Clements, Travis

1 �.
rCf4CAMA/ �dDREDGE&'PILL
GENERAL PERMIT Previous permit#
CINew ❑Modification ❑Complete Reissue El Partial Reissue Date p evio/us permit issued
As autho •zed 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
_ - _ atta ed.
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Applicant Name i ('� A`a _ ,�_ �Rules
a!L-
t t l Project Location: County
Address ,, I t t 1; f - i Street Address/ State Road/ Lot #(s)
City.{ ,,? �? =t :i' State ZIP: FyA { t ( r
Phone # �! " ; �' ,`" e!I Fax # ( ) ` Subdivision it
1, �j ~'�
Authorized Agent s P Cityi ! �) �.' 1ZIP
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Affected ❑ Cw ❑ EW ❑ PTA �ES ❑ PTS Phone # ( ) ' '" / V River Basin t J -•._ , t_ t =,
AEC s : ❑ OEA ❑ HHF ❑ N ❑ UBA ❑ N/A Ad'. Wtr. Body/ r a
O i y� '� 1 f >; 1 / . i �1 (nat: man %unkn)
❑ PWS ❑ FC: —�
Closest Maj. Win Body " �` ' _
ORW: yes /o ;1 PNA yes / do i Crit:Hab: gees no ' ^�
IType of Project/ Activity ' i 1 1 t t` J
Pier
Platf
Fin&
Groff
ul
Basii
Boat
Boat
Beac
Othi
(Scale:' )
■■■■■■■■■■■�■■■■■■■■�■■■■■■■■■■1
/(fir■■■■■
length
-
■■i
,;V9 distance
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■■■■■■■a■■®=■■■■■■■■�■®■■
max distance offshore
■■■■I/■■■■■■■�■■1■!11■��■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■aim■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■�■■■■■■■■■■■■■■■.�:i■■■■■■e
cubic yards
■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
ramp
■■■■■■■■■■■■■■■■■■■■®■■■■■■■�f■■■■■■■■■
MENM
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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
Neuse River Basin Buffer Rules
Other:
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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters.
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certifyat.l own property adjacent to �/ r'�u ; s r��Fi�c'.✓��S is
(Name of Property Owner)
property locatoo w _ / -
(Address, Lot, BI ck, Road, etc.)
on Z'4.,va. / , in '—J c . N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location
✓� I have no objection to this proposal.
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
4-
rJ /S eCJ/fl �E
WAIVER SECTION
I understand that a pier, dock, mooring pilings,. breakwater, boathouse, lift, or groin must be set
back a 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.)
RECEIVED
I do wish to waive the 15' setback requirement. APR 2 2 ZUS§
I do not wish to waive the 15' setback requirement.!-np�
(Property Owner Information)
Signature l
Print or Type Name
Mailing Address
City/StatelZip
9/9 73 <2 9�b
Telephone Number
Date
(Adjacent Property Owner Information)
Telephone Number
O 3 - / 7--
Date
(Revised 611812012)

Heather M. 1
From: Jasa Ellis <[e-mail]>
Sent: Friday, April 03, 2015 7:18 AM
To: Styron, Heather M.
Subject: Fwd: Bulkhead authorization
Begin forwarded message:
From: Travis <[e-mail]>
Date: April 1, 2015 1:34:51 PM EDT
To: Jasa Ellis <jasa5ec.rr.com> (a�
Subject: Re: Bulkhead authorization
Eric Ellis has my permission to get a cama permit to build a sea wall at 119 sound dr Atlantic beach, nc
Thanks
Linda and Travis Clements
Sent from my Whone
On Apr 1, 2015, at 1:11 PM, Jasa Ellis <jasa5 e,ec.rr.com> wrote:
Hey Travis, I was getting ready to send the signatures that I got from your neighbor and the one
from Mac
and his neighbor. Then I saw that I dont have one from you.
Send me an email saying that you have no objections to Mac Carr at 117 Sound Dr. Atlantic
Beach NC having
a bulkhead built. I also need you to send me an email actually saying that I, Eric Ellis, have
permission to
obtain a CAMA permit on your behalf for 119 Sound Dr AB NC. Thank you, Eric
RECEIVED
APR 2 2 1015
I�t!Kwop'►-H ?!!"
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