Hooper, William

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GENERAL PERMIT � Previous permit#
y.
UPKNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources 1 f
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
1 ° j ® Rules attached.
Applicant Name i I . j'' M1 Project Location: County ? i
Address Street Address/ State Road/ Lot #(s) r C=
City''j'.; y ;: State ! ' ZIP +�
Phone # ( ) ` t, E-Mail Subdivision
Authorized Agent City ZIP
❑ CW DI EW /'�PTA ❑ ES ❑ PTS Phone # ( ) {Raver Basin
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A c
AEC(s): Adj. Wtr. Body s Ft �+'( )
', r "` ',� ! ht ;. �, nat'/man /unkn
❑ PWS•
ORW yes / no PNA yesLnd :t Closest Maj. Wtr. Body
a,
Type of Project/ Activity'''. Y"e f '( ` f , P) E''< < `:yti t y;' t "' ,'`.., �Y: r �,
'
� elc 6n?t` h yp f ., ! fi� f 1` (.SCale:
C' r
Pier (dock) length S
Fixed Platform(s)
Floating Platform(s)
Finger piers)
__.......-..._......................................................_......_...._......_.._.__................._........._...._-.._...._..._.
Groin length
number
Bulkhead/ Riprap length
---- - -- --- -- -- — --- — — — — - i
avg distance offshore
max distance offshore s �'
Basin, channel
r.
•b
cubic yards a
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing I. I
ions �■■■■ii■C■■■■MEN
Shoreline Length SAV: not sure yes no
Moratorium: n/a yes no
yes noWaiver Attached: yes
.0■®®®■■®■®��®�®■
'
A building permit may be required by: (' . ` t f"
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
_ .' IR1 .. � Via.. ; l,, �_�) ' � (r �W �;��' ' � 1' ,:. fN ^ 4 1 .� �l
❑ See note on back regarding River Basin rules. �+
r..j4 " � i �..� � 5 i Jr, j � 1'"j �"" ✓^. J Y �,rd. '
5"i
f', t f' S' ; iC, ✓
�' .rft�7',` A.�t,�� I�r'
'I �'.. 7
Agent or Applicant Printed Name i
PermitOfficer's Printed Name !
r"
�,.. � �..ni'•""' (`�._ ,ice,+..•"'°•.
`i` T k/f
r rJ` �' Y - '✓
Sign ure Please read doniplianc6 statement on back
re.e
of permit"
Sign�ui IIV
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Application Fees) i
_ ..'
Check#
Issuing Date
xpirarion Date
PA

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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
El Tar - Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
0 Other:
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 Resources. Contact the Division of Water Resources 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
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of 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 - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/ 14

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
# hereby certify that I own property adjacent to Fred 14 ov , Y- 's
(Na'of ro )
pMperty fowled a� a ��� ��%L .�r,'ve ge,"©7 , N , C . : 5 `7rD
/ (Address, Lot, Block, Road, etc.)
on rlhG --TA&v'6WS�42- iNa�ey-,ti,2�� , in 5ea oo.-IZ Cal -ter►- Cou,Q4y , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location
I have no objection to this proposal.
I have obiections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
VJ6 �Z
WAIVER SECTION
# understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.
_lz� — I do not wish to waive the 15' setback requirement.
(Property Owner Information)
(,S "t -- "I
Sigwtyre
yV1�l,GM � Hvo�v,�
Print r Type Name
�y cseu 6, /e, -,)r 0, v e
Mailina Address
ffO-
City/State {/Zip
'15A '7dtg' bl�
Telephone Number
la-q -/V
►ram;
(Adjacent Property Owner Information)
Sa ture
d17)AS
Print or Type Name
aXu"ha Addre
ss ��
i /LI j /L
Telephone Number
(Revised 6/18)2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to r `e l H oDD c, r 's
(Name of P operty Owner)
property located at O l Se -a Ga'4e. D c-• e. lid e� Dv� f , /�• t✓ .g85-? 0
(Address, Lot, Block, Road, etc.)
on : nl e rco.4.5faL VNI41tryJa-v , in Sea Gg e Cc,,--t&rc,4 C c --j � y , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
tocatio .
I have no objection to this proposal.
I have obiections to this Drogosal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
�o� �d i i�c �"o MD�/t C�) �KS�ivlq Pil�nyS ON [,le-
p.F My dock uw,
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.
(Property Owner Information)
Signature
Print or Type Name L
6?D4 56oa
Mating Address
e l '$a p7�W- �I o c�
Telephone Number
Imo- q- - 14
F217 ;
Information)
r< u e w \ 1>tJvtl�eyt
Print or ype Name
Mailina Address e
Telephone Number
Date
, 0 L Z
(Revised 611812012)