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Home My WebLink About53693_COOPER, AB_20090527❑CAMA / El DREDGE & FILL�� GENERAL PERMIT M Previous permit# ❑New ❑f"Sodification ❑Complete Reissue ❑ Partial Reissue Y / 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 Rules attached. Applicant Name j / `. \ _ Project Location: County - Address } Street Address/ State Road/ Lot #(s) - City '� , State ZJP L Phone # ( ) % " ��f 1 .'� Fax # ( ) Subdivision Authorized Agent I �. l -- t''— City ZIP ❑ Cw ❑iEW ❑ PTA ❑E.S " ❑ PTS Phone # (_) River Basin Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): r� nat /man /unkn Adj. Wtr. Body _ ( ) ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body i ) Type of Project/ Activity (Scale: - — Li Pier (dock) length 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 (- ( � - - -- -- — - - I — -- ' I -- _ i t - _ -� — -- - -i - - - -- BV - — — - L Shoreline Length SAV: not sure yes no I , Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no ` I A building permit may be required by: Notes/ Special Conditions I i _— I I ❑ See note on back regarding River Basin rules. 07 Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit Officers Signature / Issuing Date Expirationbate Local Planning J 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 1) 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 (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 SIW NCDENR 2 zoo9 North Carolina Department of Environment and Natural Resou* 64 Division of Coastal Management M,�igeboa '®CM Michael F. Easley, Governor James H. Gregson, Director Date 3• , •65 Name of Property Owner Applying for Permit: of Mailing Address: 1�. I certify that I have authorized (agent) / few to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) Property Owner Signature Date .L^ 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity1 Affirmative Action Employer — 50% Recycled 1 i o% Post consumer Paper r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PI ER/MOORI NG PI LI NGS(BOATLI FT/BOATHOUSE) eel ^ 2 6IUO� I hereby certify that I own property adjacent toclf-L IS (Name of Property Owner) t3ity DC Prey I oc ated at I I�J N o Q h -" h o oZ Q�),^ (Lot, Block, Road, etc.) on .BoSc,� So r:> 4r-A -a-c_. in %f �-.�r �t �E c �, N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, thedevelopment he is proposing at that location, and, I have no obj ecti ons to his proposal . I understand that a pi er/mooring pi I i ngstboatl i ft/boathouse must be set back a minimum distance of fifteen feet (19) from my area of riparian awnless waived by me. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To befilled in by individual proposing development),�„,Q S Z ��'��25 2 � 7� � � ��e Isxls�-Z 1ly ,kGVO )oizr G� p S 1Ie • (Applicant Information) �g Mai I i N Addresss P 0 S,,, 2-50 City/StateZp Telephone Number - j in -d 5' Date (Riparian Property Owner Information) 9gnature Pri nt or Type Nam Telephone Number 3/�j off. D4e I• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PI ER/MOORI NG PI LI NGS(BOATLI FT/BOATH OUSE) I hereby certify that I own property adjaoent to6-,L-4 's (Name of Property Owner) prey I ocated at 119 2d h �' �' d rL� �� i9v� (Lot, Block, Road, etc.) on BD-,c/E So w C+— � in %F—j1qL� �� 1�E�sc , N.C. (Waterbody). (Town and/or County) H e has descri bed to me, as shown bel ow, the devel opment he i s proposi ng at that I ocati on, and, I have no obj ecti ons to hi s proposal . I understand that a pier/moori ng pi I i ngs/boatl i ft/boathouse must be set back a minimum distance of fifteen feet (16) from my area of riparian access unless waived by me. I do not wi sh-to-waive the setback requi rement. I do wish to wai ve that setback requi rement. DESCRIPTION AND/OR DRAWI NG OF PROPOSED DEVELOPMENT: (To befilled in by individual proposing development) S e e�9 S� c'& cy �S / -(. (Applicant Informat ion) d g Mai I i ng Address F O Pj L-,,c 250 City/stateop Telephone Number '3•(0 -6 7 Date (Riparian Proper Owner Information) Signature I Print or Type Name 2� 1L s54� Telephone Number Date MR. ALFRED B. COOPER, JR. WACHOVIA BANK, NA 5680 BUSINESS ACCOUNT P.O. BOX 250 ATLANTIC BEACH, NC 28512 66-211530 6/4/2009 PAY TO THE ORDER OF NCDENR $-.800.00 Eight Hundred and 00/1 DOLLARS Security features NCDENR t eluded. Details on back. 5 3 L001 I / t) MEMO —._dredging permits - North Shore _ _ _ -- -_ A ZE I A- UR 112005680u' i:053000 2 L91: L05460 L8 26 L3311' :>r