56047_COOPER, AB_20100628

❑LAMA / ❑ DREDGE & FILL�I fit
(J
WGENERAL PERMIT Previous permit#
DNew ❑Modification ❑Complete Reissue ❑Partial Reissu��;t 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 I SA NCAC
❑ Rules attached.
Applicant Name)� �i t Project Location: County
Address ton Street Address/ State Road/ Lot #(s)
City ffifirl ZIP L
Phone # ( )
Authorized Agent
Affected ❑ CW ❑ EW n:PTA ❑ ES ❑ PTS
AEC(s): ElOEA ElHHF ElIH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length %_ , _1 '
Finger pier(s) _L—
Groin length '--�
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift '1
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
1
A building permit may be required by:
Notes/ Special Conditions !'A, r
rt
Agent or Applicant Printed Name
Subdivision
City ZIP
Phone # O --._4> ! 'River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
VIM
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■ gull
■ I wI
r.
1� ■� . , ' W=I■ ■mu
EORION Iwo
A,���in��il� � A.■il
-T.-I-JEA
1■■■■■■■■■ girl■tl
r4 ■ See note on back regarding River Basin rules.
'- — - �
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
The time period requirement for this
development is suspended until 12-31-
2010, pursuant to Senate Bill 831. The
Permit Officer's Signature'
effective date of expirati n for this
permit is �- -"L
Issuing Date i } cxpirauon a-G-
LocalPlanningJurisdiction Rover File Name 77

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
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/ 1-888ARCOAST
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

Applicant:
Date:
Describe be the H disturbances for the application
found in your Habitat code sheet.
All values should match the name, and units of measurement
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tpMA 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
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
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 ❑
3.2-8v02-2 0 .. 1.:88Z OA T .,. r rvsr�n a x # r � TSo3jA:<net rgv4ss' ds WW2;« 3 9

O�!i'18/2010 10:28 2524599817
PAGE 01/02
BOARD OF
COMMISSIONERS
r;OBBIE D. DAVIS
CHAIRMAN
FRED BELFIELO, JR.
DILLY MORGAN
J. WAYNS OUTLAW
1,OU M. RICHARDSON
OANNY TYSON
MARY P. WELLS
Nash Counq
RO8FRT M. MURPHY
COUNTY MANAGER
bob.murphy@nashcoun"c.gov
VINCE DURHAM
ATTORNEY
vdurham@bwsw,00m
WAYNE MOORE
CLERK TO BOARD
wayne.moora 6 rna3hcou ntync. gov
FACSIMILE TRANSMITTAL SHEET
- A�w� L-z —
COMPANY-
�h�
FAX NUMBER: 'COTAL No. O.H P,\GFS INCLUDING C OVI R:
PHONE NUMBER-, SI NDI R'S REFERF.NCF NE_fhiBER:
RE: YOUR REC'ERENCE, NULNIBER:
kf r 21714&.5 7
*ZAIT A
URGENT ❑.FiOR RFVtKW I3 PLEASU. (,Q\L\IENT Cl1't.l .\SE RL;Pi.Y 0 t5t..V'-\SE RECYCf.F:
NOTES/COMMENTS:
120 WEST WASHINGTON'STREET • SUITE 3072 - NASHVILLE, NORTH C:AROLINA 27856
PHONE; [phone] • FAX, [phone]

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06/,22/2010 08:49 2524599817 PAGE 01/04
BOARD OF
—_ T _ — ' �� •
ROBERT M. MURPHY
COMMISSIONERS
COUNTY MANAGER
ROBBIE B. DAVIS
bob, murphyOPrashcounrync.gov
CHAIRMAN
+°""'•,
FRED BELFIEf,D, JR,
,
VINCE DUa=SHAM
ATTORNEY
vdurham(i�bwsw.com
BILLY MOR(3AN
J, WAYNE OUTLAW
' �" '"
WAYNEMOOHE
LOU M. RICHARD
GLERK TO BOARD
OANNY TYSON
gov
IMARY P. WELLS
FACSIMILE 'TRANSMITTAL SHEET
TO. FRO% -I:
r r�. , e
COMPANY: DATE:
FAX NUN1.131M, 'I'o*ri\L NO. O P, 'ES INC',I.L=DING COVER!
PHONE NUMBER: SFNDF,R"S REFERENCE NUNIi3ER.
RE: YOUR REFF..RENCE. NUMkBFR:
✓
❑ URGENT ❑ 5 0 R RE IliW 0 PLEASE CONINIENT © PLEASE. REP1.1' © PLEASE RECI'CLE
NOTES/COhi.L%fEN'rS.
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I ^�0 WEST WASHINGTON STREET - SUITE 1072 . NASHVILLE, NORTH CAROLINA 27856
PHONE: [phone] • PAX: (252) 459,9817
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0f5/22/2010 08:49 2524599817
PAGE 03/04
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOR
Name of Individual applying for Permit. _c � ll/1�---,, wamz5—) J
Address of Property: 2—.0, 4 12 nL�Lek _12 I!E
(Lot or Street #, Street or Road, City & County)
mailing address if different
telephone at _number you can b reached
Z52
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, should be
provided with this letter.
�� ..._ i have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of
Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (257)
808-2806 within 10 days of receipt of this notice. No response is considered the
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags
must be set back a minimum distance of 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 wish to waive the 15' setback requirement.
I de not wish to waive the 15' setback requirement.
a.
Signature Date
Print Name
<i ,. 71(. —.2 /b5"
Telephone Number With Area Code

a 08/22/2010 08:49 2524599817 PAGE 04104
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NpTJFICATICNlWAIVER FO
Name of Individual applying for Permit:
//
Address of Property: f N [VE
(Lot or Street #, Street or Road, City & County}
mailing address if different
telephone number you can b reached
at_7s'.
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, should be
provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of
Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (252)
808-2608 within 74 days of receipt of this notice. No response is considered the
-s�t�e-ors-gee e��ee#�Qe�f-yer��eae�ee�re,>tt#ree��.,'���•.- -
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags
must be set back a minimum distance of 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 wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
Print Name
2,4'2 --17,7& —I -1
Telephone Number With Area Code

0
t
PAUL WAYNE MOORE 66-258/531 7460
GAYE W. MOORE
900 WOMBLE RD.
NASHVILLE, NC 27856 DATE ` ' 0
�['AY TO
8 1'1JE ORDER OF
OL1.A16
�,- PLUS CHECKING
Soufhern,Bank
Nashville -Washington Street
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