Cooper Jr, A. B.

—' CAMA / DREDGE & FILL A B C D
GENERAL PERMIT Previous permit#
--New `'Modification LlComplete Reissue --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
Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s) _
City S ZIP
Phone # ( )_
Authorized Agent
Affected El CW
AEC(s): El OEA
PWS:
ORW: yes / no
tate
E-Mail —.
— J EW PTA ❑ ES E PTS
❑ HHF C IH ❑ UBA N/A
PNA yes / no
Type of Project/ Activity
Pier (dock) length J r
r
Fixed Platform(s) C
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length ,.
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
[ l t
Boathouse/ B�atlif�)
1211
Beach Bulldozing
Other / +"
Shoreline Length
SAV: not sure yes no
,,,4
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
v
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit'*
— rt
Subdivision
City ZIP i r �''`•.�
Phone # River Basin
Adj. Wtr. Body_ nat man_-/unkn)
Closest Maj. Wtr. Body------ t.
1
(Scale: f f j )
I -
i ❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name
Signature
Application Fee(s) Check # Issuing Date
Expiration Date

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 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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-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)
http://www.nccoastalmanagement.net/
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)
Revised 08/27/ 14

Mar 19 18 02:56p WillKuhnHomes,LLC.
2525658118 p.4
AGENT AtdTHORIZATION FOR CAMA PERMl1T gPPLiC�:TION
Name of Property Owner R
eques.ing Permit. _ J
,,tailing Ado�ess: ,
Phone Number. Z 2- - -7 Z�,, _
Email AG�ress:
t certifi� ihaE ! ha.;e authorized
Age!,,,, C, ntracc-
tc act on my behalf, fo- the purpose of apFlyi-g for and obta�ring all CA:!IA pe"mrs
,,ecessar,( fo; the following proposed cevelopment:
at my p-opery located at
in
I UIVIermore certify that I am autftor,'Zed to ararrt. and do in facr g: rs^nrssi:�, to
E•w;sion of Coastal Management sraf,` the Coca! Permit Officer and lh� r apt; :c to enter
o� the aforemerrtionec' lards in connect:cn with application. cvalual�n p'Rrg info►.r„N^, a� to fi;�s
.t
f \ /
r)ate
This ceriification is valic Iirough

Mar 19 18 02:56p WillKuhnHomes,LLC.
3/15/2018
AOL Mail
2525658118 p.5
replace pier
F Styron, Heather M. heather. [e-mail] Hide
To wctkuhn [e-mail]
Slideshow
* M 2
Thu, Mar 15. 2018 10:13 am
Hello Mr. Kuhn,
I received an application to replace the pier at 502 North Shore drive but the paperwork is not sufficient. I will
need an agent form signed by Mr. Cooper because he owns the parcel of land and I will need adjacent signatures
from the properties that border North Shore MHP property. I will need the one to the left and right and they are
as folJows;
Ruth Ireland
113
BAHAMA BREEZE DRIVE
ATLANTIC BEACH, NC 28512
And
Carlton Rouse
4192 NEW CIRCLE DRIVE
AY DEN, NC 28513
Thanks,
Heather
him. iJ-;1 -t - -...,__:, .

Mar 19 18 02:56p WilIKuhnHomes,LLC. 2525658118 p.1
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Mar 19 18 02:56p WillKuhnHomes,LLC.
2525658118 p.2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to W i � Jl G # 1 a K�u 14�-, -IT7 I s
(Name of Property Owner)
property located at SJZ YlAhhJ)-4
TO),)
(Address, Lo,�+��Ipck, Road. etc.
on —t- , in f-ftI G Y l L L?�Ga , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locat
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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 w i e the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
S'gnarure
Poi't or TypeName
?1 G, "Un6-�4hV,
�Y fling Addre s
�h V�1�t , �5�
Qt /State2i _
Teleph ne N tuber
Date
(Adjant Property Owner Information)
Signe
Print or Type Name
Mailing Address
CitylSta te2ip
Telephone Number
Date
(Revised 611812012)

Mar 19 18 02:56p WillKuhnHomes,LLC.
2525658118 p.3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to WAJ G m 'J- (l U ) js— °s
S,J Z �� 1_ _ IM , (rrt1of Property Owner)
property located at � � 5 /�7 t � l (-� 1�
(Address, Lot �ock Roaetc�)
on in G 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 objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner In ation) (Adjacent Property Owner Information)
Si ur1 nature
���r�C�—
P r f or Typp Na e Print or Type' Name
M ing Address I M ding Address
City(S te/Z' City/State/Zip
c"' _
TelM
eN
ber Telephone Number
b
Date Date � I
(Revised 6/18/2012)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
'Name of Property Owner Requesting Permit:VI'
l t G ft) 0YOy
Mailing Address: W2(fi1 AI t h� a c!: h P ,0
Phone Number:
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:�-
at my property located at S 6 2- p
in County.
/ furthermore certify that l am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or Type Name
-�4 '�-
j Title
Date
REED
This certification is valid through I!� MAR 12 2018
DCM- MHD CITY

ADJACENT RIPARIAN PR.P—R TY QW- W2 3TATEMERT
I hereby certify that i own property adinent to
� - _ s
praaerty located at 0� 9 (Name of Property Owner)�
on '00'L4�a) (Address, Lo t'ck rZoe , etc
•'(Waterbody) ' {n --, N.G.
(City/Town and/or County)
The appliean has described to me, as shown below. the development proposed at the above location
i have no objection to this proposal.
I httvs 01319 tons to this proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndlviduo/Proposlrng dwelopment must flll 1n deacrlpNorr below Of attach a elto drawing)
1
J
O
D
WAIVI R SkCTION
I understand that a pier, dock, mooring pilings, breakwater. boathouse. :,It, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived car me. (if you wish to waive
the setback, you must initial the appropriate blank below.)
I do wish to waive the 15: setback requirwnent.
_ 1 do not wish Io waive the 15' teibacK requirement.
(Property Owner information) (Adjacent roperty Cwne irtf rmallon)
atrrre
PrMt orTMMa,; _
UQJC
L &r 4_s-$917
(Re /Isad 6!, "012)

ADJACENT RIPARIAN PROPERTYNgRT
OWATEMJ NT
I hereby certify�h . _
that I own property adjacent to
Property located at n / (Name of Property Owner)
on (Address�!=,
oa & etc.)
(Waterbodyj . in l ,p f� . N.C.
(City/Town and/or County)
The applicant has described to me, as shawn below, the development proposed at the above location.
-----�� I have no objection to this ro
p posai.
------.__ _ I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
�'6
l understand that a pier, dock, mooringWAIVER SECTION
minimum distance of 15, from my area ofrriAarian access unless use lift, or groin must be set back a
the setback, you must initial the appropriate blank below.) waived by me. (if You wish to wai
I do wish to waive the 15' setback requirement.! ECEeV b
I do not wish to waive the 15' setback requirement.
(Property Owner information)
U)tea.
1
Si ature
4A
Prf t or�T a am
h ,
nlLO
Telepho Nu ber
Date
MAR 12 2018
HD CITY
l understand that a pier, dock, mooringWAIVER SECTION
minimum distance of 15, from my area ofrriAarian access unless use lift, or groin must be set back a
the setback, you must initial the appropriate blank below.) waived by me. (if You wish to wai
I do wish to waive the 15' setback requirement.! ECEeV b
I do not wish to waive the 15' setback requirement.
(Property Owner information)
U)tea.
1
Si ature
4A
Prf t or�T a am
h ,
nlLO
Telepho Nu ber
Date
MAR 12 2018
HD CITY