42741_MCFARLIN, FRED_20050825

❑ CAMA / 1❑ DRE l & FILL
GENERAL PERMIT
"2741
Previous permit #
LCNew El 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
f-e�/ ❑Rules attached.
Applicant Name Project Location: County
Address
City/Yf )I1 Vt� /OCt State AX- ZIP
Phone # ( ` 4 ` � -7 7�d:' Fax # ( )
Authorized Agent
Affected - CW - _W .N PTA ❑ ES ❑ PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (254) 41Y9 '41%9 River Basin Ak u5e
Adj. Wtr. Body (�« 4 r("n t yman /unkn)
Closest Maj. Wtr. Body Xk
Type of Project/ Activity79�.
at"iIC. (Scale:-*t )
Pier (dock) length
-- - -
Platform(s) L-� - T }- _.. i_L.----'. -I - -' - — L ❑ t�
-+-
f i H
Finger pier(s) U
I
Groin length
1
(
i
number
Bulkhead/ Riprap length
avg distance offshore
❑
'
max distance offshore
Basin, channel
1
I
I
r
cubic yards
Boat ramp
I
I�
-
-
Boathouse/ Boatlift , ' %
/
c
Beach Bulldozing
i
T
f
i
Other
-
-i
Shoreline Length
Ik
;l
y
SAM not sure yes no
Sandbags: not sure yes no
t
Moratorium: n/a yes
Photoyes no
I
t ---
---'
-
Waiver Attached: yes no ---
-----
{ }(1 '
--
❑ See note
A building permit may be required by: t
on back regarding River Basin rules.
Notes/ Special Conditions
�:; i•�
v,
Agent or Applicant Printed Name
r
Signature Please ead compliance statement on back of permit
/ Y19
Application Fee(s) Check#
Permit Officer's Sign/attuj,r�ee'
Issuing Date Expiration Date
Local Planning jurisdiction Rover File Name

It
IF
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
J' Neuse River Basin Buffer Rules
_'i Other:
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
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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 06/29/05

M15/2005 14:40 2527262510 STAPLES MOREHEAD PAGE 02
fi X JXCENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
hereby certify that I own property adjacent to Fg�'b I vl
(Name of Property Owner)
�r v located at
(Lot, Block, Road, etc.)
NC.
('VVaterbody) (Town And/or County)
He �aa described to me, as shown below, the devolopmcut he is proposing at that location,
7 hnve ra ubjection3 to his proposal. I understand that a pier/uncovered boat lift must be sec
s sri-MMUm of fifteen (I5') from my areA of riparian access unless waived by me.
Ado not wish to waive the setback requirement.
X.- 1 do wish to waive that setback requirement.
7rZQN.AND/OR DRAWING OF PROPOSED' -
DEVELOPMENT -(To be filled in by individual proposing development)
'De C v_
gc>q nn
� AW
E
.JS JL twAM H
Print or Type Name
Date

ADJACENT RIPARIAN ]PROPERTY OWNER STATEMENT
(FOR A► PIER/LlNCOVERED BOATLIFT)
f—,P,
�'—
e- LiI hereby certify that I own property adjacent to_
s
(Name of Property Owner)
property located at 1 (D
on % %fit ; c) Ly U"..(� fo
(Waterbody)
K
(Lot, Block, Road, etc.) �-
in 14 NC.
(Town nd/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. I understand that a pier/uncovered boat lift must be set
back at a minimum of fifteen (I5') from my area of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I rho wish to waive that setback requirement.
JUZ31- cir I HJIN A1ND/UR DRAWING OF PROPOSED DE'VELOPNI<ENT:
("To be filled in by individual proposing development)
'bo('✓
Sig"ture
RD 4 r
�AmP
Print or Type Name

1498
LARRY G. ARNOLD 56-21/530
P Q Box 2277 /�, T1 J!' BRANCH IM15
Morehead City, NC 28557 CJ vate
Pay to the
Order of
v r
WAcxovrA
Wachovia Bank, ,N.i.
wacq0V� -
For ll El
0.053000 2 L9l: L05466 L894 286� L49