Spooners Creek North Marina (2)

W., Zi, . .. .... .
Al,
A)
A 'A /�APREDGE & FILL N! 66463
GENERAL PERMIT Previous permit #
eW Modification ElComplete 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 I SA NCAC
Rules attached.
Applicant Name,I.Project Location: County
k
Address Street Address/ State Road/ Lqst # ,
Stat
City e� ZIP 3 3,,7
Phone # E-Mail Subdivision
--------------
ty
Authorized Agent ci—i
ZIP
0 Cw 0�Ew ­qPTA DES 0 PTS Phone # River Basin'.
Affected
0 OEA El HHF L4k 0 UBA 0 N/A
AEC(s): Adj. Wtr. Body k (nat /man /-unkn
11 PWs:
Closest Maj. Wtr. Body
ORW: yes PNA yes (no
Type of Project/ Activity
J
(Scale:
Pier (dock) length----`
Fixed Platform(s)
Floating Platform(s)
-A
r.
Finger pier(s) A
... .. ..... ... . I, .........
.... .. . .... ........ .. .. ...... ..... ..... . ....
Groin length-- ­
number
. . ......... ........ . .. . ..... .... .. .... ... ...........
Bulkhead/ Riprap length
avg distance offshore
Basin, , channel
cubic yards,
V,
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
.......... . . . . .. ... ........ . .
J-d-
V
Shoreline Length.
Mims
A I
SAV: not sure yes i no
C a f)ME
144 LUIJ
... ......... .... ... .. ..... . ... . .
Moratorium: n/a yes InQ. ... .. ..... .... ... . ...... .. ... ... ... ..... ..
. .......... - ........ ... . ........
. ..... ...... . ...... ... .......... . ..... ..... ..... . . ......... .. .. ........ .......... ... .......
Photos: yes
Waiver Attached: yes it no
TU
A building permit may be required by: 1
El See note
on back regarding V9 r Basin rules.
9A�
4
Note Local Planning Jur isdictio
Notes/ SpecialConlitions
J
LAU:
Y i
A-f 1", 0
I
k(" f
0
Age"n-t-1h icant Printed Name
6 A I
P
PermitOffi P
Officers intedpa(he
Signature P permit ea§6 read compliance statement on back of
Signature
"
Appliqat.ionfee(s Ch'A k
!
,
inIDIssuate
Expiration Date
'qg T�7

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:
0 Tar- Pamlico River Basin Buffer Rules
0 Neuse River Basin Buffer Rules
0 Other:
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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of 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 - South of New River Inlet -
and Pender Counties)
http://www.nccoastalmanagement.net/
Revised 08/27/ 14

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date I ' ( C) r ,s
Name of Property Owner Applying for Permit:
=Doa 4s �-n W. WA 17EY2-5
Mailing Address:
An 0"(,j bAwO (2--n Af
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) .r j '� (I • -A ) ,
at (my property located at) G✓ pma r►P�' S C�-,Gx- lt " ` CP✓ - i1
RECEIVED
This ce ifkation ' alid jhru ate) J 1 �d DEC 21 2015
qCM- HD CITY
Property`Owder Signature — Date
a
AYO
RECEIVED
DEC 10 2015
DCM- PAHD CITY

SPo�Y,e.� r—e--k hor�-Li MAr INA
I hereby certify that I own property adjacent to 's
S t 1 'P 2 (Name of Property Owner)
property located at 1 a4 u ,e-m S©W G0 �yZ!
(Address, Lot, Block Road, etc.
on 0rn--et5 ,in N.C.
(Waterbody) (City/Town an or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in descriid n below or attach a site drawing)
C.re,,e�G" 1 j-te.9
—FieJ -e.
0 1; a 13 -*3 =-�5o7 i'3c"- aS
Y
RECEIVED
IQ DEC 10 2015
15
WAIVER SECTION DC M- M H D CITY
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived
me. (If you wish to waive the setback, you must initial the appropriate blank below.) ECE 0V E D
I do wish to waive the 15' setback requirement. DEC 21 2015
1 do not wish to waive the 15' setback requirement. H D CITY
(Property Owner Information) (#dipcenj Prope Owner 1 fo ation)
A mitt �c es 101
S* ture Si re
UAI-M J Wit
Print griype-lame ; Print or Type Nam
jj� ``��+/4► r
( 53� YYl �A w 1+orY3 Flo i2 r� �o n�
-T ddre
t:.- Mailing Address z S
06/2S2
Telephon Numt tier/email a ass
tj g Telephone Number
Date l 2' v5
Date ----- - __
------ ----__ (Revised Aug. 2094)
*Valid for one calendar year after signature*

ADJACENT" RIPARIAN PROPERTY OWNER STATEMENT 4
I hereby certify that I own property, adjacent to 's
43 1 110 2 (Name of Property Owner)
property located at l dq 41E," S .,
�� �1L . (Address, Lot, Block, Road, etc.)
on S p h.e - O r S C , in in o r��. ti ( C t ° 6r , N.C.
(Waterbody) tCitylrown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
tj i 1 1 It 3 P3 c,- "rS
RECEIVED
DEC 10 2015
D CITY
WAIVER SECTION ®C M M !-I
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
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.) RECEIVED
I do wish to waive the 15' setback requirement. 2p15
DEC 21
I do not wish to waive the 15' setback require ent —)
(Property Owner Information)
Signature
Print or ypefilame pint
�11 ng ddre
G_K�a s Mil
liW" /l"
D CITY
Telephone Num`� r/email aowss Telephone NuRAOe 7 /
'z LL
Date Z