56011_KELLENBERGER, JIM_20100629

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT�#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue
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 Project Location: County.
Address !!S, 1 7 ?k:�' "CAI-) Street Address/ State Road/ Lot #(s)
City t=? I State ZIP
Phone # ( ) �7 ��(i / Fax # ( ) Subdivision
Authorized Agent 'd� Syr 1� t,{�1a4o tea) ; ( i C t I C„ City
Previous permit #
Date previous permit issued
O Rules attached.
ZIP
Affected ❑ CW ❑ EW ❑ PTA WES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Sii!nature Please read compliance statement on back of permit
Application Fee(s) /• Check #
`/
PermitOffir's Signa%ure
Issuing Date , ` Expira ion Date
oA141 Y rl
Local Plan ningJurisdiction Rover File aml e

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
Iandowner(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 consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
El 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

NC Division of Coastal Mgt. Habitat Impact Computer She,.:
Applicant: Jim Kellenberger
Date: June 29, 2010
General Permit #: 56011 C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts
amount
HG
Dredge ❑ Fill ❑ Both ® Other ❑
204
48
OW
Dredge ❑ Fill ❑ Both ❑ Other ®
42
42
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST di°,Lkvr.ncc.o-istalonanagement.net revised:02/03/10

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coasted Management
Mdlael F. Easley, Goveaw James K Gregson, Director ►NT§a n G. Ross Jr., Seemmy
Date
Applicant Name J 1 ty' 1 Cf- ei-i 1J cotc
Mailing Address �) 0 4' % CC k R C) ad
C-�ec�f(;J1 NC. -2C-5gt
I certify that I have authorized (agent) t"A-) L l i �1C t 1 r ��Y t ��# t G to act on my
t
behalf, for the purpose of applying for and obiaiaiag all CAMA Permits necessary to
install or construct (activity) - 1n C A C'%^ i J 1 ��.i^ ji"O— LF
at (location) EN `-x�yo—b cck F c.0 Ci Cr4 eiKC
This ce - .on is valid thru ( te)
Signature `�
400 Commerce Avenue, Morehead City, North Cmfina 28557
Phone_ 252-8W2WB F FAX [phone]=1 lrrterrt www.rxcoasiahnanagement net
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CERTIFIED MAIL— RETURN RECE r REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: l VYl K C l ! dt U �a
Address of property: 80 S t vex br )Ok R 0
(Lot or street#, street or road)
Ori err4 , LQ ri I Pat t dco
(City & county)
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.
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 call [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 M il-
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
Si
/ U ,J
Print Name
5� -670 - qo f 3
Telephone number with area code
Date

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARLMN PROPERTY OWNER NOTIFICATIONMAIVER
FORiVI
Name ofindividuai applying for the permit:/
Address of property: st / IL L
AW-
(Lot orstrttC.',ww of.md)
C,Arf t- A4- 1,�,41CO
May & County)
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
dimensio fiould be provided with this fetter.
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 23557 or call [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
1 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. (Ifyou wish to waive the setback, you must initial the
appropriate blank below.)
I do wish to waive the I5' setback requirement
I do not wish to waive the I5'setback requirement
'gnature Date
Print Name
? p-7 3 (Q
Telcohone number with area code

■ 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.
s Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. SiA:re�j }'kj-�� ❑ Agent
V s J ❑ Addressee
Reggived by (Printed N e) ` J C. D of peliyery
, F-L �i L L/i/.//
D. Is delivery address different from @ems ? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Type
r'Certified
Mail
❑ Express Mail
❑ Registered
❑ Return Recelptfor-Merchandise
❑ Insured Mail
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Aransferle fro—_ um
Trasfer (n7007 1490 0001, 5445 1343
PS Form 3811, February 2004 Domestic Return Receipt io2ss5 02 nn is4o ;
I1P //in%P� liP✓ --�
■ 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:
Rcber� A (LCo(D)
4 to B 1 ci-ck w e li P�
C ri e (1+&(1 N C ax3�'7
% �� ❑ Agent
ed by (P Name) C -Da f Delivery
Is delivery address dtifereni from Item 1? ❑ Yes V
If YES, enter delivery address below: ❑ No
3. S7Kce Type
Certified Mall ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Numbei
(rransferfrom; 7007 1490 0001 5445 1312
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-WI540
■ 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:
L J
/. V p � 1y
I6e��
-� 7
❑ Agent
❑ Addressee
by ( Printed Name) J I CZD
D. 'is delivery address different from item 1? ❑Yes
If YES, enter delivery address below: ❑ No
3. Sery Type
Certified Mail ❑ Express Mail.
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article 7007 1490 0001 5445 1350
(transfer„�.,r -- ---
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

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Form DCM MP-5
BRIDGES and CULVERTS
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. BRIDGES This section not applicable
a. Is the proposed bridge:
❑Commercial ❑Public/Government2jvate/Community
c. Type of bridge (construction material):
AJ
e. (i) Will proposed bridge replace an existing bridge? ❑Yes ❑No
If yes,
(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
g Length of proposed bridge:
i. Will the proposed bridge affect existing water flow? ❑Yes ❑No
If yes, explain:
k. Navigation clearance underneath proposed bridge:
m. Will the proposed bridge cross wetlands containing no navigable
waters? ❑Yes ❑No
If yes, explain:
b. Water body to be crossed by bridge:
P/' '
d. Water depth at the proposed crossing at NLW or NWL:
1111,4
f. (i) Will proposed bridge replace an existing culvert? ❑Yes ❑No
If yes,
(ii) Length of existing culvert:
(iii) Width of existing culvert:
(iv) Height of the top of the existing culvert above the NHW or
NWL:
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
h. Width of proposed bridge:
j. Will the proposed bridge affect navigation by reducing or
increasing the existing navigable opening? ❑Yes []No
If yes, explain:
I. Have you contacted the U.S. Coast Guard concerning their
approval? ❑Yes ❑No
If yes, explain:
n. Height of proposed bridge above wetlands:
t. CULVERTS ❑This section not applicable
In Water bodv in which the culvert is to be placed:
C(P1-gArP &sIA toff C4*1 WK

c. Will the proposed project require any work channels?
Dyes ANo
If yes, complete Form DCM-MP-2.
e. What type of construction equipment will be used (for example,
dragline, backhoe, or hydraulic dredge)?
g. Will the placement of the proposed bridge or culvert require any
shoreline stabilization? []Yes ANo
If yes, complete form MP-2, Section 3 for Shoreline
Stabilization only.
Date
Project Nan
Applicant Name /n l
Applicant Signature
d. How will excavated or fill material be kept on site and erosion
controlled?
(�L=P i �' y 2p ^^.
f. Will wetlands be crossed in transporting equipment to project site?
Dyes X4.
If yes, explain steps that will be taken to avoid or minimize
environmental impacts.

< Form continues on back>
c. Type of culvert (construction material):
�lBJE
d. (i) Will proposed culvert replace an existing bridge? C
❑Yes Ala
If yes, III��� "'
(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
f. Length of proposed culvert:
h. Height of the top of the proposed culvert above the NHW or NWL.
j. Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? Oyes %4No
If yes, explain:
e. (i) Will proposed culvert replace an existing culvert?
Pkes ❑No
If yes,
(ii) Length of existing culvert(s):
(iii) Width of existing culvert(s):
(iv) Height of the top of the existing culvert above the NHW or
NWL: _ZL
(v) Will all, or a part of, the existing culvert
+bee removed?
(Explain)
g. Width of proposed culvert:
i. Depth of culvert to be buried below existing bottom contour.
3 1"1,.
k. Will the proposed culvert affect existing water flow?
❑Yes�f to
If yes, explain:
3. EXCAVATION and FILL This section not applicable
a. (i) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? ❑Yes ❑No
If yes,
(ii) Avg. length of area to be excavated:
(iii) Avg. width of area to be excavated:
(iv) Avg. depth of area to be excavated:
(v) Amount of material to be excavated in cubic yards:
c. (i) Will the placement of the proposed bridge or culvert require any
high -ground excavation? ❑Yes ❑No
If yes,
(ii) Avg. length of area to be excavated:
(iii) Avg. width of area to be excavated:
(iv) Avg. depth of area to be excavated:
(v) Amount of material to be excavated in cubic yards:
b. (i) Will the placement of the proposed bridge or culvert require any
excavation within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? if any boxes are checked, provide the number of square
feet affected.
❑CW OSAV ❑SB
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
L-- -- - — -- - - - --- - - - -- - - - --- -- ---------- -- ----- --- ------------------- ------ - -- - --- -------------------- -----

