Clark, Jeffery 76623C

AM6�ZL
°REDGE & FILL ETC}
! `d � ��h�? A B � D
�ew PERMIT Previous permit #
❑Modification El Complete Reissue [APartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality 7j'y %(%�j
and the Coastal Resources Commission in an area of erivironmpntal concern pursuant to 15A NCAC ((( ��/ /
Applicant Nan]e
Address7�cuf
C TJ V° V
City - tV State ZIP
Phone # UA 5E-Ma/il
Authorized Agent
c l
❑ CW
(1WA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
ElHHF ❑ IH ❑ UBA ElN/A
❑ PWS:
ORW: yes no)
PNA yes / no
Type of Project/ Activity
Pier (
Fixed
Floati
Finge
Groir
Bulkh
Basin
Boat
Boad
Bead
Othe
Shor(
SAV:
Morz
Phot,
Waiv
AbU1.-.6 1.... 1- ..I
( Note Local Planning jurisdiction) ( /�
Notes/ Special Conditions A Lo C �4,1
//`°-r❑ les attached.
Project Location: County l.�G'rYC'f C,"—
Street Ad re s/ State Road/ Lo #(s
Subdivision
City �JC'v�J Urr✓ ZIP
Phone # O River.Basin 1
Adj. Wtr. Body ��G"f y` man unkn
Closest Maj. Wtr. Body 6' � A-
f
Agent or Applicant Printed Name
(Scale'
—T )
** Please read compliance statement on back of permit"
Fee(s) Check #
Signat
5- - iIssuing Date V—Z—
on ate

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: la l% acKE-7-j-- �JA>l
Phone Number:
Email Address: t G f'C� r IL (2- U Z /YI a^-"k
I certify that I have authorized Restoration Systems LLC ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at ' I CD L���, ��1✓f��� �_1� __��', l��S `3'
in 01VSL a iJ County.
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 the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or rype Name
Title
(1
Date
This certification is valid through I I
RECEIVED'
MAY 14 4"M
®CM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
April Clarkffe r
I hereby certify that I own property adjacent to Jeffery 8� A p •s
property located at
138 Ned Lane (Name of Property Owner)
-_
Foster Creek (Address, Lot,13lock, Road, etc.)
on in Swansboro N.C.
(Waterbody) (City/Town and/or County)
The applic nt has described to me, as shown below, the development proposed at the above
_ location.
jj 6 rYl__-I.,/ 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)
�3 14Je-d 6�
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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 yo ish to waive the setback, you must initial the appropriate blank below.)
(3Yi� ✓ 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prjoarty Owner 1
Signature " - p
Jeffer+v & April Clark
Print or Type Name
69 Pickett Way
Mailing Address
Swansboro, NC 28584
City/State/Zip
910-340-2900 [e-mail]
Telephone Number/email address
Date
"Valid for one calendar year after signature"
(Aoacent Property, wn.er_ln,formation)
t nature
Print q Type -1.1 rne
�I•„�� o;.tt n� _
Mai 1 ddrgss s N G a�5�0
City/Stat ip
Telephone N ember/ema► address
Dam •
RECEIVED
(Revised Aug. 2 14)
MAY 14 2020
i7 ►��eariza��-�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jeffery & April Clark 's
property located at
138 Ned Lane (Name of Property Owner)
Foster Creek (Address, Lot, Block, Road, etc.)
on , in Swansboro N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to ation.
,1,--- 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)
3 /Ve d
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
CVV'\ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pr��erty�Owner In jrTat
Jeffery & April Clark
Print or Type Name
69 Pickett Way
Mailing Address
Swansboro, NC 28584
City/State/Zip
910-340-2900 [e-mail]
Telephone Number/email address
Date
*Valid for one calendar year after signature*
(Adja
.SIr; l7C/t lll'C'
Print or Type Name
Mailing Address
Information)
City/State/Zip L_
Telephone Number/email address
S-I >o3C
Date* RECEIVE
(Revised Aug. 2014)
MAY 14 2020
DCM-MHD CITY

