26332D - Cooper

• CAMA and DREDGE AND FILL
l 26332 D
GENERAL
PERMIT Gc'3Po9 -2--„t41‘
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 15 NCAC '1 +4 . 1 IUU c . I...ou
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Applicant Name ( h
J A rr 1f ''-, `-OO Phone Number 1 04 2 83 169
Address .500 9 lit 51-N0e s �ci
ctc Lug rt
City non(- U C.J State IJ() Zip u 11 U
Project Location (County, State Road, Water Body, etc.) r ,A t1 s►,i t C l` Cot,,-r. I 122 k-tnt l c i h
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Type of Project Activity NeMJ Inv\k-1r. d 1J ,e.,r, c \Q t r 60- 1tf 4'
PROJECT DESCRIPTION SKETCH AG,G. (�}yr.A I (SCALE: ),�(4T �' )
Pier(dock)Length � t - 1 I........._._. _ . .�........_._ .._..._ - . -
A Co II
Groin Length
number
Bulkhead Length .`S U 1 < ■V
max.distance offshore r o A T AA. i t�.P s
t h e,a r c C,` f_.{ W Ci i r,r-d},
._-...----...a..--._-._X a ► .. a�. w < �
Basin,channel dimensions 11
cubic yards �`
1:
fpkl�+1 fQ + y I
Boat ramp dimensions — __ -
other CD'
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This permit is subject to compliance with this application, site drawing C, ku v ( . ,
and attached general and specific conditions.Any violation of these terms applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and j (Th,
may cause the permit to become null and void. r,r,o -T1-1 t '`' _
This permit must be on the project site and accessible to the permit of- i permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- 9 0,)-7 1 UU lc), I ' I QC)fies by signing this permit that 1)this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has � ,UU I ��
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project 1 00
is consistent with the North Carolina Coastal Management Program. application fee

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
. Name Of Individual Applying For Permit: g exDSIr
Address-Of Property: c .a PNGLVQ. 5� RD1aCh
NC , B }10 A 6c►x�5 vocak_ Co.
(Lot or Street #, Street or Road, City & 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 .
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•
If You have objections to what is being proposed . please write the
Division of Coastal Management . 127 Cardinal Drive Extension ,
Wilmington . North Carolina . 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no ob1ection if you have been notified by Certified Mail
WAIVER SECTION •
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift must be set back a minimum distance of 15'
from my area of riparian access unless waived byme.
(If you wish
to waive the setback,
below;)
you must initial the appropriate blank
TE D I do wish to waive the 15 ' setback requirement.
I do not wish to waive the 15 ' setback requirement.
itl rk 09i -iSi �Q
Signature Date
To_sA A
•
Print Name 3.55- SO7e 1-1_��_
Telephone WithNu�Ibelq� F
Area Code

•
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
. Name Of Individual Applying For Permit: C �
Address 'Of Property: (20„\Q_104-.
(Lot or Street #, Street or Road, City & 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.
•
/U��/, i I have no objections to this proposal.
•
•
If you have objections to what is beinc proposed . please write the
Division of Coastal Manacement , 127 Cardinal Drive Extension ,
Wilmincton , North Carolina , 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 ilings boat
t
house, lift 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. )
•
kgi do wish to waive the 15 'setback requirement.
I do rot wish to waive the 15'setback requirement.
•
Signature j Cat
Print Name � r
70f41.1 SV7c • --=
Telephone Number With Area �! H
Code

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2,and 3.Also complete •. ec-',-d by(Please Print !earl . ate ei
item 4 if Restricted Deliveryis desired. — ,
• Print your name and address on the reverse I�-t i/14- ' fC � r
so that we can return the card to you. ature
• Attach this card to the back of the mailpiece, X dr-Agent
or on the front if space permits. ` i ❑ Addresse
D. Is delivery address different from item 1? ❑ Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
117 -,ca5�auc\ �-
CJ,sae\ 14.) 3. ServjceType
a� D 63 G`ertified Mail ❑ Express Mail
❑ Registered El Return Receipt for Merchandis
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number(Copy from service label)
DS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952

UNITED STATES POSTAL SERVICE First-Class Mail
01 N ._Postage-8rFOVS-Paid ..
PM - • Permit
• Sender: Please print yo '>'nbme;'acddress, and ZIP+4 in.this,box
2000 �• �,,.,..,.-,—.
IIt1Iii„Ill„il,,,fifi,,,i„ia„IIIlIttIll„it„tifI!,Iuui:I

-ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete A Received by(Please Print Clearly) B. Date of Deliver
item 4 if Restricted Delivery is desired. C-t VQ
• Prfnt your name and address on the reverse
so that we can return the card to you. C. Signature
• Attach this card to the back of the mailpiece, p ❑Agent
or on the front if space permits. X �Q C f.'G -�."----ti Addresses
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to:
If YES,enter delivery address below: 0 No
�p� ��\Ak�Q� 4"
Rcl 5
12N0-1.Q...:, 3. Service Type cos
Y�`1 il (. ❑Certified Mai ail
-) lQO Q ❑ Registered IVIstipec t for Merchandise
❑ Insured Mail . d:
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number(Copy from service label)
S Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952

UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage&Fees Paid
LISPS •
Permit No. G-i 0 .
• Sender: Please print your name, address, and ZIP+4 in this box •
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CHUCK COOPER Irs O
EXPENSE ACCOUNT
4 3009 BISHOPS RIDGE CT PH 704-283-9891 l
,Y MONROE, NC 28110
66-18/530
DATE•
ORDERy7pT ,
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l� ✓ 1 V/ 9�aur�ry I��iurru �i
MACHO DOLLARS©mawa".
Deicio an pick.
I.! WachoHa Bank N.A. I
. A Monroe,N[:28110
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;0 5 3000 18 3i; LOZ,ISK________ .' i ,
L867 4405430 1600
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