Cooper, Bob 84645C

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AMA X DREDGE & FILL N9 84645 A B�C
EN ERAL PERMIT tiJ)Previous permit
Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized b the Stat�of N Crar-oliftc,f Environmental Quality and theal Resources Commission 1n an area of environments! concern pursuant to:
I SA NCAC'1 Rules attached. General Permit Rules available at the following link: www•dea.nc.gov/CAMAruies
Applicant Name
Address
city r
Phone
z
Email
Affected CW
AEC(s): �E1OFA
ORW: ves/no
.. Cit* TA
IHA UW
PNA: vel o sA
M
Type of Project/ Activity
Shoreline Length,
Access Length _
Pier (dock) length
Fixed Platform(s).
ZIP
I_1 ES El PTs
SPIMA 1:1PWs
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City aO ZIP
Adi. Wtr. Body rsi
Closest Maj. Wtr. Body
C _.,
( J
Floating Platfeq m(s) ✓ �r
Finger pier(s)
Total Platform area'_
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore _
;ax
dis n}tS
i l
,.
Cubic ya
r-
�,r.` it x
, 0 /.3 'Kai wwit',o j
e
Beach Bylld;-
pzi2g
JJ
Other
(
[AV observed: yes Jno. /�'f 1v.►
Moratorium: n/a yes V no
Site Photos: yes r no
Riparian Waiver Attached: yes n .CAA`
A building permit/zoning permtt may be required by. r Y
TARIPRMiNEUSE/BUFFER (circle one)
Permit Conditions

CAMA ❑ DREDGE & FILL �`�� N9 84645 A BC
rState
ENERAL PERMIT Previous permit
Date previous permit issued
w ❑Modification ❑ Complete Reissue ❑ Partial Reissue
Af arolin#, pa mW4 of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC i�'�it • I ❑Rules attached. 1UT General Permit Rules available at the following link: www.dec�gov/CAMArules
Applicant Name Authorized Agent
e
Addr s �+ - Project Location (County): cas
City -46 �_ ZIP Street Address/State Road/Lot #(s)L�
Phone # ( ) �'
Email Subdivision
City 11�ZIP
Affected ❑ CW _2JfW AtISTA ❑ ES ❑ PTS Adj. Wtr. Body VOM Q n an/unk)
AEC(s): OEA ❑ IHA ❑/�U1W ❑SPIMA ❑ PWS Closest Mal. Wtr. Body VVq it
ORW: yes no PNA: yes/,/io y
Type of Project/ Activity
Shoreline Length tA
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platf m(s)
Finger pier(s)
Total Platform are
Groin length/N
Bulkhead/ Riprap length
Max dis inR
Bab' I,
Cubic ya
amp
Boathouse
Beach 8 kl zi g
Other / 1 lI f W
-SO(_J -A-,,�
l 1
SAVobserved: yes Moratorium:
Moratorium: n/a yes(n.Q
Sit Ph t eso /
e Photos y
Riparian Waiver Attached: yes n A building permit/zoning permit may be required by: ea� Knoll
r
13�0 ex`ei �A
❑ TAR/PAM/NEUSE/BUFFER (circle one)
5ee note on back regarding River Basin rules
See additional notes/conditions on back

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: DO
Address of Property: (i () /'%/��C/>1 /� &</ 1/ P
Mailing Address of Owner: /,n /_� li OC L 5 4-16,1 ✓ -S
II__ . C � i-h
Owner's email: J<�r+/�P-' �S iJ �ilUi/owner's Phone#: q/ % d 7/ ///
Agent's Name:
Agent's Email:
Agent
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Owner)
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 must be Provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. -Division of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must elan
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of AdjacenAftarian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: 1-rnn,v4 � IJ.
7 r
Mailing Address ofA11RPO: r0 D o< 7 l � P u !�,., iC Z<gy
ARPO's email: 114 it %: J, I Cr.,,-_ARPO's Phone#• ' -I `i /
Date: ' /jl �/ zQdT x -+waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: /70 / ) L. oc) �
Address of Property: .4y1) 0 /1 � L ✓[, /'i f I 1 J/- i V N
Mailing Address of Owner:
Owner'semail: Le, P 5'IIPS P A14,1/L OwL0
ner's Phone#: J 19 ,) 7/
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Owner)
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 must be Provided with this letter.
-K I DO NOT have objections to this proposal. I DO have objections to this proposal.
H you have objections to what Is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection i/ you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must scan
the appropriate blank below.)
I DO wish to waive sometall of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank) _. K E-
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: y� IJ,1 V I L) (� C 1111Pr-niylll
Mailing Address of ARPO: %(6 t L /li/ 4 Oi N/ LA�d� �1G�t -51 O
ARPO's email: ARPO's Phone#: 1 cl '/J 7 7
Date: 3 -� - a6a1 *waiver is valid for up to one year from ARPO's Signature -
Revised July 2021

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