52388_PATE, PATRICIA_20080819

❑CAMA / ❑ DREDGE & FILL 4��`�=� �rl i f 59, 388.
/
GIENrERAL PERMIT (�i Previous permit #
❑New ❑Modification El Complete Reissue ❑Partial Reissue w 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
1 rDRules attached.
Applicant Name "--i- Project Location: County -
Address
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Address Street Address/ State Road/ Lot #(s)
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Phone # Fax # O Subdivision
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Authorized Agent .(; til i rn�n C=-) r1 / ty
Affected ElCW ❑ EW [I PTA ©.ES ❑ PTS Phone # Off- (� 7 River Basan /unkn
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ElOEA ElHHF EllH ElUBA El N/A
AEC(s): Adj. Wtr. Body �' f1 t
' ❑ PWS: ❑FC: � -' �t at.'/m)
ORW: yes / no PNA yes / no Crit.Hab. yes 1 no
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
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Signature ��' Please,_ read compliances Certretff on back of permit **
Application Fee(s) Check #
ZY'( ,WAlt
PermitOffr�s Signature f
Issuing Date Expirati& Date
Local PlanningJurisdiction Rover File Name r

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, certifythat this project is consistentwith 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/ 1-888ARCOAST
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

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
ApplicantName
Mailing Address 5A .
n 1 , INC, a-15LQ
axavTWC.
I certify that I have authorized (agent) /UJ CCT707 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) DJU KM
at (location)9,23
This
Signature
nIeMao , w ��s�]) .
ion . valid thru (date)
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIE"OOREVG PILINGSBOATLIF7'ATHOUSE)
12>
I hereby certify that I own property adjacent to �, T % 's
(Name of Property Owner)
property located at 3 `1-�
(Lot, Block, Road, etc.)
on in
(Waterbody) (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 pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (1 S) 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
G
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing develo ment)
aCi'--A'C'E
PV-41,t . E-V (S77rJ G, 066� i C-A rn 19
VV1:
nn' Signature
1�0 �b% VV. 1
Print or Type Name
3071
Telephone Number
Date:
off , I" J, + ' k� '� L 2

■ 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.
1. Article Addressed to:
N%V'i\t3
rJ 1 Q-M3
A. Signat
i
x ❑ Agent
r�
Addressee
B. Rece' ed by (Printed Name) C. Date of Delivery
7- /8 - o
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number — -
(Transfer from service label___ ? 0 0? D 2 2 0 00045,540 3 91?
- -- ----- --
PS Form 3811, February 2004 Domestic Return Receipt ---
102595-02-M-1540

■ 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.
1. Article Addressed to: jj
Eoba4-
L n
A Sign ,;AZ Ao_ent
ddressee
B. R ived by (Printed Name) I C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se ice Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7007 0220 0004 5540 3900
(Transfer from service lab ----
PS Form 3811, February 2004 Domestic Return Receipt 102596-02-M-1540

PAY TO THE
ORDER OF .
BOBBY CAHOON
MARINE CONSTRUCTION AND LAND DEVELOPMENT
DBA BOBBY CAHOON CONSTRUCTION, INC.
6003 NEUSE RD.
GRANTSBORO, NC 28529
PH 1252) 249-1617
lei = s
DOLLARS 8
5643
INmus
Nla
WACHOVIA BANK, NA
BAYBORO, NC 28515
66-21/530
u'0050-,311' 1:0530002191:20000176848281I■
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