51274_VANN, LELAND_20080828

❑!LAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑NRw ❑Modification ❑Complete Reissue ❑Partial /eissue# W
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
5 14
Previous permit # "
Date previous permit issued_
Applicant Name _ `, Project Location: County
Address Street Address/ State Road/ Lot #(s)
City _ State ZIP
Phone # () Fax # ( ) Subdivision
Authorized Agent City
L] Rules attached
ZIP
r'
ElCW ❑ EW —1 PTA ❑ ES ❑ PTS Phone # ( ) i .+' River Basin
Affected ElOEA ❑ HHF L IH ElUBA El N/A t
AEC(s): Adj. Wtr. Body If 'I-,, (nat /man /unkn)
❑ PWS: ❑ FC: Closest Maj. Wtr. Body 7
ORW: yes /.no PNA yes / no Crit.Hab. yes / no
I �a
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
Jo
C
i
I
I
}
4
1 I
Shoreline Length
SAV: not sure yes no \_
Sandbags: not sure yes no -
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: i ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
f,
Permit Officer's Signature
Issuing Date Expiration Date
Application Fee(s) Check # Local Planningf urisdiction
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.
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

IF ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER11IOORINGPILINGSIBOATLIFTBOATH��OUSE)
I Hereby certify that I ovia property adjacent +.o ZEG& 4,to V4A_fW 's
(Name of Property Owner)
property located at ��� 1, 6C'n �D �-�- ( �P �,_ ! 4— /1+I
—(Lot, Block, Road, etc.)
on �rT G 6 (,(� , in ,�TGGgd/ 7 �P�Gtn , N.C.
Vaterbody) (Town and/or County)
,C-
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 undersWele
a pi oring pilings / boatlift /boathouse
must be set back a minimum distance of fi( rom my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
/14 I do not wish to waive
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRANVING OF PROPOSED DEVELOPMENT:
/ (To be filled in by individual proposing development)
Print or Type Name
Telephone Number
Date: 9,9
-G
4-
`.v'J.sF

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORIIVG PILINGSIB OA TLIFTIB OA THO W)
I hereby certify that I own property adjacent 1.o �L a � ( �v.- 's
(Name of Property Owner)
property located at lla B1' /y (ree t Ay- - _ Ar (A-J, C- �i�r�%- E
(Lot, Blocl
(}k, Road, etc.)
/ �/r
on 1' &-( e e- �'�" 0 in FT G �-eAct— , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the developm t he is proposing at that location, and, I
have no objections to his proposal. i undefsta a pi o pilings / boatiift / boathuusc
must be set back a minimum distance of fi eet ') m area of riparian access unless
waived by me. (If you wish to waive the setbac , yo must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELON LENT:
(To be filled in by individual proposing development)
41
CN
---------------------------------------- ---0-- op -----------------------
a �Signature
1
Print or Type Name
CaV
to �3 %� �F� a c�
Telephone Number
Date: 7_� Z- a Q 0(3-

• Eric Ellis
Marine Construction
DOCKS • SEAWALLS *BOAT LIFTS
DECKS & REPAIRS
Phone & Fax: [phone]i
Cell: 252.342.6775
205 Nottingham Lane / Morehead City, NC 28557
ff

ERIC B. ELLIS
JASA M. ELLIS
205 NOTTINGHAM LN. 252-72"775
MOREHEAD CrrY, NC 28557
Pay to the �
Order of. L �/
O � l�7 �
�-)r
First Citizens
fiirrst�citi ens.com
For
':0 5 3 100 3001:00 13 17 4 48 78011'
0—.. American
3894
Date S 66-30/531
133
Dollars
031894
�.uAHUTAMW SAFETY BLUE ESBL
f