Project Location Map
Proposed Oyster Shell Bag
Offshore Sill
Date Prepared: March 23, 2020
Mapping Source: Google Earth,
03/23/2020
Project Description
The location of the proposed oyster shell
bag offshore sill at the property shown to the
left is shown in the photograph below (yellow
line). The total length of the offshore sill will
be approximately 80 linear feet.
The offshore sill will be constructed by
layering oyster shell bags perpendicular to
the shoreline. The location will be no more
than 30 feet waterward of the normal high
water and no more than 5 feet waterward of
existing coastal wetlands. Coir fiber/jute
matting will be used for the bottom layer of
the offshore sill.
Figure 1 - Location Map &
Site Plan
Applicant(s)
April Clark
138 Ned Lane
Swansboro, NC 28584
Site Plan
PO Box 1017
Edenton, NC 27932
[phone]
1101 S Haynes St
Suite 211
DCM-M HD CITY

Maximum Maximum
5 feet 6 feet wide
(1
--------___—Usting--_--.._ 'Jf � inches)
Coastal - ._. _ NH
-NLW (6 inches)
Oyster- Shell Bag Marsh Sill —Existing Coastal Wetlands
Maximum
,,Maximum 6 feetwide
--MHIYV (13 Inches)
- - MLIYV (6 inches)
Oyster Shell Bag Marsh Sill — No Existing Coastal Wetlands
Proposed Oyster Shell Bag
Offshore Sill
Date Prepared: March 23, 2020
Mapping Source: Google Earth,
03/23/2020
Figure 2 - Cross -Section
Applicant(s)
April Clark
138 Ned Lane
Swansboro, NC 28584
Example of Oyster Shell Bag
Offshore Sill.
PO Box 1017
Edenton, NC 27932
[phone]
1101 S Haynes St
Suite 211
Raleigh, NC 27504
MAY 14 ZRO
®CM-MHD CITY

nl s
u9.s u�
f ' _
t.t4 x ' ' - .fit } •-
Photos taken
March 19 2020
e
Proposed Oyster Shell Bag Figure 3 - Existing PO Box 1017
Offshore Sill Conditions Edenton, 333-9859852
(252) 2
Applicant(s) 1101 S Haynes St
Date Prepared: March 23, 2020 April Clark Suite 211
Mapping Source: Google Earth, 138 Ned Lane Raleigh, NC 27504
03/23/2020 Swansboro, NC 28584
MAY 14 Aid
®CM-MHL) (ATY

Restoration Systems, LLC
1101 Haynes Street, Suite 211
Raleigh, NC 27604
11 May 2020
NC Division of Coastal Management
400 Commerce Avenue
Morehead City, NC 28557
Re: Application for CAMA General Permit 2700
Jeffrey Clark, 138 Ned Lane, Swansboro, NC
To Whom It May Concern:
Please find attached the necessary documentation to request a GP 2700 for installation of an oyster shell
bag offshore sill at the above referenced property. The following is included in this packet:
Figure 1 — Location Map & Site Plan
Figure 2 — Cross -Section of Proposed Oyster Shell Bag Offshore Sill
Figure 3 — Existing Conditions Photos
Signed Agent Authorization for CAMA Permit Application
Adjacent Riparian Property Owner Statements for both adjacent landowners waiving the 15'
setback requirement
If you have any questions, please feel free to contact me or Grainger Coughtrey. My contact information
is listed below; Mr. Coughtrey can be reached at [phone] or [e-mail].
A check for the $200 permit fee has been mailed separately. Please let us know if/when you would like to
visit the site and/or the permit is ready for signature.
Sincerely,
RESTORATION SYSTEMS
gj��,o
Mary -Mar ret S. McKinney, RF
Director of Coastal Restoration
PO Box 1017
Edenton, NC 27932
[e-mail]
252.333.9852

