30327D - Cook

toCAMA / DREDGE & FILL Mi 30327- i
GENERAL PERMIT Previous permit#
> %`_'New Modification Complete 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 / H. lD o (-°
Rules attached.
Applicant Name j'A (n(S COO Project Location: County PJ 140-N -E'1'
Address I 1 I &QCCfl-- C1 N(SL I vE. Street Address/State Road/ Lot#(s) j I 1 S. Ck✓i-NAB'.(
City WA/ i i us F ackstate N CL ZIP 28Oa D V
Phone #p10 ) (D'C1Q0 I Fax#( 'j" Subdivision i4 fttJ0 a. i_SLt4 4_1Q
Authorized Agenti 1+? ICI NiT City Wa.IGt-f lii Lt__, &lS ZIP 7-- 34. 42)O
cw NEW [ 'PTA ES JPTS Phone# ( ) River Basin CAN- F4.A-Q,
Affected • �;
J OEA ❑HHF IH UBA N/A -
AEC(s): �� Adj.Wtr. Body �)QT;k'S /�N/}' /4CId.tJ nat iinan /unkn)
❑ PWS: EEC: SA-r Nt2_,
ORW: yes(an) PNAPNA yes Crit. Hab. yes / no - Closest Maj.Wtr. Body
Type of Project/Activity ) 0
I 1 • (Scale: 1 I�` ?'`'( )
Pier(dock)length 4t,,A,..f 1
1,t)
Platform(s) -
Finger pier(s) —ti
Groin length
number
Bulkhead/Riprap length
avg distance offshore "'—. " .r � �(30�►�
max distance offshore �, �`
•
j' pi L.4_5
Basin,channel i��
cubic yards e
: .110°.• r
Boat ramp Q�4. ''1' . j
Boathouse/Boatlift
Beach Bulldozing
Other Moor 1101 c.s P l .' 1
_.(:3.)
Shoreline Length 00
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SAV: not sure yes y� i.____
Sandbags: not sure yes OP
Moratorium: n/a yes
Photos: es, no
Waiver Attached: /'es�i
` no
Y
A building permit may be required by: V See note on back regarding River Basin rules.
Notes/Special Conditions
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• Agent i t inted ame Permit Officer's Signature
-' Lam. 1 0 1--k --0 2 - 1 _2.1 --a
Signs re Please d pli ce statement on back of permit** Issui Date COci34
Expiration Date
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Application Fee(s) Check# Local Planning Jurisdiction 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: [phone] I5 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 I0/05/0I

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Name Of Individual Applying For Permit; \IT t C D U K
Address Of Property: 11 0 U C tE, f2JV
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(Lot or Street 3 - kiC z q .
#, Street or Road, City & unty)
I hereby certify that I own prop,adjacent to the above referencedproperty.applying for this.permit has described to lie as shown on the attached drawing e d The individual
they are proposing. A description or drawing, the development
letter. , with dimensions, should be provided with this
I have no objections to this proposal. _
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if vnU have b, nn i 5 d P a .P
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Is II'=ataand that apier, dock, mooring pilings, breakwater, boat house, lift a minimum distance of 15 from my area of ripariane or sandbars must be
wish to waive the setback, y the access unless waived by me. (I1 you
you miesi initial appropriate blank below.)
._ I do wish to waive the 15' setback requirement.
I dam/wish to waive the 15' setback requirement. -
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S"enature O 'Date
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Name Of individual Applying For Permit: PV y` C 0 D K . •
Address Of Property: 1 OU I --1 ( Pf JN F L DR)._
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(Lot or Sweet#, Street or Road, Cit
y County)
I hereby certify fj that I own property adjacent to the above referenced property. The individual
applying for this permit has described to niie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with
this
letter.
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I have no objections to this proposal.
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I understand that a pier, dock, mooring pilings, breeakwater, boat house, lift or sari
se`back a minimum distanw of 15' from m area of ripariandba�s must be
wish to waive the setback, y � �'"ss unless waived by me. (If you
you mast initial the appropriate blank below.)
I do wish to waive the 15' setback requirement
I �n not wish to waive the 15' setback requitement
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JOHN H. KING
130 E.BR N NCDL 74ANDYWINE 68822 .`:, ., `- ^�� I .� nO� ss is/53o nc
EI WILMINGTON,NC 28411 ,r;'.',N,\, Date / ;
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