80248D - Clements

isACAMA 1 °DREDGE &FILL Na 80248 A B C 436
GENERAL PERMIT Previous permit IV
', 'Oilew :_JModification C'Complete Reissue °Partial Reissue gate previous permit issued -N
As authorized by the State of North Carolina,Department of Environmental Quality ` y
t and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC \t
Li Rules attached.
Applicant Name__— i 66. 1.��(s V .fit .T Project Location: County $j?>1,ft-^ ,
Address tv7 �•1. ''3 Street Address/State Roads!rat#(s) --
city......__ State i1 .ZIP _ e k a -
Phone, t1j '" Mail __-- _ Subdivision
q
Authorized Agent i( City ZiP Z%G
Affected
u CW a EW Li PTA 4ES L i PTS Phone* ( ). . '" River Basin
AEC(s): i l QEA C:l HHf JIM L UBA El WA Adj.Wtr. Body C4149,4 Alnkt►j
i.a PVVS:
QRW; yes / no PHA yes / no Closest Maj.Wtr.`Body _.
type of Project/Activity Vij'Fk 140 I1iQ.
!P
Pier(d )length....-.-,--- - }
-
1
tio\
i
Fixed s) i.._. ..,, fir ,-
Floating Platf
S pier(s) i
Finger i s c__ _._;._ k ..,
Groin lengthI �. g.
ti
i, ,,40100:ap length 11 --...`` 31,_ i s A j�° fi{ s, i �?_ �'g` s r .
gg }a
distance offshore___ ,/� i. Y x"ek. - ay.:� i r i °� r �.• �% .._.:..
max distance offshore__ rr ' r . ' r-.i'itc' •.y �• Y:.; s v >..
W i t ,ir"� r",x � K r rr
Basin.channel t :k _aa^ �: !
040/14010.-":1;:7',,f,,s1*.' ',..2 Y
,... ,
cu yards .........
or p `a« fs
.,..... ,
/C �;
Boat ramp �# „ •iw-44. 1 _ u-; tR x h $ ,gq r. ,
a
Boathouse/ I n .
w`
o
-� -
8each Bulldozing i i a Y
Other
-__..._.__ " ^f i:/ v._ 531I{ a .z,� : .
{t f, g
� f h t i ';Shoreline Length
SAY: not sure yes ' "
l
Moratorium: nfa yes !*•� :a ` e V ::
...i L., i. lili '"-,0•
yes 85 S i i Of � :._._ "'= �' nsselM .!
Waiver Attached: yes AO
i ! �....._ _ n
A building permit may be required by: 9 GIN ► „ -]See;n to on back regarding River Basin ..,
(Note Local Planning jurisdiction)
Notes/Special Conditions
, .
EY
• "' $3.2If .Pe NameAge iiroiARM-
#101 j23•ZI
14:11k-. Please readtompliance statement on back of•- t'tt` Sigma /.2. 3I
I/
le
Application Fee(s) # Issuing Date Expiration Date

1CAMA/ Li DREDGE & FILL No 80248 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 �,
aid the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC
❑Rules attached.
Applicant Name 1)Pc R 11i'L. c—4:.✓/V(-. /J1.5"-- Project Location: County 12eGE(t---
Address 1 4C) ..&I--t DR-- - Street Address/State Road/Lot#(s)
City Q`7TE/D /State C__ ZIP.7'4.4, \ sv t"1 k _ ; P-bi-
Phone#OLD ) -6562-1_Mail Subdivision
Authorized Agent W f fr City t"\-frw►L -> ZIP Z—
Affected ❑CW ❑EW IllPTA 4ES. ❑PTS Phone# ( —"'/—" _ River Basin w•0 •
O AEC(s): OEA ❑HHF Ill IH ❑UBA El N/A Adj.Wtr. Body t Gajt' an /unki
❑ PWS: �Q
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body 1V1 M(..., SOJi•-t>
Type of Project/Activity 1%1N (k k iiii) 1 ti- 1)-44
(Scale: ! • bo )
Pier(dock)length
Fixed Platform(s) 1 }
Floating Platform(s) __ 1 j i I
Finger pier(s) 1 ) ; ❑�-4 '
Groin length j t ; f
number ---. L r ,
,Bulkhead/Riprap length 47—/Q 7 -- - ! _. —--+--- 1
_ ..... avg distance offshore '
max distance offshore i
ee '1)W Er` i 1
Basin,channel ••
j
cubic yards ' !
Boat ramp f,J.��'7 ; j
Boathouse/Boatlift —.__....__.. — _...............__......_..........
i
:
Beach Bulldozing — '
Other { '
: , ,
4
ti'.1
1�1 , , ,
HShoreline Length -/ / ‘4( ` , „ ,
SAV: not sure yes n f
_ , : : \\\ .
j
_ — I i
Moratorium: n/a yes n i }
t f.
Photos: yes �
Waiver Attached: yes no
A building permit may be required by: PENie__ (.0 + . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) N.
Notes/Special Conditions
y ,)i(P 1Vic, U - rY) EAn Mc — "
Agent rApplicant Printed Name Pe it 0 is • Name
• atr Please read compliance statement on back of permit Signa re A 1 -, -, n 1

0,___,CAMA / _- DREDGE & FILL N9 80248 A B C D
GENERAL PERMIT Previous permit#
)�r1 ew --Modification Complete Reissue I Partial Reissue Date previous permit issued
`
As authorized by the State of North Carolina,Department of Environmental Quality �r�
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 4-• 11(J0
❑Rules attached.
Applicant Name i., its , r trA - Project Location: County 1 '�1-
Address tC t`L.( tfi' Street Address/StateR�oa�d/Lot#(s)
City ei State 1 C—ZIP- / T i� l'V\ p_z
Phone# it© ) t6:1"1-Mail Subdivision
Authorized Agent Y`)I City ZIP
Affected ii
CW ElY v EW ❑PTA )0ES ❑PTS Phone # ( ) p" River Basin W.0
AEC(s): OEA -HHF ❑IH ❑UBA ❑WA Adj.Wtr. Body i-W zip an /unk
PWS:
•
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body 9 L( J�
Type of Project/Activity ',VX i\ li-i) I vim.,,,&
(Scale: I ,_���` ,
Pier(d )length
— —
I ; ' A
Fixed Platf (s) — —
Floating Platfo - -
Finger pier(s) ,, f° w ' ._
'Groin length _ L
r r � b! ''
- -—/(ulkhead/RJprap length C ;.
C ._- distance offshore - - __
max distance offshore -W f
Basin,channel xu
rP _
cu c yards =.
Boat ramp -::.•_--
Boathouse/Boat
Beach Bulldozing „- .__. -•-;'Al.rr :::*,, .:._:..
— •
Other
Shoreline Length 'f'l r
SAV: not sure yes n eft a. -_._. ._
_
Moratorium: n/a yes nif, al tr__. r
Photos: yes o
Waiver Attached: yes — -- -
A building permit may be required by: Pti\ e- £2 . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
A
t 1.- - —,(Y\t 1U � J %s ' '��"/�
nt r Applicant Printed Name Perrtc ri Name
/I
tI attar **Please read compliance statement on back of permit Signa r '

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Thereby certify that I own property adjacent to Daniel Clements, Brandy Clements ,s
property located at
Lot 181 (Name of Property Owner)
Horn Creek EX. (Address, Lot, Block, Road, etc.)
an , in Hampstead , N.C.
(Waterbody) (CitylTown 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
I 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)
** Please See Attached Drawing **
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Si Signature
/J 1 iilf4171 70,11;cl Clc,+lordS
PrintI r Type Name Print or Type Name
U) ba 1 /l� I/(f.( 130 (feer{;';cl ct' cir
Mailing Address / J Mailing Address
t`0ivlp) V\C ? 11L l--a a'�
wips+ec,d l/ye /.2 -043
C � � City/State/Zip
i 2 2�� -q 7(1 cl I o 3 6') 63 G 2
Telephone Number Telephone Number
712_7-1201,1 y - „2 -„70ZI
Date Date
(Revised 6/182012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Daniel Clements, Brandy Clements ,s
property located at
Lot 181 (Name of Property Owner)
Horn Creek EX. (Address, Lot, Block, Road, etc.)
on , in Hamfistead , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
ic
V I have no objection to this proposal.
I 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)
** Please See Attached Drawing **
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.)
I do wish to waive the 15' setback requirement.
/
V I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adja ,f nt Property Owne Information)
Signature
Si
Dark C I e., kevrt-S griclec,:cw{e s £• Poc e
Print or Type Name Print or Type Name /�
13o J)eerAftrl cj✓: 457- 144c kes Goad
Mailing Address Mailing ddres�
i--kwlps-ke,ci /A / 1 tYY f r v(4
City/State/Zip City/State/Zip
`t t Q 361 636 Z q10/ -7 39U
Telephone Number Telephone Numb r
Date Date
(Revised E/18/2012)

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Environmental I p E AMT CT 3291
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1:12,512 1 inch = 1,043 feet �, .
o 0.1 0.2 0.4 mi W E
t r February 6, 2021 NW
0 0.15 0.3 06km S
Subdivision: WASHINGTON ACRES Acres: 0
Land Value:
Tax Codes: GO1 F29 R40
Building Value:
PIN: 3281-89-4781-0000
Sale Price: Total value:
Owner: CLEMENTS, DANIEL Sale Date: LAST_SALE_DATE Deferred Value:
130 DEERFIELD DR Plat: 00220016
HAMPSTEAD, NC 28443 Exempt Amount: 0
Account No: 1007381 PCL Class: R
Deed Ref: 4718/1884 Township: TOPSAIL
Heated Sq Feet:
Property

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Wetland Type (Cowardin) -'
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L Estuarine and Marine Deepwater ' A '1' , _,.,
rEstuarine and Marine Wetland .a-°,t
I ' Freshwater Forested/Shrub Wetland 4 .
4 4, "*. 0 100 200 300 400 500 Feet
r I Riverine I
E1UBL- Estuarine, Subtidal, Unconsolidated bottom, Subtidal
EEM1Nd - Estuarine, Seasonally Flooded/Saturated, Irregularly Exposed, Subtidal, Regulalry Flooded, Partly Drained/Ditched
PF01/4Ad - Palustrine, Forested, Broad-Leaved Decisuous/Needle-Leaved Evergreen, Temporarily Flooded, Partly Drained/Ditch(
R5UBH - Riverine, Unknown Perennial, Unconsolidated Bottom, Permanently Flooded
Project Name: Hughes Road - Daniel Clements Figure: 5
Pender County, NC W'�� E
aa.uTIONaua oi�i• ono on n�oe nnnn �� 1 inch = 200 feet

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O C1-C9 Existing Pier ,',' _
• P1-P4 Proposed Homesite
Parcel Boundary ` ° d�
l.5 acres Preliminary Wetland Type tit ,i, =*
■■UM" Proposed Bulkhead- 107 ft ;-','
Section 404 - 0.39 acre • 'NC z
. Topof Bank - Mill Creek CAMA•- 0.56 acreGeograp NES' trb s�s I
Est,[\ . GeoEye,Ea t
-. eroGR Do m, ,4 the.GIS CJJs)GP Com ti>• „Al"' f .
Project Name: Hughes Road - Daniel Clements Figure. 2
Location: 627 Hughes Road, Hampstead, Pender County, NC
SCLUTICNB LLC PIN: 3281-89-4781-0000 1 inch= 62-5 feet

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Mk—Muckalee loam, frequently flooded
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.111111k. Project Name: Hughes Road - Daniel Clements N
Figure 4
Location: Pender County, NC w1 r
PIN: 3281-89-4781-0000 Ah_
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1 inch= 100 feet

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IParcel Boundary - 1.5 acres Structures -.1 I149he
micale Top of Bank - Mill Creek r 1 Dock p0 �"
Proposed Bulkhead Existing Pier
■."1" 404 - 195 If Impact Proposed Homesite
LAMA-69 If Impact Preliminary Wetland Type }
INN Section 404 - 0.39 acre
I .J CAMA- 0.56 acre E n,Narp,Geo ye;I x=liu 1p • s toht 0E %;.9ih ,
4 ,,�,.�., ,-eroG Do o and the ijsi q
tillow Project Name: Hughes Road - Daniel Clements Figure. 2
Location: 627 Hughes Road, Hampstead, Pender County, NC
PIN. 3281-89-4781-0000 1 inch= 50 feet

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Dail, Jason
From: Daniel Clements <[e-mail]>
Sent: Wednesday, August 4, 2021 3:48 PM
To: Dail, Jason
Subject: [External] Bulkhead for Daniel clements
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.<mailto:report.spam!a%nc.gov>
Hey Jason sorry for the confusion, I was looking to bulkhead the following black line. It's about 325'. Can we make this
change?Thanks man hope all is well.

Check
Dots Received Dete Deposited Check From(Hemel _ Name o/Perm!Holder Vendor ,Check number amount Permit Number/Comments Receipt or RMund/Reelloc.ted
Column) Column)_ Column3 Column) Columns Column! Column? Column! Columns
8/9/2021 Full Rudder Creative Jordan Nason BB&T 1095 $ 200.00 GP#79939D BH rct.14117
8/9/2021 Land to Sea Construction,LLC Daniel Clements First Citizens Bank 494 $ 400.00 GP#80248D JD rct.14912
8/9/2021 IJ Marker ,same NAVY Federal CU 1236 $ 200.00 GP#80227D JD rct.14086