d. If the placement of the bridge or culvert involves any excavation, please complete the following:
(i) Location of the spoil disposal area:
(ii) Dimensions of the spoil disposal area:
(iii) Do you claim title to the disposal area? []Yes ❑No (If no, attach a letter granting permission from the owner.)
(iv) Will the disposal area be available for future maintenance? ❑Yes ❑No
(v) Does the disposal area include any coastal wetlands/marsh (CW), submerged aquatic vegetation (SAVs), other wetlands (WL), or shell
bottom (SB)?
❑CW ❑SAV OWL ❑SS ❑None
If any boxes are checked, give dimensions if different from (ii) above.
(vi) Does the disposal area include any area below the NHW or NWL? ? ❑Yes ❑No
If yes, give dimensions if different from (ii) above.
e. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed below NHW or NWL? ❑Yes ❑No
If yes,
(ii) Avg. length of area to be filled:
(iii) Avg, width of area to be filled:
(iv) Purpose of fill:
f. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
❑CW ❑SAV ❑SS
❑WL [_]None
(ii) Describe the purpose of the excavation in these areas:
g. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed on high -ground? ❑Yes ❑No
If yes,
(ii) Avg. length of area to be filled:
(iii) Avg. width of area to be filled:
(iv) Purpose of fill:
a. Will the proposed project require the relocation of any existing b. Will the proposed project require the construction of any tempprgry
utility lines? ❑Yes `lo detour structures? ❑Yes }R"�,u._
If yes, explain: /— If yes, explain:
If this portion of the proposed project has already received
approval from local authorities, please attach a copy of the
approval or certification.
< Form continues on back>

BOBBY CAHOON
MARINE CONSTRUCTION AND LAND DEVELOPMENT
DBA BOBBY CAHOON CONSTRUCTION, INC.
6003 NEUSE RD.
GRANTSBORO, NC 28529
n I PH [phone]
PAY TO THE IBC D E N lR
ORDER OF �
r fin
Q V)!IAk
WACHOVIA BANK, NA
BAYBORO, NC 28515
66-21/530
xy—
1110081.7S110 1:0 5 3000 2 L9i: 20000 L 76848 2811'
BOBBY CAHOON
MARINE CONSTRUCTION AND LAND DEVELOPMENT
DBA BOBBY CAHOON CONSTRUCTION, INC.
6003 NEUSE RD.
GRANTSBORO, NC 28529
PH [phone]
ft' PAY TO THE �C t N
ORDER OF
N
WACHOVIA BANK, NA
BAYBORO, NC 28515
66-21/530
8475
I 'pj�qllo
s gool ao
DOLLARS
8471
$ 6�0
1
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6 z
(2 4g�A - —(� �
118008 4 7 L11■ 1:0 5 3000 2 L 911: 20000 L 7 68 48 2811'

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director Secretary
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar -Pamlico &
Neuse River Riparian buffer per Division of Water Quality (DWQ) regulations 15A NCAC 02B.0233 & .0259.
The Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of
Water Quality (DWQ) has reviewed your project proposal, determined that the project as proposed complies
with the aforementioned regulations, and made a "no practical alternatives" determination per those
regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer
Authorization as long as the project is constructed in a manner that continues to meet all of the conditions
listed below. Failure to comply with this Buffer Authorization shall subject the property owner & the party
(contractor) performing the construction Wor land clearing to a civil penalty of up to $25,000 per day per
violation.
1. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM.
The alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials: All reasonable measures shall be taken to ensure the access way is made of
pervious materials like open -slatted wood or composite, mulch, or grass to meet the intent of the rules
to the maximum extent practicable.
3. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.
This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all of the conditions listed above and
verifv that all information provided is complete and accurate.
e-o e CK0b]
CA,_g�en r App icant Printed Name
(T11
or Aljoicant Signature
CAMA GENERAL PERMIT #:'"
Washington Office
943 Washington Square Mall
Washington, NC 27889
Phone [phone]
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557
Phone [phone]
;Ai�Lz -
Permit Officer's Signature
/�? r
Issue Date
Version 5, 09/2009
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper