41936_PADGETT, THOMAS_20050627

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M�CAMA J C DREDGE & FILL �/ .e 0 11 _-
GENERAL PERMIT ! c
Previous permit #
uNeW I 'Modification ElCom Complete Reissue ❑Partial Reissue
P 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 -7
Qp E�'Rules attached.
Applicant Name D M CC, �� 1 Q q Project Location: County -
Address l (p L 8.,� &WIA4 Er k l �i /Zd Street Address/ State Road/ Lot #(s)
city i:(� %foN State �i� ZIP 2Xy �� /'7`f ;hY�l7or �v
Phone #�n`l - yrr5 Fax # () Subdivision �4Lj�,otiiyS ¢c.�
Authorized Azent, City ��ye ZIP 5'7
Affected L CW PtfW XPTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH Cl UBA ❑ N/A
J PWS: ❑ FC:
ORW: yes / no PNA yes / no,,, Crit. Hab. yes / no
Type of Project/ Activity k
Phone # (���) y5 115 River Basin
Adj. Wtr. Body at %man /unkn)
Closest Maj. Wtr. Body
iQ O (Scale:
Pier (dock) length .k -
%+-�jt-
Platform(s) t
Finger pier(s) ;/
Groin length �✓
number -r --
Bulkhead/ Riprap length (-- - -"-`— - --- �--bi
avg distance offshore f i >✓
r�
max distance offshore
Basin, channel __ A - ----
cubic yards_
Boat ramp
Boathouse/ Boatlift '
Beach Bulldozing
Other
Shoreline Length h(�
SAM not sure yes {pi
Sandbags: not sure yes tip
Moratorium: n/a yes r6.
Photos: yes &
Waiver Attached: yes 60
A building permit may be required by:
Notes/ Special Conditions
r
I
AgentVF)Applicant Printed Name G
-1—
Signature Please re d compliance statement on back of permit
Application Fee(s) Check #
— See note on back regarding River Basin rules.
i 2
A
Permit Officer's Signature
Issuing Date
Local Planningjurisdiction
,..1 �
' — e", J,
EExpiration Date
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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
L Tar - Pamlico River Basin Buffer Rules Other:
U 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 / 1-888ARCOAST
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

.�C1VAMA ! ❑ ORE G & FILL ? 41936
ENERAL ERMIT
NPrevious permit #
New LModification ❑Complete Reissue GPartial 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
p les attached.
Applicant Name ` rh 0 V^1.C3.Project Location: County C-A 4k-+1ef-"C
t
Address 1;& 2 8wldN w,f) KC1'-3- J�d Street Address/ State Road/ Lot #(s)
City alq-f fDt State_ G_ZIP3!*7q &9y-5 1Ore- �S-4 -e_�
Phone # (ri I qI q) I, q5 - q11 5 Fax # (�) Subdivision E,W Z O 4 �S 5
Authorized Agent City --: ea- Le-vvl ZIP •a 7
Affected ❑ CW 'k€W XPTA ❑ ES ❑ PTS Phone # (���) �5 ` //3 River Basin &r )A.ya-k.
AEC s : ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Ad'. Wtr. Body �i�'i' �D-u A.: JO ia
() ❑ PWS: ❑FC: I y iiman /unkn)
ORW: es no PNA yes / Crit. Hab. yes / no Closest Maj. Wtr. Body C%�t°- ��+� L 40
Type of Project/ Activity COAJ UCJ CL- 5 'X
(Scale:
Pier (dock) length
Platform(s) 1%-
Finger pier(s) yC
co L'PL
Groin length
number _ a
Bulkhead/ Riprap length
avg distance offshore
max distance offshore Lu -
Basin, channel -
cubic yards I
Boat ramp
Boathouse/ Boatlift 4
��e� .e--� --
` r t
Beach Bulldozing
Other
I i
i
%Y 5 C ^-
Shoreline Length
SAV: not sure yes
Sandbags: not sure yes ---
Moratorium: n a yes
Photos: yes
Waiver Attached: yes &- - h - --- ----- - -' - - —= -- -- — -- --- —.
A building permit may be required by: Ghc)eze# See note on back regarding River Basin rules.
Notes/ Special Conditions
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w k dN gKou crc,5�e� wd la d, , ; a w, L;-�4 be ele),tled 3' ��► -b ite ma -Ai k -5U1- IIa4e
Agent or Applicant Printed Name
Signature ** Please egad compliance statement on back of permit
Permit Officer's Signature
&-'99- ps (9-,)�-,�5
Issuing Date // Expiration Date
/ A / 2 r7/4 a

THOMAS M. PADGETT NC DL 8668309
AMY G. PADGETT NC DL 24316519
910-645-4115
662 BALD WIN ELKINS RD.
C1'ARKTON, NC 28433
Pay To The
Order Of - J�� ! !)
BankofAmerica. ---
For
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66-19/530 NC
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AMI-NAA
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NCDENR
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
June 27, 2005
Thomas Padgett
662 Baldwin Elkins Rd.
Clarkton, NC 28433
Attached is General Permit #41936C. To construct a 100' x 5' wooden pier at 174 Bayshore
Street, Nelson Bay Estates, Sea Level NC.
In order to validate this permit, please sign all three (3) copies 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,
Mark Hardeman/lsb
Coastal Management Representative
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

�,ocality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other_
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name: Thomas M. Padgett
Address: 662 Baldwin Elkins Rd.
City: Clarkton State: NC Zip: 28433 Phone: [phone]
AUTHORIZED AGENT
Name: N/A
Address:
City: State: Zip: Phone:
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.)174 Bayshore Street, Nelson Bay Estates, Sea Level, NC 28577, Nelson Bay, Carteret County
Located adjacent (west) of Seal Level Condo's (old hotel), Sea Level, NC.
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Construction of wooden pier
approximately 100' X 5'
SIZE OF LOT/PARCEL: 19,745.26 square feet acres
PROPOSED USE: Residential X (Single-family X Multi -family ❑) Commerical/Industrial ❑ Other ❑
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN (AEC): N/A (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): N/A (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)within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2)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. N/A .
ko �1,e �, - —

. OTHER PERMITS MAY BE 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 treatment system), Building,
Electrical, Plumbing, Heating and Air 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
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) 4---
X an owner or record title, Title is vested in Thomas and Amy Padgett, see Deed Book 29
page 297 in the Carteret 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 and 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.
'^`ZName) (Address)
(1) Michael and Gayle Shiffen 106 Briarwood Dr., Clayton, NC 27520
(2) Richard Vaughn, C/O John Clark Co. PO Box 1468, Mt. Airy, NC 27030
(3)
(4)
notified by certified mail
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
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 floodproofing 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.
16 day of June,
Landowner or pe4on authorized to act as his agent
for purpose of filing a CAMA permit 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
X Label roads (see map)
❑ Label highways right-of-ways (none)
X Label local setback lines (see map)
X Label any and all structures and driveways currently existing on property (none)
PHYSICAL CHARACTERISTICS
X Draw and label mean high water mark (see map)
❑ Draw location of on -site wastewater system (off -site wastewater treatment facility)
If you will be working in the ocean hazard area: N/A
❑ 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:
X Draw and label landward limit of AEC (see map)
❑ Describe terrain (slope) None noted.
DEVELOPMENT PLANS
X Draw and label areas that will be disturbed (see map)
X If a house is to be placed on lot, describe location of house (see map)
❑ Note size of piling and depth to be placed in ground (unknown at this time)
X Draw and label all areas to be paved or graveled (see note on map)
❑ Describe composition of surface (vegetated grass)
❑ Note and list fully all trees and vegetation to be removed or relocated (grass lot)
❑ Show landscaping (none)
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
Date of Action: Issued Exempted Denied Appeal Deadline (20 days)

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SURVEY TYPE:BOUNDARY,PHYSICAL SURVEY AND PROPOSED SITE PLAN
STREET ADDRESS:
LOT,BLK,SUBD:LOT 8,SECT. 1,NELSON BAY ESTATES
TOWN OF:SEA LEVEL
SCALE 1 "=50'
TWP:SEA LEVEL COUNTY:CARTERET NORTH CAROLINA
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reference:M.B. 29/297
PRESENT OWNER:
REVISIONS ,,,,�DEED REF:861/655
MAP REF:29/297
TAX PID:7482.17.20.0966
SHEET:1 OF 1
IOB :05 DATA 05104PA
iATEOF FIELD SURVEY:05/26/05 DATE OF MAPPING:05/26/05
;URVEY BY:LP2 DRAWN BY:LP2 NECKED BY:JIP
AM9.1. R1llaJP5'LAND 5!/RMNG, PA
POB0X2103,379Amflgton Rd,, eeauf 4 N.C, 28516
252-728-589 Phone & fax, jip3§C0aasta/net.COm
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Thomas and Amy Padgett's
property located at 174 Bayshore Street on Nelson Bay in Sea Level, Carteret County, NC
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 DRAWING OF PROPOSED DEVELOPMENT
(to be filled in by individual proposing development)
See attached site map
r Sc /`:w
Print or Type Name
Telephone Number
x Date: dl3f6�J

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Thomas and Amy Padgett's
property located at 174 Bayshore Street on Nelson Bay in Sea Level, Carteret County, NC
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 DRAWING OF PROPOSED DEVELOPMENT
(to be filled in by individual proposing development)
See attached site map
Signatu e
Print or Type Name
�s Z-zz S=a 2,97
Telephone Number
Date: 4�' -13-61s—