SECTION .1200 - GENERAL PERMIT FOR CONSTRUCTION OF PIERS: DOCKS: AND BOAT
HOUSES IN ESTUARINE AND PUBLIC TRUST WATERS AND OCEAN HAZARD AREAS
15A NCAC 07H .1201 PURPOSE
A permit under this Section shall allow the construction of new piers, docks, and boat houses in the estuarine and public trust
waters AECs and construction of new piers and docks within coastal wetlands AECs according to the authority provided in
Subchapter 07J .1100 and according to the Rules in this Section. This permit shall not apply to oceanfront shorelines or to
waters and shorelines adjacent to the Ocean Hazard AEC with the exception of those shorelines that feature characteristics of
the Estuarine Shoreline AEC. Such features include the presence of wetland vegetation, lower wave energy, and lower
erosion rates than the adjacent Ocean Erodible Area.
History Note: Authority G.S. 113A-107(a); 113A-107(b); 113A-113(b); 113A-118.1; 113A-124;
Eff. March 1, 1984;
Amended Eff. April 1, 2003.
15A NCAC 07H .1202 APPROVAL PROCEDURES
(a) An applicant for a General Permit under this Subchapter shall contact the Division of Coastal Management and request
approval for development. The applicant shall provide information on site location, dimensions of the project area, and his
name and address.
(b) The applicant shall provide:
(1) confirmation that a written statement has been obtained signed by the adjacent riparian property owners
indicating that they have no objections to the proposed work; or
(2) confirmation that the adjacent riparian property owners have been notified by certified mail of the proposed
work. The notice shall instruct adjacent property owners to provide any comments on the proposed development in
writing for consideration by permitting officials to the Division of Coastal Management within 10 days of receipt of
the notice, and, indicate that no response will be interpreted as no objection. DCM staff shall review all comments
and determine, based on their relevance to the potential impacts of the proposed project, if the proposed project can
be approved by a General Permit. If DCM staff finds that the comments are worthy of more in-depth review, DCM
shall notify the applicant that he must submit an application for a major development permit.
(c) No work shall begin until an on -site meeting is held with the applicant and a Division of Coastal Management
representative to review the proposed development. Written authorization to proceed with the proposed development shall be
issued if the Division representative finds that the application meets all the requirements of this Subchapter. Construction
shall be completed within 120 days of the issuance of the general authorization or the authorization shall expire and it shall be
necessary to re-examine the proposed development to determine if the general authorization may be reissued.
(d) Any modification or addition to the authorized project shall require prior approval from the Division of Coastal
Management.
History Note: Authority G.S. 113A-107(a); 113A-107(b); 113A-113(b); 113A-118.1; 113A-124;
Eff. March 1, 1984;
Amended Eff. October 1, 2007; August 1, 1998; January 1, 1990.
15A NCAC 07H .1203 PERMIT FEE
The applicant shall pay a permit fee of two hundred dollars ($200.00) by check or money order payable to the Department.
History Note: Authority G.S. 113A-107, 113A-113(b); 113A-118.1; 113A-119; 113-119.1; 113A-124;
Eff. March 1, 1984;
Amended Eff. September 1, 2006; August 1, 2000; March 1, 1991.,
15A NCAC 07H .1204 GENERAL CONDITIONS
(a) Piers authorized by this general permit shall be for the exclusive use of the land owner, or occupant and shall not provide
either leased or rented docking space or any other commercial services. Piers designed to provide docking space for more
than two boats shall, because of their greater potential for adverse impacts, be reviewed through the major permitting process
and, therefore, are not authorized by this general permit.
(b) Individuals shall allow authorized representatives of the Department of Environment and Natural Resources to make
periodic inspections at any time deemed necessary in order to be sure that the activity being performed under the authority of
this general permit is in accordance with the terms and conditions prescribed herein.
(c) There shall be no unreasonable interference with navigation or use of the waters by the public by the existence of piers,
docks and boat houses. `
47

