49862_ARNOLD, AUDREY_20070816

�.❑ CAMA ' 49 2
/ DGE � FILL �' ` ' "
GENERAL PERMIT 1- Previous permit #
New ❑Modification OComplete Reissue ❑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.
I
Applicant Name t,t , i e Project Location: County
Address �+ /) 1 11 <'>✓ � Street Address/ State Road/ Lot #(s)
City / `J V" (a'0 j 1 State ZIP
Phone # ( ) w ' 30 Fax # (^) Subdivision
Authorized Agent City ZIP
Affected ElEW ❑ PTA DES ❑ PTS Phone # O C"J River Basin J r
AEC(s): to ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body oat '/man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
E e
cubic yards
Boat ramp
Boathouse/ Boatlift ��--- — -
1 .r.: .
Beach Bulldozing --- ---- - �-
Other
' Lei-- �--�-, ----- -- —
Shoreline Length
SAV: not sure yes no ^
Sandbags: not sure yes no _ — _— - - --_ - ` I
Moratorium: n/a yes no �, , 1 �,_ I L{94
Photos: yes no
Waiver Attached: yes no ^ �_
A building permit may be required by:
Notes/ Special Conditions >7 i i ! c'
r 1, �•/ :� :� t�
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
j
❑ See note on back regarding River Basin rules
PermitOfficerfs Signature
Issuing Date Expiration Date
t
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
landowne:r(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythatthis project is consistentwith 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 howto 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/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth Citv 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

AI-N;wj
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
Date
Applicant Name
Mailing Address . ! % % U � n A N
ypippa
tTp�
forehead City CCI4
J,
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for
for and obtaini all CAMA Permits necessary to
install or construct (activity) A 4A1LA� ,
at (location) 1.9 7
This certification is valid thru (date)
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

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4.
ADJA'CENT,RIPARIAN PROPERTY OWNER STATEMENT
�ulkht9sand Riprap)
I hereby certify that I own property adjacent to s
(Name of Property:Owner o 'Applicant)
Phone number you can be reached at J — — .
(107
Mailing address if different from location:
Property located at,_%
(Lot, Block, Road, etc.)
on �u, ���_ , in
(Waterbody) (Tow and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
-------------------------------------------------------------------------------------------------------------------
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f
Print or Type Name
Telephone Number
Date:
ccoastalmanagement. net/Permits/ADJACENTRIPARIANPRO PER=OWNMSTA'MMF-N'M. pdf

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
ulkheads�nd Riprap)
I hereby certify that I own property adjacent to
(Name of Property Ow or Appcant)
Phone number you can be reached at S — ? 6 —3D
Mailing address if different from loca
Property located at
i
(Lot, Block, Road, etc.)
on ✓ , in , N.C.
(Wa rbody) (Tow and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual roposing development)
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Print Type Name
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Telephone Number
Date: 2 ✓
nccoastalmanagement.net/Permits/ADJACENTRIPARIANPROPERTYOWNERSTATEMENT2. pdf

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2G9MARNOILL RLD DOCKSEEK IL SEAWALLS
NEWPORT, NC 26570
PH. 252-241-2636
R.
1084
66-112/531
BRANCH 02301
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