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'CAIVIA I DREDGE & FILL • q
;ENERAL PERMIT Previous permit#
JNew - Modification Complete Reissue Partial Reissue Date previous permit issued
>rized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7M 2OO
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y I tiCCfes attached.
-it Namryej9dc7 �,/7 �t//• {0741Zu r-' Project Location: County f7�i2�>-f'/c/c'
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of Project/Activity RP�z,,9 C.e � iS ,�,j :rill,4,, fJ 71' , , "-t/ 4(.:,./(..
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dock)length �1 ,( /9 .1� /lb x,
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length - I . ( I
number - - I —.(r/9 J.
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avg distance offshore
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ding permit may be required by:69CQ.4..• 5"LP !(,1 P Ac. h ❑See note on back regarding River Basin
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30124
COOKE REALTY, INC. FIRST 1 BANK
GENERAL FUND ACCOUNT OCEAN ISLE BEACH,NORTH CAROLINA 28469
1 CAUSEWAY DR 66-456-531
OCEAN ISLE BEACH,NC 28469-7505
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DOLLARS
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
:gel F. Easley, Governor James H.Gregson,Director William G. Ross Jr., Se
Authorized Agent Consent Agreement
0-0c)ke /`&--4-/ _ is hereby authorized to act on my heft
(Printed Na e of Agent)
er to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to
is activities described in the attached sketch.
TION OF PROJECT:
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'ERTY OWNER MAILING ADDRESS:
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IORIZED AGENT MAILING ADDRESS:
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ture of Property Owner: / 9

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 40 l ,1Iry n
Address of Property: Li g ( ( y, t vim'►
(Lot or Street#, Street or Road)
C2o� f r 5�
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi
applying for this permit has described tome as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lew
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-
within 10 days of receipt of this notice. No response is considered the same as no.object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
bck a minimum distance of 1H' from my area of riparian access - unless waived by me. (
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.
41( -Sc)nk Cp-f g-n E,
Sian Name Date

11.
- •: DIVISION OF COASTAL MANAGEMENT14 ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual Applying For Permit: PO q ph .�a - -(jict I-21 v
e ,Address of Property:rty: �� � Lino n r
(Lot or Street>T, Street or Road)
Aft-am J m e r R r'u,�,a,c k
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indiv
applying for this permit has described to me as shown on the attached drawing the developmen
are proposing. A description or drawing, with dimensions, should be provided with this lett
iiir I have no objections to this proposal.
lei P P
If you have objections to what is being proposed, please write the Division of Cc
Management, 127 'Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail. .
WAIVER SECTION
I understand that a pier, dock, mooring pilings, break-water, boat house or boat lift must
bck a minimum distance of 15' from my area of riparian access - unless waived by me.
wish to , ive 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.
. Si-gn Name Date
rC,h nd ) C/072,14 Ste

•
DIRECTIONS FOR OBTAINING A CAMA GENERAL
PERMIT for a PIER, DOCK, BOATHOUSE/LIFT
To obtain authorization to construct a pier, you must submit the following items to your
' CAMA Permit Officer:
•
1. Signatures of no objection to the pier, from both adjacent riparian property
owners.
(2 r Fill out the attached forms, complete with drawing of the proposed
pier, and have your neighbors sign and date in the appropriate
place.
If your neighbor will not sign the form,or lives out of town, you
may send the form to him,certified mail/return receipt, and 10 days
after their date of receipt(which is listed on the green cards
returned to you by the Post Office) the permit can be issued, even if
no response has been received.
If any part of the proposed pier is located within 15 feet of the
Riparian Access Corridor line,the applicable neighbor must check
the box to waive the 15 feet setback requirement. A signed form,
without this box checked, does not constitute a waiver.
r The Riparian Access Corridor is not the extension of property lines
out into the water. It is established by two imaginary lines that
extend at a 90° angle from the channel of the waterbody to the
highground property corners. Your Local Permit Officer can help
you in determining your Riparian Access Corridor. In some cases,
a survey may be required.
2. Scale drawing of the proposed pier. Your drawing must include the following
information(see attached example drawing):
Your name and project address
Names of adjacent property owners
cif Width of property and name of the waterbody

