52346_COOPER, A.B._20080710

❑ CAMA / ❑ DREDGE & FILL z/ `
GENERAL PERMIT � Previous permit#
❑New ❑Modification ❑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
f ❑ Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # O Fax # O Subdivision
Authorized Agent
Affected E Cw
AEC(s): ❑ OFA
❑ PWS:
ORW: yes / no
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
City ZIP
❑ ES ❑ PTS Phone # ( ) River Basin
❑ UBA ❑ N/A Adj. Wtr. Body Lat /man /unkn)
Crit.Hab. yes / no Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature ** Please `read compliance statement on back of permit
Application Fee(s) Check #
PermitOfficer's Signature
Issuing Date Expiration Date
Local Plariht sg'jurisdiction Rover File Name

A,...
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/ 1-888ARCOAST
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

2008-06.02 10,02 2527283419 ?> 12527262865 P 111
-*VtkC-T RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property e4jAww� l% of - � o `5
(Name of Proper
property located at _ � ,� I 'V C, T-' — -- —-JUF9 Z008
(Lot, Block, Road, etc.)
on -- to�ll
. i------ --- -- we P- Pity DCN!
�rbod Town and/or Mount
He has described to me as shown below, the &-velopmesit he is proposing at thal location,
and, i have no obJections to his proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
t
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(Applicant Information)
_T __ , e
A9niling AdarG.SS
0(t -.Srata/Tile
Telephone Numbe!,
i'we
rrini ur i.ipv r�umE•
Telephw?c Numbcr— -
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PROPERTY OWNER STSTEra I ve, 0
JUL 9 9 2008
1 /-
Hereby certify that I own /or ha e authorization to sign for the pact
Lessee © � Q A v-e es has described to me, as shown
below the development he i proposing at that location, and I have no objections to his
proposal.
I authorize Thomas Lawrence to act as agent to obtain all necessary permits to
perform this work.
DCM
e DESCRIPTION AND DRAW114pf gVVOSED DEVELOPMENT:
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,,of owner information)
Signature
Print name or type
A��7�(0--a�&5
Telephone number
Date

2008-06-0210:59
2527283419�-? 12527262865
PV1
.-F- 5 14 A-1 i R r / .0 ** ,7
N- e IV ED
L o 9 Zoos
�{l 30 4 Forehead City CCM

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATL1IFT/BOATHOUSE
,a � N 141'Kee S C- LeSSe�
I hereby certify that I own property adjacent to / o d R ",,fie t- 's
(Name of P �
property located at IV 3 A) or -e go
(Lot, Block, Road, etc.)
JUL 0 9 2008
on D Cl CA C u Pa , in -� I i. `6 cm
(Water ody) (Town and/or 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/mooring pilings/boatlift/boathouse
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)
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►�x �3 I `� x3
73>ovk
(Applicant Information)
/ 0,3 N o rkh S I iD
Mailing Address
I 7?eC,
City/State/Zip 2X 5 12
`?, 9 {P69 '7 5' -7 3
Telephone Number
Date
------------------------------------ ------------
(Riparian PtoRrty Owner Information)
Signat lke4c,
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Print or Type Name
z5Z-
Telephone Number
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Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
Jv A r+ 14"Gcs �LesseeJ
I hereby certify that I own property adjacent to ) h o�R �e� ole—f 's
(Name of Property Owner)
property located at `O 3 )t)or4-,k cSL oN e ,
(Lot, Block, Road, etc.)
i
on 1 p q k e�ew , in 1A..4 N.C.
(Water -body) (Town and/or Co nty)
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/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area d J ' 1
waived by me.
I do not wish to waive the setback requirement. JUL 0 9 2008
I do wish to waive that setback requirement. Morehead City DCM
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
v a oa� `-��
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(Applicant Information)
103 NOr" S�or2
Mailing Address
PrN iCcq C
City/State/Zip }- 512-
919 (vO -79-73
Telephone Number
Date
(Riparian Property Owner Information)
Signatur
hL %vWA) V. _51, Aughr�
Print or Type Name
7,2 G-i G�
Telephone Number
& — -? - & C?
Date

