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79790_Leslie Spradlin_20210608
-Wit (o5o7 3 7ZCAMA I DREDGE & FILL C D GENERAL PERMIT Previous permit# ,tl �► Z3 New Modification Complete Reissue Partial Reissue Date previous permit issued_ 26 As authorized by the State of North Carolina.Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC__ 7,/,I29 -- k P V•es attached Applicant Name ...,s �ei4 ,tJ�� Project Location: County �it�(%Go Address / 7YO 5 0-4 rrl t, oeff t Street Address/State Road/LLot/#is,c / City V i-A"-1U',�1+ State ��/"ZIP 2/0? `g---�f C.- d /� ( U iUL v Gp Phone=51b ;$/.S 355_j E-Mail ',a¢[rr%e" ��`— Subdivision J AO- Authorized Agent --- City �f0 ZIP 7.0.5.1 0 Affected CW AW /��(p TA ES PTS Phone # i56). , ``'S 3-S5S River Basin � " Si r_ AECis: oEA HHF t IH UBA N A Adj.Wtr.Body A --,t / t t/c,--a- airman %unkn) PWS �/ ,/ ORW yes �;�� PNA yes Closest Maj.Wtr.Body !t'-��L-'C' n Type of Project Activity 1 �S 1nS (1)6-0 (1)6- Pr (�X Z I _ C2 ) I'J - 13 1, (- 0 4-4.D (Scale: /.-- Per dock : pç , e°7.5.l Fixed Platformsk 2 i I Floatng Platicrr"s Finger prerts Groin length-umber "'� • -t.mber �./fir. �� i Bulkhead.`Rprap length / avg distance offshore `J - � ��_' / ' ' 3 max distance offshore 1 Basin.channel 9 /f 20 cubic yards / / r Boat ramp Boathouse Boatldt C) 'zr, /3' Beach Bulldozing Other Shore'me length i /00 SAV: 1. Yes no Moratorium n!a yes ,t ) Photos yes eP Waiver Attached yes A buildingpermit maybe required by: �' (f Lp See note on back regarding River Basin rules. 9 IJM+ /Z' f Note Local Planning Jurisdiction) ' n Notes/Special Conditions _ 7 4- /J -�+r1�1''k ���A 1 40�L V J fA - — — � Lin S 2 \k� ; is y Pe c '7 77L,� ''`-9-------- • ent or App;.cant Prrn ame w rmr (r s -mterrlan Signature P ase read ompliance statement on back of permit'' Ira re o 7-0 15 8 2vz/ O , a, 2vz 1 Application Feels) Check u )i,--c_ suing Due Expiration Date 1 R- M, a(�CAMA/ ❑DREDGE & FILL -TO W Q p9 I N9 77223 A 40 C D GENERAL PERMIT Previous permit# /VA, New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued NA As authorized by the State of North Carolina,Department of Environmental Quality r�7�,r1 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC lyg" Applicant Name Ai a.. 5, Ii'- Project Location: County ?,a,A/ (cam Address P/0 5 Ate rCi t o Rd. Street Address/State Road/Lot#(s) 5Z/ e'e+..4. i k•- City Y • State 1/4-ZIP 2M 9 C f b �/'• (0 C 't 3a .) Phone#c. )216 3S.SS E-Mail S�x'cr.d 1;r.�,i c `•A_ Subdivision . MAAuthorized Agent VAI ®iy.-.Ar l• Cow City ,,�pa.L.r ZIP 2,s/O •i $/S 3SS$ River Basin Nuc52_ Affected °ctiv iXrrA D ES ❑PTS Phone# (50)) ,r Q • AEC(s): ❑OFA ©HHF Cl IH ❑Uf3A ❑fr/A Adj.Wtr.Body 1 - 0i4 v'� &Oman /unkn) i 0 PWS: _ Closest Maj.Wtr.Body "rt..0.--- ORW: yes rc. PIMA yes / :_ /D oa.� /q `�.<,ii w/ffzo' T1� Type of Project!Activity �/- / /'��cU� GL►-t, , 3 t). ow 1'''"T'$ • 20 ',,Pf TC('An, a P,-er lN4fe.r�/a�ae/c r(Scale: /► 2... ) Pier(dock)length I , I- I j r T / _JCJ I 1 Fixed Platforms) A I i ie Fkxdng Platform{s) 1MM= r1r IIL 'ii���• �1♦��� ■■■■■■■ Finger pier(s) ►,�� �� ■ i CC�/��N - �C��P�CC i Groin length C I i „C CF ' • Wig C2CC 11 13 �� number p41 1a iJ�11jOj� 1 • i NC���C���rC Bulkhead/Rlprap length Jr1111•1111111111111111111KMEtlengiallIMMEN11111•111111111111.■ ■.