53014_COOPER, AB_20081217

1111krWA / J DREDGE & FILL
GENERAL PERMIT Previous permit #
El New ❑Modification EComplete Reissue El Partial Reissue 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
+; i ❑Rules attached.
Applicant Name Project Location: County
Address �; �;! i. �' !x• i`� Street Address/ State Road/ Lot #(s)
City _ State ; : ZIP -
Phone # O, 1( ax # ( ) Subdivision -
Authorized Agent ? City _- ZIP_
Li CW 1--1 EW ❑ PTA ; ❑ ES PTS Phone #
Affected ( )
Affecte ❑ OEA �1 HHF ❑ IH ❑ UBA El N/A Adj. Wtr. Body
ElPWS: I � FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
River Basin
j ) (natl maw
Type of Project/ Activity
(Scale:
�- J
Pier (dock) length
Platform(s)
Groi
Boat
Othe
Shor
SAV:
Sand
Phot
Waiver Attached. yes no
A building permit may be required by:
Notes/ Special Conditions
rules.
❑ See note
;
on back regarding River
t,
7
Basin
n
-----. -
- �
•-------
r pier(s)
length
number
_._�.
Agent or,pplicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
i
PermitOfficer's Signature "
Issuing Date w-•� Expiration ate
Local Plan ningJuri9diction Rover File Name ��"�

If
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, certifythat 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 (252-946-648 I) 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: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(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:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

-1 2 UU8
NCDENR J-c
North Carolina Department of Environment and Natura�,Resources� �I�� �C
Division of Coastal Management
Afi
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date /2- to- G$
Name of Property Owner Applying for Permit:
Mailing Address:
5 0 % %.J -
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMJA' Permits necessary to
install or construct (activity)
at (my property located at) 0 5
This certification is valid thru (date)
)2. 1.0. ag
Property Owner Signature ' i� Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

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12/10/2008 15:31 2527266079
DEANBARIgEE
rrHUt 01
1
KI
AWACENT ReARIAN PROPERTY OWNER STA►T1f;ME3'+iT
(FOR A PiE�'�1V.A.[iU RJM PRJNG"OA TUPTISOA IWOME)
r4by certify that I own property adiwAtIt to W 6.04E ma's
(Name of Properly Oww)
mat j 05 oal1 ty
(I,ot„ Bloc*► RotEd, ter.)
in —AL�.4 N.0
(Waterbody) (Twx and/or County)
Ut's phone 0: +� S 0� WOiog, Address'
He has ascribed to me, as shown below, the development he is pro at that location, and, I
.have no objections to his propo$al. I understand that a pierinvoring piilnip / boWift I boathouse
must W fiat back it minimum distance of fifteen feat (15) (cow MY area of riparian access unless
waived11by me. (uyoa wisb townire the seetbadt, you most initial the approprist* blaHk
below.)
I do to wish to waive
I dQ wish to waive that settck repoeme"t.
DESCYRIMON AN'DIOR DRAWING OF PROPOSED DE'trEWPWNT:
(To be, j71 gd to by lndrvl xal proposing d'evelopfflIMV
tZ.a�r, S dr t.,- o--17 d-rL ?>c 07" L �'F- t
)2y /'�C- ' -2
i
- Z 0 C-,.,
for pe�*it)
�N
for Property Owasr Applying
Clry/S*e/Zip `
-z! 3 -zq 2-
Tel"boov Number
5imat6et Date
fn 4,0) 8V<J-4
(Riparian Property Owner Information)
41
Signature /
�LZA141 SZ,4 1772
2
Print or Type Name
Telephone Number
%1, - %l - e S
Date

r
T
12f10/2008 15:91 2527266079 DEANEARNES t AUL 01
AMACENT RIPARIAN PROPERTY "T4ER STATEMENT
(FOR A PI5XIlltit7 JU?4G PO.iNG"OATUPT/BOATHOLSE)
1 boweby certify thgt I own property adjacent to Y—C W S-4E 41-) t l�t•r's
(Name of Property Owwr)
at o ,zr% L-7 -e' I.-
(Lot. Bbxk, Road. t:M)
"..-n,U 0-4—�1 n4►L �G 1 1 >N.C.
lWaterhodvl (Tars and/or County)
''ZS2, ao 7 ty2
PCs phone #- � Maitisg Addrellf:
He bas Itscribed to me, as shown glow, the dVelopMent he is proposing at that location, and, I
have nc objections to his proposal. I uodmtand that a pierhnooring pihnp / boadift I boathousc
must be fief back a minimum distance of fiftm hot (15) frOw MY area of riparian access unless
waived by me. (If you wish to wxtve the setback, you must initial the appropristO blank
1 'Z, ) 9� 216,/
I "o wish to waive
I jj wish to waive that scthsck f%FxeVwnt.
I,IESCRIMON AND/OR DRAWING OF PROPOSED DLNEL0FiLNT-'
(Ta be f it ' Jx by l»d1vl"MV pmpostng d'evetapssm0
r, "-, 15:5 <►L
far Property Owner ,A,pp�iag
for 1P it)
NWI* Address
city/s�wzip
-z 3 -'zq 2-
Tcl000Dv Number
si Dso
(Riparian Proper Owner Information)
Signature
L L UUC2 L
Print or Type Name
21- g�5
Telephone Number
, I /)
Date

MR. ALFRED B. COOPER, JR.
BUSINESS ACCOUNT
P,O. BOX 250
ATLANTIC BEACH, NC 28512
WACHOVIA BANK, NA
66-21 /530 1 /5/2009
PAY TO THE $ *`1,200.00
ORDER OF NCDENR
5469
One Thousand Two Hundred and 00/100`"""`*`"**'`'DOLLARS
--- Secunry features
t ncluded.
Details on beck.
NCDENR
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MEMO __dredging_per__mits -_North Shore_ )$6AUTH41ZrE*S1GNR
112005469110 1:053000 2 19i: 105460 18 2613311/