(d) This permit will not be applicable to proposed construction where the Department believes that the proposed activity
might unnecessarily endanger adjoining properties; significantly affect historic, cultural, scenic, conservation or recreation
values, identified in G.S. 113A-102 and G.S. 113A-113(b)(4), nor that might significantly affect the quality of the human
environment.
(e) This permit does not eliminate the need to obtain any other required state, local, or federal authorization.
(f) Development carried out under this permit must be consistent with all local requirements, AEC Guidelines, and local land
use plans current at the time of authorization.
History Note: Authority G.S. 113A-107(a); 113A-107(b); 113A-113(b); 113A-118.1; 113A-124;
Eff, March 1, 1984;
Amended Eff. May 1, 1990;
RRC Objection due to ambiguity Eff. May 19, 1994;
Amended Eff. August 1, 1998; July 1, 1994.
15A NCAC 07H .1205 SPECIFIC CONDITIONS
(a) Piers, docks, and boat houses may extend or be located up to a maximum of 400 feet waterward from the normal high
water line or the normal water level, whichever is applicable.
(b) Piers, docks, and boat houses shall not extend beyond the established pier length along the same shoreline for similar use.
This restriction shall not apply to piers 100 feet or less in length unless necessary to avoid unreasonable interference with
navigation or other uses of the waters by the public such as blocking established navigation routes or interfering with access
to adjoining properties. The length of piers shall be measured from the waterward edge of any wetlands that border the water
body.
(c) Piers longer than 200 feet shall be permitted only if the proposed length gives access to deeper water at a rate of at least
one foot at each 100 foot increment of pier length longer than 200 feet, or if the additional length is necessary to span some
obstruction to navigation. Measurements to determine pier lengths shall be made from the waterward edge of any coastal
wetland vegetation, which borders the water body.
(d) Piers and docks shall be no wider than six feet and shall be elevated at least three feet above any coastal wetland substrate
as measured from the bottom of the decking.
(e) Any portion of a pier (either fixed or floating) extending from the main structure and six feet or less in width shall be
considered either a "T" or a finger pier.
(f) Except in the case of boat houses, any portion of a structure (either fixed or floating) greater than six feet wide shall be
considered a platform or deck.
(g) "T"s, finger piers, platforms, and decks of piers on lots with shorelines 100 feet or greater in length shall not exceed a
combined total area of 400 square feet. The combined total area for lots less than 100 feet shall not exceed four square feet
per linear foot of shoreline.
(h) Platforms and decks shall have no more than six feet of any dimension extending over coastal wetlands.
(i) The width requirements established in Paragraphs (d), (e), (0, (g) and (h) of this Rule shall not apply to pier structures in
existence on or before July 1, 2001 when structural modifications are needed to prevent or minimize storm damage. In these
cases, pilings and cross bracing may be used to provide structural support as long as they do not extend more than of two feet
on either side of the principal structure. These modifications may not be used to expand the floor decking of platforms and
piers.
0) Boathouses shall not exceed 400 square feet and shall have sides extending no further than one-half the height of the walls
as measured in a downward direction from the top wall plate or header and only covering the top half of the walls.
Measurements of square footage shall be taken of the greatest exterior dimensions. Boathouses shall not be allowed on lots
with less than 75 linear feet of shoreline.
(k) The area enclosed by a boat lift shall not exceed 400 square feet.
(1) Piers, docks, decks, platforms and boat houses shall be single story. They may be roofed but shall not be designed to
allow second story use.
(m) Pier alignments along federally maintained channels must also meet Corps of Engineers regulations for pier construction
pursuant to Section 10 of the Rivers and Harbors Act.
(n) Piers, docks, and boat houses shall in no case extend more than 1/4 the width of a natural water body, human -made canal
or basin. Measurements to determine widths of the water body, human -made canals or basins shall be made from the
waterward edge of any coastal wetland vegetation which borders the water body. The 1/4 length limitation shall not apply
when the proposed pier is located between longer piers within 200 feet of the applicant's property. However, the proposed
pier shall not be longer than the pier head line established by the adjacent piers, nor, longer than 1/3 the width of the water
body.
(o) Piers, docks and boat houses shall not interfere with the access to any riparian property, and shall have a minimum
setback of 15 feet between any part of the pier and the adjacent property lines extended into the water at the points that they
intersect the shoreline. The minimum setbacks provided in the rule may be waived by the written agreement of the adjacent
48

