28940_SPILLANE, BRIAN AND BRENDA_20010911

CAMA and DREDGE AND FILL
G E N E R A L b 40
P E R M I T
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 15 NCAC
Applicant Name Phone Number 5 �'
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length S S
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
11t (4
(SCALE:
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
r
may cause the permit to become null and void.
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This permit must be on the project site and accessible to the permit of-
_A _'� permit officer's signature
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
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been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
attachmer
In issuing this permit the State of North Carolina certifies that this project''
is consistent with the North Carolina Coastal Management Program.
' applicat'

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ADJACENT RIPARLX.N PROPERTY OWNER STATEMEIN T
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to�'�j��c�v�C�'�v�1-���►�n�s
(Name of Property Owner)
property located at tQ \3 cc�- coogyt= ��re-e� \�o.�e�uc.� �jG 8`�3�,
(Lot. Block, Road, etc.)
on (: oC '. , in �c��i���c.� _ (- \Jc: of �
�- 0 c�
I N.C.
(Water ody) (Town and/or County)
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.
I do not wish to waive. the setback requirement.
I d_Q wish to waive teat setback requirement.
-------------------------------------------------- ------- ---- —------------- -----------------------------
D CRIPTION AND/OR DRAWr G OF PROPOSED DEVELOPMENT:
Y (To be filled in by individual proposing development)
O
yJo /
Print or Type/Name
Telephone Number
Date:

ADJACENT RIPARUN PROPERTY OWNER STATE, IEi�TI'
(FOR A PIER/MOORING PILINGSIBOATL MBOATHOUSE)
I hereby certify that I own property adjacent 's
(Name of Property Owner)
property located at
(Lot. Block, Road, etc.)
on C\�OCv� L. L� ��, , in ���1�'�r �,\-� (`,� �`,����,1 �:,;�:� , N.C.
(Waterbody) (Town and/or County)
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
pdings/boatlift/boathouse must be se: back a minimum distance of f fteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I �LQ wish to waive teat setback requirement.
DESCRIPTION AND/OR DRAWE'qG OF PROPOSED DEVELOPNfENT:
(To be filled in by individual proposing development)
'_9 -
1 cM LAN6vQv E
O' 0-
O our �9
Signature
Print or Ty e Name
C ro ay I'\ N
CZ)5-1 Ut)%-D
Telephone Number
Date: 9 /7 I (' /