55284_TOWN OF EMERALD ISLE_20100315

I(o to I.56
iECAP A / C] DREDGE & FILL
GEAERAL PERMIT Previous permit #
LNew ❑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 �
© Rules attached.
Applicant Name hNre MFt � it Q 11 DwRroject Location: County ' ft 'r; r j
Address MO , Street Address/�Sttate Road/ Lot #(s)
City ( �MpfrIrr 7f1t State Zip 2� a1 �*fl tl� kc,I), LA.
Phone # (ISZ) 3�� 4 _ Fax # (�) Subdivision
Authorized Agent City --W`@fcl d i5 If ZIP j q j
Affected ❑Cw ❑Ew CRPTA EES ❑PTS Phone# (152 )35N-�Sg3 i River Basin ti yw�#t Qg{(
AEC(s): ❑ oEA ❑ HHF ElIH ❑ UBA ❑ N/A Adj. Wtr. Body, ; sz• , unkn
nat
❑ PWS: El FC: ORW: yes / no PNA yes / no. Crit.Hab. yes / no Closest Maj. Wtr. Body «
Type of Project/ Activity t aw n Cv tllac_4 M4
(Scale: �e 6LW )
Pier (dock) length
Platform(s) -
Finger pier(s)
Groin length
number
�._ u 9SflQ l
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel -
cubic yards l
/++
Boat ramp : i
t� �X l 1�b� -
Boathouse/ Boatlift
Beach Bulldozing -
Other —
Shoreline Length Z 5
SAV: not sure yes 0�='
Sandbags: not sure yes
t
Moratorium: n/a yes L
Photos: yes _I _
Waiver Attached: yes n�1 --- — -
A building permit may be required by: �e f Z
Notes/ Special Conditions .� ^ '� -� �..y, C^ �!•
Agent or Applicant Printed Name
/
Signature "Please read compliance statement on back of permit"
` _' 3 f3-17ei
Application Fee(s) Check #
1 —T—FT- i
❑ See note on back regarding River Basin rules. l
To �S7
#f
Issuing D9te Expiration Date
Cw*"erol� �rdf U-UIn-.51?12A
Local PlanningJurisdiction Rover File Name
15
4

r I ,
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, certifythat 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth Citv 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

TOWN OF EMERALD ISLE
7500 Emerald Dr.
Emerald Isle, North Carolina 28594 2< ( �'
ACCOUNTS PAYABLE
Two hundred dollars and 00/100-
F-
PAY N
TO THE CDENR
ORDER Morehead City, NC 28557
OF
&RSTT CITIZENS ANKNo 31379
66-30-531
DATE CHECK 140. CHECK AMOUNT
--- 3/7/10 31379 $200.00
THIS DISBURSEMENT HAS BEEN APPROVED AS REQUIRED BY
THE LOCAL GOVERNMENT BUDGET AND FISCAL CONTROL ACT.
ll[
Wiz„ TH�
AUORIZED SIGNATURE
AUTHORIZED SIGNATURE
L
003 L379110 11:0531001001:00341 2 253642110

Bulkhead
20'
Goncrete slab 10' X 45' X b"

62/11/2010 07:57 FAX [phone] DR JAMES A OLDHAM DDS PA 1a003
FAX MEMO
Dr. James A. Oldham, D.D.S., P.A.
P.O. Box 709
3574 U.S. 301 South
Smithfield, NC 27577
[phone] FAX: [phone]
TO:4-
lg. f udl; l�Jo��S
FAX #: a sa - 35`'( - a VIEd
FROM: J, ma-5 Q. 64%Q
VIA -
DATE:
M
TOTAL PAGES: 3 ( includes cover page)
This message is intended for the use of the individual or entity to which it is
addressed. This communication may contain individual protected health
information ("PHI") that is subject to protection under state and federal
laws, or other privileged, confidential or proprietary information of Dr.
Oldham that may not be further disclosed.
If you are not the intended recipient, or the employee or agent responsible
for delivering this communication to the intended recipient, you are notified
that making copy or distribution of this document is strictly prohibited. If
you have received this communication in error, please notify us immediately
by replying to this message and destroying it. Thank you.