P.9
JUL 0 9 2008
Morehead City DGM

Date: June 29, 2008
Subject: Dock Modification for Johnny Hayes at North Shore 2 lot 103
I have reviewed the proposed dock modificaton with Mr. Hayes and also
with Thomas from Island Marine Construction. I am in full agreement
with the proposed changes.
Signed:Zl�. 4LLThomas Dale Clarke Lot 104
Z- O N
Morenead City OCM

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �b� A.J /--,P S is
(Name of Property Owner) /
property located at U3 or o-r- r- ,/-- Z�net&,t
(Lot, Block, Road, etc.)
on �mgZ( r, ,in 14� �-... i• 4< ��
(Waterbody) (Town and/or County)
He has described to me as shown below, the developmen- he is proposing at that location,
and, I have no objections to his proposal.
----------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
i 44>
linos;le
i
JUL 0 9 2008
Morehead City DCM
'------------------------ o--------------------------1'-QP e r
!7j9Y e-S far►
(Applicant Information)
Mailing Address
4-�1C =.� NC Rs12-
City/State/Zip
9 1 q-
Telephone Number
G- /1- 08-
Date
(Riparian Property Owner Information)
D7i jPey �i�aw c (�`l
Signature
I u-s f I a gv:rT
Print or Type Name
1 19 s-,* o S s' q 7
Telephone Number
Date
6- 18-0 8-

Island Marine
Construction, LLC
1286 Island Rd, Harkers Island. NC 28531
252-728-3419 Business
252-725-0132 Makley
www.imt-ne.eom
Thomas Lawrenee Docks, Decks, Seawalls, &
252-241-3064 Cell' Boat lifts
[e-mail]

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) \
�6 f► r► �y4�(G t s �L c SS e eJ
I hereby certify that I own property adjacent to p1 `t Odd, (?&0 aer' 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on o u Salc 'in
(Water -body) (Town and/or Co nty)
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/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my are;Tti
acss unless
waived by me. �,
I do not wish to waive the setback requirement. .
SUN
3 zoos 4a
I do wish to waive that setback requirement.�r�t,
-----------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
O
ea a
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---------------------------------------------
(Applicant Information)
103 U-)Vc" Short
Mailing Address
City/State/Zip }- 51 2-
919 1�0 -79-73
Telephone Number
-----------------------------------------------------------------
(Riparian Property Owner Information)
Signatur
(2L gnx W. _Sl,Rugl�T�-
Print or Type Name
Telephone Number
s-a- �10ax 68
Date Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT \
(FOR A PIER/MOORING PILINGS/BOA TLIFT/BOA THO USE L -C-S e e-)
r 4,V Pk%Kee
I hereby certify that I own property adjacent to )n o d q e ",,off t- is
(Name of Property Owner)
property located at �/ 0 3 / )v r �—A '�h or- -e
(Lot, Block, Road, etc.)
on O C u Q , in �T e G 1 ►'lam .C.
(Water ody) (Town and/or 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/mooring pilings/boatlift/boathouse
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 DEVELOP
OT
(To be filled in by individual proposing development)
V, JUN 3 2008
`� V.i�k
x �3� i3
�o� ou
(Applicant Information)
/ D 3 i)o r p� S iD
Mailing Address
C- 7?er,, dA tj
City/State/Zip 28 512
?i9 (p69 '7 S73
Telephone Number
Date
Morehead City DCM
-------------------------------------------------
(Riparian ptoRrty Owner Information)
Signatti`'e
44 t L��i
Print or Type Name
Z5Z- Z�l � gS�IS
Telephone Number
ce
Date

ri
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JUN 3 2008
mororleao (city DGIVI

ISLAND MARINE CONSTRUCTION LLC 2614
1286 ISLAND RD 66-21/530 s
HARKERS ISLAND, NC 28531 BRANCH-113
PHONE: [phone]
DATE
PAY TO THE l r l .
O{ ER OF /" ,&
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WACHOVIA
Wachovia Bank, N.A.
(� wschho%le.com z
FOR
iMS3000219i:20000202933911' 2614