f I 1 f
riparian owner(s), or when two adjoining riparian owners are co -applicants. Should the adjacent property be sold before
construction of the pier commences, the applicant shall obtain a written agreement with the new owner waiving the minimum
setback and submit it to the Division of Coastal Management prior to initiating any development of the pier, dock, or boat
house. The line of division of areas of riparian access shall be established by drawing a line along the channel or deep water
in front of the property, then drawing a line perpendicular to the line of the channel so that it intersects with the shore at the
point the upland property line meets the water's edge. Application of this Rule may be aided by reference to the approved
diagram in Paragraph (r) of this Rule illustrating the rule as applied to various shoreline configurations. Copies of the
diagram may be obtained from the Division of Coastal Management. When shoreline configuration is such that a
perpendicular alignment cannot be achieved, the pier shall be aligned to meet the intent of this Rule to the maximum extent
practicable.
(p) Piers, and mooring facilities shall be designed to provide docking space for no more than two boats.
(q) Applicants for authorization to construct a dock or pier shall provide notice of the permit application to the owner of any
part of a shellfish franchise or lease over which the proposed dock or pier would extend. The applicant shall allow the lease
holder the opportunity to mark a navigation route from the pier to the edge of the lease.
(r) The diagram shown below illustrates the various shoreline configurations:
i
History Note
1 EXAMPLES
--= ' RIPARIAN ACCESS AREAS
9o�k
PROJECT AREA
EDGE OE CHANNEL OR
DEEP WATER
------ PROPERTY LINE
--- RIPARIAN LIMIT
MEAN HIGH WATER
WATER
NMI
Authority G.S. 113A-107(a); 113A-107(b); 113A-113(b); 113A-118.1; 113A-124;
Eff. March 1, 1984;
Amended Eff.' December 1, 1991; May 1, 1990; March 1, 1990;
RRC Objection due to ambiguity Eff. March 18, 1993;
Amended Eff. August 1, 1998; April 23, 1993;
Temporary Amendment Eff. December 20, 2001;
Amended Eff. April 1, 2003.
49

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YC_AMA / ❑ DREDGE & FILL r N9 50743
� G N E PAL PERMIT Previous permit #
ld'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 / % o
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCACQVd (f
ules a ched.
Applicant NamJfW Project Location: County
Address
• MAN01&*WdP�
• - w �r L 1
Authorized Agent
Affected w
AEC(s): ❑ OEA ❑ HHF
❑ PWS:
ORW: yes / lJ PNA
Type of Project/ Activity
o Street Address/ S e o� L t #(s)
ZIP
/_���,,,�y�rS)ubdivision
W� Ot70' ""�`�ity ' ZIP
� ❑ ES ❑ PTS Phone # ( ) River Basin
❑IH ❑U
cc�� Adj. Wtr. Body at man unkn
❑ FC: v/
yes / / Crit.Hab. yes / no Closest Maj. Wtr. Body
U ilk- r
(Scale:
.,NERMOU
-
located"0 This facility is
within a'
and is not for boating use, No slips are
permitted for vessels -motorized, sail, or other.
Any kicking
g or prop wash will be considered
violation of this permit, and of the CANTA and
D&F Act.
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A building permit may be required by:
Notes/ Special Conditions
or Applicant Printed Name
Signatur Imead compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Permit Officer's
Date
Planningf urisdiction

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 (252-946-648,1) 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
+ Wash
Mailing Address:
400 Commerce Ave
943 \4
1638 Mail Service Center
Morehead City, NC 28557
Washi
Raleigh, NC 27699-1638
252-808-2808/ 1-888-4kCOAST
252-1
Location:
Fax: [phone]
F
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
(Se
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
Tyrrel
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)
h Square Mall
C 27889
'948-0478
�aufort, Bertie, Hertford, Hyde,
Washington Counties)
K
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

e ♦ �
COOPER C� P U L L E Y
1 1, E C J S T O M H O M E S
March 12, 2008
Heather Styron
NC Division of Coastal Management
400 Commerce Avenue
Morehead City, NC 28557
SUBJECT: GENERAL PERMIT FOR DOCK AT 812 BAY STREET
Dear Heather:
It was a pleasure meeting with you last week.
MAR 1 3 2008
Morehead city ®CM
Enclosed please find the following documents relating to our application for a permit to
build a dock for a client at 812 Bay Street in Morehead City:
1. Authorized Agent Form
2. Adjacent Riparian Property Owner Notification Forms
3. Copies of Certified Mail Return Receipts
4. Drawing of Proposed Dock
Please let me know if you need any other information.
Regards,
<:::T7-1-7
Trace Cooper
Enclosures
1' 252 222 0030 1 I' 252 222 0032
712 Arendell St. I Suitc 200
Morchcad Otc, NC 25>>7
W W W. 0 0 0 P E R P U L L E Y. C 0 M

