Cooke, Meg and Harry

No. 73140
CAMA / DREDGE & FILL ` A B C D
GENERAL PERMIT _ Previous permit #
New ❑Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attached.
Applicant Name - ' { ; Project Location: County_ i 1 ;--
" Address r Street Address/ State Road/ Lot #(s)
— -- -
City
State ZIP z:�--
(' ) ? - 1 E-Mail _ Subdivisions_
Phone # - --
Authorized Agent ----- - — _ City 1. t �• ZIP r" f
❑ CW �EWI PTA �S ❑ PTS Phone # ( )wr d River Basin
Affected r
AEC(s): ElOEA C HHF ElIH ElUBA El N/A Adj. Wtr. Body nman unkn i
❑ PWS:
Closest Maj. Wtr. Body
I`at
t7RW ves /, no PNA yes / no
Type of Project/ Activity
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
Finger piers) -
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatllit
Beach Bulldozing
Other
a
Shoreline Length_
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no j
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
i
Notes/ Special Conditions
Agent or Applicant Printed Name
0
(Scale:
❑ See note on back regarding River Basin rules.
Permit Officer's Printed
Signature Please read compliance statement on back of permit Signature
Expiration Date,
Application Fee(s)
Check# ~ Issuing 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 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/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
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 7/06/ 17

ADJACENT RIPARIAN PROPERTY )WNER —STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at 401Z �" r'.31,
(Address, Lot, Block, Road, etc.) N�C,
on Lbiz(�> ClIGG I I,— in ',Y4\0,f�oAZT7'
(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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement,
(Property Owner
Print or Type Name
k
Mailing Address
( '-7 0 Arz-_ I t ( 'P" 1-4 t
T,
Date
(Adjacent Property Owner Information)
Sign zt,(
ur
4I.
Print or Type Name
ae-W'L ffT26L
Mailing Add
is IV 4�r�
CitylStatelZip
!, eLLY-1
Telephone Number
Date
(Revised 611812012)

IFYLORS CREEKPROPOSED MER
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PROPOSED no
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PREd t #uw P"T, NOT FOR RELY7RAAiKNV, SALE5
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h PREUWNARY PLAT, NOT FOR RECOP"TM SAL
OR CONVEYANCES
P.K. tJAtt SET A7.' . Ji cAAV4 PREUMWARY PLOT PL M+ FOR
MTr RSECTION of HAMY C. COM, III
BELLE A2 S£ '!
FRONT STREET DEED BOOK 1406, PACE 486
LOT 5, BLOCK 6, BEAUFORT HOUSEING CORPORATION
TOWN OF BEAUFORT
BEAUFORT TOWNSHIP N CARTERET COUNTY - NORTH CAROLING
SpruiA & .Associates Inc DATE: OCTOBER 18, gala SCALE. 20
2747 East Tenth 3tgeet 20 0 20 40 sO
G°roeuviUe. North Caratiaa 27868
_._ Rrumecowtaluet,cm
[phone] Firm No. C-978 GRAPHIC SCALE — FEET
?St,33CAb!

AI)JACEN €RIPARIAN PROPERTY OWNER —STATEMENT
I hereby certify that,? own property adjacent to ��� �` �^ '`� s
fNI Ime of Property vstner)
property located at
on 1 y tLrc
r- —
(Address, Lot, Block, Road, etc.
��. in i�4=ctl.G.
odv) (CitylTown and/or County)
The applicant has described to rne, as shown below, the development proposed at the above
location. I
J I have no objection to this proposal.
_ I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
('individual propos'#ng development mast fill in description below or ,attach a site drawing)
I understand that a
hank a minimum &
wish to waive the se
�Idowi
M
WAIVER SECTION
r, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
r)ce of 15' from my area of riparian access unless waived by rage. (li you
ack, you. must initial the appropriate Flank below.)
to waive the 15' setback requirement.
wish to waive the 15' setback requirement.
(Property Owner Information)
r�
Print or Type Name
Mailing Address
Ci I1t t Ip
Tetephone Number
Date
4z
k
a?
a
tj
St
(Adjace Property Owner Information)
Sigtr t74re
Print or Type Marne
AifaIlLbg Andress
&A 5��
City/state/Zip
Telephone Number
Date
(Revised 611812012)

AYLOCREEK �-
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PRr�PasE PROPOSED
BULKHEAD
BULKHEAD
S 84'11'24'W 49,86, cn
fxlsnw- a
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PREVMtNARY PLAT; NOT FOR REG'1 ROAMN,
OR CONVEYANCES _
Tiyp STORY
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CONCRETE r
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0
PRFL1M1NAt2Y PLAT„' NOT FOR REGORDATTaN, aAi..FS,
j
OR CONVEYANCES
P.K. NAiL SET AT LAMA PRELtii iwjsty PLC7TPLANN FOR
INTERSECTION OF �� i,. ' HARRY C. COOKE- Iff
BELLE AIR ST. &
f`RONT STRaT DEED BOOK 1406, PAGE 4861
LOT 5, BLOCK 6, 13EAUFORT HOUSEING CORPORA77ON
TOWN OF BEAUFORT
BEAUFORT TOWNSHIP - CARTERET COUNTY - NORTH CAROLIN
DATE. OCTOE3E'R 18, 2018 SCALE.. 1 "- 24
Spruill Associates Inc 20 40 60
2747 East Tenth Strut' --�-.
Gtecuvilie, I4arkh 4'aroliva 27E16
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{ } 767-1200 N.. e-�xa GRAPHIC SCALE — FEE'
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