46097_ARNOLD, RALPH_20060727

�CAMA / ❑ DREDGE & FILL LAI
GENERAL PERMIT Pr viouspermit #
❑New ❑Modification ❑Complete Reissue DPartial 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 I SA NCAC
❑ Rules attached.
Applicant Name_
Address
City
Phone # () _
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZiP
Fax # O
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (i) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s) !
Finger pier(s) I
Groin length '
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore _
i
Basin, channel
cubic yards
Boat ram i
P
Boathouse/ Boatlift
Beach Bulldozing
Other - -
Shoreline Length
SAM not sure yes no
i
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
River Basin rules.
—
f
,-
C' See note
on back regarding
Agent or Applicant Printed JUL
Na
J Permit Officer's Signature
5 200b
SignaturePlease read compliance Statement on back of permit �' lol Expiration Date
MQr19 ea
Application Fee(s) Check # 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:
-I 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
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/ I-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

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ADJACENT RIPARIAN PROPERTY OWNER STATEMEi\T
(FOR A PIERIMOORING PILINGSIBOA TLIFTIBOA TXOUSE)
I hereby certify that I otivn property add ant t Ci✓ /L. C i 's
(i\a-rne o Pr6perty Oisner)
proper,), located at �l ,,Cr�� �-/ rL,� e- n"7
�v (Lot, Block, Road, etc.)
on (7���,.►> , i nN.C.
(`''aterbody) (Town and/or County)
fIc has described to me, as shoN�n belov,, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that as pier/mooring pilings 'boatli"Oatho►►se
must beset back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
-- I do not ayssh to waive the setback requirement.
_ X — I do �%Ish to waive that setback requirement.
.......................... .....................--------------- --•----............................ = -
DESCRIPTION AND/OR DRANVING OF PROPOSED DEVELOPMENT.';
(To be fillet! in Gt' indivitletnl proposing devtlopwtent) `J r �`: .
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Telephone Number

06722/20Q6 16:26 FAX (]001/001
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LARRYG ARNOLD
P C Box 2277
Morehead City, NC 28557
1704
Pay to the �j`� © 66-211530
er of
OrdBRANCH »su
Date
WACIIOVI
D Fo;Y'or
Zachovia BanN
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ch0 ia.c m 'A' yP;o
For a¢ 7C—
':0 5 3000 2 191:
. i05466 1894 286�i�
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