51854_DEICHMANN, GRETCHEN_20080108

1-1CAMA4 ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ❑Partial 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
❑ Rules attached.
Applicant Name u 0L.. C. Project Location: County
Address
City
State ZIP .-
Phone # (- )
Fax # ( )
Authorized Agent
Affected ❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body C 'k c - (nat /man /unkn)
Closest Maj. Wtr. Body k
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Agent or Applicant Printed Name
Permit Officer's Signature
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name

i
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:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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

QG-03-2005 WED 01:45 PM NC DIV OF COASTAL MGMNT FAX NO, 4 P. 01
A.0,1 A,CEN>;' 1UPART/iN PROPIUM OWNER ' UNIUNIEN'Y'
I hork;hy �xf lily tliat I own propei ty adjacent ta�r�,�it/_ _�E? et4in4NAl s
(Ninic of Propcily Owner)
isrc. xl ly lo("Zlted ;it
(I.ot, Block, Road, etc.)
(W"Il i-Dolly) (Town and/or County)
lie has described to me as shown below, the development ho is proposing at that, location,
and, I have no objections to his proposal.
I LS(:KiPTION AND/01Z DRAWING OU' PROPOSED DEVELOPMENT
(To be filled in by iudivfdual proposing development)
�E �171�-Cf1m�N�
gnaturc
Print or'rypc Name
Telephone Number
Date: . — ��-4e _ _

� f a?l nr�fiWfi'��

Authorized Agent Consent Agreement
(Property Owner)
hereby authorizABey C,4*cd
60 46rr to act
(Authorized Agent)
on my behalf in obtaining CAMA permits for the locations listed below.
Jobsite Address:
A ENT
Property's Owner's Mailing Address:
Property Owner's Signature:
Authorized Agent Signature:
Date:

MG-03-2005 WED 01:45 PM NC DIV OF COASTAL MGMNT FAX NO. 4 P. 01
A.t ,1AC EN' Rl' RPA11.TAN 3'Rt)1rPUM QWNEM tar l'UM I;NT
I horchy kxiiify filet I own propcity adjacent t,&T�S/ `h.naNA/
(lNinic of Property Owner)T
�irc;in•1ly lc��;<ttc�ct :tl w�frp...//�_F�IT�`!/�Q.�S �R• —-�..�._..__ __._....
�(l.at, I3locit, Rnacl, cic.)
N . C .
(Town anci/or County)
lie has cicsccibcd to nic as shown below, the development he. is proposing at that location,
ant, I have no objections to his proposal.
DESCRIIkTION AND/01Z DRAWING OIL PROPOSM) DEVELOPMENT
(To be fillet/ in by individual proposing development)
JLC-
signAm-'C'
��
Print or'fy c Name
?,� I (3 � /17--)
Telephone Number
Kato: I I-L- ) �

9��J,or n
l N�

BOBBY CAHOON WACHOVIA BANK, NA
BAYBORO, NC 28515
MARINE CONSTRUCTION AND LAND DEVELOPMENT
66-2121 /530
DBA BOBBY CAHOON CONSTRUCTION, INC.
6003 NEUSE RD.
GRANTSBORO, NC 28529
PH (252) 2=49-1617
PAY TO THE D { Q
ORDER OF C i
6
11@00 480 2110 i:0 5 3000 2 L 9i: 20000 L 7 68 48 2811'
4802
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DOLLARS 8 "