41319_CLAUCHERTY, JONATHAN_20050527

❑CAMA / C_I DREDGE $ FILL V i.`&I �
GENERAL PERMIT V
Previous permit #
❑New ❑Modification —]Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Reso!r C . . n in a r a of en iron ntal concern pursuant to I SA NCAC
Applicant Name
Add ss
City State' ZIP
Phone # (_) Fax # O
Authorized Agent 1,/ d
©.CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑FC:
ORW:
yes / no PNA yes / no
Type of Project/ Activity
❑ ES - ❑ PTS
❑ UBA ❑ N/A
Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City -
Phone # ( )
Adj. Wtr. Body
Closest Maj. Wtr. Body
Pier (dock) length x
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed (Name '
Signature Please read compliance statement on back/of permit
I�; / /
Application Fee(s) Check #
❑ Rules
-. ZIP_
River Basin
- `1.9(_
(nat /man /unkn)
(Scale. )
See note on back regarding River Basin rules.
Permit Officer's Signature `
IssufngDate Expirati n Date
Local Planningf urisdiction Rover File Name

FA
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:
_j 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
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax:[phone]
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastaimanagement.net
Revised 10/05/01

Locality
Ocean Hazard Estuarine Shoreline
GENERAL INFORMATION
ORW Shoreline
(For official use only)
Permit Number
Public Trust Shoreline Other
LAND OWNER
Name
Address 9" 7 9 E. I +
City k a p o i C, t State 14 Zip 9 (c-T 0 7
AUTHORIZED AGENT
Name <SorA0h L. t0.U,C IseV- Y 1 F-p��'112Y^
Phone
Sj O'8 " &7` -q 1 37
Address (750 _Bro oks Wt re, R U n
City pot,V)T o'(:" ROCKS State M D Zip l Phone 30 ( -$'7LA -0-1T9
304- (0? 6-139 7Z calk
LOCATION OF PROJECT: (Address, street name and/or directions to sit If not oceanfro t, what is the name of the
adjacent waterbody.) Ih2 E. rvy 13rIke- H ubek�-, � tki Vtgs6rt<1qe St.t ty Stovi
-�`wov��aae aVN OL ee4s Creek
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) C6 h 4rLt c+ cd t WoOc�
CLOIC.b_, oyt f�s-�s. �x�ev�dt 1r1SI vv��o wa�'er Zo' loev� �o�
SIZE OF LOT/PARCEL: U P Q d0 square feet
acres
PROPOSED USE: Residential !� (Single-family )< Multi -family ) Commercial/Industrial
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON-
MENTAL CONCERN (AEC): h/a square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): 1300 square feet
(Calculations includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc., that are within the applicable AEC. Attach your calculations with the project drawing .)
Choose the AEC area that applies to your property:
(1) rthin 75 feet of Normal High Water for the Estuarine Shoreline AEC
within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality?
YES NO X
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

OTHER PERMITS MAYBE REQUIRED: The activity you are planning may require permits other than the CAMA minor development
permit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list with
your LPO to determine if any of these apply to your project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste treat-
ment system), Building, Electrical, Plumbing, Heating andAir Conditioning, Insulation and Energy Conservation, FIA Certification, Sand
Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the - 4
person listed as landowner on this application has a significant interest in the real property described therein. This interest
can be described as: (check one)
Zan owner or record title, Title is vested in C 1 O'MC_L%; s gDeed Book
page i i I in the 0 I1 s 10 w County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name (Address)
(1) Rober yo u,mA bl©od P o. B;c 398 M to V%T�c Foaacl%, MC Z S s 1 z
(2)
(3)
(4)
1:W
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
03
I acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible
to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems
associated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofmg
techniques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents
to enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any
information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
This the 13 day of , 20 C6'
Landowner or person authorized to act as his agent for purpose of filing LAMA pen -nit application.

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you, if requested.
PHYSICAL DIMENSIONS
Label roads
Label highways right-of-ways
Label local setback lines
!.—Label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
Draw and label mean high water mark
Draw location of on -site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges (note height)
Draw and label toe of dune
Identify and locate first line of stable vegetation
Draw and label setback line under CAMA
Draw and label topographical features (optional)
If you will be working in an estuarine shoreline area:
Draw and label landward limit of AEC
Describe terrain (slope)
DEVELOPMENT PLANS
Draw and label areas that will be disturbed
If a house is to be placed on lot, describe location of house
Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
Describe composition of surface
Note and list fully all trees and vegetation to be removed or relocated
Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing?
• signed both application and statement of ownership?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
M'Ay 1 7 2005
Morehead Gjr` DOM
Date of Action: Issued Exempted Denied Appeal Deadline (20 days)

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May 20, 2005
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
400 Commerce Avenue
Morehead City, NC 28557
Attention: lyan Davenport
MAY
Mr. J. S. Claucherty, the owner of property located at 162 East Bridge Drive in Hubert, NC
has notified me that he and his father plan to build a dock into .ek. '?' the.,
adjacent property at 160 East Ivy Bridge Drive.
This letter is to inform you that I have no objection to the construction of a dock on their river
frontage. I do NOT/NOT waive the 15-foot setback requirement.
Sincerely,
Carl Priechenfried
3832 loth Street NE
St. Petersburg, FL 33703

E:4 72 711
COFIDON L. CLAUCHERTY 519
OUANNE CLAUCHERTY 801878282
1750 1
ROOKSHIRE RUN, 301-874-0749 5- 1 ( -g I OINT OF ROCKS, MD 21777
I)A*IVI
PAY TO'l I IF m $ 160" 0
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