58121_DAY, MARY_20110706

. D CAMA / E) DREDGE & FILL I la
GENERAL PERMIT Previous permit#
4 ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued a
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
Address
City
State ZIP
Phone # O
Fax # (`)
Authorized Agent
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❑ EW a PTA ❑ ES ❑ PTS
Affected
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
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Officer's Signature
Issuing Date Expiration Date
ApplicationFee(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/ 1-888-411COAST
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

1 • I
BOBBY CAHOON WACHOVIA BANK, NA 10263
MARINE CONSTRUCTION AND LAND DEVELOPMENT APEX, NC 27502
DBA BOBBY CAHOON CONSTRUCTION, INC. 66-0211530
6003 NEUSE RD. 7/6/2011
GRANTSBORO, NC 28529
PH [phone]
PAY TO THE NCDENR $ ""600.00
ORDER OF
Six Hundred and 00/100**«**""'"**
DOLLARS
NCDENR
400 Commerce Avenue
Morehead City, NC 28557 l
iUtEtiAO nR
Mary Day/bays handing 4'� .
1110 L0 2 6 30 1:0 5 3000 2 L 91: 20000 L 7 68 48 28��'
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date t!
Applicant Name
Mailing Address'r n i3
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I certify that I have authorized (agent) �v h6< .� L� �; r��� �,l to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) p r e Y
at (location) gl ✓_� f� ^�
This certification is valid thru (date) - Z?' /•Z-
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet www.nocoastaimanagement.net
An Equal Opportunity 1 Afirm rwe Action Employer— 50%Recycled 110°% Post Consumer Paper

CERTIFIED MAH, — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORMA CA r
Name of individual applying r � n
for the permit: Q a ; �t Fac, k � t-
Address of property: a-x-� Loy � h o o' U
(Lot ors"V street of road)
rir I A+ -�)C�
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.
77)(—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
I do not wish to waive the 15' setback requirement
Signature TTT Date
Print Name
10=f' -y�— �cI53
Telephone 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.
■ Attach this card to the back of the maiipiece,
or on the front if space permits.
1. Article Addressed to:
fir ► � h�ccx-1
P, u. (sy
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A. q4nature p Agent
❑ Addre
R. rseceived by ( Printed Name) C. ate of Delivery
167 �- -//
D. Is delivery address different from Item 1 ? 0 Yes
If YES, enter delivery address below: ❑ No
3. Service Type
V Certified Mail p 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 9299
Crransfer from service label)
aC Fnrm gF111. February 2004 Domestic Return Receipt 102595-02"M"1540

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Pamlico County, NC Parcel Number: K052-59 Deed Book: 151
`7 NC PIN: 7501573387 Deed Page: 154
Owner Name: DAY MARY P Plat:
PROPERTY MAP Owner Name2: Deed Acres: 6
t -"�, Owner Address: 5416 FLORENCE RD Land Value: 228
Owner City: MERRITT Building Value: 0 N
I Disclaimer: Owner State: NC Value: 228
The data provided on this map are prepared for the Inventory of reel property found within Owner Zip: 28556 Sale Date: [unsupported data type]
Pamlico County. NC and are compiled from recorded plats, deeds, and other public records p
end data. This date Is for Informational purposes only and should not be substituted Situs Address: Sale Price: 0
¢rN CAY�t� for a true dtle search, property appraisal, survey, or for zoning verlllcation, One Inch = 195 Feet
Legal Desc: BALL CREEK OFF 1324