Cook, Christopher 79598C

Applicant Name
Address
f]CAMA/DOREDGE&FILL
GENER/AL PERMIT
ENew EModification nComplete Reissue IPartial Reissue
As authorized by the State of Nonh Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant
N9 79598 A BCD
Previous permit # _
Date previous permit'rt*a-
to l5A NCAC
E Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
ztP
Phone # (_)River Basin
Adj. Wtr. Body- (nat /man /unkn)
Closest Mal. Wtr. Body
State ztP
Phone # (_)E-Mail
Authorized Agent
Affected
AEC(s):tr PIYS:_
ORW: yes / no PNA yes / no
trcw
tr OEA
ftEw
tr HHF
tr PTA
trtH
nES
tr UBA
tr PTS
NN/A
)C
(Scale:
Type of ProjecV Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length .
avg distance offshore _
max distance offshore
--!-----:*
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Moratorium: r
Photos:
Waiver Attached:
A building permit may be required by:
( Note Local Planning Jurisdiction)
Inla yes no
yes no
yes no
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E S"u note on back regarding River Basin rules.
NoteV Special Conditions
Agent or Applicant Printed Name
Signature x* Please read compliance statement on back of permit **
Permit Offi cer's Printed Name
Signature
Application Fee(s)Check #lssuing Date Expiration Date
)
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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
nulland void.
This permit must be on the proiect site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that l) 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:
E tar - Pamlico River Basin Buffer Rules
E Nerse River Basin Buffer Rules
lf 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (9 l0-796-721 5) for more information on how to comply with these buffer rules.
Division of Coastal Management Ofiices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ r -888-4RCOAST
Fax:[phone]
(Serves: Carteret, Craven, Onslow -
Nonh of New River lnlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquoank and Perquimans
Counties)
E other:
Washington District
943 Washington Square Mall
Washingon, NC 27889
252-946-648t
Fu<:252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
9t0-796-7215
Fax: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal. ncdenr.orglweb/cm/dcm-home
Revised 7/06/ I 7
AGEIIIT AUTHORIZATION FOR CAHA PERilIT APPIJCATIOiI
Narne of pruperty Owrrer Rquesting Permit:CltC.s,:efsru( u- caav*
Mailing A#ress:c tnJ l-*
C.?
Phone Nurnber 2o\- 1cn\- rtoP
Email Addrxs 1..-coo k- [c .(^-'(ora.
I certify that I have arrthorized {3 9-=.ft -rq*c-t-e<-<4lg*"tiaonGcioi
to act on my behalf, for the puryose d applying for ard obfiaining all CAI!&{ permiB
neffissary br ttre folbwing proposed dewlapment:
L.U
at my propefty loeated at B { (gl* ?o:u_r vL{t2
in {/rtllw''f County.
I fuftrenrwre ae@ fuat I am autiwrtze4 to gmnt, aN do in fact $aN permrssbn to
ei/rsron of Coasta, f./a,r$genwnt stafi frrc Local Parmit Oflber arrd their agprlts (o en{er
on ffm aforenw*iond hnds in mmecdryl with evaluat*ry informal*rn re&ed fo frr$
permit aryt*mtion.
Pfo0erty Oxns lntormation:
u-(J-
Shnatfie
(l+,t,s tzpttx /A/C<rog
FrtnwTry tcaime
Tide
Ll t l> t ?l
--r- De
This certificatilrn is valid through 7a 2>*
AD.tACElrr RtFARnil PROPERTY OXYITER .grATFuEl{T
I hereby certify frat I a&cent to gYY615d"v I r)o L
ot g5 0{proPerty located at
on
(Addreaao l-d,%ttr '{}t fi *Nt N.C.in
$tmrAoav)ffirir*ifidroreaintt
The apdieant has dmeribed to rne, as shorrn holCIrrr, the development proposed at the above
location.
FB&) I have no obiectbn ts ttris proposal.
I have obiedions to this proposal.
OE$CRImON All5filR DRAWltle OF PROpOSED DEVELOPttEitT
utAtvER sEcTtot{
I understancl that a pier, dock, rnoring pilingm, boat ramp, brealwa*er, boathouse, lift, or groin
must be oet ba* a mininxrm distance of :!ll fipf1r my area of ripadan a6ce8s urdeos walvd by
me- (tf lrou wish to waive tre setback, yorffitte appropriate blank below.)
ldo wish to waive the 15'setback requirernent.
I do not wish to waive the 15'setbaek requirement.
u.
Sipnature
Chf i s{'otxrz b,r. Csla
(PrWrty Ouuner lnformation)(Adlacont Property Owrs lnformatlon!
Prhtu IyrefilsrpQ.a:6ou b0t-
/atlgril addess
PrintuTypt'/e,me
l3l c<det Pci"* Btrd
MaffipAddress&dk %in+.No Zgsgt{$*
dttlSElle/Zloloravi-ol8
Nl.if'&et / effail ad*ess
hte
'Valid for one calendar year after signature*
Dute*
fRewsed Aug.2014)
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?e"neq*6.rJs#k*-.- --t"W ieE h rr\ol r
dotbop sigmture Erifi atim; ::ilp.u;,,iLa,\-ivvi-3i.ii
ADJACENT RIPARIAN PROPERTY OWNER STATEIiENT
I hereby certify that
property located at
on lct^l
lown adjacent to ts
tu
of Propcrry Owner)
Lot,cts.)
tn N.C.
{Waterbody} (CiffITown andlor County)
has described to me, as shown below, the development proposed at the above
I have no objection ta this proposal.
! have objeclions to this proposal.
The applicant
G/{
DESCRIPTION ANDIOR OF PROPOSED DEVELOPMENT
WAIVER SECTION
I undersJand that a pier, deck, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be $et back a minimum di$tanee of 1$-l,fpm -ryry area of riparian acae$$ unless waived byme.(ltyouwishtowaivethesetback,y0mtheappr6priateblankbelow,}
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement.
ffi{l
(Property Owner lnformation)
f7...,il t {^-,
C
civ/state/Zio*le! 4Li-lq*Wifff fff*, / emait address
Sipnature*
Ann Matthem
Print or Tvw Namelll MATTHEWS I.ANE
Mailins Address
Citv/Stat&io
252-259-5177
Telephone Number / email address
a4l2\l202r
I)ate
'Valid for one calendar year atter signalure*
Date*
(Revised Aug.2014)
Chnrt rt''cr W. CqcL
(Address,
J,* A+"J*/
dotloop verification:
brawing Prepared By: C3 Scstt, lnc
Dats W16r21
Scale: 1":20'
North
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lntercoastal Waterway
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13'x{3
4 pite
boat lilt
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Proposed New
Sea Walt
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tlaattat trttttlJratrlar a atrrtattf aaatat
Hxisting Sea Wail
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Proposed New
Sea Wal
Existing
Sea Wall
Pf.gpe-rtv A4drgss:
138 Cedar Point BIvd
Cedar Point, NC 28584
Prqperty Owner:
Chris and Mandy Cook
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