54640_CHAMPION, BUDDY_20090921

❑CAMA / AREDGE & FILL!q 4��`
GENERAL PERMIT l� Previous permit #
❑New ❑Modification El 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.
Applicant Name
i`. yl
Project Location: County
Address
s) Street Address/ State Road/ Lot # "-' "��
(
k>
City
State ' _
ZIP t
j
Phone # (-)
Fax # O"----�"—
Subdivision
Authorized Agent
City _- ZIP
i
❑ CW
❑ EW ❑ PTA ❑ ES
❑ PTS
Phone # ( ) River Basin
Affected
AEC(s): ❑ OEA
ElHHF ❑ IH ElUBA
El N/A
Adj. Wtr. Body
gnat /man /unkn)
❑ PWS:
❑ FC:
Closest Maj. Wtr. Body
ORW: yes / no
PNA yes / no Crit.Hab.
yes / no
Type of Project/ Activity
Pier (dock) length
Platt
Fing
Groin
Bulkl
Basir
Boat
Boat
Beac
Othe
Shor
SAV:
Sand
Mori
Phot
Wain
(Scale: i . i , i i )
er pier(s)
length - — — - --- - � - - - —
i,
number
iead/ Riprap length -
avg distance offshore
i
max distance offshore
,channel
I
cubic yards
ramp - J - -- —
louse/ Boatlift
Bulldozing
r
iWA
i
aline Length 7 i
not sure yes no }
� i
gags: not sure yes no
torium: n/a yes no
x: yes no-
ar Attarherl•
A building permit may be required by:
Notes/ Special Conditions
The time period requirement for this
Authorized development is suspende(
until December 31, 2010, pursuant to
the "Permit Extension Act of 2009.
Agent or Applicant Printed Name
Signatures Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
-.6.rature
1t 7
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
A building permit may be required by:
Notes/ Special Conditions
The time period requirement for this
Authorized development is suspende(
until December 31, 2010, pursuant to
the "Permit Extension Act of 2009.
Agent or Applicant Printed Name
Signatures Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
-.6.rature
1t 7
Issuing Date Expiration Date
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, certifythatthis 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/ I-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

6003 Neuse Road
Grantsboro, NC 28529
Phone [phone]*Fax [phone]
Licensed and Fully Insured
NCGC License #62120
Fax
To:
LAMA
From:
Gene Crow
Attn:
Brad Connell
Pages:
6 (including cover)
Fam
252-247-3330
Date:
Sept. 17 , 2009
Re:
Time
❑ Urgent 0 For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
• Comments. Please let us know that you received at 252-249-1617.
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HCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Govemor Jaynes H. Gregson, Director Vfifiam G. Ross Jr., secretary
Date D
Applicant Name
Mailing Address
I certifythat I have authorized a en
(g 1-� Yd� ' to act on my
behalf for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location)
This certification is "d th te)
Signature
�L
400 Commerce Avenue, Morehead City, North CaroUna 28557
Phone: [phone] l FAX: [phone] Internet www.nccoastalmanagementnet
An Equal Oppmtuntty 1 Affirmative Action Employer-50%Recycled l 106Post Consumer Paper
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual appiy*ng for Permit: f
Address of Property:
n
(Lot or Street #, Street or Road, 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.
J
I have no objections to this proposalA alg
ff you have objections to what is being proposed, please write the Division of Coastal
Management; 400 Commerce Avenue, Morehead City, NC, 28557 or call [phone] within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified b Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift 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.
(Applicant Information)
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Mailing Address
Pi L �- c-
Cat&/ p
Telephone Number
Gj
Date
_iRivarian Prope O �erinlormalion'
Signature
zo
Print or Type Name
Telephone Number -
CA b886-W-ZGZ
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Sep 17 09 03:20p Teresa Cahoon
252-249-9884 p.4
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CERTIFIED MATT. — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER
FORM
Name of individual a
Address of property:
I hereby certify that I own property adjacent to the above referenced property_ The
individual applyn 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_ _
u�
Y—I have no objections to this proposal �� v
If you have objections to what is being proposed, please write the Division of Coastal
Munagement, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within lfl days of receipt of the notice. No response is considered the same as no
objection ifyou have been notified by Certified Mail_
Wairver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags must beset back a Aninimum distance of 15' From may area of riparian
access unless waived by me. (If you wish to waive the setback, you must initial the
appropriate blank below.)
l do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requiremew
z
vas,. ,....
not 1�ame
Telephone n�er with area code
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Sep 17 09 03:21 p Teresa Cahoon 252-249-9884 p.6
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BOBBY CAHOON
MARICBAAND LAND NT
BOBBY CAHOON CONSTRUCTION, INC.0
6003 NEUSE RD.
GRANTSBORO, NC 28529
PH [phone]
WACHOVIA BANK, NA
BAYBORO, NC 28515
66-21/530
9/18/2009
$-'200.00
7350
PAY TO THE NCDENR
ORDER OF
Two Hundred and 00/100"'`*•**.*�***,.*.****..«.,,*.*�***�****,**�****�*,**,�����**k**.******�*****«***�**�*�*,*�*�**�*.�*��*� DOLLARS
NCDENR
400 Commerce Avenue
Morehead City, NC 28557
600569092/Champion Job
11800 7 3 5011' 1:0 5 3000 2 L 91: 20000 L 7 68 48 281I'