25148D - Spencer

CAMA and DREDGE AND FILL
G E N E R A -L 9. 25148 -D
PERMIT
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 ? tA a-91,9-4 _
Applicant Name K retr 6/o J't►ez t..111L Phone Number )(o9.x - ?c 1 t
Address ..dEs-tk LN
State
City U I C. Zip2$if 1 t
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Project Location (County, Road, Water Body, etc.)
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Type of Project Activity Pr-or I .- t N K-1 S`T't u� SSLA e
PROJECT DESCRIPTION SKETCH 1kt kiJ (SCALE: t ! =�O / )
, /""7" Imo
Pier(dock)Length 11
Groin Length - 11
I:.....,.. „�£...._ .__. . .
number I I i I
Bulkhead LengthPil i
-! 1
, �'W •0., r. i ; „, 1, mi me t::. .. aiimigiol::. �... .
max.distance offshore •` 1111111.
- -m
q — .,. .. MI aminN
l
Basin,channel dimensions 1 l;
Y 1'
cubic yards 111.1111 111
Boat ramp dimensions •` 1111111111111011111111/1111
et a
UV -2 E s
Other
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This permit is subject to compliance with this application, site drawing '�_ ._
and attached general and specific conditions.Any violation of these terms applicant's signatur
may subject the permittee to a fine, imprisonment 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 of- permit officer's signatur
ficer when the project is inspected for compliance. The applicant certi- 7 t. - 07) 1 0 - t?--
fies by signing this permit that 1)this project is consistent with the local issuing date expiration dat
land use plan and all local ordinances, and 2) a written statement has I �� f�
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. attachment
In issuing this nermit the State of North Carolina certifies that this nroiect �a�©� i- 11 I fA LL.0

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DIVISION OF COASTAL MANAGEMENT
ADJACFN'i' RIPARIAN)ROPERTY OWNER NOTIFICATION/WAVER FORM
Name Of Individual Applying For Permit:• Fr Spe C !"
Address Of Property: 77c- -,5 &0.I4 &i y /e L 1v.1
I
(i i •ti�J/C, New �d vet
(Lot or S eet#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to"nie as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter. •
I have no objections to this proposal.
If you have objertions to what is being proposed please write the Division of Coastal
v en , 127 North Cardinal Driv , Wilmington, North C rol:na 28405 or call 910 395-
'3900 within 10 days of receipt of this notice No response is considered the same as no objection
if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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.
I do not wish to waive the 15' setback requirement.
_044 , "e/ 7-3-0.2000
AT-Iiil
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Print Name
Pt'a — 6 Ert4— Si
NCDENR
Telephone Number With Area Code NORTH CAROUNA DEPARTMENT OF
ENVIRONMENT AND N/QU{A_RESOURCES

DIVISION OF COASTAL MAN&GEMENT
AI).TA F_ri RTPARTAw pgopER_T )WNERNOTIFICATION/WAIVR FORM
Name Of Individual Applying For Permit:
Address Of Property: &/Q Ec / 1L4,
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced roe The individual
property.��
applying for this permit has described tote as shown on the attached drawing the development
they 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 proposes, please write the Division of Coastal
Mana r-,ment, 127 North Cardinal Drive Wilmington North Carolina_ 28405 or call 910 395-
'3900 within 10 days of receipt of this notice No response is considered the same as no objection
if you have been notified by Certified Mail
WAIVER SECTION
I understand nat a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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.)
L I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sig tore A:7ADateLisp, E. GCNN-1'
Print Name
cito u8 ., c y2y NCDENR
Telephone Number With Area Code NOR-rH CAROLINA DEFARTMENT OF
ENVIRONMENT AND NsQURAL RESOURCES

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Ip'l COASTAL MARINE CONSTRUCTION I
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ii, NCDL 3831595
vl 6314 WRIGHTSVILLE AVE., 910-256-6357 66-763/531 V
11 WILMINGTON, NC 28403 1
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