56388_KINCAID, BILL_20100924

�;EVEa�
DGE & FILL
PERM IT I Previous permit #
El New ❑Modification ❑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.
A licant Name '• 1 Proiect Location: County
pP
Address A"
City State ZIP
Phone # (^) Fax # ( )
Authorized Agent
CW 0 EW ❑ PTA
Affected
AEC(s):
El OEA [IHHF ❑ IH
ElPWS: ❑FC:
ORW:
yes / no PNA yes / no
❑ ES ElPTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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MEN
IMMEME■■■■■■..■■.
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Agent or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit **
Issuing Date Expiration Date
Application Fee(s) Check # 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/ 1-888-4RCOAST
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

NC Divisiatn of Coastal Mgt. Habitat Impact Computer Sheet
t
Applicant: Bill Kincaid
Date: September 24, 2010
General Permit #: 56388C
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
-tem_p impacts)
impact amount)
temp impacts
amount
OW
Dredge ❑ Fill ❑ Both ❑ Other ®
690
690
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

AkTG0-1r;YAwA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date � — 12 - lV
Name of Property Owner Applying for Permit:
161j/ tncpid'
Mailing Address:
1� I D -A Ili ac(arn `� fly o ore_ �-ar��
I certify that I have authorized (agent)- jvbb�jNhccr,Co to act on my
behalf, for the purpose of applying fopoc-k
rand obtaining allCA(MA Permits necessary to install or construct (activity) ) jj4 o-.,
at (my property located at) 'V10 —4'
lVe-t..) Serer /V/ 2 �5 Z
This certification is valid thru (date)
Property Owner Signature
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

09/13/2010 13:11 9197331431 STATE PROPERTY OFFIC PAGE 02/04
f RrM ; KiNCA]b FAMILY DENTISTRY PHONE No, : 752 53R 076,T Sip. 13 ?ple I.L�:52(1M P2
C ERT.lr IEID KAM — RJETIMN R.FCEnp T'1tE Q + ST':EI)
sMS1ON 03F COASTALMkN;AGE119MIvT
A UJAC. .RjPAR3AV 7PROP1 RTy OWNER N0TffjCATZ0jV,,W ,VEjZ
FORM
Name Of iudMdaai $ �
plx�gg for the „L
Address of t1rop". °�i�� � � �'l u
(Lotor .Phrw,x, at1 er to ed}
Neu-, -;o'n�jC
T, hereby certify* that I awtt N:vperi3 e+�facesi to the above refer cod praperftiy,'fhe
individual applying for tthi-i permit his described to the (as sbsovrn on the attached
drawing) the 4awal)pme94 *ep are proposing. A descripfiDa or dravdi¢,�, with
t
dimem-sious, should be provided Vab this letter,
C/(`'
have no objections to this proposal
If you have Objections to what is bei*g prvpowd, pbcase write the Division of Coastal
Management, 400 Cwmmeree Ave,. _14oro5md City, NC 28357 or. can (2,;) 84&23O8
,witWn 14 days of receipt of the uatlae. NG respc►na* it considered the wane as uo
objection if you hs,ve been notified by Certified ?-tail_
WaAvetr Section
I understand that a Pier, dock, mooring pilings, bMkaat*r, hoathowle, lift or
ssndbags must: be "t bark a minimum dislante of 15, From nay area of rip, �triau
access anim waived by nte. (lf you wish to Waive the setback, you Must iuttial tb,.
appropriate blank berms.)
.1 do w4J, to waive the 15' setback tequiremem
T —,at urita to Waive the 13' oatbaole
5 tPl rim
1?ate
Print N, e
Tciophone number with area code

09113/2.21© 13:11 9197331431
f"H,Lr! .. KJl CA:I, FAMILY IjENT:STP'T
STATE PROPERTY OFFIC
PHONE NO. . 252 G36 n,6p
PAGE 73/ 94
Sep. 175 2010
3

09113/2010 13:11 9197331431
STATE PROPERTY OFFIC
PAGE 01/04
North, Carolina
Department of. Administration
Beverly Laves Perdue, Governor
MORS Carey, Jr., Secretary
STATE PROPERTY OFFICE
rACSIMILE TRANSMITTAL SHEET
TO: DR. BILL KINCAI.D FROM: JOY WA,Y.M N
COMPANY! TOTAL NO. OF PAGES INCLUDING
COVERS 3
PHONE NL1>. 5ER: 232-5364,011.
. ADJAUNT RIPARIAN PROPERTY
OWNER NOTTFICATION%WAIV.ER FORM
Melling Addrw&
1321 Mail Service Center
Raleigh, N.C. 27699-132'
Te(ephonv [phone]
Fox(919) 733-1431
State COUriCT 052 1-7S
An Gquul Urrorturlir AMrrnz ivc Actinn Ft„p1c;,u-
Wcb: h[t�7•,'ispu.don.Fta:e.nc.�a
State Property Office
Location:
116 1,Vcq( Janes Street
Raleigh, North Carolina

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: -Bi cal d
Address of property: E�1O - k MgdCv. 5 hoore Line.
(Lot or street#, street of road)
heo 1 em , Qvc a5-3�9' - C'ra.-ver\
(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 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
V I do not wish to waive the 15' setback requirement
U�� 91(3 1
Signatur6 /Date/
Print Name
Telephone number with area code

t
V F/Z
on
Zoi
09

BOBBY CAHOON WACHOVIA BANK, NA 8797
MARINE CONSTRUCTION AND LAND DEVELOPMENT APEX, NC 27502
DBA BOBBY CAHOON CONSTRUCTION, INC. 66-021/530
6003 NEUSE RD.
GRANTSBORO, NC 28529
PH [phone]
2 PAY TO ORDER TOF
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