52616_BURKHARD, THOMAS_20081107

❑CAMA / ❑DREDGE &FILL y.
GENERAL PERMIT
4-,-,Previous permit #
❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources J
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC y
❑Rules attached.
Applicant Name 4. c�1,1 s t7 `^' V�� �� ( Project Location: County { ,
Address 953 1� a 1 e- A), A t/c Street Address/ State Road/ Lot #(s) v
City !-'ono I t..�tn
StateZIP'1413 1 -
Phone # ( 4- .'4 (7t� `il 3-�_Fax # (_
Authorized Agent L G t r;t� i'•, A u` IS
Affected ❑ CW ❑ EW ❑ PTA F-TES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
new• vP� / nn PNA Yes / no Crit.Hab. yes / no
Siihrlivision
City - L _.e, :1,," n ZIP 7 S ) {.:3,/
Phone # ( ) River Basin ,Ak , 1C c��i K-
Adj. Wtr. Body r yi C .' (nat man /unkn)
Closest Maj. Wtr. Body —
J
Type of Project/ Activity
(Scale:
Pier (dock)
Platform(s)
Finger
Groin
Bulkhead/ Riprap length
Basin
Boat
Boat
Beach4tt4
Other
Shor
SAV:
Sand
Moratorium: Phot
Waiver Attached. yes (no `
A building permit may be required by: �r\� ti OW �o El See note on back regarding River Basin rules.
Notes/ Special Conditions i r ,-� (� %%r c ^ ' A-�"
i
yards
length u 1
-
Agent or Applicant Printed Name
Signature Phase read compliance st t@ment on back of permit
10
Application Fee(s) Check #
P /rmitOfficer's Signature
Issuing Date Expiration Date
() ,I S 1 c^w C2>
Local Planning Jurisdiction Rover File Name
IDS•°

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 (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/ 1-888-4RCOAST
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

pier
From: Audrey Arnold ([e-mail])
Sent; Fri 10/31/08 11:49 AM
To: [e-mail]
NCDENR
NORTH CAROLINA DEPARATMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF COASTAL MANAGEMENT
JAMES H. GREGSON DIRECTOR
MICHAEL F EASLEY, GOVENOR WILLIAM G. ROSS JR. SECRETARY
Date (9C. .� 1, �7ft/-
Applicant Name
Mailing Address q$ 3 i 4 u-, *,,c- ( �,�; it r 91" j, / f
I certify that I have authorized as my (Agent) Larry G Arnold to act on my behaff for the purpose of applying for and
hobtaining all CAMA Permits necessary to install or construct (aacativity) Pier, and Boat IM. At (location)
u . - 4— L 14,, +L Drr?,t S �r yi s h arc .v . C.
This certification is valid thru (date) 12-15-08. 2 F.
Signature 'C
Please sign and send back to me, thanks Larry.
40 Commerce Avenue, Morehead City, NC 28557
Phone [phone]/fax: [phone] / intetmet: vAvw.nccoastalmanagement.net
An Equal Opportunity/Affirmative Action Employer 50% post Consumer paper.
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ADJACENT I ARIAN PROPERT�VNE�RSTATE---�XENT(FOR�! IE lOORfiYG PILIYG BOA TtIU t1SE)
hereby certify that I own property adjacent tojyQ/1�,¢
Property located at
f
(Name of Property Owner)
(Lot, Block, Road, etc.)
on --O"
Waterbod) in y}(y(Totir•n and/or Count , N.C.
He has described to tit, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/ntooringpilinoatlift
g;b
waived by nit. 'boatnouse
must be set back a minimum distance of fIfteen feet (15') from my area of riparian access unless
.L-1- I do not wish to waive the setback requirement.
I 9-2 wish to waive that setback requirement.
------•-------------------------- ®--------------:t---
--------------
SCRIPTION AND/OR DRAWING OF PROPOSED DEiTLOPMENT:
(To be felled in ky individual proposing del elo
r- Uu'!-k
parent)
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------------------- ---- --- ---------------- --------------------------------------------
Signature
Print or Type Name
Trtephone Nttmber
5„r e flMe AC
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ADJ-.CENT !ARIA1 PROPER V ER STATEMENT
(FORAIE i00RiiVC PILlr1'G OATUr BOA THO USE) YoS" b6 t 1— -113 U
PA 'T
I hereby certify that I own property adjacent towA-fv 's
(Name of Property 0---ner)
Property located at
(Lot, Bloch, Road, etc.)
on , in
(Wnterbody) , N.C.
(Town and/or County)
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 pilinQs/boath- athouse
must be set back a minimum distance of fifteen feet (i5') from my area of riparian access unless
waived by me:
- I do no wish to waive the setback requirement.
I do wish to `waive that setback requirement. D
--------------------------
----------------------- rt'--
----------------------------------
DESCRIPTION- AND/OR DRAINING OF PROPOSED DEVELOPMENT;
(To Ae filled in AV individual proposing develops„e tt,
IN
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Signature
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Print or Type Name
1 U�-�
Telephone Xttmber
Date:

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LARRY G ARNOLD SR
DBA LG ARNOLD DOCKS & SEAWALLS
PH.252-241-2636
2779 MILL CREEK RD
NEWPORT, NC 28570-6011
1565
66-112/531
S Y �
BRANC'800 BANK BBT BST?comMPANY ( _
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