51009_COWELL, KEITH_20070831

9 y-a 7
❑ CAMA / ❑ DREDGE & FILL #rlo
GENERAL PERMIT Previous permit #
[-]New ❑Modification El Complete Reissue El 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.
't
Applicant Name
Address
City
State ZIP
Phone # O
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
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin I',.'6- +
Adj. Wtr. Body i V t (Rat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s) l
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse( ,
Beach Bulldozing
Other
I
I
i
—
I
i
I
s
Shoreline Length ,
SAV: not sure yes no
Sandbags: not sure yes no i
Moratorium: n/a yes no:
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: t `. - / ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
or Applicant Printed Name
Signature "Please read.compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
MOM # I�
Local Planning jurisdiction 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 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

AUG-03-2005 WED 01: 46 Pit NG D I v OF COASTAL HGMNT FAX NO, 4 P. 03
f.:l;lt'1'11�_I1;1) i1Ir�1L_- lt- ). t RN RECIeMI'1'
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FORM
yLY
� �
N;im", of indi,,id(lll opplyim, Cot' 1)/c1•Irlit:__— --
/ �jI _
� ddl-c.tis of protu•rty;_ O _.. 2 _[CL
(lot or ui cet a. llrat ur Mad)
(City R Cnunty)
I he(clty crrtify that ( own property adjacent to the above referenced property. 'file
in(livichlal nliplyiug for this permit i►is described to ❑le (as shown on tJ)e lunched
drawing) the devc(opnrent Ihey ;Ire proposing. i\ description or drawing, with
dimensions, shotllil he provid it tltt
✓ nh�/ „U�
I have.o Objections to hs proposal.
If yort 1mve objections to what is' being proposal, plense write the Division of Coastal
Afnrrogelllt.'nt, •f00 Commierce Ave., Morchead City, NC 28557 or call ('252) 808-2808
lvithirr 10 (lays of receipt of this notice. No response is conshlererl the same as 1,n
ohjection if yorr (rove bren rrotifted by Cer•lifted Mail.
WAIVFR SECTION
I urldor.st od that a bier, deck, mooring pilings, breakwater, boathouse, lift or sandbags
,nllst be set back ;t minirmi n diSCance of 15' from Iny area of riparian access unless
waived by tllc. (If yott wish ro waive the setback, you must initial the appropriate blank
Mow)
I do wish to waive the 15' setback requirement.
I do not wis)) to waive the 15' setback requirement..
Z
Dal
1'r'lrrt i irur
Tt•Ictilnmc r4im,ber With Arei Code —.._
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BOBBY CAHOON
1AARINE CONSTRUCTION AND LAND DEVELOPMENT
DBA BOBBY CAHOON CONSTRUCTION, INC.
6003 NEUSE RD.
GRANTSBORO, NC 28529
PH [phone]
WACHOVIA BANK, NA 4392
BAYBORO, NC 28515
66-21/530
PAY TO THE
ORDER OF _ I IZJE.J,
,I
DOLLARS 8
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