )
ri I —Tr) [�"'. C�
Pier(dock) length �`1
X t-! ( cm —it
Groin length �.7 •
number 1°
Bulkhead length V
max.distance offshore A boAT
,
Basin,channel dimensions ('�
cubic yardsLi
a‘-{
Boat ramp dimensions
Other 101 sk I• I •
r
_ . ...______.1
P L.— { Uta L u�" 1,_„
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any 9.3
violation of these terms may subject the permittee to a fine, ) . Q �� ��t�(.J` plicant's signature
imprisonment or civil action; and may cause the permit to be-
-4
come null and void. Jfr
This permit must be on the project site and accessible to the s 1` permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- Vyvp,...A A 0 11 9.6 r a1 ( 1999
ject is consistent with the local land use plan and all local ilsuing date Jexpiration date
ordinances, and 2) a written statement has been obtained from (� (�Oft
adjacent riparian landowners certifying that they have no fi attachments 1 '
objections to the proposed work.

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 'u 5 •t- .rE0
ADDITIONAL NAMES:
AEC DESIG: P T E k.,lJ DEVELOP AREA:__O I PROJ DES C: P - )
(WM�y take� —
(Wm only take 1)
WORK: p B 4 1 x c tr) �✓
(Will only takc 4
� 1 0f 1,64
MAINT:
(Will only take 4)
IMP: Cj l•) 3 3 GP
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: I I a 4- a b a f a y 191
CAMA MAJOR DEVEL REQUIRED:

ai SENDER: I also wish to receive the
p •Complete items 1 and/or 2 for additional services. following services(for an
H •Complete items 3,4a,and 4b.
a) ■Print your name and address on the reverse of this form so that we,can rgturn thi e> !f 1 'i ;1 i
, card to you. ,',- .. t:'- f.t 1 ,.�- .,.t..s, . .•
> ■Attach this form to the front of the mailpiece of on tfie bac4 itS a(does not 1.u Addressee's Address •
mci) permit. 2.CI Delivery, f
Y •
.The Return Receipt will show to whom the article was delivered and the date po
stmaster Consult for fee.
0 3.Article Addressed to: 4a.Article Number
15 NENDELL MORP)}y � l�� ��� �°� '
4b.Service Type
Eo
•
❑ Registered X Certified f
Po66x ozg� .
❑ Express Mail ❑ Insured
❑ Return Receipt for Merch.ndise ❑ COD
ROSE ih i_L NC 7.Date
J
5. Received By: (Print Name) e •
8.Ad es.ee's'A�•dres�nl if requested(Only 9 .
and fee is paid)
6.Signa Addr alent i
2 PS Form 3811, DO mber 1994 102595-98-13-0229 Domestic Return Receipt

Z 12,8 254 845
US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail(See reverse)
Sent tot I
E ly 1 F).L. 111 U r�PH`J
Street A Number...,y
L bG/• ) J L'
Post OOffice,StaE to 1i_'Lode C 14S Y
Postage r�l
Certified Fee
1
Special Delivery Fee
Restricted Delivery Fee
rn Return Receipt Showing to
✓ Whom&Date Der
a Return Receipt • C
< Date,8 Addr•ee's r;ess
OC • —A
O TOTAL P..agi : U'
03
M Postmark• Da -•
�/.
GS
( pS
a

TOW M GF �
N c a ►+ c ^ Post Office Box 3089
t Topsail Beach, North Carolina 28445 9831
Telephone [phone]
Fax [phone]
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVE FORM
Name of Individual Applying For Permit S (,(S A tU R n y S E
Address of Property: )) U m P I"+j E 1 A VE .
To PS 41 L B EA-C 1 1\1 C>> a,8 4 4 s
(l.ot or Street #,Street or Road,.tity&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
de .ptio wing,with dimensions,should be provided with this letter.
ye no objections to this proposal.
If you have objections to what is being proposed,please write the Town of Topsail Beach,P.O. Box 3089,
Topsail Beach,N.C.284454-9831,or you may contact Jon Briggs,CAMA LPO Officer at 910-328-2708
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,lift or sandbags must be set back
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.
1 not to waive 1 setback requirement.
Signature Date
4"R/1aL /�I lSrail/ Pi,/1",/ H�RP
Print Name
Telephone Number With Area Code

FUNCTION=> C NEXT PERMIT=> GENERAL PERMIT ENTRY/UPDATE RRD16(
PERMIT NO: GP19748 DISTRICT: I COUNTY: PENDER
AEC DESIG: PT EW APP FEE: 50 . 00 REGIONAL REP: RUSSELL
APPLICANT NAME: ROYSTER, SUSAN
MAILING ADDRESS : 1310 BROOKGREEN DRIVE
CITY: CARY STATE: NC ZIP: 27511
LOCATION: 116 HUMPREY AVE WATER BODY: TOPSAIL SOUND
LOCATION ADDRESS : (WHEN DIFFERENT FROM MAILING)
CITY: TOPSAIL BEACH STATE: NC ZIP:
DEV AREA: 0 . 01 PROJECT DESC: P-12 STATE PLANE COORD X: Y:
WORK: PR 84 4 00 0 MR 2 0 00 0 TE 10 15 00 0
MNT:
IMP: OW 336 OW 150
ACTION EXPIRATION
DREDGE AND FILL: 11 24 98 02 24 99
CAMA MAJOR DEVELOPMENT:
MESSAGE: ENTER DATA YOU WISH TO CHANGE
PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PFS=ADD NAMES

®-1 SUSAN W. ROYSTER 66-19/530
� NCDL 1967966 PH. 919-467-6857 413
1310 BROOKGREEN DR. 411 3
L A CARY, NC 27511 /S1 ya•
(AA. �o�lar�E3
Nations
cij-
NntionsBank,N.A.
Carolinas
_ge_A__aA45A__1:1-1
1:053000L961: 004 434 739LHI' 411, 3 g IQ7
®awMagmntaa Colonial Classic•WDCC
.