54103_MINNESOTT COUNTRY CLUB, INC_20090807

11 CAMA / ❑ DREDGE & FILL 5 A1 0
GENERAL PERMIT Previous permit#
❑New , ❑Modification ❑Complete Reissue OPartial Reissue Date previous permit issued
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 15A NCAC
i,c; ! .` El Rules attached.
Applicant Name F1` K€c Project Location: County
r;
Address-----'. Street Address/ State Road/ Lot #(s)
State _ ZIP
Phone # "? ( ) i - _, ,: !,� Fax # Subdivision
Authorized Agent City ZIP
Affected ❑ CW ElEW El PTA ❑ ES ElPTS Phone # O River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body f '' f l"'T'+moo! f �� - C E(, nat -/man /unkn)
ORW- yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Officer's Signature /
Issuing Date Expiration Date
�i
Z) O I Q
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 1) 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
Location:
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Raleigh, NC 27604
919-733-2293
Fax:[phone]
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 -below New River Inlet- and
Pender Counties)
Revised 08/09/06

xar,,�
❑ For vertical shoreline stabilization projects (bulkhead) only; sites where wave overwash
is expected to be severe, the first ten (10) feet landward from the structure may be
maintained as a stable lawn in order to provide for structural stability. This certificate
condition is intended to apply only to projects adjacent to larger water bodies where the
conditions may routinely produce severe overwash.
❑ Construction corridors are allowed for shoreline stabilization projects, but they must be
satisfactorily restored, see the first condition of this authorization.
❑ When restoration is required Please submit a project map of your property indicating the
area to be restored, and a restoration plan. The DWQ website (Helpful links),
http•//h2o.enr.state.nc.us/ncwetlands/RiparianBufferRules.htm may be helpful in the
preparation of the restoration plan.
This Buffer Authorization is not considered approved until the DWQ has received both
this signed form AND the project map.
Submit the requested information to:
Division of Water Quality
Attn: Surface Water/Buffer Program
943 Washington Square Mali
Washington, NC 27889
By your signature below you agree to be held responsible for meeting ALL of the above listed
conditions and verify that all information is complete and accurate. Only the property owner is
responsible for the second condition. Please be aware, violations of the above -listed conditions
are subject to civil penalty assessment of up to twenty-five thousand dollars ($25,000) per
violation per day.
Applicant/Agent's Signature
CAMA General Permit Number:
5W03 c
North Carolina Division of Water Quality Internet: www.newaterguali!y..org
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
Date
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I' North Carolina Department of Environment an'd Natural, Resources
Coleen H. Sullins, Director
Chuck Waki4d, Deputy Director
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Tar -
Pamlico & Neuse River basins per Division of Water Quality (DWQ) regulations 15A NCAC
0213.0233 & .0259.
Activities covered by your Coastal Area Management Act (CAMA) permit are deemed to have
a Buffer Authorization from the DWQ only if the project can meet ALL of the conditions listed
below. if ALL the avoidance and minimization guidelines described below cannot be met, a
separate buffer authorization request must be submitted using a Pre -Construction Notification
(PCN) application to DWQ at the address below. A PCN application may be obtained on the
DWQ web site http://h2o.enr.state.nc.us/wetlands.htmi.
Questions regarding this process should be directed to wetland/buffer staff of the DWQ in the
Washington Regional Office at 252-946-6481, or the 401 Oversight Unit in the Raleigh Central
Office at 919-733-6893.
A written authorization from DWQ MUST be received prior to any construction activities in the
riparian buffer, including land clearing. Failure to secure a Buffer Authorization prior to
construction &/or land clearing shall subject the property owner & the party (contractor)
performing the construction &/or land clearing to a civil penalty of up to $25,000 per day per
violation.
❑ Minimize removal of woody vegetation in Zone 1 to what MUST be removed for the
installation of the shoreline stabilization project. Zone 1 begins at the most landward of
either the waters edge or the coastal wetland line and extends 30 feet landward.
Unnecessary clearing is a violation of the riparian buffer rules and may result in a civil
penalty assessment of up to $25,000 per day per violation.
❑ The property owner is responsible for site restoration of woody vegetation. Pre -project
site conditions MUST be re-established. A site that was wooded prior to this
shoreline stabilization project MUST be restored with native hardwood trees at a stem
density of 320 trees per acre. Hardwood restoration must be completed by the first
subsequent planting season (November 1 through March 30).
❑ Disturbance in Zone 2 of the riparian buffer, which begins at the landward edge of Zone
1 and extends 20 feet is restricted to uses listed under 15A NCAC 2B .0233(4)(b) & (6),
and 15A NCAC 2B.0259(4)(b) & (6). Clearing and grading of Zone 2 is allowed provided
that it is re -vegetated immediately and Zone 1 is not compromised, which includes
maintaining diffused flow of storm water runoff through Zone 1.
North Carolina Division of Water Quality internet: www.ncwaterquality.orQ -One
943 Washington Square Mall Phone: [phone] -One
Washington, NC 27889 FAX [phone] Naturally
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper

