54145_MURPHY, MAX_20090611

CAMA / ❑ DREDGE & FALL
GENI=12A1 PERMIT "
Previous permit #
tNew, ❑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 15A NCAC
Rules attache
Applicant Name Y� `: i �,� �i Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State 1� ziP':�
Phone # O Fax # (} Subdivision
Authorized Agent
:". ; N i
- Cw
IEW N PTA ❑ ES ❑ PTS
Affected
OEA
-: HHF IH ❑ UBA ❑ N/A
AEC(s): —
_
PWS:
❑ FC:
ORWs/
C it H b /
City _ zip >
( } i-
Phone # -�'` i _ (; � �; River Basin `i-• ! -
Adj. Wtr. Body k_ -r c I ,' r G ' �at i unkn)
`f
ye o ye no r a yes no Closest Maj. Wtr. Body
Type of Project) Activity
(Scale: 1 rJ )
Pier (dock) length
Platfo
Bulkh
Boath
Othe
SAV:
Sand
Mora
Phot
Waiver y
~
A building permit may be required by:
r� (�'
;`; -.(
El See note on back regarding River Basin rules.
Notes/ Special Conditions
i
i
i
I
rm(s) �
'gent or Applicant Printed Name. p
]A V
Signature Please'{ead compliance statement on back of permit
Application Fee(s) Check #
7
Permit Officer's'Signature
<ih►lpci
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, 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 (910-796-7215) 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
252-808-2808J 1-888ARCOAST
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 Mail
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

Jun 10 09 Oa-34p Audray ARNOLD
252-726-3018 p.3
ME
Noah Carolina Deparoe t of tnVironm
ent and Natural Resources
Mrch�e F � $y, Governor Divtston, 6f Goasfal. Management -
James It G!t*n,Dhdbz
i+Yi yarn G. Row jr, Secretary
late
APPAcqjzt N
cerWy that I have authorized (.agent)
beh4 for the to act on Amy
Purpose °f aPPI�ulfoi and ob
tAuung $Il CANA necessary to
install or coast met (activity) ;7
at (location).
SzPature

Jun 10 09 Oa-14p Audrey ARNOLD
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252-726-3018 p.4
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fete deb-VIiAwnt ho is pnYposing X., IISa1 IC+,Ii;tRPt�
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it

Jun 40 09 0314p Audroy ARNOLD
252-726-301 S p.5
.�k.DJACV. T RUARIAT PROPERTYOWNER STATENIEN7'
RfLI4�Ci1?,fN[rPI,i.I14'Cr$/B4riTG�t`x`tBo,Tlf4USE)
Z hereby certify' that Y own property adjacent to `s
(tiarne of Praperty + ner)
property located at
(Lot, Bloch, Road, etc-)
on .AIL
(Waterb ady) own andlor County)
He has describeo to Me, as shown below, the dcvciopnxcnt he is proposing at that location,
and, I have no ab�eciians to hispropasal. I und4:rsrand that a p+rrhtzooritt pi�:'n ;`boatlifr'boatftousc
roust be set back a Minimum distance of f fte-en feet (i5,) from my area of riparian acces, unZeas
Nvaivcd by mc.
..�. IAM011 wish to «wive the setback r+epirement.
F AQ w•ishl to waive chat setback requirement,
---------- I-- -----. --
DXESCPUPTIUUAnDlOR DRANNING OF PROPOSED) DEVELOPMENT- -------_
(?-v be filled bi by lizdA,tduttlproposing dett��lop�art�ulJ
if A 7-
ft T�� L ��
Gs (4 14 e- A d
-------------
-------------
Signature
I
t
F
Print or Tyreme j
Teicp One- NuMber
Date;

LG ARNOLD DOCKS SEAWALLS
2779 MILL CREEK RO 81
NEWPORT, NC 28570
PH. 252-241-2636
<r• o
j llNC�-800-H BANKING AND TRUST COMPgNy
B',NK.BBT BBITjcom'
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1312
9 66-112/531
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• �u"Q 11
MONITORING & COMPLETIO REPOR
[LAMA Major Development & State Dredge & Fill Permits]
PERMITTEE'S NAME: a I1 PERMIT # 5� use
LOCATION: e,,TS �(7 , S�r4;-t r FIELD REP.
MONITORED BY
PHONE: DATE REPORTEDLY COMPLETE: G�
DATE OF INSPECTION g S
I) Do the measured dimensions of the development differ from those indicated in the permit and workplat?
YESX�[circle one].
COMMENT: (`cco.v
2) SEDIMENTATI SION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? VES
/
i [circle one]
COMMENT: u "
3) FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES/ [circle one].
COMMENT: N J t4

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