54030D - Cooke

CAMA / DREDGE & FILL r'
.ENERAL PERMIT Previous permit #
New ._,Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources �y
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
ules attached.
it Name J 7ah l? > CO G
�qoi, I ,u,v State l/�ZIP ... f'
Fax # ( )
:ed Agent -ToSSr e 4- %yl vCtf Ctir _S r
u CW �4EW PTA ETES ❑ PTS
❑ OEA LL HHF '-j IH E] UBA ❑ N/A
❑ PWS: ❑ FC:
yes G.� PNA yes no> Crit.Hab. yes / no
f Project/ Activity for, ) u A J e Oir-21 .p
ck) length J< 2i
ier(s)
ngth
tuber
J/ Riprap length_
t distance offshore
x distance offshore
cannel
)ic yards_
ip
se/ Boatlift
illdozing
PLC'I� 20x2
Length 11'-/
not sure yes
not sure yes
um: n/a yes
yes
kttache,g i e6J
no
ig permit may be require
Project Location: County
Street Address/ State Road/ Lot #(s) 7ii c
'X�L-..r'FNSqLA-
Subdivision 7 %4 -P p,P n/ r NS k I "q
City- " _IS�P /-�� ZIP �b r
Phone # ( ) River Basin LyMp
Adj. Wtr. Body C/2.v A L o"17 o-'214t14— (nat /a
�c
Closest Maj. Wtr. Body '49/ & G./
(Scale: / ".-

r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
;heel F. Easley, Governor James H. Gregson, Director William G. Ross Jr
Authorized Agent Consent Agreement
/5D /pTE is hereby authorized to act on my be
(Printed Name of Agent)
der to obtain any CAMA permit(s) required for the property listed below. The authorization is limited t
:ific activities described in the attached sketch.
:ATION OF PROJECT:
—1-7VE PCX / IyS.uL P
N U s L-E P+C-N N
PERTY OWNER MAILING ADDRESS:
TUer, -T 6o04E
.90 � laud/t2, tAME
I I-th i /\J6-TD-J 7'954(41g PHONE NO._ 9) O/ Zszo 81?�G5
HORIZED AGENT MAILING ADDRESS:
PHONE NO 91 D /575 - 504o'�>
iture of Property Owner;

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DIVISION OF COASTAL lAkNAGENIENT
UAN PROPERTY OWNER NOTIFICATIO11-41WAIVER FOR
Name of Individual Applying For Permit: , +U ZIY-}' C06 iCIL
Address of Property: 16 ice, ?-exA
(Lot or Street 9, Street or Road)
(City and County)
N - L- ' t'UVtSl�1
I hereby certify that I own property adjacent to the above -referenced property. The in
appl%inQ for this permit has described to.me as shown on the attached drati��ina the deveIopm
are proposing. A description or drawing, with dimensions, should be provided with this 1
__1// I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of i
Management, 127 'Cardinal Drive Extension, Wilmington, IBC 280� or call
Within 10 days of receipt of this notice. No response is considered the same as nolo _ e
you have been notified by Certified Mail. bfe
WAIVER SECTION
I understand that a pier, dock, mooring pilings, brew --water, boat house or boat lift mus
bck a minimum distance of 15' from my area of riparian access - unless waive Wish to waive the.setback, -you must initial the appropriate blank d by me. below.)
I do wish to waive the 1 5' setback requirement. q meat.
I do not wish to waive the 1 5' setback requirement.
Sian Name
ate
pia r11-Lc,1L �✓}1,Lw �'T� QE
A * Nr
♦'Normrtiaw .

DIVISION OF COASTAL NLANAGENIENT
JACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WLIVER F
?`dame of Individual Applying For Permit: �}v ar-}- C00 v�L
Address of Property: %$ . —e,
(Lot or Street g) Street or Road)
OCezkA S ee. a rvA Sw4
(City and County)
I hereby certify that I own property adjacent to the above -referenced property. The in(
applying for this permit has deacribed to.me as sho%vn on the attached drawl the deveIopm
are propostna. A descriptio r dra.ving, with dimensions, should be provided with this 1,
I have no objections to this proposal_
If you have objections to what is being proposed, please write the Division of E
Management, 127 'Cardinal Drive Extension, Wilmington, NC 23405 or call
within 10 days of receipt of this notice. No response is considered the same as no obje
you have been notified by Certified Mail. °bye
WAIVER SECTION
I understand that a pier, dock, mooring pilings, break �� ater, boat house or boat lift mus
bck a minimum distance of 15' from my area of riparian access - unless waived by me.
wish to waive the setback, you must initial the appropriate blank below.)
S i gn Name
I do wish to waive the l 5' setback requirement.
I do not wish to waive the 15' setback requirement.
Date
-ro i+L�c to E
prtn �T.,. ��_WW♦

JESSIE & MYERS CONSTRUCTION
P.O. BOX 5024
OCEAN ISLE BEACH, NC 28469
[phone]
PAY
TO THE -
ORDER 1
�nillnno C1 � 5 ►-60 � C� �r . �-o
BBU
pRANCN RANKING AND TRUST COMPANY
NORTH CAROLINA
66-112-531
II1000075LLII' i:053L0LL20:000529LL9348LII'
AdT 2 1 ATURE