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❑CAMA / ❑ DREDGE & FILL
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 I SA NCAC
❑ Rules attached.
Applicant Name Project Location: County
I
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
❑ OEA ❑ HHF ❑ IH
AEC(s):
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Subdivision
City ZIP
Phone # (,) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
i
—
—
-
Shoreline Length
- I
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no T
\ #Waiver Attached: yes no
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
PermitOfficer's Signature
Signature ** Please read compliance statement on back of permit ** Issuing Date
Application Fee(s)
Check # Local Planning Jurisdiction
Expiration Date
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 complywith 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/ 1-888-411COAST
Location:
Fax: 252-247-3330
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:919-733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
BOBBY CAHOON
MARINE CONSTRUCTION AND LAND DEVELOPMENT
DBA BOBBY CAHOON CONSTRUCTION, INC.
6003 NEUSE RD.
GRANTSBORO, NC 28529
PH (252) 249-1617
G� PAY TO THE NCDENR
ORDER OF
r:
Two Hundred and 00/100""*"*"*"*""***************
NCDENR
400 Commerce Avenue
Morehead City, NC 28557
WACHO`/IA BANK, NA
APEX, NC 27502
66-021 /530
)m'lrv'7�
Brantley
11■0 LO 2E 4Lom 1:053000 2 191: 20000 176848 2811'
10264
7/6/2011
**200.00
DOLLARS
Description of work:
Install 2-25' Piles
Install 3-16' Piles
Construct 30' of Dock
New construction shown in red
Not to scale
,
.1
1' Existing
Dock
o�
-Tj,
Shoreline
Peirce Creek
Richard Brantley
6118 Ensign Drive
Oriental, NC
■ 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.
■ Attacn this card to the back of the mailpiece,
or on the front if space permits.
1. Article_ Addressed to:
�,� a� s c• w J �� y 114
A. Signature
❑ Agent
x l l✓ ❑Addressee
B. Received by ( Printed Name) C. Date of pellyery
D. Is delivery address different from item 1? L.J Yes
If YES, enter delivery address below: ❑ No
3. Service lype
J. Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 0080 0001 6910 9336
(Transfer from servh
102595-02-M-1540
PS Form 3811, February 2004 ' Domestic ReturnReceipt
CER7IBED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAiVER
FORM -
Name of individual applying for the permit: Ca f A 3 1
Address of property: 6ll E -n S + Q h (A .
(Lot d4dreerk street of road
Q f a Rik
(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
draining) 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 (252) 80$ 2808
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 mast initial the
appropriate blank below_)
I do wish to waive the 15' setback requirement
✓ I do trot wisb to waive the 15' setback requirement
S "_ attire Date
Te o,U CA) ftt roA; �K
Print Name
Telephone number with area code
AA LT X-YVA
Un
G ilr
.. . .
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 -5" 9" 20 1 j
Name of Property Owner Applying for Permit:
Mailing Address:
7 7 -1 `f
/?/-)
SY, � i I`l G
�A-btp E-
, ►M
2 ? 69 2,
I certify that I have authorized (agent) 'Babhy (�q 1*con act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)Cl� i Yv� 1prov�m� w t 15 ,
at (my property located at) 6 ( i a El4s I c, Pq )�). , DIP', r-- � 1 f `9 c--
This certification is valid thru (date)
--5-9- Zdt
Property OwnfA'Signature Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper