54164_GILLESPIE, BILL_20090624

❑ CAMA / ❑ DREgGE & FILL 161, --
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
Applicant Name Proiect Location: Countv
Address
City State ZIP
Phone # O Fax #
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ElOEA ElHHF ❑ IH D UBA ElN/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City
Rules attached.
ZIP
Phone # O River Basin
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Agent or Applicant Printed Name ......
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Signature Please read compliance statement on back of per it
Application Fee(s) Check #
Issuing Date t ° ' Expirati6n Date
Local Planning Jurisdiction
Rover File Name
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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. (Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604 New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
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

6003 Neuse Road
Grantsboro, NC 28529
Phone [phone]*Fax [phone]
Licensed and Fully Insured
NCGC License #62120
FaX
To- CAMA From: Gene Crow
Attn: Brad Connell Pages: 3 (including cover)
Fax: [phone] Date: June 23 20009
Re: Gillespie Jet Ski Lift Time 10:45 am
© Urgent ❑ For Review CI Please Comment ❑ Please Reply 0 Please Recycle
• Comments: Please let us know that you received at 252-2 49-1617.
Work has began today. It you have not mailed the 10% deposit yet you may included it in
with this bill also. We will be finished with you job this week. Thank you and have a nice
day.
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CERTHIED N Ai7, — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWATVER
FORM
Name of individual
Address of property:,
IN
I hereby certify that I o-%m 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_
�I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or can [phone]
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
L I do not wish to waive the 15' setback requirement
Signature Date
r
Print Name �� Q
qlqgS-1
Telephone number with area code
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MVM01x Qy COASTAL 1llA _
ADJACENT RWARIAN PROkxRTY owmm NOTIFICATTOAUW.AwxR
FORM _ .
Name of iudivi dmmt !brthe parnu
Address of pra�rty_ - �i14: ,
ez
I hm-ebp certify #]uart I own property WIj$ecrtt to.&e above r fe rmced pmpety- The
huUmidaal aPPb4 tg Ibr th6 Petr=rt has. d' rd to me (as shownouliscattached
dratvrneg} the d�cwe thes:r,e �,!� d or drs�rittg, vidttt
dimmsicu$, sba4ld be provided wiQ Afs ]tuber.
I have so objerttors to Uds prQpasai
1i7mr Lava oip -tO What berg PRUPOW41,. Writ-- the Diwhigu of'Caastal
y" eet, 400 C O=Mtnm Avea, 39wcbad Gtn NC 28557 or c%U (Asp sag-25a8
wfiiira 10 degra efrecciptoftbe uadm No rcgxm= is conadered the smue as po
objeat%oa ffyoa have bc� suisied by Cet*Bed'NEjR ` '
Waives sees"
I understaurd ih2t a pier, dock, NO" � PaimM br=lvat+er, bonflLause; rift er
sandbags =sat be =t back a whdu s diftmee of IS' From =y area of ripxr
access uslew red byma {IfTna Wi* to Waivs Oc setback, yan must initial the
aPProia - blank below.)
�I do wish to Wadve the 15' setbaa nRuktzx�t
I do not w►i 3h tD vaim the IS' aatb=k requka n nt
Te]rohoae tmmber WA Foj,��
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BOBBY CAHOON
MARINE CONSTRUCTION AND LAND DEVELOPMENT
DBA BOBBY CAHOON CONSTRUCTION, INC.
6003 NEUSE RD.
GRANTSBORO, NC 28529
PH [phone]
PAY TO THE 1 �� 1 J (� ( r- ORD'FR OF 1 i L' �! 7111����
sZ//UI spti
WACHOVIA BANK, NA
BAYBORO, NC 28515
66-21 /530
6908
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