51867_HERMAN, INGRID & D., LAWRENCE_20071116

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT �'*reviouspermit#
❑New El 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
❑.Rules attached.
i
Applicant Name_
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Address'"
City
State � ZIP
Phone # O
Fax # ( )
Authorized Agent
Affected ❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
'r Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O "'! { River Basin
Adj. Wtr. Body (nat /man /unkn�
Closest Maj. Wtr. Body
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ME -NMENWHOURKIEW 1,
Agent or Applicant Printed Name
Signature **,,Please read compliance statement on back of permit
i�l`Ih
Application Fee(s)`—� Check#
PermitOffcer's Signature �t
Issuingbate Expiration Da , - r
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, certifythatthis project is consistentwith 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 complywith 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/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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

MA`S-21-2004 FR 1 0 c : 54 AM NC D; V DF U00ASTAL MGMNT FFiX N0, 4 P Ce.
A'-JJ CIENTT 1UPARIAN PROPERTY OWNER STATE1ViI�','v'1'
(FOR A 1IERIAI'00RING 1'Ii.tNGSIBi)A'rLIJ�7I 04THOU.SL;)
Z A wig =-'s 8; D. '�
1 horo ay certify that I own property atijacerit tc, 1 tit G—��
(.Nimc of I'c-operty ()wncr)
pmiK'` '7' lcx�,t� �.� at �� Cyµ l & { D U LE C Q U F' .t _ A W-tt
E
(Lot, Block, Ito:ul, etc.) - -i--
Oil. N.C.
(1't'atcrt�a<fyi ( OWt1 flild/01' Cou,tty)
He nas doscribod to me, M Shown below, [Ile dcv,,-lcipnvn[ he is propos"ng at that Ir�Catl0t:,
and, I Nave no objections to his proposal. I underrctand that a piertmoo:-ing
{�ili27F;s!U rltl;!'t/l�o�tlfiouu must be set tack a minimum dianco of fifteen feet (IS') from my arm
of ripari:m aceess unless waived by nos:.
I damot wish !o waive+ the se[ha: k requirement.
I LIQ wish to waive that setback roquiren-ent.
- -------------•---------------------•-------------------- - ---
DESCRIPTION ANI IOR DRAWING 01" PROPOSED DEVELOPMENT:
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MAY-21-2J04 FRI 09:54 AM T . VV JF OOASTAL MGMNT W, 4
F. 02
A DJA+~rF:NT 1UPAI11AN PROPERTY (OWNER S'7 NFE EN. 1'
(FOR A PIf. RIA1DORING I'II.INGSIBq )A7"LII�TIBOATffOUSLi)
L K�vV!ZrNC D.
1 h0`6Y c rts:y that I Own property adjacent tc, f N Gt� t b_ M ,_}_-� C- %
(Name of Property Owuet-)
7ri}1x.rty at �k LC C O U [,_.7._���.1� s1 i s L Wt'E s i i• f i
'Lot, Block, Roao elc.)
on_P. .f'irl b.t� -Atli Lr E,j _, N.C.
tF4 tttcr[?eatiy) (To'W11 "old/or COU[113.) -
iid. i?:1`duSCi16.} l CO:n , 'rS shavil bc;ow, the c!ev.lopmc.nt he is propos.ng at that 1cKat;or,
and; T haV no objcctiona to Lis propos 1, i ur1de-srVr1d that a pier/mooririn
��iliYiF;s/lr,�ltlil't/Uo1ll,ocrsu must bc! set back, s r.1inimt m cii stance of fif:cen fcc.t (15') from my area
r.}F ripari iri access r:nlcns wa:vcd by i»c.
..Ai— 1 Lisa. not wish to waive the Se -Omsk requi,ome-ril
_ 1 ido wish to waive th;tt sel ack roquiren cm.
...-----------------•---------------
DESCRIMION A;tiIVOR DRAWING OF PiWPOSLD DEVELOPMENT.
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RCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date
Applicant Name
n �
Mailing Address 1 y/ ✓�'�.t�,�
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtai ing all CAMA Permits necessary to
install or construct (activity)
r
at (location)
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

LG ARNOLD DOCKS & SEAWALLS
2779 MILL CREEK RD
NEWPORT, NC 28570
PH. 252-241-2636
1173
66-112/531
/' — BRANCH 02307
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BRANCH BANKING AND TRUST COMPANY
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