31884D - Cook

® .LAMA / DREDGE & FILL f� U Tk c`>< .I L - r�.•2 ive-r S • NCB 31884-c
GENERAL PERMIT m '` k'c\n f` /1,e�ous permit #
)% New Modification Complete Reissue r 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 I 5A NCAC r)'14 • 12(Xi .
'Rules attached.
Applicant Name ty.',-1'N C. . U OC) -- Project Location: County 1-DC td r1 S Lk)%C
Address I I V _3 E. 33 t ci S sue't Street Address/State Road/Lot#(s) I I () )C-
City )(\ L•- 1_51 ir"rc1 State I v(J ZIP o,tJ Lk' < .7 t CI S i"r +
Phone#(?..(.`) 21'1_7(,t4f Fax # ( ) Subdivision
Authorized Agent 77 1sA _.J t\i�\•E '`, City t._,, f\1-- -1--Swr'Y'Ct ZIP 2 841
Affected ,A,I.Cw %EW '(PTA ES PTS Phone # ( ) River Basin (�Tzm
tpr ��Fl
❑OEA ❑HHF ❑IH UBA N/A
AEC(s): Adj.Wtr. Body I)PtA,)IS '‘.....-.4-1c. 1\R 1 0 man /unkn)
❑PWS: CFC: p
Closest Maj. Wtr. Body 1 t Z (A w
ORW: yes /(nJ PNA yes , no Crit. Hab. yes / no ``
Type of Project/Activity �Cf.AY\0iJQ) o\d 4 Ib A T , r'sc1 duck- — \dC 11 -tit f I t-,lj�� ,(\`'-�
1 n ( cc * i t_7 e ft 4 t O P �� (Scale: ♦ � )
Pier(dock)length Nu T _T
Platforms 7
() �t) x= emu' f"'I�n-�` ��,,,, t� >r
Finger pier(s) 1)f1V `-) .1h NA
Groin length - ; -- I I
number
Bulkhead/Riprap length
avg distance offshore _
max distance offshore
- .Basin,channel + 'u 1
_ 1 A t-•51
cubic yards \\.101- E' ' Cl
Boat ramp _ I i ,`.4 f—
Boathouse/Boatlift
Beach Bulldozing ''' J OC.., 014 ' 1 e is--.ti r� 1 , k.
Other I C.� 4 �1(.)r . I
.
�x r 1
i -
8` & 1, - '
r os�..3
Shoreline Length 100 1 `r, f i/ l� ��
1• W
SAV: not sure yes no \, -_ \ �C.1(Lt
Sandbags: not sure yes no • ly - y ` t/
Moratorium: n!a yes no Yf �' vt V ` ♦ v `) V V ' '
Photos: yes no y !f Y \II'4; `} ) v '
V V \ I/ ''4 Ni _ \, 1 \i; \,1 \' ,/ \ ,.
Waiver Attached: yes no --
A building permit may be required by: L.k--- _S " ►1d . E See note on back regarding River
+Basin rules.
Notes/Special Conditions ^1'.f=..Yv'N O(}C. 01 c 'L�6k 't 1N(� ['\Q(c ' A A-i'\ 2- L OA-
t\'\i -t :';.— 1s o.X)( e'A ()n ci Vu. (\fJ, �T j c 1 V1t 1} JC-: A '
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U - CA) \d -+r i i () ►1 j Of' ')`4-1 . 1._t�-..
'�Agent or Applicant Printed Name r.-- !'..tr..,",,i,
er'sSignature
jc' cr/L —
,&`.r, ;,�,L 4 U- Cl -(.) Z J. . , ' -3
Signature **Please read compliance statement on back of permit Issuing Date Expiration Date
r \C •P 1tO914- f
Application Fee(s) Check# Local PlanningJurisdiction Rover File Name

•
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 I)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 Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-6481)or the Wilmington
Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-648 I
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9I 9 733 1495 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
Revised I0iC

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..inESS MT HAND AND SEAL THIS THE LONG BEACH, NORTH CAROLINA
25th DA CF MARCH A.D. I . . SMITHVILLE TOWNSHIP BRUNSWICK COUNTY . la • 1; ;il
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, SCALE: 1" = 30' MARCH 25th, 1996 .
JOB NO: 96229 FIELD BOOK: LB-46 CI '• i i- . i.,,,.:-,,'•1''.
•LAND SURVEYOR II O. L 2 ''.t.1' .„.
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7MIN IMINI 1111•1111•11111
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DRAHN BY JAMES M. BATSON • 3-25-96 , •
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L-352 I
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N',:sb ttilPielY t
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Pg SECTION N-4 .
LONG BEACH, N.C.
MB 5 PG 12 B.C.R. " - .
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PORTION OF LOT 13 7 — . .••• ,
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S 76:20'00"E 120.00'-4.-- I NOTE: PROPERTY IS LOCATED IN FLOOD WIZARD'
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property: a di 3z
(Lot or Street#, Street or Road)
(City and County)
I hereby certify that I own property-adjacent to the above-referenced:property. The individual
applying-for this permit has described to me as shown on the attached drawing the development they
-are-proposing. A-description or drawing,_with_dimensions,-should be provided with this-letter. - _ - -
.. ,/ 'I-have no.-objections to this proposal;- -- - - - - -
If you have objections to what is being proposed, please write the Division -of Coastal
Management, 127 Cardinal-Drive Extension, Wilmington, NC 28405 or call-910-395-3900
- - within 10 days of receipt of this.notice. No-response is considered the same as-no objection if
you have been notified by Certified Mail.
-WAIVER SECTION -" - - - -
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set
bck 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.1-5' setback-requirement:- --- -- --- - -
Y/f/a 2-
Sign Ne DateA:17A
?a
Print NameNCDENR-'
NORTH CAROUNA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Telephone Number with Area Code S:\cama\shells\riparianproperty.frm

'- -
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property:
(Lot or Street#, Street or Road)
•
------- --- - ------ _ ,6haya _ _
-
(City and County) - -
I hereby_ certify that I own property_adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
- - are-proposing..A description or drawing, with dimensions,-should be provided with-this-letter.
— - -- I have no objections to this proposal. - -
If you have objections to what is being proposed, .please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call-910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail..
- WAIVER SECTION -
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set
bck 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 notwish-to waive_the 15'-setback requirement.
/�� / /0--�/�@ Z _;
Sign-Na e Date
,„at-1.4i _
LA'N/11
•
Print Nam t
NORTH CARouNA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Telephone Number with Area Code S:\cama\shells\riparianproperty.fiin

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---- -- 74-5/724 314 4
KEN E. COOK 7 7
COOK'SPRISCI
LLA A. COOK , D
LANDING DAiti
110 SE 33RD ST.
OAK ISLAND, NC 28465 x
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PAY /
THE ORDER
DER OF $ oa o O
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Fifth Third Bann 4 I
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WESTERN MICHIGAN
GRAND RAPIDS,MICHIGAN
FOR
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