`02/11/2010 07:57 FAX [phone] DR JAMES A OLDHAM DDS PA
02/10/2010 14:43 FAX [phone] EMERALD ISLE PUBLIC WORK
Z002
Lit 00;
ADJACENT RIPARIAN PROPERTY OWNED
STATEMENT FOR LAMA MINOR PERMITS
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located ®t ZUZ 06!c (.w. Sti!J 7 ,)'— .
Address, Lot, Block, Road, etc.)
on i < ;V— . in �..oi � , N.C.
�(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the
development he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signatur
�Q
Print or Type Name
Qt Y• o 3 tf
Telephone Ni4mber
Date

'02/11/2010 07:57 FAX [phone]
02/10/2010 14:43 FAX [phone]
DR JAMES A OLDHAM DDS PA
EMERALD ISLE PUBLIC WORE
Z001
t�Jruut
IN
Adjacent Property Owner
l
Mailing Address,_.Z15r%7
City, State, Zip Code
Receipts for
Certified Will
(Staple Here)
Dear Adjacent Property:
et"'Ad t �=�" �"� �� have, applied for a CAMA Minor
This letter is to inform you that I, OwflO f
property
in C,9HN+Y
Permit on my property at
Prope Addres
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and retum
the enclosed no objection form. If you have any questions or comments about my proposed project, please
Contact me at ? I or by mail et the address listed below. If you wish to
App icanYs elephone
file written comments orobject"sons with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to: -,-� C., ra /—/ 1" I_PO NAME
Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Sincerely, _
�c
Property Owner
Mailing Addmms
City, State, Zip Code
zs�Z-3-z�

Receipts for
Certified Mail
(Staple Here)
Date
a g3q O ps.
Adjacent Property Owner
Mailing Address
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I, 227-�'� �� have applied for a CAMA Minor
Property Owner •
Permit on my property at ti /�� �. A Azzi ' - vvejc,,,E- 017"41 in C� )UNT-Y
-rope Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at - or by mail at the address listed below. If you wish to
App icant's elephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME
L r"`er' 4¢ 4cal Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
C zee `�� CITY, STATE, ZIP CODE
Sincerely,
Property Owner
Mailing Address
a g/P - e✓ z85,9ei
City, State, Zip Code

H' ��
. � 1 d�,G.,.-.
���
����3�r/ ��T ��

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to
property located at
on
(Name of Property Owner)
Address, Lot, Block, Road, etc.)
, in
(Waterbody) (Town and/or County)
N.C.
I
He has described to me as shown in the attached application and project drawing(s), the
development he is proposing at that location, and, I have no objections to his proposal,
PPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED
Signature
Print or Type Name
Telephone Number
Date

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Re: Kelly Ln. / Bogue Sound Dr. Boat Ramp
Please be advised; The Town of Emerald Isle Public Works Department is
proposing to improve the boat Ramp at this location by removing the existing concrete
slab and replacing it with a new concrete slab. You will find enclosed a sketch of the
properties involved and an "Adjacent Riparian Property Owners Statement" and an
"Adjacent Riparian Property Owner Notification and Waiver form". Please sign, date and
initial these forms in the appropriate places and return by fax to 252-354-2440.
Please, feel free to contact us anytime if you have any concerns or comments.
Thank you
John Dunn

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to s
(Name of Property Owner)
property located at
Address, Lot, Block, Road, etc.)
on , in rK% N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the
development he is proposing at that location, and, I have no objections to his proposal.
APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED
Sigry re
Print or Tye Name
Telephone Number
Date

Receipts for
Certified Mail
Date (Staple Here)
Adjacent Property Owner
Mailing Address
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I, ! z. —L-l� �,�� �d�'_% have applied for a CAMA Minor
Property Owner •
Permit on my property at i�¢//TL r, �� 4 e 5� !-�t, . ��. ii, in COUNTY
roperry Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at � 4 T� or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Sincerely,
Property Ow rr
za
Mailing Address Al fJ '/
C Zvi 5Vz
City, State, Zip Code

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1552(; qC
Describe belo,,v the 'HABITAT disturbances or the application. All values should match the name, and units of measurement
found in your Habitat code .sheet.
Habitat Name
DISTURB TYBIE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp im acts)
FINIAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet —�
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ FMN Both Other ❑
ALT?@
Dredge ❑ Fill1k Both a Other ❑
� � �
7 ` y
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

7
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