55057_WADE, LINWOOD_20091204

❑ CAMA / C�,ZREDGE & FILL r►— �/
GENERAL PERMIT Previous permit #- I
❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
I
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 � Af `fl
Applicant Name i r i i lei /,! t l_'r WILL
Address t
City t �J' State ,, ' ( ZIP Phone # ()( �{ -�,;� C% Fax # ( }
Authorized Agent ,� _�i- I \A_�_ �(
Affected ❑ CW F- EW Eg.-PTA JLaltS ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platfc
F i nge
Groir
Bulk[
Basin
Boat
Boatl
Beac
Othe
Shor)
SAV:
Sandl
More
Phot,
Waiv
%\ les a ched.
Project Location: County -
{ .,�-
Street
Street Addr ss/ State Road/ Lot #(s)
Subdivision
City
� I _j ZIP /
Phone # (��� £�{({�j [(� River Basin
't
Adj. Wtr. Body trint man unkn
Closest Maj. Wtr. Body
(Scale:!.'
)rm(s)
- _
i
II
r pier(s)
)length
number
1
11
)ead/ Riprap length
avg distance offshore
max distance offshore
!
,channel
j
----
cubic yards ard
ramp
I
I
I
-'_
1
_
-
--
louse/ Boatlift
j
Bulldozing
r
1
i
-- - —
71
T f
aline LengthWI
not sure yes no --
)ags: not sure yes no -
.torium: n/a yes no..
x: yes no��
Pr Attached- ves nO-_-
I
--
I
-
I I
- —
-
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A building permit may be required by:
Notes/ Special Conditions
f ik t^ �i 't-
Agent or Applicant Printed Name
Signature PjeaLseead compliance statement on back of permit**
Application Fee(s) Check #
See note on back regarding River Basin rules.
The time period requirement for this
- development is suspended until 12-31-
2010, pursuant to Senate Bill 831. The
"ate effective date of ex irati n for this _ p s
permit is �- --�
Issuin) Ex iration Date
IfT
j
Local Planningf unsdiction Rover File Name

r
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 I) 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

rA
NC_
North Carolina Depar#ment of.Environment and Natural Resources
QIVISum of. Coastal. Managenienit
Michael F. Easley, Governor
James H. Gregson, Director wiliiam G. Ross Jr., secretary
Date
9
Applicant N a6e
MW]kg Address
I certify that I have authorized (agent)
t0 act on IIIy
behalf, for the purpose of applying for and obtaining aU CAMA Permits IIecess to
install or construct (activity)
at (location}
This certification is valid thru (date) �2
Signature — - ��Gr�7►- ��j . __

Dec 02 2009 7:11PM HP LASERJET FAX
Dec 02 09 1D.40a Lin 1'Vade 2527281680 p.2
p.2
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1 �11 1
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1
ADJACENT, RIPARIAN PROPERTY OWNER STATEMENT
i
[ HERBY CERTIFY THAT I OWN PROPERTY ADJACNET TO �
(NAMF. OF PROPERTY OWWR)
PROPERTY LOCATED AT_&� _
(LOT, BLOCK, ROA18 E t)
KE
HE HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS
PROPOSING AT THAT LOCATIION AND, I HAVE NO OBJEACTIONS TO HIS
PROPOSAL..
_----------- ---------------------------------------- ---, -------------- ----
i
r� DESCRIPTION ANUOR DRAWING OF PROPOSED
arEVFLOPiv ENT (m SE FILUD IN BY iNDtvtDUAL PRO1109MG DEVELOPMENT)
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Telephone number
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DATE

RIPARIAN PROPERTY OWNS
R STATEMENT
ADJACENT,
�I TY ADJACNET TO V-L-VQ �QA
I HERBY CERTIFY THAT I OWN PROPER (NAME OF PROPERTY OWNER)
i
PROPERTY LOCATED AT % AD ETC.)
(LOT, BLOCK,
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,NC
>. ,IN
ON (TOWN AND
(W TERBODY)
E AS SHOWN BELOW, 7ET HE IS
HE HAS DESCRIBED TOM , I HAVE NO ACTIONS TO HIS
PROPOSING AT THAT LOCATIION AND
PROPOSAL.•
--------------------
DESCRIPTION AND' OR DRAWING OF PROPOSED
DEVELOPMENT (TO BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
.XIS I
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1
signature
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print or type name \
1's
Telephone number
141,
DATE

1546
66-112/531
LARRY G ARNOLD SR
DBA 2 2s ARNOLD DOCKS 3� SEAWALLS
PH. 25
AB
NEWPORT, NC 285 0-6011
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