48926_COOPER, A.B._20070522

OrAMA / ❑ DREDGE & FILL'.;
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue [-]Partial Reis a Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natur esources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑Rules attiched.
Applicant Name Project Location: County -
i
Addresses i !�. ) Street Address/ State Road/ Lot #(s)
s
City State ��`'' ZIP
Phone # O Fax # (i)
Authorized Agent 1 `ti 3. If r t�fF
Affected ❑ Cw ❑ EW ❑ PTA .DES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
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
Shoreline Length
SAV: not sure
yes
no
Sandbags: not sure
yes
no ,
Moratorium: n/a
yes
ng
Photos:
yes
no,'
Waiver Attached:
yes
4 .
no ,
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
Subdivision
City ZIP
Phone # O River Basin'
Adj. Wtr. Body:. f .i (nat /man /unknj
Closest Maj, Wtr. Body
(Scale: 4,1..1 ..l
L See note on back regarding River Basin rules.
PermkOfficer's Signature
♦ t'
f r/ 65.
Issuing Date f Expiration Date
Application Fee(s)
Check #
Local PlanningJurisdiction
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

�w7lQ 0i'f:fI 1-0f-1 f ,j7 r--)fF"p
NOT VALID OVER 51.000.00
ISSUING BRANCH -
DATE
63620589
93-5411920
PAY TO THE
ORDER OF --j)E�4
DOLLARS
e �� iY? ��� co DRAWER THAVF Ip 17
BB&T � .'� � n�il.r � I r I� r r.n�� a
AWEE. FIRST TNT LIY�IAIL BANK Fq i i_f-; �1 •. f _ uXUX�
tali ���s ? Cbb
1116362058911' 1:0920054111:017071045�09211'
■ II IIS DOCUMHNT IIAS AN AR-11FICIAL W,\'I I;R%IAI?K I'PoINI I:U ON fill RAC K 1111 M l\ I )l I I II IxK I'\11 %1 11 \, \ \Ill k',. 1.1w, � -I1.\ •.I 111, I 11.1
IN

-� �,�- ��' 11
���-�� �

04/17/2007 08:53 12527262865 A B COOPER JR PAGE 01
•
n Iv.M )2TEmerit of Environment and Natural Resour esf..:
North a _
R is�ol� of Coamtal ManagernOnt �,`,41��m G Ross�r,, 6ecrpl;r
Charles s, Jones, Director
,Apr►1ncaRt 7N;irne
1Tailing AddrW
j cprti-9'y that X have a yf, �rir l (agent)
��—
to act, or, mJ
-TO�0
behalf,�� the purpose or,f apply►ng for and obtaxninali LAMA 7Per its txeceseaxy to
i nststil 1)r cnngtrvet (ncti'vii'? Ut
at (�o�atinar�
Tk�is cextn£�catinta tg�1r�1 tlt"�A (date)--q'woo
4_
Snn�,aratre
-rjmj^nPr00 Avenue, Morehead City, North Csr6ina 28857
_..r , A ,.,. ntm )n'7-'II'In \ Internet,vµr,r�.rcccc�astalmar�agement.n�t

04/17/2007 08:53 12527262865 A B COOPER JR PAGE 02
` 1
(,FOR A P,r AILINCO VZkED
;}'.`�'� I hereby cc;�f•. char r nwn property adja�nc t�
s
+' !. �., � O- TT •(ti:hrr.�e of r� j�erty {�}raerj
property located ac�7r
(Lot, Block, Road,
on rn i ' -L1J� �C I L-', T �1C act" G T' :C.
� (Tvti�-a a.tleiinc'I(:ouz�t. ,
�Ie has der,;;-i..br l: Q:,me, as shdw t beIov he deve�i� rlti nc. he. is PrppOsbig, at that
locadoat and I hAy� ria �b.`r ciacas to hi :9MMS'ZI. 1 undersr�rid than" fttri ovecdd bgas �iit
•1: ,.� must be seE�ack a fiiiniinctl i Cit tal,IC' a 'ct'fte~.n Fee'a-C15'j tTof',t s • � ..a.�•z ? al'9C>r.:Ss
:l waived by me. -,
z tLut wish: Co wa.iYc.-tha.s .Ck requirement.
! I 2 Q•i'sti :to •v ve that setback requirement.
i4��L-r.:•��.+rww �w..�+.•w��avr�r��Ir...w��� r.�'1 N�_.irL�d�L+w.�WL.+L��1
DFSCR1. It7.�!i l r.6pt DRAWZ%iG Or '�t0i'O 'X7L�� Cp ;x• -�~
`f1"o be;�iLlerf to b.�•, itsefivfift�r.�prFt�sirig �dr�l�,j�traehr}
f
7"�icphone N{�rnt�r � -

TA
;''-U t `� CE `{�A � k�'_ i� �a i.- t- ; P'I d 1M VJE +�-"s.•AL �� ( �'�1. I—i 4f
(FOR A PIERI Uri' C 0 VERED .BOAT LV IT
I hereby certify that I own property adiactnt to U-
(-N';Iune of Property Owner i
property lcc-ared at L % 11 14o—t S4a?ZE:
(Lot, Block, Road, etc.)
-rA-5;n�"
lVr'aterbody) (Town a.ud/or� County)
He has descZbed to me, as shown below, the developr'Pent he is proposing at tl;ai
location, and, I have no objections to his proposal. I understand i'.hat a pier/uncovered boa% 1-i."
must be set back a minimum distance or rifte--n fe°t (l5') from err I r� o,t t�paz�an accesses s.~
l
waived me.
I do not wish to waive the setback rekiuirerrtent.
I do wish to waive that setback reruirerrtent. ��
Moretip° Y
---- ----------------------------
DESCR-=0iti A-ND/OR DRA-WTvG OF PROPOSED .DEVELOP-MI-N ';
(To be Ced in byin-dividual prrmposfitg deveLbpment)
i
-��-L�T(is6 L
i�Jna[Ure
[,rim or Type N ajrn e
i
Telephone ivumb(�r
' n f. ..,.,,..��. ..F•

waived by me.
Signan
,5-6:qNV-IA I I I
L 6-Itl ttl
PFInc or T, NAlch6
-7 I d2GG�'.
Telephone 'Numbr
Date: