60135_OHALE, JACK_20120326

��CAMA / DREDGE & FILL I" NO. 60135
` GENERAL PERMIT Previous permit#
New I —.-]Modification ❑Complete Reissue GPartial 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
Applicant Name Project Location: County
Address ` - Street Address/ State Road/ Lot #(s)
City State ZIP
❑ Rules attached.
Phone # Fax # Subdivision
Authorized Agent— CityZIP
Affected CW ❑ EW ElPTA Ll ES E PTS Phone # ( _ _) River Basin
AEC(s): - OEA HHF IH i UBA -' N/A Adj. Wtr. Body (nat /man /unkn)
G PWS: i FC:
OPW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Fier (dock) length , ¢
F'latform(s) ' f'"' 'I1-!
Finger pier(s) _ I �I
i
Groin length
i
number_—__-
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards _
Boat ramp
i
Boathouse/ Boatlift
Beach Bulldozing
--
Other
Shoreline Length
SAV: not sure yes
no'
—
Sandbags: not sure yes
no
—
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required
by:
Notes/ Special Conditions
(Scale:
k
See note on back regarding River Basin rules.
i
Agent or Applicant Printed Name PermitOfficer's Signature
Sign: ure Please reaP� compliance statement on back of permit Issuing Date ` Expiration Date
{j �� f
J �pL�ia' r
7
Application Fee(s) Check # 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
252-808-2808/ 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)

LARRY G. ARNOLD
P O Box 2277
Morehead City, NC 28557
Pay to the
Order of
250� �
66-21/530+ .$
BRANCH 77615
!/ Date
Dollars
WACH®VIA
Wachovia Bank, N.A. f
wachovia.comFor 6261 r r
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Man,agement
8everiy Eaves Perdue, Governor James H, Oregson, Director Dee Freeman, Secrelar/
pate„., C �--
Applicant Name
Mailia- Addressy
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It ccrdlt thait 1 have authorized (agent) i to act ou m
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behalf, for the purpose of applyitxg for and obtaining all CAMA permits necessary to
iustaU or co
at (Iocation)
nstruct (activity)
This certification is valid thru (date)
Signature
4OQCoi���,jye'nue;:Nrorehead City, Forth. Carolina 28557
Phone; 252-8AI(� :252-247-33301 {ntemei:• www.nccobstalr4' nagement.net
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