MINNESOTT COUNTRY CLUB, INC. FlRST-CITIZENS BANK & TRUST CO 21006
806 COUNTRY CLUB DRIVE BAYBORO, 28515
ARAPAHOE, NC 28510 66 30/531
8/7/2009
[phone]
PAY TO THE NCDENR I $600.00
ORDER OF
Six Hundred Dollars and Zero Cents***"""**"**"**********'**� *"** *�**"*""*
DOLLARS
NCDENR
1632 Mail Service Center
Raleigh, NC 27699-1600
00 2 100611' 1:053 1003001:00to7 L 1009090115
%Y

MINNESOTT GOLF & COUNTRY CLUB
806 Country Club Drive
Arapahoe, NC 28510
[e-mail]
[phone]
Fax [phone]
June 30, 2009
Monty Edge
216 Western Estates Way
Morrisville, NC 27560
Dear Mr. Edge,
The existing boat ramp facility located at the west end of the Club's parking lot has deteriorated
to the point it is in need of repair.
We are currently in the process of applying for permits to repair the facility.
As one of the adjacent property owners, please review and complete the attached form and
return to:
Minnesott Golf & Country Club
Attn: Dick Krom
806 Country Club Drive
Arapahoe, NC 28510
If you have any questions, please call me at the club at 252-249-0813 or home at 252-249-0511.
Thank you,
Dick Krom
1

1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to M tKtk-SpCX- OL -'S
(Name of Property Owner)
property located at1 )ST
(Lot, 13lock, Road, etc.)
on in �� i tv ttlt. c r' :f c ,i-� ' , N.C.
(W -terbody) (Town and/or County)
Applicant's phone #: r25`L �L����,C t �� Mailing Address: 606 CCx-7t`j-% C `L; t''!C>
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 OIL PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
City/Slats/Zip
2c3 Z - 2-1ci c 8, ; ?,
Telephone Number
Signature Date
(Riparian Property Owner Information)
Signature
—T Print or Type name
Telephone Number

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ADJACENT RIPARIAN PROPERTY OWNER STATEMEN'I'
I hereby certify that I own property adjacent to W1 I 1— '"-- - �- " . .. Is
(Natne of Property Owner)
property Iocated at &�)(—A CC � )L- (- -=I 1 y r _ ,
(Lot, lock, Road, etc.)
on in N.C.
(Waterbody) (Town and/or County)
Applicant's phone # 1?5L 2 C'F i. Mailing Address: G�(2 � ?t-lj"� �e-L 16
��p.�r 1.=G �� ►gs Ca. 2 £� � � O
He has described to me, as shown below, the development he is proposing at that location, and, 1
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
{To be filled in by property owner proposing development)
r_.
------------------------------------------------------------------------------------------------------------------
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PS Form 3800, August 2006 See Reverse for InstrUctiorg

