32034_CLEMENS, RON_20020605

Z- CAMA / ❑ DREDGE & FILL
.-ter
GENERAL PERMIT Previous permit#
C New ❑Modification ❑Complete Reissue ❑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 I SA NCAC 0711 UK
© Rules attached.
Applicant Name off i `M "I Project Location: County (& 4f,f t
Address t �'� i i) Nora, Street Address/ State Road/ Lot #(s)
City far State N t ZIP I} )3l ~, yv' f vjl✓�
Phone #(/' ) `Jbt, by5� Fax#(
Authorized Agent SsM�
Affected ❑ CW C1 EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ o -A ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes/ no PNA yes / yfiq Crit. Hab. yes / no
Subdivision
City —Lark, - ark, 17f0'e, ZIP
Phone # O River Basin 11,4ti
Adj. Wtr. Body Mdo off k r dfo l (nat /man /unkn)
Closest Maj. Wtr. Body'�iFr
Type of Project/ Activity v 0
Pier (dock) length
Platforms)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathyouse/'B�oat��ift,
1 y jG r
Beach Bulldozing_
Other
7a
Shoreline Length S �!
,
SAY: not sure yes
Sandbags: not sure yes kDd
Moratorium: n/a yes o� �'
Photos: yes ( t'
Waiver Attached: yes; no -- ---
A building permit may be required by: A l i G n j' , �ra cL
Notes/ Special Conditions �t N t t tars 1t + i �� oft. h G r z i d 13
Agent or App Sant P,rinteo N e
Signature ** Please read compliance statement on back of permit
Application Fee(s) T-� Check #
(Scale: Ah,,vr )
❑ See note on back regarding River Basin rules.
14, j l /,i
-�-,tj fx",�-
Permit Officer's Signature
if,- �' ; Z 7 C c) Z
Issuing Date Expiration Date
�-'(4,J,, ?i ,,J ) 611 r1 f4
Local Planning Jurisdiction Rover File Name

c
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 [)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
landowners).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythatthis 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 comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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 10/05/01

RONALD E. CLEMMONS 66-358/531 3978
TERESA L. CLEMMONS 1325205099
NCDL 4786299 3397225
404 SW MAYNARD RD. PH. 56. DATE J `
fi 3
R NC 275
PAY TO THE Yy.y1. "' l
k ORDER OE/
�L4 / U %V (// � � V I DOLLARS,
k —Y'_ ; KEYS
n -Fidelity Bank ACCOUNT
j{ Parkway Polme BranCh, Cary, NC 27511 17
f i
E i:053103S13D:132520SO99039?a

APR-23-2002 TUE 01:46 PM SIC D:V OF COASTAL MGMNT FAX NO, 4 P. D5
AI),rACE-Yr RIPMUAN PROPERTY OWINER STATENEENT
(FOR A PIFRIMOORING PILINGS/BOA IIIr-TIROATHOC EE)
I hereby cerufy that I cwn property adjace;it to on/p/oI pyl s
(Name of Property Oxner,
_ ye —,41 13
(Lot, BIoc , road, etc.)
on 6%�i¢i1r
,IN
C, '
(Waterbody) (Town and/or County,
He has desc-Tibed Lo me, as s-cwn below, the deve?oprr e fie proposir.~� V tL at lccacic%
and. I have no objections to his proposal. I understand tf z' a oi,:.'mcorin,
piii:'ZIq ;OaLf,'bca!hous,: must be k: back a mirirnum dismnce of f r.ee:, feet (':5') from .-nv ales
of ripa::,.n access unless waived by me.
I rn . Wish to waive the setback requirement.
+/ ! Id2 w4;n to wrive t`at setback requiremen,_
DESC IPTIO;Y AtiTJ!CR DR.�WD G OF PROPOSED DE TLOPti \ ,
70 be ftlled in ba iadividual proposin; dev?fop , 2nr)
13
411
Slar.a:urc
Raac-al l uV , Pro e
Print or Tyae Fame
—_21-9 78`2 73
.id!,--nori
Date. - r'b