■■■■avg distance offshore �� �CCC•^CC 1•� max distance offshore CC •���11Kn r ��C^wMPI��il•••®•■a••��111•• Basin.channel I r Jt �iii � 1 1111111111,, 11111111 cubk:yards MC_ 111114/uv C••C•C•C• Boat ramp ift l z ') CICC111 C ' , r 11111 11111111111 B.-tho Boatl ��U U V UIIII`�i•#1i•7 /* x r 3/ UN� �C��11��CCC�� ■�t1�16;T ./ ' MIMI MCC Beach Bulldozing El WC •■■■••■■•■■CC■,•►'■ I i 120�1 { 1 l , Other iI 1► t1 IIIII 1 , Shoreline Length •4 /oa ! SAV: a ''� "° immEdilill U. 1$CCr►�irr��U.. !! 10+m\C►��]!! 1 dw 111 i'U Moratorium: nia yes ®CCC Te L�I7+E�I ISCiM ,+�j •1 *I1 US'111111111111 UCC� ,. C.. I�.,. 11 _E Photos: yes ��>< itl■ Waiver Attached: yes o i i i I ! l ! 1 I 4£` y ,/ note on back regarding River Basin rules. A building permit may be required by: /C�^I// (.� (Note Local Planning Jurisdiction) /�D�12 • • Notes/Spedal Conditions froleos`o/ A 140901 T Les\:2. S \vr. . Agent or Applicant Printed Name Perm' s Pr ted Sign **Please rep compliance statement on back of permit** gn re � ..v4 o?, 54 ..- Z e1D°— Z � '-- 30 _p/' i6/ `p°°2Q - Avt. l5-1 zO2 (• Appgrrtion Fee(s) Check# Issuing Date Expiration Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 5(V cOOGTh 's property located at `'� r Sa` �` eAkkN O ' ame of Property Owner) (Address, Lot, BI ck, Road etc.) on \VQ , in (o•ip , N.C. (Waterbody) (City own 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) • 14 WAIVER SECTION I understand that a pier, dock, mooring pilings, 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adj cent Property Owner Information) - *iCILLJ Si nature i tyre U -s\Lt- 5PCCLA es Print or Typw e ame Print or Type ae ,5 e(YYfYTp A �� Cm 0 u►'H'o C I G J 1J Mailing Address ilin Address'\gin , v a-Lk\l� jraa '1oe, iv d��/ City/State/Zip te/Zip City/State/Zip Sao- gas= �55S � - 10 -,og715 Tele8gn C ym�beOr lep i s- , C r ll � Jl y/� / Date ,, / Date *.' d � COY`.50' " �� C-- { (Revised 6/18/2012) —.� 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _ -`�.\' C�o `0 's property located at ' r\ COUNI (Na o operty Owner) on �� e� �� (Addre s, Lot, BI k, Roac(, etc.) in Cc (Waterbody) (City/Town and/or County) , N.C. 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) I c WAIVER SECTION I understand that a pier, dock, mooring back a minimum distance of 15' from myla area ofriparian t breakwater, boathouse, essounless waived by ft, or groin must(Ifset wish to waive the setback, you must initial the appropriate blank below.) you I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) G� , , (Adjacent Property Owner Information) Srtu e �\fl Si nature • rn � t Print or T pe Nme CC (�, .kfr i O NQt Q_,` Print or Typ Name a /n ddress � .._ 62LL C le `}PraskAn Mailing Address City/S ip l 1� ,t`' it)( / 5 /G te q ..... 5 _ ___. Ci y/St e/Zip j�JL Telephone Num er — -7 - - /r 1 Te ep °fig Numb r Date C Date (Revised 6/18/2012) Spradlin Construction, Inc. June 2. 2021 Dear NCDEQ: Please find enclosed a check for$200.00, payable to NCDEQ, for renewal of our CAMA permit for pier at 521 Country Club Dr, Minnesott Beach, NC 28510. Our email address is spradlinconstruction@gmail.com. Please email us the permits to review and sign and we will get these back to you ASAP. Please call me with any questions you may have. Thank you for your assistance in this matter. Sincerely, 311.3 Les Spradlin President 540-815-3555 4405 NEMMO RD,VINTON,VA 24179 1'(540)525-1547 1 SPRADLINCONSTRUCTION@GMAIL.COM