64474_Edward C. Spence_20190709

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. G L:ENERA -. PERMIT.i, - ,:.::: 3D.tt. tc4tillii -
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. PreVioui pei''.mit 46-:.- : , :•;;;,/ //.4.---..:,'---:' ,..--:•-'j
... :- w: •LIMOdifiCaiibn! ' nCOniblete Reissue' ' "LIPartial Reissue ' :'''• ' Date previous permit issued ,/q .1-A/1•4,4-:'-''• •" : ;1:',N,...
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•„.,. ,- , . .,,:':*,•:As authoried'13y the State of Nolilir Carolina,'Department of Environmental Quality
4: arid.4c Coast)-Reources'Cornmission in ariarea Olenvironmentaicoricern pursuant to I 5A•NCAC -7,5,1/ • 0 S---'7'•.4? l'-- ''. '':: :-• ;' ':'''f-'• il :,;,
if:"• .- -,.., .';.,.. ---,..:"-. -:::, ., .. , •: . . - . - •- pRules.attached.„•:'''.,'-*.: •• :,:• "- ,."-
d-... Applicant Name, —' ,G1. : , R 4.-1.4z--- , ': Project Location:•Cd'unty27 /A),'. -, '-''-: •• •••;:•,:"
Address ,-?."2-:-->54 . ,iiiii.,,24'..5 . ,?4.-17,-/..i. .i'.:--72, 1 , . • . Street Address!State Road!Loi#(s)-.0.-r-T.,.- ,..57•••2. -/i;''&i.6,•'',•,•-; ••-•
1$f:•'City',' •-,i,-;:i 3.--,-;z2 -',t-. ,:,••. -.- . , State4 4- ZIP -2.---- .c"64- e - • •
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Phone r#._(.0.4 2-,),(ho-••7•-2i55 2----`-E-Mall.•' ' - --'. •• -' • -'• • Subdivision -__.7.7,4,; ", •"-•'-- _S'' 1- -1 -a75 . ,_'''.'.`.: '::''-.... •-v'.'.`:•:,
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ikuiiiorii:644rit'''. ..*:-.7- 4--' -' 11-4.504-_-...-' .'' ''' - City„?...' "/0 e'4.?,4;..;.;;-).>:-7-4••- '.•---:-' -•''•ZIP:--2..;L7 ./••"?,',,:ri;
i,;,. I "• - -•Affected :•Li div.,-- '.0 Evil.'" _'...,WPTA '' -DES,, DOTS ,''., - • ' " `Phone*' (• :• •.)' -- - - ‘ River BaSiirl-A-P-'-;-.P,4ri-i -,
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CI°EA. • CI HI-It- 1=14-1 • -•:•• OUBA 1=1N/A •
AEC(s):- : -. • • Adj.Wir. Body G/-1 n ePi•-,,,,-)%7--(/ .5..,} t••i (nia'/Man /unkn).
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Closest Maj.Wtr. Body rPC4A41;'//,': ir----;--7-/. asan--' • - ' '' • '
ORW: - yes 1c7) PNA yes. AP' • '
Type of PrOjectrAttiyityP •x.•'& i'. / -74- , • /h 'x- A
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c- - Pier(dbck):Iength/I 2 -.)( & ' " • . ",',;
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Fixed Platform(s) j6I,').• /4 1 1 • ..... , ' . • ,4, : i
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Floating Platform(s) , :_'' -•"
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z:•:... •Groin length ,- - : \ , •-•-•"---:--/-4-,- , I •-•-•--- • ' •••I
number-- '• '-- • -•' ": •.' -l/- / -•11:-'' , . .
Bulkhead/Riprap length •: • •- - • ' •
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••••,ayg di4arice offshore '• ' ...-Z, , . i .
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!•:• -• max distance offshore
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p,.. . Boathouse/Boatlift • • - •. .- I - •
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Shoreline Length .--- • - • ' • ' ' .
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SAV: ( ;-n• ,yes no "'•- ; • • i; 4 _ ._I
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V.. Moratorium:- n/a yes crib' , - , *-)7° ----'4"• '
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rIk••• Photos: • ye 41.ar,,• ' 1-, e...-Al . __.5-P.,..-----777'L---- .9,r4,/7
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Waiver Attached ye . rlo') I
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.,'..'•. A building permit may be required by: ;79.-- -,4/-7 ---,:::,--7-7- 7'.0 , . ) )See note on back regarding River Basin rules,.
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(Note Local Planning Jurisdiction)- , • • _ . __
'-'•• 'Notes/Special Conditions ‘,.. .7.- /5 -... --1c),,,-71-7 .41,,__IF-,,, /.....4... /...t..,,,/ . A.-ppi...., ,4-7..1 -7- "Pef., c..?,,,crir-s :. •: , '.:.
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:k:'.,.Agent o Ap can.', • ''--/X.' '-) I i - - . /'4 -C i C i.ii-)li
nted Name . ,
: . PermitOfficer's Printed Name
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••: •'Sighature, **.Please read co pliance statement On back of permit" - igoll_eir __,..---C
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.,:•,,,,. Application Fee(s) ' • .'-: .- ' , ' - Check# . Issuing Date - • " Expiration Date ,* ;-• '• .
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Ed 'a,rot 3; 1-60�
Mailing Address: 2_1 32 P#ct4� Pt A /
KIASIon j 11, C . 2e5011-
Phone Number: 1c2, - 5 Q - 5-Z
Email Address: ,e- c Sp{'ice 1 y4Aoo . Ct'frt
I certify that I have authorized enhb; e, Pop AlAS
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: /0 I er
at my property located at 2 0 5 W 13.1,5 GC /3 r.J CA6 Gi) W;) 4-1), /V C
in ,3-ewc,,"AY? County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
94/7v74/
Sig ature
d w and C eh c�
Print or Type iName
Prorr I V41 t
1 Title •
61 Ob I ZOl !
Date
This certification is valid through I I

NC Division of Coastal Mgt, Habitat impact Computer Shut
Applicant:(P W4/3"17 C. 5 P�h1 C
Date: 9 `y 2 0/
General Permit#: b2 yi.
Describe below the HABITAT disturbances for the application. All values should match he name,and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
•
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
- Habitat Name Choose One includes any Excludes any total includes Excludes any
anticipated restoration any'anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
u
Dredge El Fill❑ Both ❑ Other ❑ Jn'ZQ ¢� ?z -
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge El Fill❑ Both ❑ Other El
Dredge❑ Fill❑ •Both ❑ Other ❑ .
Dredge El Fill El Both ❑ Other El .
Dredge❑ Fill El Both El Other ❑
Dredge El Fill❑ Both El Other ❑
Dredge El Fill El Both ❑ Other ❑ •
Dredge El Fill El Both ❑ Other El _ .
Dredge❑ Fill El Both El Other ❑
Dredge❑ Fill❑ Both El Other ❑
•
Dredge El Fill❑ Both El Other El
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill El Both El Other 0 "
•
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