46073_CLEMONS, FRED_20060712

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT 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 Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name E Project Location: County
Address .a Street Address/ State Road/ Lot #(s)
City State .-A ZIP
Phone # Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no. Crit. Hab. yes / no
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body(nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
_ (Scale:
Pier (dock) length v
Platform(s)
Finger pier(s)
Groin length -
number i
Bulkhead/ Riprap length
avg distance offshore 1.r ----
i�i
max distance offshore
I
Basin, channel`,
cubic yards -
Boat ramp 4 -
F
Boathouse/ Boatlift I
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes /nq7
Moratorium: n/a yes . no
Photos: yesno
Waiver Attached: yes Qn.q
A building permit may be required by:
Notes/ Special Conditions
i
L See note on back regarding River Basin rules.
,agent or Applicant Printed.Name j - is Signature
'i BJ m
)
(� I
Signature Please read compliance statement on back of permit" � Issuing Date xpiration Date
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, certifythatthis 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
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

- I - -- ---- ------ ---
AMA 0 DREDGE & FILL N? 46073-C
E
C I
"GNE"L PRE MIT Previous permit #
ew It] Modification El Complete Reissue OPardal Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of trivironment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
EJY Rules attached.
Applicant Name
-F^�dd- le - -1
Project Location: County
Address V.111-1 1$0& Street Address/ State Road/ Lot #(s)
71t.
State/Je— 'ZIP", 001,0��, (3AY
Phone # Fax # O Subdivision
Authorized Agent City C'/Ar 'c' ZIP �- 8SV 'I
Affected 0 Cw &*W al-rA [I ES 0 PTS Phone.# River Basin
AEC (s): ❑El OEA 0 HH1F El IH El UBA 0 N/A Adj. Wtr. Body64 ^A 1 13 (nat man /unkn)
[I PWS: El FC:
Closest Maj. Wtr. Body CO-,
ORW: yes PNA yes (ri5\, Crit. Hab. yes I no
Type of. Project/ Activity
(Scale:./t/ 7-S
Pier (dock) length
Platform(s) - ----- ---
-7-
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore —
max distance offshore —4—
Basin, channel
J-- —L,111-
cubic yards
0
Boat ramp L
Boathouse/ Boatlift
Beach Bulldozing
Other J:�=
7-
7—
T, -4--a
I
T--
Shoreline Length J
S
SAM not sure yes n 41
1 1 L
Sandbags: not sure yes n
Moratorium: n/a yes n
yes n 10
�Q_`"� t'cJ1'1 � /���:.. I
Waiver Attached: yes n a
Photos;
A building permit may be required by: C,4r4-e r<,-f El See note on back regarding River Basin rules.
Notes/ Special Conditions 14-10 Y" C.) A� 4Ar)
Agent or Applicant Printed Name Permit is 's nature Si
nat
71:�o 6 1 0 1/ ww
Signature Please read compliance statement on back of permit Issuing Date / I I Expiration Date
A*"A -.4-

N®ENR
`1
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
July 14, 2006
Attached is a General Permit In order to validate this permit, please sign the permit as indicated.
Retain .the white copy for your files and return the signed yellow and pink copies to us in'the
enclosed, self-addressed envelope. If the signed permit copies are not returned to this office
before the initiation of development, you will be working without authorization and will be
subject to a Notice of Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely, %
�✓
6avenport
Field Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper

FRED C. CLE 3735 NCDL
NCDL 3053041 PH 252) 393-7627 /
PO BOX 4062
EMERALD ISLE, NC 28594 7704/2531
DATE
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LIFTIBOATHOUSE)
(PORA NG OAT
4 hereby certify that I own property adjacent to S
(Name of Property Owner)
property located at
(Street Address, Lot, Block, Road, etc.)
on X
(Waterbod*) crown and/or County)
Helshe has desch 'bed to me, as -shown below, the development he/she is proposing at that
-
this proposal. -I linderstaud. a pier/mgoring
location and *1 have no objection:. to 6et (B) from my area Of
MM1MUM.dsftW.e.offifteenf
pili#gs/boidif*oathouse must beset Back
riparianaccess unless waived by me. I have indicated my intentions by initialing below.
J d6 -nota*ee to waive the ..15' setback requirement.
. . . . . . . . . � 41$
. . . . .
Cinitia
...Jdoagree to -waive the .15' setback reqiOF ept-
Cmitials)
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Tobefaedinbyindividudproposingdevdopment)
34 Bkf& n
0
—A.
ature
Print or Type Name
Telephone Number
Date".

4 ADJAt;E+'NT-PUFAM" Y-KTJrEK.-1'X UW1V.]&K � lA.1Llv�1� t
(FOR A .PIERMOO;RM .�PILINGSBOATUFTBOATHOUS`L)
I hereby certify that 1 own property adjacent to
1 (Name of Property Owner)
property located at I�,��,�,�; �/ • `'� �A���
(Street Address, Lot, Block, Road, etc.)
Oil j� � "1 �I ('A A,�, in
(Watearhody) (Town and/or County)
Helshe has descnbed to me, as- shown below, the development -he/she is proposing at that
location and'I have no objections- to this proposal. -�a .1 understand that'a pier/mooring
use mustbe set back_a minimum -distance of fifteen fleet (1�5) from my area of
Pd _ ons b. Qi �ialiie below:
riparian access unless waived by ine. i have indicated my inti y g
J d_ o -not-agree to waive the 15' setback requireme-UL
(initials)
do agree to waive the 15' setback requiFement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
34 �� (To IreJMd-in by individual proposing development)
Pao 4;
J
T�' `7p Nes QRo
Signature
Print or Type Name
Telephone Number
Date:
f 0M