Clendenin, Charles

CAMA / DREDGE & FILL No. 73939 A B C D
GENERAL PERMIT Previous permit #
--'New Modification Complete Reissue -Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality /V
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ ules attached.
Applicant Name { ` (f ., ' { Project Location: County (. r y`.
Address J V" Street Address/ State Road/ Lot #(s)
City State ZIP %
Phone # ( --) -E-Mail Subdivision
Authorized Agent City - - ZIP-_
❑ CW EW El PTA [I ES ❑ PTS Phone # () River Basin
Affected HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): ❑ OEA _ Adj. Wtr. Body ��•fiat /man /unkn)
❑ PWS: ;
ORW: yes / no PNA yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
I
i
Groin length
number
I
!
Bulkhead/ Riprap length
-Y
i
I
I
Ij
avg distance offshore
max distance offshore
;
I
Basin, channel
i
cubic yards
Boat ramp
Boathouse/ Boatlift
I
Beach Bulldozing
4
i
Other-
r
Shoreline Length -
- -- !
SAV: not sure yes no
I
Moratorium: n/a yes no
i
Photos: yes no
Waiver Attached: yes no -
-
A building permit may be required by: / . ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Permit Officer's Printed Name
Signature
J
Application Fee(s) Check # Issuing Date
Expiration Date

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 C' 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888ARCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
Revised 7/06/ 17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
928 Golf House Road West
"as.516.0377
scW.c§erxk"nPaitspeed0c.com
I certify that I have authorized John S.tW' Se Marine
Agent T Contractors
to act on my behalf, for the purpose of applying for and obtaining aR t✓WA permits
necessary for the following proposed development:
at my property located at 8304 Sound Drive, ErneraM Isle
in CarteretCounty.
i furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on e aforementioned lands in connection with evaluating information related to this
pert application.
Property ©weer Infor ation:
UV
%Wure
wades Scott Clendetun
Print or Type Name
Title
Date
Ibis tertification is valid through

Address of Property:
Telephone Number:
Type of Work:
NOTE.
The Emergency CAMA General Penuit 2500 is for repairs and replacement of at _
dependent structures damaged because of Hrtrri�
replacement, reconstruction and maintenance
current standards and niles. All work tinder the mie' he
ade in the same footprint of the previous structure with no addict"
nlargements.

4
l

MV.-
41C-. �0
a
1
yy �
N1 �
t 00
f9Yr
1
Owl
lot t o
C)
O
N

le : - 11