57139_TYNDALL, ROBERT A_20110301

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT � -`�/ Previous permit # j
❑New ❑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 attached.
Applicant Name Project Location: County
Address
City
State ZIP
Phone # ()
Fax # ( )
Authorized Agent
to:`4W
❑ES ElPTS
tAAffected
AEC(s):
UHHF
❑ UBA ❑ N/A
PWS:
ORW: (�es / no
PNA
yes�(o Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nnt /man /unkn)
Closest Maj. Wtr. Body
MM■■
■■MEMO■■■■■
"mom
■■
MEMO
■■■■■■■■mmmL1■■�'■■■lOMEMEMEM■M■■mom
�.
IMMIN■■■■■■RM■I■EMANIN®�
■■■■■■M■■■■■■■■
MEMO
■EMM■■■■Ems
■N
mom
MEMON
II�`.��M_/_■■EEE
Room
M11i1�1►�MEEI�EEMU
MEmom
EI�E■
MOM■Erg.:
MEN
Lim
�ZM■E�EEP.:11d
MEN
R
IME
■■M■EMEE■IfO�MIS"I
■EsoE■f•■E_
i■E■
EEME�lI�S:
MEMENO
MEMMrAE■■iEl�i::7Mc�WINSAMM■
►11■■■■■I�li�i'!
■■MIN
■M■E►/1■■■■■■wIJwril
EMOMM■E■EM►'EMM■E■E
MEMMEN
■M!!!11�■■■■�11A1;AMEE■■■■■■■El�■■■■■■
■MEMO■EMft
.-q
MEM■lFEi
.1'1■1!■■
■EEE■WME■MM■
EMEMOMMOME
EME■■■ME■■■EilirriiEMI
Mii'E■EEMWEEMM■
so
FM
IN
ON
IN
MON
ME
IN
MMMMMM
■M■EM■EM■MME■[�ESREME■■ILiIIEJ■■■E■■E■►lOMEME■ME■■EE■EE■■■EIMMVMMiM■■OEM■E■■E\►i
■■■Mmom M■■■MMMEMOMM■M■■OEM■E■■EE12AMM■
■■■ENONE MEE■r/EMMERVAMMEMEEME■■■■■MMUMM■
.. = MEMMEMMEE■MM■■E■■tlil■■■■E■■■■ME■MIN ■`iE■■
■■E■■MME■■■■■■■■M®■■■■■E■E■EM■■MMENEM
■■■■■■■■M■■MOM ■■o MEOEM■■■EME■MEEMEMME
■■ME■®E■■E®E■■■r/EMM■■■■■■MM■■■■■
it
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
r
Permit Officer's Signature
Issuing Date Expiration Date
Application Fee(s) Check # 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, 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 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/ I-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

.\aplicant:
Date:
\ 111
Describe below the HABITAT disturbances for the application. AJI values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
Dredge ❑ Fill ❑ Both ❑ Other
rl
J
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
a
_as-.:�if� %'ii� .. �•� y.;; ��;:'ur3A�si ,. +,�r••ti'.+r..._c�a.s•.;'..?,,u _.t .,r 2r ..:. .�'.r.:�t .,., ,I...:,..t. t

A61
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
Applicant Name
Mailing Address
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 6)e:
at (location) �7 �- iy� (.' (ek
This certification is valid thru (date) "a,., a,.,c-h ± . Z-�/)
Signature
C
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
• An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR A �PIERfiLl04RltYG PfLEVOSIBOA7LIfT1BOA TfiO LISE)'
? �� 1 '
I hereby certify that I own property adjacer►t to �'(i �1 G s
(Norne of Property Owner)
3 �U
property located at L ' i v-?
Lot, Block, Road, etc.)
A
on �' U i,c _�� , in 7� , N.C.
(Waterbcdg) (Town nd/or Coring•)
i�
-He has described to me, as shown below, the development he is proposing at that location,
if
and, I have no objections to his proposal. I understand that a pier/mooring pilings' boat]ih'boathoUse
must beset back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. j
I o of wish to waive the setback requirement.
ti I do wish to waive that.sethack requirement.
DESCRIPTIO
-------------
Trtrphone Turn er —
Date:

ok
'IVA
J4

LARRY G ARNOLD SR
DBA LG ARNOLD DOCKS 8, SEAWALLS
PH. 252-241-2636
2779 MILL CREEK RD
NEWPORT, NC 28570-6011
c
:cc
2095
66-112/531
1
1 1 \ BRANCH BANKING AND TRUST COMP-y
1-000-BANK BBT BBT.com QQQ
E!�'�""v'it/''� G1hr✓DC..� l__sJ �_ �f�ie¢t�v t
':O�S 3 10 1 1 2 11:000 5
29579815911'02 95
NWIond C4uka '.'Y( ''.5%'
%'6