Warell, C. Todd & Allison Arnoult

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u CAMA / 'r`! DREDGE & FILL N2 / O9SO A B /''J C D
GENERAL PERMIT a 4*f, t 'Previous permit#
I -New Modification El Complete Reissue El Partial Reissue ate previous permit issued
+fry;• ,� i i �. _
As authorized by the State of North Carolina, Department of Environrr)ental Quality f
and the Coastal Resources Cor ission in an area of environmental concern pursuant to I SA NCAC 1
Rules attached.
Applicant Name I (' P�blect Location: County "
Address
City
Phone #
(�
' ' E-N
Authorized Agent
CW
VEW PTA,
Affected
AEC(s):
ElOEA
❑ HHF ElH
❑ PWS:
ORW:
yes / no
PNA yes /
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s}
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength��
avg distance offshore`----+
max distance offshore
Basin, channel
cubic yards --
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing''
Other
Shoreline Length
SAV: not sure yes no
Moratorium:
Photos:
Waiver Attached:
A building permit may be required by: _
( Note Local Planning Jurisdiction 1
Notes/ Special Conditions i 1
t
/ Street Address/ State Road/ Loot,#(s)
:e � ZIP, %� �'77
`
Subdivision
� Ci
ZIP
T . 1 .7
[I ES ElPTS Phone # ( River Basin
❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Agent or Applicant Printed Name
r`
Signature ** Please read compliance statement on back of permit
_y
Application Fee(s) Check #
(Scale:' I
❑ See note on back regarding River Basin rules.

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 Resources. Contact the Division of Water Resources 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
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-8884RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
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 - South of New River Inlet -
and Pender Counties)
Revised 7/06/ 17

UIVIOWN Vr WAWAL 1V1ANA%2r-fflCN 1
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to �� j �!nci R(-CNO a J � 's
(Name of Property Owner)
property located at_ S Lews ,
(Address, Lot, Block, Road, etc.)
on _,in �--� ��, N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: Mailing Address:
Agent's phone #:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
--------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
QSpt'�l� ir��lv1CL
1 5bS, Le"S
C-a" � x K k
If you have objections to what Is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact Information for DCM offices is
available at http.1/www.nccoastalmanagement.net/web/cm/staff-listinq or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
roperty Owner Information)
Signature
6 �1tic\n T Rf v\ou,��
Pant or Type Name
60 S , uew�� Sklprp'�'
Mailing Address
(Riparian Property Owner Information)
G� 0 ,0
Signature
Print or Type Name
A/9 S
Mailing Address
� tA(� AC
City/StatelZip City/State/Zip
Telephone Number/Email Address Telephone Numberl Email Address
D, 1atj �� zl2-0 ia0
Date Date
(Revised: Aug. 2014)

UIVI0IVN Ur $wVA*IAL IVIANAVCIVICNI
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
hereby certify that I own property adjacent to i 1 �tSGY1 Nl-(1OA `s
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on � 1,,0_, in �F ,� 7' N.C.
aterbody) (City/Town and/or County)
Agent's Name #:
Agent's phone #:
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
-------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
CCe n9J
X A A
If you have objections to what is being proposed, you must notify the Division of Coastal Management
{DCM) in writing within 90 days of receipt of this notice. Contact Information for DCM offices is
available at http:!/www.nccoasfalmanaaement.netlweb/cm/staff-listing orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information)
6
Signature
k (--fn `T
Print or Type Name
Mailing Address
v
City/State
(Riparian Property Owner Information)
Signature
Print or Type Name
/a to
Mailing Address
City/State&ip
Telephone Number/Email Address —� Telephone Number/Email Address
y1v,II�'
Date �T
(Revised: Aug. 2014)

AGENT AUTHORIZATION FORD FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: 'j Afn.A�
Mailing address: �� 'Lf-w15
- ��i �u
Telephone Number: —q ac —
I certifv that I have authorized (agent/contractorl;
Ili
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of
at my property located at
This certification is valid through
(Property Owner Information)
Signature
WLLDI Aff ( a LA
Print or Type Name
Q UNly—of
Title, co, owner or trustee for property
Al 19
ate
Telephone Number
a.%LW I V'C
X1 �/n/), -coy)
Email Address
(date).

C� AIVIA �,PREDGE & FILL -N270950 A B C D
OENE014L PERMIT A
'VIrevious permit #
- iSN.ew ElModification ElComplete Reissue E]Partial Reissue bate previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
A�.1.9-attah
Applicant Name r'T�JV ;-'c�41111;�i(])�O(��otjpetLocation: County j
Add res$, I T 0 1 '111A Street Address/ State Road/,Lot #(s) 4
City State ZIP -A A�
Phone
r: M , I 5;ijhrlivL,,inn
Authorized Agent JLJ I '� I ; A �':� "-"! -) — city ZIP-
-
Affected
0 Cw 0 EW RTC [:J ES 0 PTS Phone # River Basin
), 1
1:1 OEA 'D HHF El UBA El N/A
AEC(s): ❑Adj. Wtr. Body. 110
ORW: yesEl/, Pno PNA yes / '�%S----�
Closest Maj. Wtr. Body
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Type of Project/ Activity A
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Agent or AppOicak PrinteCr Name
Sign�re ad compliance statement on
Application Fee(s) Check #