31553_ELSHAUG, FRANK AND TERESA_20020320

CAMA / DREDGE & FILL M / 3155K
Previous permit #
GENERAL PERMIT i
New Modification Complete Reissue El Partial Reissue Date previous permit issued j
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
0 Rules attached.
Applicant Name t�-'�4�k �p�� I5��, Project Location: County 1`Ctm r(-1 Ca' _
Address _t l t,a.Qcr) i rr �P Street Address'/ State Road/ Lot #(s) �ff: �Z/_7
City -- t`ni {rz,r _ State &LZIP 553 1rj tCG�f
Phone # 35+ Fax # ( ) Subdivision F 0 6 6�a (
Authorized Agent City r&eEk/C:E�- ZIP
Affected ❑Cw LAW ❑`PTA El ES ❑PTS Phone # O River Basin
OEA ❑ HHF IH ❑ UBA F N/A '
AEC(s): El❑ Adj. Wtr. Body_ 1�2 L1Y a' �_ (at,/man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body'+ L`�'�
Type of Project/ Activity I( !;-4et t' I -F /SC l i L-0 r rir K. �r ; v r a.0
T
a.s f is n jqow/ (Scale: t4D n )
Pier (dock) length
Platform(s)
Finger pier(s)_
Groin length
number
i I i
Bulkhead/ Riprap length j
avg distance offshore
max distance offshore
Basin, channel
cumc yaras_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no —
Sandbags: not sure yes no
Moratorium: n/a yes no J<
Photos: yes no '.
Waiver Attached: yes no --.— — -- ----- —
A buildingpermit required b
P may be re 9 Y: F6Zm�i' Lyy0 r
Notes/ Special Conditions OIL- ;- nr 1 � mlu ' �' T
X
Agent or Applicant Printed Name
k'
Signature Please read compliance statement on back of permit"
cl -# '
Application Fee(s) Check #
See note on back regarding River Basin rules.
jr:�6 Li Jk
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, 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / I-888-4RCOAST
Fax: [phone]
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

TERESA ELSHAUG
LIC. E-422-789-454-254
5175 QUEENS CIRCLE PH. 952-474-8757
EXCELSIOR, MN 55331
Paytothe
Order of
®wells Fargo Bank Minnesota, N.A.
Minneapolis, MN 55479
• 612-667-9378
// www.welisfargo.com
17-1 514
3141354l193
Date Q
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�:09�0000�9�:3L4�354L93ii' �0205
10205
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I
ADJACENT RIPARIAN PROPERTY OWNERSTATEMENT
I hereby certify that I own property adjacent to Frank and Teresa F1 Ghaug's
(Name of Property Owner)
property located at Lot # 7 , 647 Quail Road ,
(Lot, Block, Road, etc.)
on Pasture Creek in Pamlico , N.C.
(Waterhody) ffau%v er 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
zz ff I "A =Wolle �"d'WW
Print or Type Name
Telephone Number
Date:
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ADJACENT RIPARIAN PROPERTY OWNER STATEM WF r
r
I hereby certify that I own property adjacent to Frank and Teresa Pi Ghaug 's
(Name of Property Owner)
property located at Lot # 7 647 u a i l Road ,
(Lot, Block, Road, etc.)
an Pasture Creek in Pamlico , N.C. _
(Waterbody) -Ver County).
He has described to me as shown below, the development he is proposing at that Iocation,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
f
TnPh TCk! '41F\?1IT
Signature v /
Print or Type Name
Telephone Number
Date:
nr-ccrr7c7 TV4 A n : 0 T 7n1771zn