32579D - Arnold

0 . CAMA/ 0DRED3E & FILL 1r, e725' 9--t
GENERAL PERMIT Previous permit# NIA
> New Modification Complete Reissue Partial Reissue Date previous permit issued AJf k
As authorized by the State of N1-th Carolina, Department of Environment and Natural Resources / ^
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC `/ [� .
I attached.
Applicant Name -77-E Je 7(/2 N Li Li/) Project Location: County N
Address la - '4yrt_ ,) ,42 t)- Street Address/State Road/ Lot#(s) LOT Z
City IpstlfSit. WAXa IA) tate NC ZIP w I N C) el t( I (..L 5
Phone#( ) .(Z 6- Fax#( ) Subdivision VV j N j] 1 fi f C. L S ,./•
T Jer\ W► t.- wi ZIP 2 g I o
Authorized Agent Pf City
Affected ❑CW XtPTA DES ❑PTS Phone # ( ) River Basin n T /2--
AEC(s): ❑OEA 71HWHF /❑IH ❑UBA ❑N/A Adj. Wtr. Body A I (A- w i /unkn)
❑ PWS: ❑FC: ^�
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ORW: no PNA yes Crit. Hab. yes / Closest Maj.Wtr. Body !" - �v 1I`Q L7 rO✓4 IA CC((
Type of Project/Activity Sg/ U G i—LE-31_ d 01 I€ . p a. aIM ) 1 v 4I V Ck
i7 O (Scale: I 1 c Gt d
Pier(dock)len
gth r I I; I : iPlatforms) 2- x I� , -I- -f t I /'
X 1
,
Finger pier(s) S /
Groin length 1 ! --✓
number ( - I
Bulkhead/Riprap length i 1 � ' �� L _. 1 ir r 6 elf / _
av distance offshore � �7,1i�, ,, _ _, I 1 _...___a___._____ —__ _-
max distance offshore ___ L-_. _._. �` �-.._
rel 1
Basin,channel I ' 7 } ' ! • •
. a"14:%e;�.
cubicyards
--�!— I r I
Boat ramp
Boathouse/Boatlift 1 �5 'Ai�, `J /
! : }- • 1 ._ - f)(37I f.er
Beach Bulldozing
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Other t 0�1til,,5 4 Y i I 1t v
6 ' X
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Shoreline Length .P.ZOQC _ G b. . (--
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SAV: not sure yes no I { I - _
Sandbags: not sure yes „/ ) t — f. r
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Waiver Attached: yes o I —_ � __
Photos: n t �I ,
OAP" I.
Moratorium: n a yes no �--
& o \ 1 1
A building permit may berrequired by: N . - E See note on back e arding River Basin rules.
Notes/Special Conditions ��l�t/, c �` , /Z VQ "
[frP( 7 -`1 ' re,j,s
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Agent or Applicant rinted Name Ofli s re
—l — 03 / O — f — 03
Signatures * e read compliance statement on back of permit Issui g Da Expiration Date
IOO 1 K NI to a--bN 6igg
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name

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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 I)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(9 I 0-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-6481
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] I5 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza 11 Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised 10/OS/01

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112aCEELIZEZZAW PROPERTY OWNER NOTIFICATIONINAINER PORK
Name Of Individual Applying For Permit:
Address Of Property: o:3- ii- 21 LJ,,, '.11 Dc .
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Vk.. tv e...A.) \N,tctiy,„...-- (Am
... {Lot or Stfeet #, Street or Boa , C.I.ty & Count)Y
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I hereby certify that I own property adjacent to the above- !- :
referenced property. The individual applying for this permit has . . .
described. to me as shown on the attached drawing the development
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they are proposing. A description or drawing, with dimensions, i-
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should byprovided with this letter. .
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7 I have no objections to this proposal.
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v wa ishein proposed._aeji thev, 1*
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pillimiza of coastal manacremerit, 127 Cardinal Drive 3Ittensiqp,_ r
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afs MD CM ecti b 1 •
in.minimpol.......111MOMMIMIMMENIMIIII =.11=1111111.1........... 10•••••••1••••• • .. ..
WiaMat MCMICTIF
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I understand that a pder, dock, mooring palings, breakwater, boat
house, lift or sandbags Insist be set back a minimum distance of :LS'
-- -'
from rty area of TipariarL access 1.1.13.10112 waived by lue_ (If you -wish - •
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to waive the setback, you at initial the :appropriate blank •'! 11.:
below.)
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7 .do wish to waive the 3.5'setback requirement_ ;:: ,l•
M ,do rot wish to waive the 1S'setback ragairement.
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Print Name I. L
/C - 76 11;. 4/ 1 . - t.. :
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Telephone Number with area Code r %
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: S'/ � 14e
Address of Property: I at 0- 2� ���� ��Lti�S �r, (ClAst icei L4 ofello
(Lot or Street#, Street or Road /
L1/41X►4. 1- . IV.C, IUcv l-.r-� — C��,.'ij
(City and Cdunty)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this letter.
VI have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if.
you have been notified by Certified Mail.
-- - - WAIVER SECTION - - -- -
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
set bck a minimum distance of 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 wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign,Nae Da e
i4W (e "") A(cL-Ps.
Print Name
/%��o �z 3 ( � NCDENR
/ NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Telephone Number with Area Code 1\,7 , G l, O ,�� ,� Z I
S:\cama\shells\riparianproperty.frun Be-- `3 0/ 4S
/00 (7 [ &LS Sv73Dlws.ivvp �v
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8A5J ONES 03-03
1098
ly 7505 MASON LANDING RD.VVILMINGTON,NC 28411-7225 Date /7/t/O) 88'19/
530 NC
Pay to the Afc DNRs. 1868
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