APR-23-2002 TUE 01:46 PM NO Di'V OF COASTAL MGMNT FAX NO, 4 P, 05
),rA[;Eiti"z' RLPA.RL N PROPERTY OWitiIR ST1AM- fENI
(FOR A PIFRAW00RIN(j PIIINGSIBOA7Z1r-TIBOAT110C'SE)
I hereby certify that ? cwn PMPcrty adjacent to I1 �rtl�/�i���/�MQA4 's
C� (Dame of Property Owner'
pTuperry locate
(Lott, Block, Road, etc.)
0 n — C_, fE, �oy �(�, I �e C4A
(Waterbody) (Town and/or Councyl
He has de:�,r;beu t,-) me, as sown below, the developn;e he s prcposir.; at t;:at Iccatac�,.
and, I have no objections to his proposal. I undz:d :I;a;
' � mu.,t e
pili:�&xadin,bo Tthcu-, <• b se: back a mirir um dismnce of f LLtn feet (? 5')
from-:,y area
of ripa::aTt access unless waived by me.
I do no wish to 'Waive the setback requirement.
_ I LJ2 Wien to waive t=at setback rcquircmenc.
D1 SLRIPTIO,'Y AXWOR DR.�Wr4C, OF PROPOSID 17EYEL0 tir_� i;
('o baked in, by individual ropoing developmenr)
`, 2
Na,U &41 �,`0
N
S
PriType 1\'am:.
� �-'4 - a 43 - \�13 'f
Dste: S -d�- cif

JUN-02-98 TUE 08:06 WHISPERING S14NDS REHLTY 919 726 6079 P.09
DWcE wvw
LEGEND
R
R/W
RIGHT OF WAY
-
I_ I
STREET ADDRESS
LINES SURVEYED
LINES NOT SURVEYED
A
.�c
MN
Mwr a
•
ATLANTIC OCEAN
II
VICINITY MAP N.T.S.
I
J
I r
Q
z
�
LOT
<
13
�
I
LY
LLJ
�
I
�
^-BOAT
RAMP
a
Z
1/A
CON CRETE• Dj;fVE; . v[S ENCROACH 1,2' EACH
U
`£ 83,06' EIP
EIP
x—X—x-
4 CvuoNE FENCE (T79
i COf1C.fETE ORIyE.
i.
N
�
a
a
ao
12
3
CA
�
e.o
t .
n
AREA:
r
4.0'
4.623 SQ FT.
g
0.106 ACRES
x�x
GJtOLN0 FL . 5.3
EIP
I
lO
N86`'4ry0''2D"W
ECM
7o
S• WO&EN AT fEMF' TT -r— O �_ ❑ \ I
iCif
LLLIII I
g
�\ o
I
LO7 I �
11 I
I
REFERENCES:
I. DEED BOOK 678 PAGE 297
$
1. MAP BOOK 4 PAGE 40
LOT 12 BLOCK 11
SOUNDI/VEW ISLES
`
TAX 6385.1304.9519
tify that on5/281998, 1 surveyed the
:rty above on this plot; that the
RONALD E. CLEMENS
srty lines and location of all
cures are accurately shown hereon;
the structure located on this property
TARESA L. CLEMENS
/DOES NOT encro4pb+an,otSY
.ent street or pxd��W0/R� Ehgt the
tore the
TSP, ATLANTIC BEACH CARTERET CD. N.C.
on a t•� e�x:
DOES NOT qlc
tMDREHW
JOHN W. COLLIERR. L. S.
Rr6yerly20'
ed.
408 Arendell Street / PO Box 3460
pfin oo-W RI'S.
8 98
5 /2/
Morehead City, North Corolino 28557
Office [phone]
FOR R 1�91j!: `
Residence [phone]
`�,•``�
Lau
CLEMEHAWO
Toll Free 1--800-682-4316