30636_CASE, CLYDE III_20011206

-CAMA /,J DREDGE & FILL
GE�ARAL PERMIT
❑New7-modification iComplete Reissue JPartial Reissue
As authorized by the tate of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC_
Previous permit #"
Date previous permit issued
0 Rules attached.
Applicant Name �`�� �. t ` ,, i 5 Project Location: County_
Address'V Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # O `G Fax # O Subdivision
Authorized Agent c%_f�} rl_.fi \ City ZIP
Affected ❑ CW El EW PTA ES PTS Phone # ( ) River Basin
AEC(s): = OEA ❑ HHF ❑ IH —UBA N/A Adj. Wtr. Body (nat [man /unkn)
❑ PWs: -'AFC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length ✓ p
Platform(s)
Finger pier(s)
Groin length
--
number
Bulkhead/ Riprap length
i
avg distance offshore
iL, ; ;.,# „ = .
max distance offshore
Basin, channel
`
cubic yards
{
J
Boat ramp
a .
Boathouse/ Boatlift
Beach Bulldozing
Other
uko aS-/1Io Vqt �( �: ��
Shoreline Length 1 ! 0
SAV: not sure yes 'no
Sandbags: not sure yes no
Moratorium: n/a yes no IJ _
Photos: yes no`� �{
Waiver Attached: yes no �-
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
r�
1
(Scale: T
f4 _ -5N
Y
c_
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Signature Please read compliance statement on back of permit Issuing Date
Expiration Date
Application Fee(s)
Check# Local Planningjurisdiction
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 (910-395-3900) for more information on how to complywith thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 10/C

11,05/200'1 10:08 252-447-0510 CASEY
ADJACENT ARL-'�N PROPERTY OWNFR STATUMU'l
(FOR A FIERIMOORING PILINCSIBOATLIF IROATHOUSE)
1
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at
(dot, dock, �aad,tc.)
on
(Waterbody) (Town and/or County)
He has described to me, as shOwa below, the development he is proposine at Lha[. location,
and, I have no objections to his proposal_ I understand that a pier/mooring
pi,ineslboadiftlboathouse must be see back a minimum distance of fifteen feet 15') from my axea
of riparian access unless waived by me, -�t' VV
PAGE 01
I do Uot wish to wa! e the setback requirement, u DEC 0 5 2001
1 d-Q wish to waive ff.at setback reiuiremcrnt_—Z— ASTALM as U9
DESCRIPTION AND/OR DRA WE G OF PROPOSED DEVEEORtiMN ':
V-O'PU4441ed in,by individual proposing developmeni)
rj'01o.i`r3'jjf rxk�� yr�
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k,
aL
$i9�re r
Punt or Type Name g 'ielephone IJ4 er � '
Date:
P

• ADJACENT R PARUN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to s
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on V 11."Q (fSv in "/c ty"'4 V ,I C-A H7C���`...N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal_ I understand that a pier/mooring
pilingsiboatlift/boathouse must be se, back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me. --
I do not wish to wa;,e the setback requirement.
/ DED 0 5 2001
j/ I do wish to waive tr.at setback requirement.
--------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWD;G OF PROPOSED DEVELOP`fENT:
s'ter (Tod► led in by individual proposing development)
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Si -nature
Print or Type Name
6o--1}55- z� 2
Telephone Number
Date: ��• -0

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MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
1 PERMITTEE'S NAME: / �'119
_7 T
PERMIT #_�Cz�? —�
LOCATION: �� r I\� ( FIELD REP.
PHONE- f7'O DATE REPORTEDLY COMPLETE: (�
DATE OF INSPECTION
1) D FNO
e measured dimensions of the development differ from those indicated in the permit and workplat?
[circle one].
COMMENT: S 5 CD
2) SEDIMENTATIO ROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas?(� "10 [circle one]
COMMENT:
3) FUTURE MO RING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES O �ircle one].
COMMENT:
i