Spears, Michael 77400C

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/ ❑DREDGE &FILL N° 77400 A B C� D
PERMIT Previous permit#
Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commissfan in an area nvironmental concern pursuant to 15A NCAC (/
IVl / /'' ❑Rule attached.
Applicant Name _Ml G j_t l �C'�S Project Location: County ( Ci ��
ZIP
E-ro
Authorized Agent 1 Crrr( fvc/
Affected OCW ❑EW ❑PTAfES ❑PTS
AEC(s): ❑OEA ❑HHF ❑IH /❑UBA ❑N/A
❑ PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) lengh_
Fixed Platform(s) _
Floating Platform(s)
Finger pler(s)
Groin length
0ber
Ikhead Rlprap length
g distance offshore
max distance offshorey
Basin, channel
Boat ramp
Boathouse) Boatlif[
Beach Bulldozing
Other
Shoreline Length
SAY: notsure yes i
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
Street Address/ State Road/ Lot # )
'WIZ 4J r
Subdivision
City �L L ZIP O
Phone # ( ) River Basin
Wtr. Bed /man unkn
Closest Mal. Wtr. Body k
(Scale✓ "
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Oil
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4
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by:
A building permit may be required
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Agent or A plicant Printed Name
SiA
Pel a read compliance statement on ct fpermit"
Application Feels) Check#
See note on back regarding aver Basin rules.
TJ � ❑
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Issuing Dale
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-� AMA / El DREDGE & FILL 77400 A B D
N E RAL PERMIT Previous permit #
4I',Jew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality —/ #
//�/&
and the Coastal Resources Commissi n in an are:r," environmental concern pursuant to 15A NCAC
�n / ❑ Rul�ttached.
A licant Name (C" ' L C�C�� Project Location: County -
Address C'✓ '''L'�
PP
Address `' Street Address/ State Road/ Lot # )
City�n1 ^ State 1V CZIP ��l� "'`�� Y
Phone #;� G -C E-M it
Authorized Agent Crwo;`/
Affected ❑ CW ❑ EW ❑ PTA / letS ❑ PTS
AEC(s): ElOEA ❑ HHF ❑ IH ElUBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Subdivision
City J L ZIPJ
Phone # ( ) River Basin
Adj. Wtr. Body �`t- 6 LAVJ man unkn
Closest Maj. Wtr. Body ''-``
tom. 1 I —11 tr e-
(Scale:,,,(/
Pier (dock) length_
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
0ber
Ikhead Riprap length
vg distance offshore
max distance offshore
Basin, channel
cubic yards -- --_
Boat ramp
Boathouse/ Boatlift i___.._..__........_i.....__ ___ _ _ --.-- -- -- -
:
1
1 !
Beach Bulldozing - -+ �- -
I —I I
Other i I
Shoreline LengthIts
j
SAV: not sure yes - — -
Moratorium: n/a yes
Photos: yes !
- - -
_..._ _
.....
Waiver Attached: yes -
A building permit may be required by: �'/C I J ❑ See note on back regarding iver Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions �l1rT �'� [ C C vN I (C `� �/+L
Agent or Applicant Printed Name PermitOffi r' r Nam
Si e read compliance statement on back of permit"
Application Fee(s) Check #
Issuing Date
L / C_

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 I) 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 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 comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
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://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
r t• ir1�� NG .
Phone Number: Z^�°� r0©/0
Email Address:���U�
I certify that I have authorized
Agent Wpftaftr
to act on my behalf, For the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development:/
T
at my property located at � t %P/0"Vy
in C40IM06-T- county.
t furthermore certify that l 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 Ovmer Information:
t
Print or Type Name
t?GtIN�Y
Title
ll l I / Zd 2d
Date
This certification is valid through 6111 " % t

Complete Items 1, 2, and 3.
Print your name and address on the reverse
sn that we can return the card to vnu_
PS Farm
0 Signature Confirmation
Restricted Delivery
Domestic Return Recerpt

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DrVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Properly Owner.,r�%1L'liv�L'
Address of Promr-ty, f ifit%i'A7r� ���r%J��
/�, , (Lot o�r�Street fl, Street or Road, City Ctounty)
Agent's Name#: �-�'++4�'yHU,+�fi40 Y MMaii gAddress: /+e+
Agent's phone fI: _ % ! G''' iGi' FLs �%G.J 7
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 descrioGon ordrawinct with dimensions mast ba provided with this lette
cr.
' ` I have no objections to this proposal. _,_ _ t have objections to this proposal
Ifyou have objections to what is being proposed, you must notifythe Division afCoastal Managomenl
(DCU) In writing within 10 days of receipt of tits notice. Contact information for DCM offices Is
available atinn /Avww.nccnastalmanaaomertLna#ly) gbkm/s1a15 1 stins7orbycalling f-OW4RCOAST.
No response Is considered the samo ss no objection If you have been noUfled by Certified Mail.
WAIVER SE=ON
1 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, of tift 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.
!ti I do not wish to vraive the 16 setback requirement.
\*'jf(Property Owner Information)
JignnfIV
H1�> lev?�-fzs
Print or Typa Name
2gPto t���'
hfeirin Address
UtylstowzIp
—00/g Y-,7 Z Awl,
7atep r
rI EmaaAddrass
1)rr�
(Riparian Pro rty Owner formalionj rl
Sgnawre
Print or Typo Name'
Hang Address
>v�
4y
CTlal a �-
9w-ram- -.079 r_(/�.j_ � p1f-lac, cwA
Telephone Mrmbar1Emn9Ad&c:'la
41-111L*—t0(Ro,A,;edArxj
2014)

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• Print your name and'eddrest on the--
60 that WO can return fire card to you.
• Attach this card to the back of the mali lace,
or on the front 1p
--T- if permits,
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AILni
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r1INIISiop, OF COAISTAL MANAGE -
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ADJACENT RIPARIAN PROPERTY OWNER NOTF 0
Owner: Wr
Name of Propia,rty ru
Address of Property" M
or Street #, street or Road, City 8 ru
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Agent's Marne 6: Mailing Adds'
R
#:
Agent's phone . ...........
I hereby certify 11181 1 Own property adjacent to the above reforenced property. The individual
applying for mis pernilt has describod to me as shown an the a I ttached dralivill the develo pent
they are proposing.
I have no objections to this prol?Ost'L ' . I gave objections to this proposal
Ifyouhave objections to Wilatis being proposed, you rnustnoti5f the Division of Coastal Management
(DCM) in wi-iring within 10 days of n-celpt of, this nOtIC-0. Contact information for DCM Offices is
ML by calling 1-888-4RCOAST.
available at ht1f2
No response is considered t1161
WAIVER SECTION
I understand that a pier, dock, moot-ing pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance, of 15'from my area of riparian access 6,1-,L-ss walved by me. (if
you wish to waive the. setback, you must initial the appropriate blank below.)
I do wish to waive the 16 setback requirement,
I do not wish to waive the 15'setbaGk requirement.
(Property Owner information)
Slgrtutape
4p e
, --'A-fzs
TnnJ _o, Type -Nam, ---
;oq0(-' 10""I'bAd
'Wif1T,,—,qAddress
T
Citylsto'elzip
TE-m Telepilon Number ail A(idT*s4,
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(R' arian Property OWTIOr Information)
1511,11 "r TvO'- Wne
Maiiing Addrriss
cityIstaieyzlp
(alophone Number I EM07TAddrW
020
(Rcvised Aug. 2014)

252-393-9005
yord=rkslandso,apes.com
/1411-1/1
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