47020_BROGDEN, BILL_20061113

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11 CAMA / ❑ DFMDGE & FILL
GENERAL PERMIT
El New ❑Modification El Complete Reissue ❑Partial Reissue
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
Previous permit #_
Date previous permit
,r
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City ! l' + State ZIP
Phone # (`) Fax # O
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA El ES ❑ PTS
[IOEA ❑ HHF ElIH ElUBA ElN/A
AEC(s):
L] PWS: ❑FC:
ORW: ; " yes,./ no PNA yes / no Crit. Hab. yes / no
�1f1"9 i
. r, _
Subdivision
City ZIP
Phone # (`) 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) /
Groin length
number
Bulkhead/ Riprap length
1
�—
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
ti
i
_i
,
'
—
1
.
-_�
Beach Bulldozing
Other
—
---
- --
Shoreline Length
SAV: not sure yes
Sandbags: not sure yes
Moratorium: n/a yes no)
Photos: yes no
Waiver Attached: yes no -
A building permit may be required by:
Notes/ Special Conditions
rules.
❑ See note on
back
regarding
River Basin
t q t t
Signature Please read compliance
nppucaoon reeds)
Check #
3 2006
PerAOfficer'sSignature
C Ity LJ� i 3 ,1
IssuingD to Expiration Date
j6'1.74
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, 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 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/ 1-888ARCOAST
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

f
r NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Date 1/ /1/6, 4e C;)
Applicant Name W
loxo)
Mailing Address �5� �/:Z� 471" �},,
`Y ®�''v/
I certify that I have authorized (agent) ���"X XXAl c24/J to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location) Srs �7 L'", , _
This certification is v
Signature
thru (date) 7 - -; -'/ ei e
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 110% Post consumer Paper

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I HERBY CERTIFY THAT 1 OWN PROPERTY ADJACNET TO _ f
(NAME OF PROPERTY O TIER)
PROPERTY LOCATED AT,�4_t•.c
(LOT, BLOCK ROAD. ETC.)
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ON J.IN� Q r„ .-r..�" Cj&7&:j _, NC
(WATE D� (TOWN
AND/OR COUNTY)
HE HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS
PROPOSING AT THAT LOCATIION AND, I RAVE NO OBJEACTIONS TO HIS
PROPOSAL..
DESCRIPTION ANUOR DRAWING OF PROPOSED
DEVELOPMENT t.O BF FULLED IN BY NDIVIM AL PROPOS(NO DF.VFLOPMF.NT)
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ADJACENT RIPARIAN PROPERTY OWNER STA.TEME�
,393-- P
I HERBY CERTIFY THAT I OWN PROPERTY A-DJACNE T TO
(NAME OF PROPERTY O i:R)
I
PROPERTY LOCATED AT --
ILOT, BLOCK RO, ETC.)
ONE fs IN �_. �__,NC
t W ATE DY (T 'N ANDiOR COU'rt I'1'3
HE HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS
PROPOSING AT THAT LOCATIION AND, I HAVE NO OBJEACTIONS TO HIS
PROPOSAL..
DESCRJPTION ANUOR DRAWING OF PROPOSED
DEVELOPMENT, iO aF FILLED ly BY RNDIVIDUAL PROPOSING DEVELOPMENT)
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signature
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print arlt}pe name
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Telephone number

2003
66-21/530
LARRY G. ARNOLD BRANCH 77615
P O Box 2277 r /� _
Morehead City, NC 28557 % Date
Pay to the
order of —
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Faelu�es
10. WACHOVIA
mi Wachovia Bank, N.A.
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wachovia.com
For
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