54658_ARRINGTON, IDA_20091015

IC)
❑CAMLS / ❑ DREDGE & FILL
GENERAL PERMIT
[]New CModification ❑Complete Reissue ❑Partial Reissue
/U
Previous permit #
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
n Rules nttnrheri
Applicant Name to, f
Address (i; v'I r L'y `1 iC 1 {,V r ' L—
_ L� n
city 6/ e v� - ZIP YSC"7 Ci State
Phone # O Fax #
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA n ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Project Location: County
e
f s
Street Address/ State Road/ Lot
Subdivision i : (a
City 400 l OUVCJ ZIP
Phone # (} 'f— River Basin
Adj. Wtr. Body t 2 f'% t� _gip (nat /man /unkn)
r �}
r� Closest Maj. Wtr. Body l2 r 1 1 �� 1 V,
•Platform(s)6 , ,
Groin length•, -
number
.length
avg . MIEN
max distance offshore
■�om
Basin, channel
cubic yards ■■■■■■■■■■■Boathouse/ Boatlift--
Boat ramp
■■■■■■■■■■it11■11■
■■
M
M
::■icy■■■■■law
■■
new■■■■■■■1�■■■■■■
`
iiiMEH
�
■■INIENN■
"
■■lii`ii1�
ME
■fi■■■■■■■■■■
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
yes nol
Sandbags: not sure
yes nd
Moratorium: n/a `
yes no
Photos:
yes nq,
Waiver Attached:
yes)no
__7 1- _{__ L—J_ : 1 Is- I
(Scale: i 7 r. ; , C' )
A building permit may be required by: �� L�11 n <1 � See note on back regarding River Basin rules.
l
Notes/ Special Conditions
i
Agent ApplicapePr� inted Name
Signature **PI ase read compliance statement on back of permit"
Application Fee(s) Check #
PermitOfficer's Signature
v 'IA�z
Issuing Date j Ex6iratioK Date
Local Planningf urisdiction 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 (9 I 0-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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

Division of Coastal Management
A74,�"A--
WCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
F X COVER
DATE: TO:
OFFICE: aCkV (7ji)
FAX #: lS/
TELEPHONE #: (23 (Q L�7
TOTAL PAGES INCLUDING COVER SHEET:
FROM:
Morehead City Office
400 Commerce Avenue
Morehead City, North Carolina 28557
Phone: [phone]
FAX: [phone]
www.nccoastalmanagement.net
TAFax Cover DCM

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILI.NGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to 0, dt 0is
(Name of Proper Owner)
property located at
/ � (Lot, Block, Road, etc.)
on i'jCoWT (�, in ��E�/� , N.C.
4
(Waterbody) (Town and/or County)
Applicant's phone #:d'CW y�� 7 °� /b Mailing Address:��/�
He has described to me, is 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.)
do not wish to waive
vl;6'Nldo wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
k�o A7-
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Addressk�k . I
We",)rN C_ �o
City; Mate/Zip
el pho e Number
Signature Date
Signature
Print nr Typn Name
yr
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to
property located at
_'s
(Name of Property O er)
�r (Lot, Block, Road,, etc.)
on ld �frj (���. , in �L�y , N.C.
(Waterbody) (Town a d/or County)
Applicant's phone #. Mailing Address:
AL
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)
P 1E4
--------------------------------------------------------
(Information for Property Owner Applying
for Permit)
��6 44.xtt) 1// 6,) 6�4f�
Mailing Address
/,> � & &/, , , � -r, � L ,
Ciry/St elzip
ozs-o- �fsl q 2
Tele _A N er4--4�j
(Riparian Property Owner Informatio
c
Signature
Print or Type Name
Telephone Number
Signature ` V Date Date

/531
IDA M. ARRINGTON 66-885i s 8 715
LIC. 5674776
4216 MEADOWVIEW LANE PH. 252-451-4216 6
ROCKY MOUNT, NC 27804 DATE
a
PAY TO THE
ORDER OE
�12
y+DOLLARS
RBC g s W Century
• RBC Centura Bank
Rocky Mount, NC 27BO2 /
IVI'
MEMO - ------
1:053 L00850l:0003369633"- 87 L5
I

• fij;A
NCDENR
!_., Car'; ment 0f _nvlronn'lel i ai-c,
�iwision of Coastal tilanagement
Beverly Eaves Perdue .lames H, Gregson
Governer OIrector
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
Ore i�ernan
3acraiar%
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar -Pamlico &
Neuse River Riparian buffer per Division of Water Quality (DWQ) regulations 15A NCAC 02B.0233 & .0259.
The Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of
Water Quality (DWQ) has reviewed your project proposal, determined that the project as proposed complies
with the aforementioned regulations, and made a "no practical alternatives" determination per those
regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer
Authorization as long as the project is constructed in a manner that continues to meet all of the conditions
listed below. Failure to comply with this Buffer Authorization shall subject the property owner & the party
(contractor) performing the construction Wor land clearing to a civil penalty of up to $25,000 per day per
violation.
i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM.
The alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials: All reasonable measures shall be taken to ensure the access way is made of
pervious materials like open -slatted wood or composite, mulch, or grass to meet the intent of the rules
to the maximum extent practicable.
s. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.
This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all c
verify that all information provided is complete and accurate.
r
a �nlO
Agent o Applican ted name
r\ >
Agent oi(Applicanf;SignAture
Permit Officer's Signature
/D o
Issu Date
CAMA GENERAL PERMIT #: 5NE? c
Washington Office
943 Washington Square Mall
Washington, NC 27889
Phone [phone]
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557
Phone [phone]
Version 5, 09/2009
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

Fax Send Report
Date/Time : AUG-12-2010 04:57PM THU
Fax Number
Fax Name : DCM MHDCTY
Model Name SCX-5x30 Series
No. Name/Number
824 96364984
StartTime Time Mode Page Result
08-12 04:56PM 00'00 ECM 000/002 Stop Pressed