56057_HOTT, HAYSTEIDIS_20100729

❑CAMA / ❑ DREDGE & FILL �7-3o.la I r
i
GENERAL PERMIT Previouspermit#
[]New ❑Modification ❑Complete 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 l lj
[�] Rules attached.
Applicant Name i 1 . !: z Project Location: County
Address f r/ ', ': + iI Street Address/ State Road/ Lot #(s)
City lIA State ZIP
Phone # O Fax # O Subdivision
i
Authorized Agent.; ;��{ City i \ ZIP
j `L l
Affected � CW ❑ EW El PTA El ES ElPTS Phone # ( i ,�j�� � i River Basin �
AEC(s): 0 OEA ❑ HHF Q IH ❑ UBA ❑ N/A Adj. Wtr. Body (~at /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
i
Type of Project/ Activity Mfl
1
(Scale: ---1�
Pier (dock) len&ph , It
Platform(s)�
?
}
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length-
avg distance offshore
max distance offshore
L-1-
I
---' --
Basin, channel
cubic yards"
^ ---- ---
-- -�_..
Boat ramp
r
Boathouse/ Boatlift
-f
Beach Bulldozing-
Other ,X i-2
- -i
i
,il
-10
r'
1
Shoreline Length
.�,,
, �`
t - _ _
r
-
SAV: not sure yes no -_---.
y
i
J! )~
,
Sandbags: not sure yes no R
Moratorium: n/a yes no
�y
Photos: yes no
G; j
`-
Waiver Attached: yes `' no -
t
A building permit may be required by: L��!
t//
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
` �.i
(� of !
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r
Agent or Applicant Printed Name
Signature "Please read compliance statemen on back of permit"
ApplicationFee(s) Check #'- -
/r Yf
The time period requirement for this
'�- development is suspended until 12-31-
ermit0 4er's.Sig �ture 1-010 pursuant to Senate hill 931. The
/ effective date of expiration for this
Is gDate permit i5 !-!�
i/
,i
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:
El 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/ 1-888ARCOAST
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

Al
Applicant:
Date: �� f
Describe below the HABITAT disturbances for the application
found in your Habitat code sheet.
i
N
All values should match the n and units of measurement
Habitat Flame
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Otherv,
4�;
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 14415 -m lc. S 40/4 's RECEIVED
(Name of Property Owner)
property located at &00 ou
(,&k RA
Block, Road, etc.)
JUL 2 6 2010
Morehead City DCM
on I��wpmr� ��� sy , in IMot4k" atj ('Q,v-tav�d Cw , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 257--7 Z-C-434-7 Mailing Address: 600 COuK+ s( l2� fF9'
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/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
E (To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
boo Cl, J1 (,?4
Mailing Address
City/State/Zip
zTZ-7Z6-43¢�
Tele phone N ber
Signature W- Date
(Riparian Pr perty Owner11inforation)
Signature
7
Print or Type Name
Telep one Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT REcE►vry
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
,s
I hereby certify that I own property adjacent to I-464sfack 14t5A _ Ulu
(Name of Property Owner) e�ead City DC&I
property located at &GYM ( w
Block, Road, etc.)
on K)aLc) PoJfi kK,V.VeV in Wlor cv,� �� �� , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:
252-72.c -IF 34i
Mailing Address: 1300 CL vy1+*- ( C� ZcI t-i5
►'hyrt.�e.ycj �� ��'s��7
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/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) /1
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit) _ /� A Z
6©v CoVn4-t-.( C" Ref `1*5' S
Mailing Address
ylrly rZLX
City/State/Zip
z 5'Z 7 Z(. -4-3 V
T hon_e Nypber
/ Signature
�t7VM,�ij �• Ci
Print or Type e Name
Telephone Number
Signature Date Date

�,�� •'' RECEIVED
NCDENR 201�
North Carolina Department of Environment and Natural Resources
Division of Coastal Management Aoret,eaa City DCM
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date �O
Name of Property Owner Applying for Permit:
i4A,t S f iuk5 i 6 A
Mailing Address:
ie�:,C> CC0L)V\+�y C" 2oars -fr- (F?
IMo r-r--LL�c1 CtY to L 2 S,
I certify that I have authorized (agent) (,. {'—�V�{1 c� 1 ' to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) to 'XS' F (&-ee+( !Yr aact <-
at (my property located at) 806 Covr�}r j C
This certification is valid thru (date)
0,111. �� —4-ts
I,
Property Owner Signature
7/t ? 4(r-)
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.necoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer - 50% Recycled \ 10% Post Consumer Paper

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♦ 4' X 12' Ramp
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LARRY G ARNOLD SR 1974
DBA LG ARNOLD DOCKS & SEAWALLS
PH. 252-241-2636 66-112/531
2779 MILL CREEK RD %
NEWPORT, NC 28570-6011 / - (�,
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
531011211:000S 29579815911'
Harlan Clarke
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