42829D - Spinks

✓/113_.LAMA/ ' 'r ::1REDGE & FILL
,
3ENERAL PERMIT Previous permit#
Kew Modification --Complete Reissue -Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources CommissionJ in an area of environmental concern pursuant to 15A NCAC 741,))ea
C ft 4Q A'j 1 County 4'j ules attached.
t Name y „✓ Project Location: y�„t w� �
12 a J�iA " eiL ea )/� Street Address/State Road/Lot#(s) //Q 6/r;PPd,
aes
StateNC ZIP 2,7yV _
' ( ) Fax# ( ) Subdivision/9ULS ,.d OPA,C#4 )1/ja ir2
;ed Agent Jo e (,a. A Li jj City ildtelitei ,s PAC 4 ZIP Z8 yG
El �CW i�EW l d A [DES ❑PTS Phone# ( ) River Basin /y
❑OEA ❑HHF ❑IH E UBA F N/A Adj.Wtr. Body # #i# L ei1 411 h iI/ (nat 4
❑PWS: ❑FC:
yes /`}b') PNA yes /C) Crit.Hab. yes / no Closest Maj.Wtr. Body GI/t✓
Project/Activity A P ff 14 C C CX,s 7 i N t. P ti LXh€ d -
(Scale:
ck)length
i(s)
ier(s)
ngth
tuber / f— _"-►,�.�
dm/�'prap length 5O' S �1 y
;distance offshore 2
ix distance offshore f
cannel
. — qL 4
bic yards i,7 A4 a Pj Qi2
np :'MN. ....,_ I. IIIVIMA 119° 4. /
Ise/Boatlift 3 h ja/*) l
F AI St'fr? ®r t 4's1�'-,,7 004
ulldozing 130 t KN PAi
Q- n, p,L�
e Length �0 h8 1 Q `
t �
not sure yes
(big f
{
s: not sure yes G, v V I 1
ium: n/a yes Asia it,o
sait,o
no yes G,h,C t
4ttached: (:) no
ng permit may be required by: NC/Led."1/ Zie09C See note on back regarding River Basin r

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: k __)12;'d/16`
Address of Property: /C F 6-re evc14ai6 5r
(Lot or Street 4, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Col
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395
within 10 days of receipt of this notice. No response is considered the same as no objectii
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must b
bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If
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.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION;WAIVER FORM
Name of Individual Applying For Permit: (1^_/ 5 ;1rt/�S
� //
Address of Property: l/ 69'Y��/!/Sf�ciro
(Lot or Street 4, Street or Road)
fI,/d�it, �cz %. BrvrYl-ii�
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivil
applying for this permit has described to me as shown on the attached drawing the development I
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 Coa
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must bi
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
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.
elf____ TlatP Al A

•
THE BACK OF MS DOCUMENT CONTAINS AN ANTRICIAL WATER MARK-HOLD AT AM ANGLE TO VIEW•
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TERN 'MONEY
NIONI'ORDER AGENT 323436 DATE 092605 2 00 82-40/1021
w an TIME 1340 12 , „
082673031770 LOCATION 002546 .i,`✓1.01 a ***'
a N;NE...,
3* PAY EXACTLY TWO HUNDRED DOLLARS AND NO CENTS ************
PAY EXACTLY
PAY TO THE ///r n���
ORDER OF
THE /1/ C1� ! ni/e Q PAYMENT FOR/ACCT.#
9� ; /dn�reS�RCkiGI '�0r fLi V SE &I/U i 6C.
�! ( SIGPURNING
ODO AGREE
TO ME TERMS OR .--_
CHASER BY$IGNWG TW TO THE TERMS ON ME REVERSE SIDE.
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