87244A - Cooper, Gary & Kimberly

❑CAMA ❑ DREDGE & FILL N9 87244 A e C D
Previous permit
GENERAL PERMIT Date previous permit issued
[I New ❑ Modification ❑ Complete Reissue []Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
i Authorized Agent
Project Location (County):
ZIP Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body 'Qnaf/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no, PNA: yes/no
Type of Project/ Activity
(Scale: )
<6i..eG�e I— k
Access Length
n
�
L
I
PIer(dock) length
1
Fixed Platform(s)
❑
f..
__
_
r
-..
-j-
--F
-
Floating Platform(s)
I
(
I
Finerpier(s)
ier
H P ls I
Total Platform area-L--
Groin length/#
Bulkhead/ Riprap length
f -
�.
-
t
t
Avg distance offshore
i
I
Breakwater/Sill
Max distance/length-•--"'
fit
,
-
cards
T
t- i
�__.
I--
I
Cubic y
I
L. _.
__
I _._
-_;-
-
-
_..__�
._,...
.,
i`•.
.
Boat ramp
p
L,
Boathouse/ Boatlift
;
Beach Bulldozing
e-�
i�
-�_
.-
.
-
-
'.
Other
�-
ri�—
ALA
SAV observed: yes no
--
--
(
--
i-
i
_
I
I
I
�-
-
r`•
r
Moratorium: n/a yes no
Site Photos: yes no
t-
�1----
I
I
J
-
t
Rioarian Waiver Attached: yes no
J -_.
_..
�.^..^_.
_
_
i
_'.._
,__.
_u
-
_r
_...
A building permit/zoning permit may be required by: (- is 2c %.><+� (.� �? •_I
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit *
Signature /
Issuing Date Expiration Date
Application Fee(s) Check q/Money Order

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property: I 44 R t,ersAQ- 14%K.. r. (:Z . C i+l NC,
Mailing Address of Owner: Cv 2
Owner's email: Gk'N//KC'ooc�c��rytdlr""Owner's Phone#: [phone]•-0156
Agent's Name: lCiy/iPy7 �/YN��� Agent Phone#:
Agent's Email: (li
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
RECFI,«,
MAR 2 0 2024
®CM-Ip-
I hereby certify that I own property adjacent to the above referenced property. The individual applying forthis
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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
rem
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: l'.r2��h-1}o �/ orer»ctn I
Mailing Address ofARPO: IIIrO RiVer5iG�2 Flue_ ru,&6 kCA1 tic
ARPO's email:
Date:
ARPO's Phone#:
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

RECE:w,
r MAR 2 0 2024
c /
512�'
IZI
6'
DCM-�-(
Lbwcr ficr
SCa)c I Blor-k = Z-1
coo pe'-
1 114 F ive-c.slAe Ave..
t- IEZ. C' 1 i N,c

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
RECEIU'EE
MAR 2 0 2024
(Top portion to be completed by owner or their agent)
DCM-EC
Name of Property Owner: &C%SSj C-O4� P(nnr 11
Address of Property: �« C RiVeria�AJC E_��-�ity
Mailing Address of Owner:
Owner's email: roe&er "-L�.4c ,*,Owner's Phone#: 335-44%,
Agent's Name: jA4,( ri ne(.Tlt�
Agent's Email:
Agent Phone#: )Sd -331/ -&,30
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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Sigiyture of Adjacent Riparian Property Owner
-0 R-
I do not wish to waive the 15' setback requirement (initial
Signature of Adjacent Riparian Propertf Owner: >1 ' U • -
Typed/Printed name of ARPO: Q ee ry "t�10CYt2 r —Jens Cr; �5c' n
Mailing Address ofARPO: ONO RiVersi/AQ (kU�L. E�IZ V� NL
ARPO's email:
ARPO's Phone#:
Date: ;-o-:24 waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

a
12`
G /
RECF"�+
MAR 2 0 2024
®CM-r(.
6`
}..,.Owt,- f iC r
sca)e I Blor-k = Ll
coo ?ems
l I II} � vvec-c,,Ae Ave.
t i i z- C"Jt y ilk

R L
•-