John Clark 72792D

Cap 0 . 1�11� �
CAMA / DREDGE & FILL N(&t IC Anne r 0PEAIrENo 72792 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
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7 7 H . 2 500 g •
'' El Rules attached.
J
Applicant Name FIN CLARK Project Location: County -Pr Ai DE S.Address PO gcX 4(i 1 Street Address/State Road/ Lot#(s) 1 i 14
City CLIAIToAl State NC ZIP 2832q CNA/VMEL eL-v D
Phone# ( 910) 59(,- 7 K7 9 E-mail To hr). C let r k 0 Sampson Subdivision A)IA
bladtri.Co rr
Authorized Agent /V/A City 13CA CO ZIP 2 F4 4 S
j oPSA IL
Affected ❑CW i W CPTA ❑ES ❑PTS Phone# ( ) SA ME- River Basin C F R
AEC(s): ❑OEA ElHHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body -1-;p 4 it_ )
So k N D man /unkn
❑ PWS:
Closest Maj.Wtr. Body To PIA IL So(A'4D
ORW: yes / no PNA yes /�
Type of Project/Activity P£PLAcE FIXED PLATFORM. DAMACiEn F- RoM
irk ,_ tCA.-vL V' 1.012tAFCI IN Ex15i 1A/C, AL.IC AJMC-AT (Scale: 1u = 30')
Pier(dock)length i , ------
ced Platforms 1& ' K 20'
Floating Platform(s) f5rP4 IG S C V1 A Nn/E L (
i rI
Finger pier(s) i
I
Groin'tength
nulq�ber __�„ �-I TA B LI ~j{��O PiE HEADLINE _�� 1
Bulkhead iprap length R pi . .
avg dis nce offshore 1 fi I. 1
' 1
max distance offshore I
Basin,channel 1 I
{ i
, /
cubic yards
I Gx1$111/d-3 j I
Boat ramp I ��/t W
Boathouse/Boatlift- I ` I
v I. j I
Beach Bulldozing Iyi%
t
Other- �DM 1 , //ty i . 1 ,,,1•_
T 1 1 I
K oAs-rAI_ L ETLA/1�u5 '
• . ' # S4
Shoreline Length G 69 N W . 1 NH t"
SAV: not sure es no �---. ~ X%$11re &I.MM AD- f,
Moratorium: C_/ yes no I N0MIPA ON I LARK � I4 EI.L '
Photos: yes �o lilt,
i111�. I [ ! I ! 1 6- I
Waiver Attached: yes r(io) ,
PL PL.
A building permit may be required by: P SA I t- 1 rA C N I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 07 N . 2 O C AND ALL O T N r.._Q LOCAL ' ST ATE 1
AND EEDEZAL RrL(1LlLATLOc/S APPLY_
�( Gt rC) L£R McT.r_
Agent or Applicant Pri t ame Aft.
1, Permit Officer's Printed Name
114. "g"--
Signature **Please read compliance statement on back of permit Signature
N/A 2/2 s/20I9 Ci/2o/zol9
Application Fee(s) Check# Issui g Date Expin Date

.,
4111/ CAMA/ L I DREDGE & FILL I GAn/1_ F RE 12
N >Z N(�. l:?"1I A B C
EN ERAL PERMIT Previous permit#
>c .New [-1Modification L(Complete Reissue 11Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 0 7 A . 2 5O 0
L!Rules attached.
Applicant Name pH/yGLA .A.0 Project Location: County 'Pg. i OE-R
Address P 0 goy( 46, 9 Street Address/State Road/Lot#(s) _IJ 14
City it/TO.Id -_ .____State/VC ZIP 28329 CIA AL- __BL-V D
Phone#(q1o)59 6- 71119 E-Mail tToint, Clark 0SfgPipson Subdivision Ad"
�
Authorized Agent N/A blwaen.coth City-t.;PSA I L. Be.-.co_ ZIP -4 S
Affected
1 ICW XEW yPTA f 1ES UPTS Phone# ( )SAME - River Basin GFR_
AEC(s): LiOEA U HI* U IH I.I UBA t 1 NIA Adj.Wtr.Body.-T.;p5Ar(...- - - _
So t) 411, man /unkn)
PWS: -roPS 11► 50SAXIZ
ORW: yes no PNA yes / no
Closest Maj.Wtr.Body A
Type of Project/Activity R£PLA« FIXED PL-ATF0P4A. DAMACaEn FI;ot&
tAVAZAZ-1 CAN E- FkkiZE,N c.1 IN___Ex t sT l n/G ILA 4 tV M 60JT (Scale: 2 a rs 3 0' )
Pier(dock)length
ed Platfo ) j i X.. O I 1
. ' /
F •aung mt
atform(s) 4 14,44 hS ; (FAN A NA/ 11.
Fin, r pier(s)_-_ I i
Groi length
,ber .I ' E. - TA>bLI •HGO PI - R- MEAIDLINE f :____
Bulkh- 0Riprap length L R(V
avg• ante offshore 111.1..1 I
max dis,nce offshore
Basin,channel I I
j:
I
cubic yards EXI STING—4 I
Boat ramp— -_- I i r.;- a I I 1
Boathouse/Boatlift _ I I v I I
0
I
Beach Bulldozing I ( /7 ! I
Other I /i:SA/// I j
GOAS-rAL
i. i WE.TLANDS
Shoreline Length G& NHW r NNW,
SAV: not sure 6 no 0-X I ST INa tiIu.w16AD 1 ' i
Moratorium: 62 yes no Ik10MPSON CL.ARK. VELLy i
Photos: yes taa I I I £ I II4, I I I 0
Waiver Attached: yes kb I
�I Pt_ Pt-
A building permit may be required by, D PSA O- T3 EA CA J See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 0 'r 14 . .2 5 0 0 AND ALL 0TA E. 1.0 CAL ' STAIG,
AND FE.DE'P-AL- RF.cli LATto.4s APPI.y.
LeVeyi -7;711,442, moa.,....._
Agent or Ap Printed N Permit Officer's•Printed Name
.---)--"6,_ /4.1,-fr
N SI na e"Pleasereadcompliancestatementonbackofpermit" Signature / /
-- -A'�A — NiA - 2/2 5/,ZaI 9 q/2o/Zo19
plicationFee(s) Check# Issui/rgDate Expi ationDate
lii

