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CAMA / ❑ DREDGE & FILL ^ C-
-. GENERAL PERMIT Previous permit #
❑New El Modification ❑Complete Reissul ❑Partial Reissue ' Date previous permit issued ----
As authorized by the State of North Carolina, Department of Environment and Natural sources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
" ❑ Rules attfled.
Applicant Name Project Location: County 5 ��
Address !..._�� �t: ; i` C- y - 1� Street Address/ State Road/ Lot #(s) c.
City State — ZIP ' F
Phone # O ' Fax # O Subdivision
Authorized Agent +` City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
OEA HHF ElIH ❑ UBA El N/A AEC(s): ElElAdj. Wtr. Body man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no_.Closest Maj. Wtr. Body,
Type of Project/ Activity .. •i 4 "'-
:,t.+ (Scale:
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAX/: not sure yesno
i
Sandbags: not sure yes ng J
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes nn
A building permit may be required by: rC� Ltd
Notes/ Special Conditions
Agent or Applicant Printed Name
See note on back regarding River Basin rules.
Permit Officer's Signature
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date Expiration Date
L.TI lA)C—K C0 , OJ!DC /b Ze,f/
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 Basi n 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: 252-247-3330
2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604 New River Inlet- and Pamlico Counties)
919-733-2293
Fax: 919-733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
APR-02-07 11:32 AM ARNOLD AUTOMOTIVE INC.
2526336089
252-745-4253 P-2
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APR-02-07 11:31 AM
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ARNOLD AUTOMOTIVE INC. 2526336Oe9
252-74 5-4253
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOX:3 PTE"d OORI.VGPILINGwSBO.4Tl.(FT/BQr471/OUSE)
I hereby'. oartify that I own property adjacent to
tt' , (Name of Property Owner)
. # property located at ,2�`)
(Lot, Block, Road, etc.)
onin
(Watetrbody) ('Town and/or C nty)
4
y He has dGscribad to me, as shown below, the developmetit hr is proposing at rust lots
I have no ob'eations to his?ropo:sal. I understand that a pierimooriag pilingslboaIMboad
must be sit bacT it minimum distance of fifeen feet (151 ftr, my area ofrilxirian access u
waived by me. .
l &rot wish to waive the setback rcquisemat.
141 wieb to waive that setbeal requirement.
Aw
€y;, IDN ANTUOR DRAWLNG OF PROP09ED DEVELOPMENT:
a (To be filled is by indi►dduoi jwopasiry Awloppwpo)
I
1
Signature
Print or Type Nww
Telephone N,
Dare:
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APR-02-07 11:33 AM
ARNOLD AUTOMOTIVE INC. 2526336089
252-; 45-4253
P.03
:tl ADJ4kCENT RIPARIAN PROPERTY OWNER STATEMEN-Y
eFOR A PIERNOOR1NGPILMWIROATLxFT/ROAZNOC;,,f;E)
I bcrcby 0014 that I own property adjacent to �Rlt`�7 .ice
'i
(Name of Property Owner)
pt' P" located at
; (Lak Block; Road, ttc.)
0
(Watxrbody) (Town udlor Co nty)
He has ¢escrpbed to me, as shown below, the development he is propceing al ftt loci
' I have no objections tD hie proposal. I understand that a pier/mooring piHngslboat1i"oadl
mist be set back a caiaimum distsnoe of fifteen feet (I5� awn.. my area of r%xuian access u
t ! wv0d by me.
AgjW witch to waive the setback requirem rt.
�•, - -- I dg wiab to waive that setback requircmcnt.
DBSSC�tLI iON ANDIOR DRAWING OF PROPOSED DEVEWF;P ;�
1 i
.` (To deJiJied ho by irtdrvidud propetring t rodopw mV
le
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Mot or Type Name
L3'1 SY3 ( 1
Telephone Number
Dat c. Y � 'L — a
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BROAD CREEK CONSTRUCTION
PH.252-745-4252
11 CREEKVIEW CT
MERRITT, NC 28556-9572
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BRANCH BANKING AAND TRUST COMPANY --_— 1.80p-BANK BBT BBT.com
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