50180_JUSTIN, FRANKIE_20080327

_ _ _ _ _ _ � ��7-ate ��� ��♦ 50184
❑CAMA / ❑ DREDGE & FILL
r. GENERAL PERMIT t Previous permitp#
[]New ❑Modification ❑Complete Reissue El 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
Address
City
State ZIP
Phone # ( ) -
Fax # ( )
Authorized Agent
❑ CW ❑ EW
❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA ❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no, PNA
yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body / �.! l e ! . — (nat,/man /unkn)
Closest Maj. Wtr. Body ( r V�-C
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SEEN
Agent or Applicant Printed Name
J.
Signature* Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature _-
Issuing Date • } Expiration Date,
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 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.
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

ADJACEINIMIPARIAN PR4PER1'�' iti'�ER STATEMENT
(FORA L� , f ORIrVG PILING 'BOATLIFtiB0ATHOliS6)
hereby certify that I own property adjacent to,,,�,,,� 's
(Name of Property O- ner)
property located at
�j (Lot, Block, Road, etc.)
on �✓ , in N.C.
«'a erb
{ .t'
) (Town and/or County)
He has described to me, as shown below, the developnient he is proposing, at that location,
and, I have no objections to his proposal. I understand that a pier/niooringpiIings -boat liR'boatnouse
must be set back a minimum distance of fifteen feet (i 5') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do %vish to waive that setback requirement.
----------------------------------------------
DESCRIPTION AnD!OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in br individualproposing developu,c?,rl)
i
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qSignature
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Print or Type Frame
I" -`..�.fephone Number
• �� .4L ,l
Date:
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Mar 26 08 OG:55p Frankie Justice
Mar ZU LX uo:a-1p N,W(Wy MMI`IIJLU
252-527-2560 p.1
NCWDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gm}pon, Direetm WITiam G, Ross Jr., Secretary
Date 3
1
Applicant Dame
Mang Address MAR 2008
ili
ZY
Ord end Ci>t�r I)cm
I certify that I have authorized (agent) L'� to aet on my
behalf, for the purpose of applying for and obtainid all CAMA Pc rmits necessary to
install or construct (activity) - /���,� fJ L-rr--
at (location)
This cectirication is valid tbru (do
5iguature
400 Commerce Avenue, Morehead City, Norm Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.ncaoastaimanagemenLnel
An Equal Opportunity l Affirmative Adios Employer- 9001. Recycled 1 io% po61 Cmkmv payer

Mar 25 08 07:10p , Audray ARNOLD
252-725-3018 p.1
ADJrtCr4 LFARIAI PROPER IV NVitER STATE.IIF1T
(FOR A E" ORt1vo pit -IN BOA 2TZhFrr Qrf T�YOi/SLj
I hereby certify that I Own property adjacent to
f a
(\ar»e of Propert.• Q.. Ac r)
property ioCated ai _ / Z' �; /� ._ ..-.:� ,�-,:,� n _
{Let, Block-, Road, etc.)
on
in
(tiVat`eraq(�} frOwn and/or County)
He has described to mt� as shown WGIA•, the deve:opment he is proposi; g at that'.o�arion,
.t id, j 31R.-e no vbjeCiions to his ¢coposat. I understand chat a pier/retooringpilinQs'boati:f„beati o;jse
must be set back R minimum distance o: fiReen feet (i 5,) frortl my area o waived by f rips-ian stress unless
rne.
i o riot wish to waivethe setback requir.tttcnt.
...... •--_.___j,�_.-ish to .ti•azve lhat setback tr {, LIVE
J�
q ircment. \��®
•------------------------- ------------•• _
'DESCRIPTION AND/OR DRAm.-I G . •----•-----•------------- p..... _
OF PROPOSED DEVEt.()PXIVN r: MAR 2 7 2008
�To be fr/!er! is by ir,d�vidrpl propaSa�g drs�tlflpu�c�ut)
r
;` � P'•G Corr• %� r c ►- !�
J �
i
MOrehead City f)CM
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.��,• isnature
! y ` ;,� Pnn: or Typc Name
Date.
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L-d d60:L0 80 9E jeA

LG ARNOLD DOCKS & SEAWALLS
2779 MILL CREEK RD
NEWPORT, NC ?8570
PH.252-241-2636
1154
!� 66-1121531
t 4� R BRANCH 02301
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BRANCH BANKING AND TR T COMPAN
1-800-BANK BBT BBTT..coo\m Y/^
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