75680A_Clubcorp Golf of NC, LLC_20191126

�CAMA / N DREDGE & FILL
GENERAL PERMIT
L❑New ❑Modification ❑Complete Reissue ❑Partial Reissue
No. 75680 gx
B C
(/A)
Previous permit # �--�
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 SA NCAC / ��, I �J �bd~t - -2 y J�
Rules attached.
Applicant Name e_l u,b e o (-,Q G o)`f o` NO-1 L L C
Address P, (3,,, 7 % O B 3'J
City S a n A n +� n'. o, State T"-�,_ ZIP 7 9 2-7 7
Phone #=).2.1 (.' 19/ E-Mail e e an - ub
Ce t'
Authorized Agent —T�% Q a n:
Affected ❑ Cwi I91 EW © PTA IN ES 1�q PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes P no PNA yes / no
Project Location: County 0a ,r Q_
Street Address/ State Road/ Lot #(s)
Subdivision
D
City Ain, q iJ4Q I ci ZIP '2-7 r1-s'1
Phone # y 2) `/ `� �- $ ;�73 River Basin G S Ie �(
Adj. Wtr. Body o r,, n b kQ _S o n 6nat` Jman /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity _Z - - 1 r , jo r G. (- e e + ,vi f , C S a 1 , ,
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhea Riprap ength 01
avg distance offshore
max distance offshore_
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
a
Beach Bulldozing f
Other f a f
-
-97 3x Lo' A a)(
Shoreline Length /r10 W
SAV: not sure yes no
Moratorium: on/- yes no
Photos: ayes; no
Waiver Attached: yes C
A building permit may be required by: a
( Note Local Planning jurisdiction)
Notes/ Special Conditions
JnC, Aor- 'n 4-1 I G�G
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(Scale: A T,5 )
d J ❑ See note on back regarding River
Basin rules.
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back f permit **
(� D _
05
Application Fee(s)
Check#
Z:7> /7 '9 c C C f.
Perm' fficer's Printed Name
2ttS7T��� �
Signature / /2 6 1 /
S .�
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 I) 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
Iandowner(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 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 how to comply with 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/ 1-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
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)
(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 - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
hereby certify that I own property adjacent to i t �." cJ �7 �/7" Z;,eX 's
property located at
(Name of Property Owner)
5,PCiGhGf�
(Project Site: Add r ss, Lot, Block, Road, etc.)
on t \ CgA A C7 �z<. / J titi in�f( N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:
Agent's phone #:
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill In description below or attach a site drawing)
If you have objections to what Is being proposed, you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252)
264-3901. No response Is considered the same as no objection if you have been notified by Certified
Mail. n
(Property Owner Information)
Q /Y./
Signature
-1:�!„
Print or Type Name
D %%/C� & c. / l
Mailing Address
/�/c q s &4j/1 L 2-7�SS
City/Sta Zip
(2- �2) 73
Telephone Number / Email Address
(Adjacent Prope y`Owner Information)
Slgd ure- �� ``
Print or Type Name
qb 6, x S
Mailing Address
K(c , NL 277S
City/State/ p
Telephone Number /Email Address l

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent 6-,)IZ"4 i's
(Name of Property Owner)
property located at -al � ��' �- 6 Sc t
�^ (Project Site: Address, Lot, Bloc Road, etc.)
on Cc 11 d \� L� h in ' e N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:
Agent's phone #:
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252)
264-3901. No response is considered the same as no objection if you have been notified by Certified
Mail.
(Prope ner Formation)
Signature/
elo
Print or Type Name
TO �Ve- tv -e -7
Mailing Address
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City/Sta /Zip
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Telephone Number /Email Address
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er Information)
Print or Type Name�—
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Mailing Address c> C1s
City/State/Zip
Telephone Number /Email Address
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DIVISION COASTAL ADJACENT R PARIAN RO ERTYOW ER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at � " ��� G h � S � �! ,
(Project Site: Addr ss, Lot, Block, Road, etc.)
on t \ C�� h Q �L tiq d( in N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:
Agent's phone #:
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252)
264-3901. No response is considered the same as no objection if you have been notified by Certified
Mail. n
(Property wner Information)
Signature
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Print or Type Name
Mailing Address
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Print or Type Name
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Mailing Address
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This map is prepared
from data used for the
inventory of the real
• r�i
property for tax
purposes. Primary
information sources such
as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
of the information
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5615 S Seachase DR Owners: Clubcorp Golf Of North Tax District: Nags Head
Nags Head NC, 27959 Carolina Llc -Primary Owner Subdivision: Subdivision - None `
Parcel: 024961000 C/o Property Tax Dept -Primary Owner Lot BLK-Sec. Lot: Blk: Sec
Pin: 080117016348 Building Value: $1,339,800 Property Use: Recreational
Land Value: $2,389,700 Building Type: Country Club/w Crse
Misc Value: $1,175,900 Year Built: 1987''- '
Total Value: $4,905,400
0

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