•
McGuire, Tyler D
From: John Clark <[e-mail]>
Sent: Friday, February 15, 2019 4:33 PM
To: McGuire, Tyler D
Subject: [External] RE: CAMA Emergency General Permit Application
Attachments: CAMA permit.pdf
Categories: CAMA
Tyler,
Here is a copy of the permit that I received when I built my floating dock. My
intention is to rebuild the 16x20 platform just as it existed on this permit. I do not
think that this is within 15' of my property line.
John Litton Clark
Sampson-Bladen Oil Co., Inc
Han-Dee Hugo's
910-596-7879
[e-mail]
From: McGuire, Tyler D [mailto:[e-mail]]
Sent: Wednesday, February 13, 2019 6:18 PM
To: John Clark
Subject: CAMA Emergency General Permit Application
John,
Attached is our application packet for an Emergency General Permit. In it are the rules behind emergency permitting
authorizing structures to go back in the same footprint. We basically just need a drawing showing what and where you
will be replacing that was damaged from the storm. You will also find some forms that may be needed. You are only
required to complete the Agent Authorization Form if you choose to have another individual (contractor) act on your
behalf to obtain the permit. You are only required to send out notifications to your adjacent property owners if any of
the replacement to your docking facility is within 15 feet of their property line,then a waivered (must be initialed)
notification shall be submitted with the application. If you have any questions or concerns with completing the
application then just give me a call.
Thank You,
1

1CAMA / ''DREDGE & FILL ir° �j3� 52� T
,. GENERAL PERMIT Previous permit# N/
dig
-;New .-:Modification ` ;Complete Reissue ; !Partial Reissue Date previous permit issued N/'S,.
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 I5A NCAC di 14 . i�.h0 .
Rules attached
• Project Location: County • .t e,/L�
Street Address/State Road/Lot#(s)
1 Il 6-fbAcKIIUEL, l ,
Subdivisions
City. _ ZIP .Z_S 44"7 ,
Affected pGYI }EWTA C ES PTS Phone # ( ) Sf'C1� - River Basin
( g
4EC(s). C}DEA - HHF t. IH TUBA N!A Adj.Wtr. Body ThI frci:L _-_ Vj )
man�unkn
G PWS: FC: ,,.`w
ORW: yes / n>o PNA yes ( no Grit.Hab. yes / no Closest Maj.Wtr. Body_____TteSk�t- ? 1"' ---.
Type of Project/Activity I t4STP,Li. F1_0 p.j/NEB- DOC/4—
(Scale: i �~ie )
Pier(dock)length r c' --
• r _
`�--- �7 N (� `� -I ; i 1 it
Platform(s) € ..r #_}. _. _., - .+}_..', i -
Finger pier(s) . _-.T 1 P 1C`1 _1 P"ci,�V-(N G _.�.,
3
- _.--I _ - _ i_�-_ _._.! _.1_
Groin length___________ " c..,. a i.._,..-t
number — + _
0' i
Bulkhead/Riprap length _ I
avg distance offshore , I P r'Ic I) ' .CgC N t_- L"sO S'.It`d fT"" .t J (J( F
max distance offshore ` i_ . I (o--^} 6 }�•fig r f •--I
[ it L
' L. ._..IQ t i.-, r Basin.channel t j _ i _ !
j I �t._pect x ._ tt _ -r i
— - l - . ' . . ......_ --t i— - - - ._ i_
cubic yards f - I
• ! I I ,
Boat ram ---., ,•_ " +' x._t,.,.:.�.i..._
t-
' it
Boathouse/Boatlift �- S ( r i�!
j I " 1
�C� i i . i`�L
Beach Bulldozing_ Li 1 i i—+ 1 { ,
-I . a-
Other TL.O I E.ia`- t '�'— 4--14-- �' t . P`_'_- -•i t r—f— t
f
l
' 1
Shoreline Length:_ ,V ► r - 'vie,71 11 1 i �
cw —.�.. C C?t r-(Pc L !--._. .� if, tt%y/ p # 1 1 + r-.:#
.7AV: not sure Y4'S _ -4�. I _%a , i ? , ...
} F i
t4
�ndbags: not sure yes no ""'i`""` . - . ��_ I � � w� f
Moratorium: n'a yes 4 t- �I y .. + �.-.f i t�.
PnOtas. Y ‘, 71 t- I . : , - - —
Waiver A .. c : b,. Lsw rf (�T
A building permit may be required by: 3+(41eN{1.„. ? !_i See note on back regarding River Basin rules,
Notes/Special Conditions 1'4 / fr...--
6 a (/
fS -; �T V t74V b�..-•
, r ���
u or Fpi cant P Led N�� Pot re {f t is Signature
•••,\
5g ture• � Please read��rompbancesta menton back of perm it's I .its ua• Ex prayer-Date
�c5 —_ —
• c."- �F''::` .e-- - —.,,.rs7,^^-,7,„47 <--v^A.„ms `ram'• " 11 nral PinnntricrlilAcriirtinn River FHA Names