61140_GAJ, RAYMOND_20121219

:1 CAMA / 7-1 DREDGE & FILL
bENERAL PERMIT
3New [IModification DComplete Reissue L1 Partial Reissue
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
Applicant Name
y
Address il'
City State ZIP
i
Phone # Fax #
Authorized Agent
Affected 0 Cw EW ED PTA F-1 ES E PTS
AEC(s): El OEA 5 HHF 0 1H D UBA 0 N/A
El PWS: El FC:
ORW: yes / no PNA yes / no Crit.Hab. yes no
No. 61140
Previous permit #
Date previous permit issued
E Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City-- ZIP
Phone# River Basin
Adj. Wtr. Body gnat /manjunkn)
Closest Maj, Wtr. Body
Type of Project/ Activity
A'
(Scale:
Pier (dock) length
Platf orm(s)
Finger pier(s)
Groi n length
number
Bulk head/ Riprap length
avg distance offshore
max distance offshore
Basin , channel
cubic yards
Boat ramp
Boathouse/ Boatlift..,
Beac h Bulldozing
Othe
C1,
Shor eline Length
SAV: not sure yes
Sandbag s: not sure yes no
Mor atorium: n/a yes no
Photos: yes no
Waiver Attached: yes _no
A building permit may be required by:
Notes/ Special Conditions
j7
See note
on back regarding
River Basin rules.
Check #
Agent or Applicant Printed Name
Permit Officer's
Local
Signature Please read compliance statementon back of permit"
Signature
Issuing Date Expiration Date
Application Fee(s)
Planning Jurisdiction
Rover File Name
Agent or Applicant Printed Name
Permit Officer's
Local
Signature Please read compliance statementon back of permit"
Signature
Issuing Date Expiration Date
Application Fee(s)
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, certifythat 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
252-808-2808/ 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 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)

Dec. 19. 2012 9:04AM VILLAGE REALTY No.4256 P. 2
AA'ifA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, secretary
Date /'�' s—
Applicant Name
Mailing Address
,I r
T certifythat r have authorized (a ent) to act on my
g
behalf, for the purpose of applying for and obtaining a-U CAMA Pe fits necessary to
install or construct (activity) 67'-,k ' O A & ���•�, w w7'T
at (location)
This certification iis.vabd thru (date)
Signature
d 1� �d
400 Comrperee, Avenue, Morehead City, North Carolina 28557
Phone: [phone],\�k : 252-247-33301Internet www,nccoastalm'anagement.net
+ An Equal Opportu4i �:Affi rnative Action Employer— 50% Recycled t 10% Post consumer Paper

201Dec, 19, 201251 9:04AM VILLAGE REALTY No. 4256 P. 3
----- - - - 919-254-7453 » 252 &Srr v1Q5 r ill
STATEMENT
I hereby Certify that I own property adjacent to %-_ K(Nam y M a w► � �►� ^'s
proper► Located st i o �/ o acl w. �.�Ir ��. �!� df f�rop4ttAL-y OwCder) .
(Addm) Lot. Block. Road atc.) -
on , in o R 0 -0'A=+0t / PA" t- N.C.
Y) (CWOrmn andfor Cou- ►ty)
The appfiGant has d"Wbed to me, as shown below, the devebprnent proposed at the above
location.
Y I have no WjOCtion to this proposal,
-- I have objOctiOns to this proposal.
DESCRWMN AMWOR 5RAV1f G OP PROPOSED DEVELOPMENT
pndh4dual-piroPuaing drt *kPn ent must Fill In dandpdori below or Bch a sft drawing}
76'- 90, 41b,00
0
f
1-9
WAVER WY.-TION cA
i understand that a Pier, dock, mooring pNfts, breakwafsr, boathouse, lift, or groin must be aet
back a minimum diatancs of 15' from my area of riparian access unless waived by me. (if you
wish to waive the ssft* you must InIdat The aWopriata blank below)
,,,_ I do wish to waive the 15' settrack requirement.
P(V I do not wish to waive the 15' setback requirement.
(Property Owner Iriftwi ration) (A*CeM Property Owner Inform bon)
S
RAyr owc, 1P Goa d -- �Yi . Ala lker A;-.d-1
P nr or rype Nerve
fa a x/t►i! Q E
Meiling Address Mahn ,
-s.Y9 r 3 t chystatorL;1919- J408-'5D7-
ne Numbw TeJf h ne Nwaber
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Dwe i�
(Revised &I a-2012)

Dec.19, 2012 9:04AM VILLAGE REALTY
Nc.4256 P. 4
ADJACENT RIP N ROP TY STA MEN
I hereby certify that I own property adjacent to RA a A. J 6AS
(Name of P s
property located at 104 G v 0R, f �►.', JT _0A� `D � Ov1 if
f S:
-,.,._L�l�.-ram ���71
(Address, Lot, Block, Road, etc_)
on G A,E�s c- , in _ D A, 4r.b r,*c ,,,
�te�y) (Cit ffown andloCounty)
, N.C.
The applicant has described to me, as shown below, -the development proposed at the above
location_
- 1 have no objection to this proposal.
1 have objections to this proposal,
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
70�- 9o� `o,ra
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwrater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (if you
wish to waive the setback, you must i»itial the appropriate blank below.)
_ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Infornution) (Ad' cent Property Owner Inform tion)
Signs RA y," o•,,,4 if lr143 S;' �,
iKr1r t r/1. Pnnt or Type Name Print or Type Name
Po LiaY r a Y'l 10G
Marling Address Mading Address
0R1G^e7,A,6, NC+ 5--7/
CrtylStatelZip �_.s�•vn-� t- t n.►
Citylstatalzip
_22
Telephone Number TelepFlhone Number
�f Dme-
(Revised 611 &2012)

1801
LARRY G ARNOLD SR 66-112/531
DBA LG ARNOLD DOCKS & SEAWALLS
PH. 252-241-2636
2779 MILL CREEK RD
NEWPORT, NC 28570-6011 oat, 00
s
A142
Faaluraa
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BST BBT.coM
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