16335_COOPER, ALFRED_19960618

O
CAMA AND DREDGE AND FILL .6335-
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC��%
Applicant Name
Address' Ada
City
Project Location (County, State Road, Water Body, e
Type of Project Activity
Phone Number 9 ,7- 7Z6- S-KK?
State luf Zip
Z
�' 1i�C�r�ro�Ct%P �crr�R o// .6Cki6c.f` Jou.�u� �.� fy��0y. Fit �cU'y
PROJECT DESCRIPTION SKETCH ` (SCALE:rf )
Pier (dock) length 3,�f✓<,��
Groin length ¢G 4" Ltl+'�•a/ 4/,-
number
Bulkhead length
max. distance offshore
Basin, channel dimensions Nc,{
cubic yards ((( )u { h r G J
Boat ramp dimensions
Other
This permit is subject to compliance with this application, site 1
drawing and attached general and specific conditions. Any r T
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void.
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- �' ��' 96
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no?h//Ot✓
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that wv !
this project is consistent with the North Carolina Coastal application tee SU ~ ��''t '{ SOS 7
` Management Program.

WACHOVIA BANK
MR. ALFRED B. COOPER, JR. & TRUST COMPANY, N.A.
BUSINESS ACCOUNT MOREHEAD CITY, NC 28557
P.O. BOX 99
ATLANTIC BEACH, N.C. 28512 66.1011/531 CHECK NO.
No. 80C17
AMOUNT
**V13C). 00**
TO THE
ORDER D. E. H. N. R. ------
OF Arendell Street
Morehead City, N C :F3557
AUTHOPtfED SIGNATURE
G
i:o S 3 1 10 1 1 21: 51,60 lEi 26 1311,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to �W(Qc� C-be
n_-� � �� (I, (Name o Pr rty Owne
property located at J # �51�?e- k � `J S C u� (4 , �) r `t V 2=
(Lot, Block, Road, etc.) I
on C,Cl�Y�O� c9 o ale c�allf c in 1 c G i �s�e-f��� �� u� fi , N.C.
(Waterbody) (Town and/oi County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
f <
1 i I-i�� [3 het
t
Print or Type Name
Telephone Number
Date:" G l

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to
(Name of Property caner)
property located at lk- 13 b,
(Lot, Block, Road, etc.) on CA(V4 0% J3 a Zee e wf�c�, in & 10,A i Q- Z P-0,0 k C t-tce_�, 0U- N. C.
(Waterbody) (Town and/orCounty)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
cer7'
Lod ------------------------�(a- � �.�)�
------------------------------------------------------------------------- -
C.
Signature
I s i\ r\e:tt`z \i , L 4I 1 l C� 1
Print or Type Name I
((q (� `Ta.�. - asaa
Telephone Number
Date: