HomeMy WebLinkAbout51181_CHAMPION, GAITHER_200806121,7
[I CAMA / 1-1 DREDGE & FILL
GENFRAL PERMIT Previous permit #
;0
DNew El Modification ElComplete Reissue DPartial 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
Applicant Name i Project Location: County_
Address Street Address/ State Road/ Lot #(s)
City_ State zip -
Phone # O Fax # Subdivision
7 Rules attached.
Authorized Agent
City r
ZIP
El Cw
❑ EW [J PTA F1 ES D PTS
Phone# O
River Basin
Affected [:] OEA
AEC(s):
El HHF L1 1H L1 U BA El N/A
Adj. Wtr. Body F-7
5� �
(nat /man /unkn)
EJ PWS:
E) FC:
Closest Maj. Wtr. Body
ORW: yes / no
PNA yes / no Crit.Hab. yes no
Mi.
SENN
MEN
0
NE
MEMENEEMENEEME■MEN
S"
EEM,
Agent or Applicant Printed Name Permit Officer's Sigp-tur?—,
Sign t r Please read compliance
- statement on back of permit Issuing Date
Application Fee(s) Check # Local PlanningJuriscliction
Expiration Date
- �IO��1��09
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 (910-796-7215) 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:919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
(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:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
A'r
Y.:.�h.I
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date d
�r
Applicant Name e Ir r • I' 0
Mailing Address 662 b f
I certify that I have authorized (agent).BO6 act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) r' t D Ca Le—
at(location)
Grrctn+s bow( Kc.
This certification is valid thru (date) 616
., Al
I/
Signature
aksa; ,
C
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net
An Equal Opportunity1 Aifirmative Action Employer— 50°% Recycled 110% Post Consumer Paper
MAIL,,,, RECEIPT
(Domestic.,O-ERTIFIED
r
n
Postage
'—
$
--
u-1
Certified Fee
0
Return Receipt Fee
Postmark
Hare
(Endorsement Required)
0
Restricted Delivery Fee
(Endorsement Required)
RJ
fU
Total Postage & Fees
$, 9
C3
Sent To
N
0
Street, Apt. No.;
PO Box No. `
�
h-
-A --------
Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
Print your name and address on the reverse
so that we can return the card to you.
Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
IAnj�y rf�f jlm
❑ Ant
ZLrd�Addressee
B. ec ved by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
�� vyivery address w: ❑ No
Service Type
❑ Certified Mail
❑ Register Return Receipt for Merchandise
Ir ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
Article Nun 7007 0220 0004 5540 3856
(Transfer fn_ —
S Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER
FORM
Name of individual applying for the permit: Cho MrA�r.
Address of property: —ILL
�n rl
(Lot or street#, street of road) f
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.
64--� I have no objections to this proposal
If you have objections to what is being roposed, ease write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808
within 10 days of receipt of the 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, boathouse, lift or
sandbags must be set back 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
i
S ignature Date
Print Name
Telephone number with area code
BOBBY CAHOON
MARINE CONSTRUCTION AND LAND DEVELOPMENT
DBA BOBBY CAHOON CONSTRUCTION, INC.
6003 NEUSE RD.
GRANTSBORO, NC 28529
PH (252) 249-1617
2 PAY TO THE
ORDER OF
M
M
v
a
Cs MEMO. 9
WACHOVIA BANK, NA
BAYBORO, NC 28515
66-21 /530
11500 5 3 701" 1:0 5 3000 2 L 91: 20000 L 7 68 48 2811'
5370
LLARS 8