Project Location Map
Proposed Oyster Shell Bag
Offshore Sill
Date Prepared: March 23, 2020
Mapping Source: Google Earth,
03/23/2020
Project Description
The location of the proposed oyster shell
bag offshore sill at the property shown to the
left is shown in the photograph below (yellow
line). The total length of the marsh toe
revetment will be approximately 80 linear
feet.
The offshore sill will be constructed by
layering oyster shell bags perpendicular to
the shoreline. The location will be no more
than 30 feet waterward of the normal high
water and no more than 5 feet waterward of
existing coastal wetlands. Coir fiber/jute
matting will be used for the bottom layer of
the offshore sill.
Figure 1 - Location Map &
Site Plan
Applicants)
April Clark
138 Ned Lane
Swansboro, NC 28584
Site Plan
PO Box 1017
Edenton, NC 27932
[phone]
1101 S Haynes St
Suite 211
Raleigh, NC 27504

Maximum Maximum
5 feet 6 feet wide
--__________.___.IASting,._
---- -----NHW (18 inches)
Coastal
-------------- Wetlands ----_-
- - NLW (6 inches)
Oyster Shell Bag Marsh Sill —Existing Coastal Wetlands
Maximum
yMaximum 6 feet wide
__.------e- -----JU Teel- _ -- -- --MHW (18 inches)
--------------------
- _ MLW (6 inches)
Oyster Shell Bag Marsh Sill — No Existing Coastal Wetlands
Proposed Oyster Shell Bag
Offshore Sill
Date Prepared: March 23, 2020
Mapping Source: Google Earth,
03/23/2020
Figure 2 - Cross -Section
Applicant(s)
April Clark
138 Ned Lane
Swansboro, NC 28584
Example of Oyster Shell Bag
Offshore Sill.
PO Box 1017
Edenton, NC 27932
[phone]
1101 S Haynes St
Suite 211
Raleigh, NC 27504

170
idr;il illl�l" il.ralyi _
Ac
r� O
- e
{gyp 1
7 � i ••
t { ♦' i
t
Photos taken g' T ;.,�,lt.:
March 19 2020`'`
f.
ale tRa, x�V.
l>
r
i
i
- a
Proposed Oyster Shell Bag Figure 3 - Existing PO Box 1017
Offshore Sill Conditions Edenton, 2
(252)333-9859852
Applicant(s) 1101 S Haynes St
Date Prepared: March 23, 2020 April Clark Suite 211
Mapping Source: Google Earth, 138 Ned Lane on Raleigh, INC 27504
03/23/2020 Swansboro, NC 28584

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
r
Mailing Address: �
�la &
f
Phone Number:
'io rZ G
xc-f- 2-;F-5WY
Email Address: 4` C la r 1L 2d Z M e- C a m
I certify that I have authorized Restoration Systems LLC ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at 3(17 I V CD
in 01VSLa kJ County.
1 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 the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or ype Name
Title
Date
This certification is valid through 05 / 66 /A4 2/

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jeffery & April Clark 's
property located at
138 Ned Lane (Name of Property Owner)
Foster Creek (Address, Lot, Block, Road, etc.)
on , in Swansboro N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
I ation.
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)
/3 � Me,d L"-e
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
m . (If you wish to waive the setback, you must initial the appropriate blank below.)
v 15'setback requirement.
I do wish to waive h 1 the 5
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
tsiSin tune
eN &April Clark
Print or Type Name
69 Pickett Way
Mailing Address
Swansboro, NC 28584
City/State/Zip
910-340-2900 [e-mail]
lepl� �nq� m�b� r /email address
Date
(Adj
r Information)
Signalln
Print or Type Name
Mailing Address r�
City/State2ip ` r i
Telephone Number/email address J
5-I- ao3D
Date *
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to effery & April Clark - s
property located at
138 Ned Lane (Name of Property Owner)
Foster Creek (Address, Lot,,Block, Road, etc.)
on --- .- _ in --—_wansboro
. N.C.
(Waterbody) (City/Town and/or County)
The applic tit has described to me, as shown below, the development proposed at the above
_ location.
j rYlLZ I have no objection to this proposal.
I have objections to this proposal,
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description bolc,w or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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 yf ish to waive the setback, you must initial the appropriate blank below.)
1(3Yi3 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Si a re
J & Aoril Clark _
Print or Type Name
69 Pickett Way
Mailing Address
Swansboro, NC 28584
City/State/Zip
910-340-2900 _jtciark24fihotmail,c0m
Telephone Yumber/email address
Dare
(Adjacent Property wner_Wormation)
./ 0—i i
' ,Si'ncrtrn•c-
Print or Type Ndame
Mail a ddr ss S N G
City/Staf�2ip yy'"�-� (
_ 9j�- IZU -Dke) . Ma (41) e S4?-. Co rvl
Telephone N rmber/ernai address
Dale "
(Revised Aug. 2014)
*Valid for one calendar year after signature'

Restoration Systems, LLC
1101 Haynes Street, Suite 211
Raleigh, NC 27604
18 May 2020
NC Division of Coastal Management
400 Commerce Avenue
Morehead City, NC 28557
Re: Application for CAMA General Permit 2700
Denis & Renay Barham, 108 Line Boat Lane, Swansboro, NC
To Whom It May Concern:
Please find attached the necessary documentation to request a GP 2700 for installation of an oyster shell
bag offshore sill at the above referenced property. The following is included in this packet:
Figure 1 — Location Map & Site Plan
Figure 2 — Cross -Section of Proposed Oyster Shell Bag Offshore Sill
Figure 3 — Existing Conditions Photos
Signed Agent Authorization for CAMA Permit Application
Adjacent Riparian Property Owner Statements for both adjacent landowners
-The adjacent property owner to the west (110 Line Boat Lane) has waived the 15' setback
requirement
-The adjacent property owner to the east (106 Line Boat Lane) has NOT waived the 15'
setback requirement
If you have any questions, please feel free to contact me or Grainger Coughtrey. My contact information
is listed below; Mr. Coughtrey can be reached at [phone] or [e-mail].
A check for the $200 permit fee has been mailed separately. Please let us know if/when you would like to
visit the site and/or the permit is ready for signature.
Sincerely,
RESTORATION SYSTEMS
Mary -Mar aret S. McKinney, RF
Director of Coastal Restoration
PO Box 1017
Edenton, NC 27932
[e-mail]
252.333.9852

Project Location Map
Proposed Oyster Shell Bag
Offshore Sill
Date Prepared: March 9, 2020
Mapping Source: Google Earth,
03/09/2020
Project Description
The location of the proposed oyster shell
bag offshore sill at the property shown to the
left is shown in the photograph below (yellow
line). The total length of the offshore sill will
be approximately 83 linear feet.
The offshore sill will be constructed by
layering oyster shell bags perpendicular to
the shoreline, no more than 30 feet
waterward of the normal high water. Coir
fiber/jute matting will be used for the bottom
layer of the offshore sill.
Figure 1 - Location Map &
Site Plan
A_Qplicant(s)
Dennis & Renay Barham
108 Line Boat Lane
Swansboro, NC 28584
Site Plan
PO Box 1017
Edenton, NC 27932
[phone]
1101 S Haynes St
Suite 211
Raleigh, NC 27504

Maximum Maximum
5 feet 6 feet wide
------------ --- 1xistirt _
Coastal
`-""' - �---NH4'�1 (18 inches)
------------- Wetlands___
NLW (6 inches)
Oyster Smell Bag Marsh Sill —Existing Coastal Wetlands
Maximum
Maximum 6 feet wide
ee _ _----MHW (18 inches)
MLW (6 inches)
Oyster Shell Bag Marsh Sill — No Existing Coastal Wetlands
Proposed Oyster Shell Bag
Offshore Sill
Date Prepared: March 9, 2020
Mapping Source: Google Earth,
03/09/2020
Figure 2 - Cross -Section
Applicant(s)
Dennis & Renay Barham
108 Line Boat Lane
Swansboro, NC 28584
Example of Oyster Shell Bag
Offshore Sill.
PO Box1017
Edenton, NC 27932
[phone]
1101 S Haynes St
Suite 211
Raleigh, NC 27504

a
-
- I
1 I
'a y
r' 1"
Photos taken A{�
March 3, 2020J _i f[
Proposed Oyster Shell Bag Figure 3 - Existing PO Box 1017
Offshore Sill Conditions Edenton, 2
(252)333-9859852
AARplicant(s) 1101 S Haynes St
Date Prepared: March 9, 2020 Dennis & Renay Barham RESTORATION Suite 211
Mapping Source: Google Earth, 108 Line Boat Lane SYSTEMS I LLC Raleigh, NC 27504
03/09/2020 Swansboro, NC 28584

AGENT AUTHORIZATIQN FOR CAMA PERMIT APPLICATION
_i
Name of Property Owner Requesting Permit: L_17f1! 5 !J� r H rat
Mailing Address: 1 l r r7 r of
Phone Number: C� id 2 jj S
Email Address:cs'��?fsDc►ll.rrP_R��uDv���ud�, c��„
I certify that I have authorized Restoration Systems LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: - 5 le✓ gift e �,a
9�T S 149,,' 5 + 1 /
at my property located at % � g L,r n e
in ; 1,4 ct,' County.
'fe,
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 the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
AJ r? rt G(4 S / V, k4 wt
Print or Type Name
Title
Date
This certification is valid through

10 l_.t'rnc Bock Cie
C.PRTIFIEr MAIL • RETURN RECEIPT REQUESTED
DY i3ION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: P%
M,%tt_ 1 1­v-v
(C''
--Address of Property:gip, a��, ��1c: �'e��'" �_.,z. A �•�r-,ti.,, �af5�f� �. ;� ��.•�{-��v' �
(Lot or Street #, Street or Road, City & County)
Agent's Name #: f. y r o,.�V�,Cj e_, '.1� : _ `�-+r`' : Mailing Address:
Agent's phone #:> r> l
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
_ I have no objections to this proposal. I have objections to this proposal.
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. Contact information for DCM offices is
available at http✓/www.nccoastahnana__qement.netlweblc►n/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
(Pro'pperty Owner Information)
Sig�ul-e U
Print or Type Name
Mailing Address
fay �`'VIi�Y , `J 6�i (9.t f.Y !"`V ��.m.., :✓'u C�� �`�'�
T
City/State2ip
Telephone Number/Email Address
goa�
Date
(Ripariari
ion)
Signature'
f
�1 1l e CL
Y
Print or Type Name
Mailing Address
City/State2ip
Telephone Number/Email Address
Date
(Revised Aug. 2014)

11 D L I ne Bor,-f t o vi e,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _ oenreis � itenay $n&iam �
(Name of Property Owner)y -�
property located at 108 Line Boat Lane
(Address, Lot, Block, Road, etc.)
on White oak (liver — , in swar o (OrKlow Crxf--*y', N,c.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown Wow, the development proposed at the above
lociiiltiop.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
�ures 1,2f3
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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 yo ish 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.
(Prop94 Owr)er
Dennis &RenayBarhaW
Print or Type Name
108 Line Boat Lane
Mailing Address
Swansboro, Nit 28584
City/state/Zip
910-265.5874 [e-mail]
Telephone Number / email address
Date
(Adjacent operty Owner Information)
nature*
nu6t,g5 Q. ir�►'fy
Print or Type Name
i t v L Nr GOAT Lei Ayr
Mailing Address
dW D N"0 i`VC
City/state2ip
alto �S'
Telephone Nu ber/email address
�d
Date
'Valid for one calendar year after signature*
(Revised Aug. 2014)