55729_COOPER, AB_20100510

❑ GAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑'New ❑Modification ❑Complete Reissue ❑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
es a hed.
Applicant Name r��,k,-t`.% l_ Project Location: County
Address 1 i Street Address/ State Road/ Lot #(s)
I
CiState , ,ZIP
Phone # ( ' , Fax # ( ) Subdivision
Authorized Agent i / �! I i j! �' City - _ t - ZIP;f N/
❑ CW t&- AWTA — El ES ❑ PTS Phone # ( ) 'l ':( River Basin
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ PWS: ❑ FC: T^� ❑ N/A ^
ann
AEC(s): Adj. Wtr. Body `T / ,i1(- �{ tI (nat / kn)
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s) _
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshoreT�
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
yes
no —.— — —
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
e3 _ ►) s << S
Agent" pplicant Printed Name
Signature "Please read compliance statement onbacUk ermit*'t
Application Application Fee(s) Check #/e(ck ##
i
{ / /��y❑ See/note on back
r1 ,
(Scale: j 361 )
ing River Basin
The time period requirement for this
development is suspended until 12-31-
2010, pursuant to Senate Bill 831. The
PermitOffi er's Signature effective date of expiration for this
l J i ' ) permit is
Issuing Da a Expiration Date
Local Planning Jurisdiction
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, certifythat this project is consistentwith 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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

Apclicant1��� a
Date' G)
J
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tem im acts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
VN
Dredge Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

• CDENR RECEIVED
NAY 4 2019
f r- 1.
Ncrt ar 'ir-a �eoar­rr­,er',t of EnvirommerJ- an Na'1jr-al
Ole isk)n of coasts Management Morehead City DCM
Be,/erlY'C__a\ie3 Perdue, :]oVernof James H. Gregson' Diractor Dee Freeman, :Secratar�/
Date i4 , I O_'_j o
Applicant Name
Mailing Address TO r?S')Y_ -ZSO
&L-07VJ-IL 11CItK-k)
I certify that I have authorized (agent) 'PYZ4-zC6-tW!5 to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity)
at (location) P oyz-4 ), 5h wu 1
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone- 252-808-2808 \ FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILEVGSIBOAp�TLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to e G1- cs ,s "4ECEiVED
(Name of Property Owner) MAY 4 20111
property located at �Oq c�tz-� l� 5 �o Morej,
��� City pCM
(Lot, Block, /Road, etc.)
on �� n,-� 4— in 'l L4 " 11 -13 Lt�,a6A , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 26 2165 Mailing Address: fox 2S0
a:t�,t AIUCA ji-C.
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) Cjv:;, ,,x,Q 5
t�:-A IS' -i-
pvL�
(Information for Property Owner Applying
for Permit)
T. 0 ,ems 250
Mailing Address
h4
City/State/Zip
I Z� ZT6S
Telephone Number
m�
�-i .i4
13,E 18x3 '2(.e-- Yp5
(Riparian Property Owner Information)
Signature
Print or Type Name
2 z— 23 `7 -)'
Telephone Number
Signature Date Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTIBOATHOUSE) 4�cFiVfp
I hereby certify that I own property adjacent to A5z0-j?L-F— *Y 4 2010
(Name ot Property Owner) itlore,,
eQC City �cA9
property located at � C) q %� O 2 I15 �,o r
(Lot, Block, Road, etc.)
on �.9 +��1 L , in �--,A � L N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: r] 216 2-165 Mailing Address: boX 2S0
JOA 9J5 �19Gh IJ
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
i
(To be filled in by individual proposing development) C� S
(Information for Property Owner Applying
for Permit)
7 O �,DK 250
Mailing Address
b6,4ti
City/State/Zip
`1 Z6 Z<3-6
Telephone Number
7i2c 06E
UrvOe2
1 `3 y) g x 3 `26,--- Yo5
(Riparian Property Owner Information)
Signature
Wil
Print or Type Name
r�X�i— /oZlr - o`Z�roJ�
Telephone Number
Signature Date Date

�S%ZZ.� , S i
MUD BUCKET DREDGING INC 4363 —7 j 2 /
MOREH AD CITY, NC 28557-3045 J� I {` 6J(� 66-tt2/531
Date
Pay to the
oider
Of
BRANCH BANKING AND TRUST COMPANY
(� 1-800-BANK BBT BBT.00m
FOR 'V eiti, ---' ---- -- -- "''
II'0000436311' l:05310LL2W:00052932L834LII'
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