General Permit for Piers
Page Two
Width of the waterbody (this is the measured distance from the
waterward edge of the marsh grass on your side of the waterbody
to the waterward edge of the marsh grass on the other side of the
waterbody)
cir Water depth at low tide, at the end of the proposed pier
Ce Distance from the end of the pier to any federally maintained
channel, if applicable. This information can be obtained by
reviewing the channel survey maps at the US Army Corps of
Engineers District Office, 69 Darlington Avenue, Wilmington,
North Carolina
3. Once you have this information you should contact your CAMA permit officer
and arrange an appointment to meet you on the property and evaluate your
request. When you receive your permit,take it to your building inspector to
obtain a building permit. This authorization is only valid for 90 days,contact you
CAMA Permit Officer if for some reason you cannot complete the construction
within this time period. The CAMA Permit Officer will inspect the finished pier
to assure compliance with the submitted drawing and all conditions of the permit.
4. Do NOT mail information to the Wilmington Office.
Call Debbie Wilson at 910-796-7215 to arrange an on-site
appointment.
5. Cost: $200.00
Attached: Sample Drawings
I 5A NCAC 0711.1200
Riparian Property Owner Letters
s:\cama\shells\pier.dir

Department of Environment and Natural Resources
Division of Coastal Management(DCM)
Name of Fee: CAMA General Permit(GP) application fees(various, see table).
Purpose of Fee: To partially offset the administrative and personnel costs incurred by the
Division for processing the applications and related compliance activities,with
consideration given to the complexity of the proposed development activity.
Authority: G.S. 113A-119.1 authorizes the Coastal Resources Commission (CRC)
to collect GP fees up to a maximum of four hundred dollars ($400) per
permit application.
New Fee: Various, see table.
Effective Date: September 1,2006.
Rule# . Permit Type _ Old.Fee New Fee_J
7H.1103 OP at or above NHW/NWL 100 200
OP below NHW/NWL 100 400
7H.1203 GP Docks,Piers,Boatlifts,Boathouses 100 200
7111303 OP Boat Ramps 100 200
71-1.1403 GP Wooden or Riprap Groins 100 • 200
7H.1503 GP Excavation(maint.)up to 100 cy 100 200
_ GP Excavation(maint.) 101-1000 cy 100 400 _
71-1.1603 GP Aerial & Subaqueous Lines 100 400
7H.1703 _ GP Sandbags :_� 250 400 —
7H.1803 GP Beach Bulldozing _ 100 400
7H.1903 GP Temporary Structures __ 100 200__
7EI.2003 OP Reconfiguration �1Q0 200
7H.2103 _ GP Marsh Enhancement Breakwater 100 — 200
7E-1.2203 GP Freestanding Moorings 100 200
71-1.2303 GP Bridges &Culverts 100 400 _
7H.2403 GP Riprap for Wetland Protection 50 200 _
7H.2503 GP Emergency (waived by rule) 100 — 200
711.2603 GP EEP Mitigation 100 400
7H.2703 GP Riprap Sills 100 200 ____

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. 0 Agent
■ Print your name and address on the reverse X 0 Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑No
CIVI€S
lQ DOD !� �tCCc.1-� - I I .
Ire n,t G�d 1-,� in ry�l1 1 1r` 3. Service Type
I v� / 1� 0 Certified Mail 0 Express Mail
ms ,t D-1 Registered ❑Return Receipt for Merchandise
�JV 0 Insured Mail 0 COD.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7005 1160 0002 8063 9138
PS Form 3811,February 2004 Domestic Return Receipt 102595-o2-M-154o;
Postal Serv9ce1' U.S. Postal Services;
RTIFIED MAILTM RECEIPT m CERTIFIED M'AILTM RECEIPT
estic Mail Only;No Ins r ance Coverage Provided) r'l (Domestic Mail Only;No Insurance Coverage Provided)
Er
livery information visit o wed ite at www.us s.co
P mo For delivery information vis'. cur website at www.usps.com-
m
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Postage IMENEco
Postage MEM
Certified FeeIMEMI
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IM Certified Fee "7 0
Post ar O l lJ
ern Receipt Fee Return ReceiptPostmark
merit Required) 1 (Endorsement Reqired) Herp
ed DeliveryFee Restricted DeliveryFee
merit Reuired) u 1 YY
Jl'Z , (Endorsement Required)
1-1
ostage&Fees 5, , I Total Postage&Fees I
22y�� �l u1
2.Ca0 VI e-f6 J o Sent To es Sc St-n
ot.No.; U r` S`beet Apt.No.;
x No. or PO Box No.
e,ZIP+4 City,State,ZIP+4 •
3800,June 2002 See Reverse for Instructions PS Form 3800,June 2002 See Reverse for Instructions
SENDER: COMP - THIS SECTION COMPLETE THIS SECTION ON DELIVERY
1 • Complete itr 2,and 3.Also complete Ir u re
item 4 if Rf5 icted Delivery is desired. /7•' �/� 0 Agent
• Print your name and address on the reverse 6��T/� ( 0 Addressee
so that we can return the card to you. L. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits. -
1. Article Addressed to: ,,A-_,C, y D\Is delivery address different from item 1? ❑Yes
O O .,tits YES,enter delivery address below: 0 No