48166_BRISSON, DAVID_20070323

3 �l� - 7 i,5
❑CAMA / ❑ DREDGE & FILL V
44
GENERAL PERMIT V Previous per t#
❑New ❑Modification ❑Complete Reissue El Partial Reissue V Date previo permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources l i
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Ej Rules attached.
Applicant Name '§ %' `� P ' "'� ' -S Project Location: County
Address -21 Street Address/ State Road/ Lot #(s)
City State C ZIPS(;,
Phone # ( ) Fax # ( ) Subdivision
Authorized Agent G-°A'r ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
`Bulkhead/ Riprap length ;
7 avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes
no _
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required by:
Notes/ Special Conditions
(Scale: A / j t, )
�1
• El See note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature �� .✓
Issuing Date"
Expiration Date
Application Fee(s) Check # 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, certifythat 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

DO
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director retary
to
i f is
Date `� �4 Y' MAR 1 5 2007
orell800l Oily po!m
Applicant Name �c� �' t r 1 r 5 ��
Mailing Address
Y'
I certify that I have authorized (agent) L i-, r i- A nV. l � to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location)
This certification is. valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

��-UIX, �My DCM
40

AD JAUENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkheads and Riprap)
I hereby certify that I own property adjacent to /�� 's
(Name of Property Owner or Applicant)
Phone number you can be reached at//
Mailing address if different from location: 4-.4 j ,
Property located at
(Lot, Block, Road, etc.)
on 4, in '+ C.-.^� `� , N.C.
(W erbody) (Town aid/or County)
He has described to me as shown below., the development he is i at that location,
and, I have no objections to his proposal. ® R
----------------------------------------------------------------------------------- ------MAR 1 6 2007-----
DESCRIPTION AND/OR DRAWING OF PROPOSED D VELOPMENT
(To be filled in by individual proposing developMWehead City DCM
I
Signature
(22
Print or Type Name
z�z— zed- Zvv �
Telephone Number
Date:
nccoas talmanagement.netIPernuu/ADJACENTRIPARIANPROPERTYO WNERSTATEMENT2. pdf

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkheads and Riprap)
f
1 hereby certify that I own property adjacent to /)4! e 's
(Name of Property Owner or Applicant)
Phone number you can be reached at ;�/ F/ 2 77 J, 10
Mailing address if different from location:// 0 VLL���?�' ��' ,
Property located at to
(Lot, Block, Road, etc.)
on 4, in �%Z+Lr.� , N.C.
(W erbody) (Town aid/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)
If>i11�Vf'�iI!•
'� 11
Morehead, City, DCM
I
------------------------
Signature
Print or Type Name
7
Telephone Number
Date: /
nccoastalmanagement.net/PermitsIADJACENTRIPARIANPROPERTYOWNERSTATEMEN'M-. pdf

r:r
LARRY G. ARNOLD 1987
530
P O BOX 2277 BRANCH RANCH T7676
15
Morehead City, NC 28557
Pay to the
Order of _
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Date
WACHOVIA
Wachovia Bank, N.A.
wachovia.com (/]
For
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