53003_TANNERY, JERRY_20081103

-CAMA / ❑ DREDGE & FILL
y
-.7El
GEN, ERAL PERMIT
Previous permit #
DNew ❑Modification ❑Complete Reissue
El Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment
and Natural Resources
f
and the Coastal Resources Commission in an area of environmental
concern pursuant to I SA NCAC
[t')
Rules attached.
Applicant Name f--P, � �!
Project Location:
County r ? •- ` i
-
}
Address
Street Address/
State Road/ Lot #(s) n
`=
City 1 _ State _. ZIP
Phone # O n ~-'f�. f Fax #{ ) . __ .-�.._.�_
Subdivision
'`
Authorized Agent :" ti r{ _ �;:_�?_1�-. City
- - ZIP-
r-.rl"1
�jCW ❑ EW ❑ PTA ❑ ES ❑ PTS
Phone O
River Basin
;
Affected
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
Adj. W r. Body_.
t
(nat /man unkn
❑ PWS: ❑ FC:
f 1
Closest Maj. Wtr.
Body
ORW: yes / no PNA yes / no Crit.Hab.
yes / no
-
J
Type of Project/ Activity
Pier (
Platfc
Finge
Groiv
BulkF
Basin
Boat
Boatl
Beac
OthE
Shor,
SAV:
Sand
More
Phot
Waio
t
(Scale: )
Jocic) ien cn r
--I--
rm(s)
— —
--
-
--
—
-
--
Lee
E�
pier(s)
length
lumber-
ead/ Riprap length
avg distance offshore
-nax distance offshore
— —. }
"+,+,,d
'-
t t
--
-
----
----
1k.-
_
t i -
-•
---
-
_ -—
Of AI
(—
--
channel
-- --
--
-
f!�I
�.
f t- C7 0' ] ra
ao CD��
�n 0° o
OR
o
cubic yards
amp
—
-
_
ouse/ Boatlift
i
i Bulldozing
-
cn^u
f a
o c a
�
:line Length ^� 2r�n'.
I
not sure yes no
>ags: not sure yes lio #'-
torium: n/a yes no
>s: yes nIc
i
�r
-
C - f
6
cc
_ o.
p 0 G
Q- 0 N CD
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FF
- - - —
-
A building permit may be required by: s ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions f" ! 41 <'
i
a \ fin)
Agent or Applicant Printed Name
R�
Signature PIeasgread compliancestate mentonback ofpermit
Application Fee(s)
Check #
PennitOfficer' Signature -
IssyingDatef l ExpirationD*e
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 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/ 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

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
i
Date //— I— d
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 LAMA Permits necessary to
install or construct (activity) �/ k�� -`'k '
at (location)
This certification is valid thru (date) / /
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 1 o% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY ONVNER STATEME11-
(FOR A PIER/1100RiNG PILI(N'GS/BOA
TLIFT/B0,4 7fI�£�
I hereby certify that I own property adjacent to
Is
(Name of Property p..•ne
Property located at I ��
(Lot, Block, Road, etc.)
on cr�
(ZVaterbo /' ' , N.C.
(Totirn and/or County)
He has described to nit, as shown below-, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/moorinc ,
must be set back a minimum distance of fifteen feet (i 5') from my area of r._ 'b rt acce , ion,
pilinQs'boati; hboatnot:se
waived by me. s, unless
T do not wish to naive the setback requirement.
I do wish to waive that setback requirement.
_ ---------------------•--.._----------------
DESCRIPTIQI�ND!OR DRAWING OF PROPOSED pDnEteVnEt)LQrN1ENT;(TO brftlled in tr indii,idt!P oposin detelo
�- e
--------j ---- -- 1 --- - -- - = - - ----- -
Signature
�` A
Print or Type Name
ke�T
elen
Date: Q _ a U k

ADJACENT RIPARIAN PROPERTY O1VNER STATE:1iF_,i-
tFOR ,4 J'"Ej Vf0o'"VO PILf(V GS/BOA 7LIFT1B0.4 TH ,Tr FEj
I hereby certify that I own property adjacent to 9�9
(Name of Property Owne
Property located at °
(Lot, Block, Road, etc.) `~
on r—
(jVaterbo - �' ' , N.C.
(Toti�n andlor Countti�)
and,
He has described to me, as shown below, the development he is proposing at that location,
'have no objections to his proposal. I understand that a pier/niooringpilino;boaUiR'boat
must be set back a minitnurn distance of fifteen feet (15,) house
waived by me. from my area of riparian access unless
I do not wish to waive the setback requirement.
I do %vish to waive that setback requirement.
---------------------------------------------------------
OF
DE�SCRtpTIO.N AKDOR DRA«I1G PROPOSED
OPd� eDEVELOPME\T;(To befiied in Ltv indbidirnllpopsgl pirten)
G�cer!
1 � �
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K:
LARRY G ARNOLD SR 1 562
DBA LG ARNOLD DOCKS & SEAWALLS 66-112/531
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2779 MILL CREEK RD
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yA,��Ar,r,-
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