CertMail Provides:
■ A receipt '
■ A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Sprvice for two years
Important Reminders: I I ?; ' 1H 111; I i A
■ Certified Mail may ONLY be combined with First -Class Mail® or Priority Mail®.
■ Certified Mail is nb"%ilable for a4j class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please cogAlder Ins6&d:er Registered Mail.
■ For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Recgtpt se ice, please complete and attach a Return
Receipt (PS Form 3811� to the'articlrand add applicable postage to cover the
fee. Endorse mailpieceReturn Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USf?;1$ostmark on your Certified Mail receipt is
required.
■ For an a�ditjo. I fea, delivgry y be restricted to the addressee or
addressee s'aut� ft6d agent. fAtNidb7 the clerk or mark the mailpiece with the
endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047

MPLETE THIS SECTION
■ Crn ete items 1, 2, and 3. Also complete
item 4-if Restricted Delivery is desired.
o Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1.Article Addressed to:
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D. Is delivery address different from item If U ►!ea
If YES, enter delivery address below: 'ON.
3. Service Type
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❑ Registered ❑ Retum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7007 1490 0002 5320 6585
(Transfer from service label)
j PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

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MINNESOTT COUNTRY CLUB, INC.
11:
21006 NCDENR
Invoice # Total Discount
CAMA $600.00 $0.00
PERMIT
54I o3
08-07-2009 $600.00
Amount Paid Invoice # Total Discount Amount Paid
$600.00

MINNESOTT GOLF & COUNTRY CLUB
806 Country Club Drive
Arapahoe, NC 28510
[e-mail]
[phone]
Fax [phone]
June 30, 2009
Myron Ann Smith
811 Smith Drive
P.O. Box 67
Atlantic, NC 28511
Dear Ms. Smith,
The existing boat ramp facility located at the west end of the Club's parking lot has deteriorated
to the point it is in need of repair.
We are currently in the process of applying for permits to repair the facility.
As one of the adjacent property owners, please review and complete the attached form and
return to:
Minnesott Golf & Country Club
Attn: Dick Krom
806 Country Club Drive
Arapahoe, NC 28510
If you have any questions, please call me at the club at 252-249-0813 or home at 252-249-0511.
Than u,
Dick Krom
1

ourv-1d-cfV0'J 1b:.5 From:DCM MHDCTY
To:924Q>708 Page:3/3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to K4 tNtjUjpr?- � c:-c", 's
(Name of Property Owner)
property located at _ � ,4 r—,, _
(Lot, lock, Road, etc.)
on f`/1tt�ttc �ii- C _PrF}'1�. , in Mlt.;Nt-11j��t�'y;.C,}-i'• , N.C.
(Waterbody) (Town and/or County)
Applicant's phone*: 25 L �40' .CF` � � Mailing Address: FF' i
z >` �51 2 8151 10
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)
------------------------------------------------------ -------------------------- ---------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address
h1Ct�ApI.S-NUS 4..( C'• r7�CJ�0
City/State/Zip
Telephone Number
r J
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Signature
Print or Type Name
Telephone Number
Data

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MINNESOTT
COUNTRY CLUB, INC. 806 COUNTRY CLUB DRIVE$
FIRST -CITIZENS BANK &TRUST CO {
ARAPAHOE, NC 28510 BAYBORO, NC 26515 21010
[phone] 66-30/531
8/10/2009
PAY TO THE NCDENR ORDER OF
Two Hundred Dollars $ $200.00
_ and Zero Cents****,+********************
NCDENR
DOLLARS 8 �»
1632 Mail Service Center
Raleigh, NC 27699-160()
0 210 1011■ 1:053 1003001:00471 1009090110
:r
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M0i`vTIT ORI G & COMPLETION' REPORT
[CAMA Major Development & State Dredge & Fill Permitsj
PERMITTEE'S NAME: D C0PERMIT # J ©3 G
LOCATION: �� +� D l-FIELD REP. _
$A( C40 CIO -'
MONITORED BY
PHONE: y '�DATE REPORTEDLY COMPLETE: l iQ
DATE OF INSPECTION SAAwvk6
1)
2)
D e measured dimensions of the development differ from those indicated in the permit and workplat?
d�'O (circle one].
COMMENT:
SEDIMENTATIO ROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas ES/ O [circle one]
3) FUTURE MO RING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YE /NO circle one].
Ce
COMMf
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