61127_LASSALVY, PHILIP_20121116

❑ CAMA / DREDGE & FILL r 1� O . 6112 7
GENERAL PERMIT Previous permit#
El New ❑Modification DComplete Reissue DPartial 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
El Rules attached.
Applicant Name
Didj G t LA
Address
�f
l.� �,°(!- . , E C-
City 41 p
r t ll,I t `y
State AL-T. ZIP 2k 5
Phone # (
)
Fax # ( )
Authorized Agent
i„ t.tt LI r.(rt /VV
❑ CW
Aw STOTA F'PTS
Affected
AEC(s):
❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
r—FC:
ORW: yes / no PNA Eyes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
, V
Subdivision 0
City f, i ?f:. -??' F 2f Y ZIP y "'
Phone # ( ) River Basin r` `7(- '4(
Adj. Wtr. Body ?P'rT/,r' •f a �..9eo l/ (nat /man /unkn)
- t.-�
Closest Maj. Wtr. Body
Type of Project/ Activity
—T'' • F?n, rS �.[� r, ;t ,lt �k� •; r c c. (Scale: )
Pier (dock) length
r
Platform(s)—
Finger pier(s)
Groin length
number Y
Bulkhead% Riprap length V
g
av distance offshore I -- _ �! J` _✓ � s.« ` w��' i -- --
max distance offshore
II
t
Basin, channel
cubic yards--
-t¢" + J
Boat ramp
Boathouse/ Boatlift_
Beach Bulldozing_
Other
Shoreline Length '
SAV: not sure yes o
Sandbags: not sure yes no
Moratorium: n/a yes
Photos: yes o
Waiver Attached: yes n /^
A building permit maybe required by: ^r,.'N r f (,A �?
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
l❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
r
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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F Tar- Pamlico River Basin Buffer Rules J Other:
71 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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
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)

LARRY G ARNOLD SR
DBA LG ARNOLD DOCKS & SEAWALLS
PH. 252-241-2636
2779 MILL CREEK RD %/4-
NEWPORT, NC 28570-6011 7)w-,
BRANCH BANKING AND TRUST COMPANY
1-800-BANKBErr BBT. com I ( 7
1:0 3 10 1 1 2 11:0OOS 2957181 S9116029
Harland Clarke
2299
66-1 !2/531

WCONNEOGIS
WEB H05TING
3 3273
h
j Par-cefs (Updated 111115f2012)
A Celitc1lines
County Boundary
Other County
,Af other values.::
Cart
PIN
A c,I L --age
Parcel Dimensions
L Lct Number

iF,c f s 1�
Al!
A dt,
Ito
R
4FA
'411 LA
to dr-

RCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date / % Z 7) b %
Applicant Name
Mailing Address
ININFA-1 - N
Im
I certify that I have authorized (agent) I-L A %Z /�-/UCT46 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
n —
install or construct (activity)
at (location)
This certificatio is val thru (date
Signature
WKWO
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I HERBY CERTIFY THAT I OWN PROPERTY ADJACNET TO jta. /- Aj )
(NAME OF PROPERTY OWNER)
PROPERTY LOCATED AT 161 A 1OD4e c t. S TA2 Air/
(LOT, BLOCK, ROAD, ETC.)
ON PlzC/L��z - ,NC
(WATERBODY) (TOWN AND/OR COUNTY)
HE HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS
PROPOSING AT THAT LOCATIION AND, I HAVE NO OBJEACTIONS TO HIS
PROPOSAL..
T DESCRIPTION ANUOR DRAWING OF PROPOSED
DEVELOPMENT (TO BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
o r°
�200�L lI.
N
I v print or type name IOO
5;Z,393,U-3,
ITelephone number
i

Carteret County
Properly Data
Parcel Number: 538509253273000
Inquiry Date: 11/16/2012
DISCLAIMER: For confirmation of the number of buildings on each parcel, please contact the Cart(
Owner/Property Info
Building Info
Parcel Number: 538509253273000
Baths: 2
Owner: LASSALVY,PHILIP G ETUX ERNA 3
Bedrooms: 2
Physical Address 0000101 MIDDLE CT
Condition: N/A
CAPE CARTERET NC
Exterior Walls 1: ''FOOD SHNGG
Mailing Address: 404 WAVERLY COURT
Exterior Walls 2:
NEWPORT NC 28570
Floor Finish 1: CARPET
Legal Description: L22 PART L23 BA STAR HILL GOLF
Floor Finish 2: HARDWOOD
Deed Book: 1381
Foundation 1:
Deed Page: 281
Foundation 2:
Sale Date: 20110725
Heat: HEATPUMP
Sale Price: 236500
Roof Cover 1: COMP SHNGL
Acreage: 0.702
Roof Cover 2: COMP SHNGL
Land Value: $150,571.00
Roof Structure: GABLE
Building Value: $77,819•00
Square Footage: 1260
Extra Feature Value: $9,050•GO
Year Built: 1971
Parcel Value: $237,440.00
Click Here for Advanced Cards
Sketches
KNOW
376.0
dulcaaR't a t
ONEiB71 CPTX'
fE1 21)O
i
4
lli ti f
iNQ
r F'CN7O
!'r
nR0
Photos

iddlei t, CroatansNation I West a e'Carteret, NC
�n
4 � _
�a
JI
}
IV,
��� 09

#4
'I,,,`i Middle Ct, Croatan Nataonal Forest; Cape
'fir �► ,� _-. ,,,, tL;C��� earth
`. a 1� x x. ' � L• �� n ''�.� y. �