C;7PULLEY
COOPER
W W W. COO
P E RPU L LEY.
C OM

AC ENR MAR z
North Carolina Department of Environment and Natural Resour e 0
Division of Coastal Management 99.R66.,j
Michael F. Easley, Governor
James H. Gregson, Director William G. Ross Jr., Secretary
Date /Z
Applicant Name
30� C'r
Mailing Address Ava-1 �^
3 2008
%C to act on my
1 certify that I have authorized (agent) '�w
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location)
w-�
This certification is valid thru (date) `��
�Lj !W
Signature.��
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 5o% Recycled 11 o% Post Consumer Paper

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT R, r
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAI, -29'
Name of Individual applying for Permit: Cooper Pulley Inc. as agent for Grace4 Van `Nortwick't��1f1
Address of Property: 812
Morehead City, NC 28557
ty tt..A PIM
(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 prpposing. 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 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 by 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.
xxx I do not wish to waive the 15' setback requirement.
(Applicant Information)
712 Arendell Street, Suite 200
Mailing Address
Morehead City, NC 28557
City/State/Zip
[phone]
Telephone Number
(Riparian Property Owner Information)
=�
Signature
Print or Type Name
--?S2 -'u . L-&4c
Telephone Number
February 22, 2008 J ;261 1 C,
Date Date

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: Cooper Pul
Van
Address of Property: 812 Bay Street, Morehead City, NC 28557`Fi
(Lot or Street #, Street or Road, City & County AR ' 2008
I hereby certify that I own property adjacent to the above referenced propA 0 i "M. C"m, c-� c'
applying for this permit has described to me as shown on the attached drawing the development" It`s
they are proposing. A description or drawing, with dimensions, should be provided with this letter.
e l l 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 Avenue, Morehead City, NC, 28557 or call [phone] within
90 days of receipt of this 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, 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.
xxx I do not wish to waive the 15' setback requirement.
(Applicant Information)
712 Arendell Street, Suite 200
Mailing Address
Morehead City, NC 28557
CitylStatelZip
[phone]
Telephone Number
February 22, 2008
Data
(Riparian Property Owner Information)
Signature
Tot F, F. K
Print o�l-ype Name
:L �_y��b
Telephone Number
Date

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 mailpiece,
or on the front if space permits.
Article Addressed to:
it ! � to 6
A Signature r
B. Received by (Printed Name) C to of elivery
h l S P.. 1� 1 -r YL�I
D. Is delivery address different from item 1 ❑ es
If YES, enter delivery address below: ❑ No
3. Si Ice Type
rt�ed Mail ❑ Express Mail
((((((❑ Registered ❑ Return Recelpt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (E)tra Fee) ❑ Yes
Article Number
(Transfer from service labeo ? 7 3020
'S Form 3811, February 2004 Domesc ---. oaol 6 7 5 6 4 4 9 )5-02-M-1540
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 mailpiece,
or on the front if space permits.
Article Addressed to: -
AM(30-)ffNr 4VdrP-Y e�— V'�
A✓C Z � 16
A Signature-
X ❑ Agent
t - _ ❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from Rem 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mall ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
Article Number
{transfer from service labeo 7007_3020 0001 6975 6456
IS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
■ 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.
r Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
A Signature
❑ Agent
X : ❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from Rem 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Sery a Type
UOIDertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
?. Article Number 7007 _3020 0001, 6975 6463
(Transfer from service label)
:IS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ;
MAR 13 2008
t rehead City uc

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Proposed Dock at 812 Bay Street
Morehead City, NC 28557
Total Length: 400 feet
Walkway Width: 4 feet
"T" Platform at End of Dock: 16' x 8'
Setback from Neighboring Property: Approx 40 Feet
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