53382_CLARK, HAROLD_20090417

❑ CAMA / ❑ DREDGE & FILL
GENERAL PEPMIT Previous permit #
❑'New ❑Modification []Complete Reissue El Partial Reissue Date previous permit issued_
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 15A NCAC
❑1 Rules attached
Applicant Name Project Location: County _
Address -
City State ZIP
Phone # O Fax # (
Authorized Agent
❑ CW
❑ EW ❑ PTA
Affected
❑ OEA
❑ HHF El IH
AEC(s):
❑ PWS:
❑ FC:
ORW:
yes / no
PNA yes / no
❑ ES -] PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP_
Phone # (. ) River Basin
Adj. Wtr. Bod on nat man unkn
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: r ! )
on back regarding River Basin rules.
Pier (dock) length
Platform(s)
Finger
Groi
Bulk
Basin
Boat
Othe
Shor
SAV:
Sand
Waiver Attached. yes no
A building permit may be required by:
Notes/ Special Conditions
-
FT
� See note
n length
number
I I
head/ Riprap length I
av distance offshore I
max distance offshore
I I
channel
4 {
cubic yards
I
ramp
h+-
- � I _ _•_ I I i �I
II� 11
h Bulldonn ! �
g � I
T
eline Length
not sure yes no
bags: not sure yes no �
atorium: n a yes no t
�� - - -- - -
os: yes no
Agent or Applicant Printed Name
1 /4
i
Signature Please read compliance stateme t on Yi ck of permit*
Application Fee(s) \ Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
Agent or Applicant Printed Name
1 /4
i
Signature Please read compliance stateme t on Yi ck of permit*
Application Fee(s) \ Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name

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 ❑ 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 Quality. Contact the Division of Water Quality 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
Raleigh Office
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-28u8/ 1-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(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 -below New River Inlet- and
Pender Counties)
Revised 08/09/06

./
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Is
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on in N.C.
(Waterbody) (Town and/o County
Applicant's phone Mailing Address:
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To befilled in by property owner proposing development)
(Information for Property Owner Applying
for Permit)
Mailing ��Address
,�r/7- T.-7-)
City/State/Zip
(Riparian Property Owner Information)
Signature
Print or Type Name
Telephone Number
Date

(Riparian Property Owner Information)
- '7e� 4, S „4 es am
Print or Type Name
252. Cv38. ?,2-7(0
Telephone
,Number
1�o J 14 , Zoe F
Date
L-. O LAA-% 2 R • 5 ► ) -�S
Print or Type Name
a s"a - 623 8 -- 3X7
Tel orte NumQ ber
1
16 Sf
Date
Signature
0A*/G
Print or Type Name
2Sa—G)r3.3 4,' /
Telephone Numbe;
Date
�J `
L
Signature
Print or Type Name
Z- -1 s - 2 - � q19
Telephone Number
Date

COL HAROLD H.aCLARH USMC RET
PEGGY C. CLARH
P$ 852-$$35300
359 LANE PD.
NEWPORT,INC 28§70
f AY TO THE
ORDER OF/ [�
NAVY
FED_ 1J �J� �-
Credit Unio
1: 256 749741:76 28---0086393709ii' L
:r
7628
r
68-7497/2560
DATE
j $ s
—DOLLARSiJ
It

I
North Carolina Department ;f Environment and Natural Resources
Coieen H. Sullins, Director
Chuck vItakild, Deputy Director
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Tar -
Pamlico & Neuse River basins per Division of Water Quality (DWQ) regulations 15A NCAC
02B.0233 & .0259.
Activities covered by your Coastal Area Management Act (CAMA) permit are deemed to have
a Buffer Authorization from the DWQ only if the project can meet ALL of the conditions listed
below. If ALL the avoidance and minimization guidelines described below cannot be met, a
separate buffer authorization request must be submitted using a Pre -Construction Notification
(PCN) application to DWQ at the address below. A PCN application may be obtained on the
DWQ web site http://h2o.enr.state.nc.us/wetlands.htm1.
Questions regarding this process should be directed to wetland/buffer staff of the DWQ in the
Washington Regional Office at 252-946-6481, or the 401 Oversight Unit in the Raleigh Central
Office at 919-733-6893.
A written authorization from DWQ MUST be received prior to any construction activities in the
riparian buffer, including land clearing. Failure to secure a Buffer Authorization prior to
construction &/or land clearing shall subject the property owner & the party (contractor)
performing the construction &/or land clearing to a civil penalty of up to $25,000 per day per
violation.
❑ Minimize removal of woody vegetation in Zone 1 to what MUST be removed for the
installation of the shoreline stabilization project. Zone 1 begins at the most landward of
either the waters edge or the coastal wetland line and extends 30 feet landward.
Unnecessary clearing is a violation of the riparian buffer rules and may result in a civil
penalty assessment of up to $25,000 per day per violation.
❑ The property owner is responsible for site restoration of woody vegetation. Pre -project
site conditions MUST be re-established. A site that was wooded prior to this
shoreline stabilization project MUST be restored with native hardwood trees at a stem
density of 320 trees per acre. Hardwood restoration must be completed by the first
subsequent planting season (November 1 through March 30).
❑ Disturbance in Zone 2 of the riparian buffer, which begins at the landward edge of Zone
1 and extends 20 feet is restricted to uses listed under 15A NCAC 2B .0233(4)(b) & (6),
and 15A NCAC 2B.0259(4)(b) & (6). Clearing and grading of Zone 2 is allowed provided
that it is re -vegetated immediately and Zone 1 is not compromised, which includes
maintaining diffused flow of storm water runoff through Zone 1.
North Carolina Division of Water Quality Internet: www.ncwaterguality.orOne
943 Washington Square Mall Phone: [phone] NorthCarohna
Washington, NC 27889 FAX [phone] Naturally
An Equal Opportunity/Affirmative Action Employer — 50% Recycledl10% Post Consumer Paper

❑ For vertical shoreline stabilization projects (bulkhead) only; sites where wave overwash
is expected to be severe, the first ten (10) feet landward from the structure may be
maintained as a stable lawn in order to provide for structural stability. This certificate
condition is intended to apply only to projects adjacent to larger water bodies where the
conditions may routinely produce severe overwash.
❑ Construction corridors are allowed for shoreline stabilization projects, but they must be
satisfactorily restored, see the first condition of this authorization.
❑ When restoration is required Please submit a project map of your property indicating the
area to be restored, and a restoration plan. The DWQ website (Helpful links),
hftp://h2o.enr.state.nc.us/ncwetlands/RiparianBufferRules.htm may be helpful in the
preparation of the restoration plan.
This Buffer Authorization is not considered approved until the DWQ has received both
this signed form AND the project map.
Submit the requested information to:
Division of Water Quality
Attn: Surface Water/Buffer Program
943 Washington Square Mall
Washington, NC 27889
By your signature below you agree to be held responsible for meeting ALL of the above listed
conditions and verify that all information is complete and accurate. Only the property owner is
responsible for the second condition. Please be aware, violations of the above -listed conditions
are subject to civil penalty assessment of up to twenty-five thousand dollars ($25,000) per
violation per day.
Agent's
53�ga c
CAMA General Permit Number:
North Carolina Division of Water Quality Internet: www ncwaterouality.org
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper
Date
NorthCarohna
Naturally