18030D - Spencer

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CAMA AND DREDGE AND FILL
GENERAL
C
18 30-D
PERMIT
as authorized by the State of North Carolina ,
�/%� Department of Environment, Health,and Natural Resources and the Csa$tal Re ou ce Commission
in an area of environmental concern pursuant to 15A NCAC ./
Applicant Name 1 A C }A (S� {.e et C Phone Numbe 1 3`� 173 V—75 3 I
Address �• O• ''X �7 r7
City 1.U vk 4 P''4 ,r State C. Zip o. ' ? S
P Jett Location (County,j�tate Road, Water Bod etc. Ss( (/ lie""C , Q'4 d ��r.N�A 0r, rP I:,Q P neti� 4y, / ( ✓(—
Tye of Proj ctActivi Pitv/►1T(�‘.r- ( e 1 Tt�+ "T /ie,l`) -v- tt?-,u �`'^ d— K Q1(47e4)/'^L
UeSLr( 1rfJ ($ frci ( AL,' 7r W‘4.( VP (lI cC-fL0%.1 . Ali �c,AS1�!'✓t n S'A�1// CzfriJ4
w(1-L1 17/ . 1 .10? -ek c p4- wgiv (� SQ 164C, \ OA wet sf c. )IS'+ Cover( � b -f-
I ' A f fx S I. 5 1'0( o C f"ro L+v r e.
PROJECT DESCRIPTION SKETCH (SCALE: 14 L 'T ><x I )
Pier(dock) length i-J4!.1( 5 44
/L 4.-C p( ,( .'".'"'Groin length kb
!b
number rr o c—eJ q/
Bulkhead length / v
O G
I.
max.distance offshore r I 0
(I, /b`
Basin,channel dimensions O
g>15 �; 4,..)
cubic yards
Boat ramp dimensions ' '''j
Other
•
S� `
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, vr: applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
permit officer's signature
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 1) this pro- ' (/.2 G Y - 0-
_
47
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from 1
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
•
. APPLICANT NAME: (l b At T 4 Sp l�► f'"�
ADDITIONAL NAMES:
AEC DESIG: ���' F �" DEVELOP AREA: PROJ DESC: - /°Z
(Will only take 6) (Will only take 1)
WORK: rS 1 b ,
(Will only takpi aO) r.
MAINT:
(Will only take 4)
IMP: q ?AA/ /d g
(will only take 6)W
5o
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 5-a - 9<6 I
CAMA MAJOR DEVEL REQUIRED:

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DIVISION OF COF:ST=L N-_NAGEMENi
r ADJACENT R=PARIAN PROPERTY OwNv�. NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Fe i t: Kewwef'A /yi . _5-fe,A/•C,e1,-
Address Of Property: 11 ��' ked( a NOy'/, Rini /1 /Iles
Tf JWe gy,f N51,0 la
(Lot or Strt r, Street or Road, City & County)
•
i hereby certify . that I own property adjacent to the above-
referenced property. The individual applying for this s permit ha=
described to me as shown on the attached drawing the deVelonment
•
they are proposing. A description or drawing, with dimenclonS
should be provided with this letter.
I have no objections to this proposal.
If You have obieczjons to what is being proposed . rjl c=cc writs the
Division of Coastal Manacemdent . 127 CardinalDriveExtension .
N'i l_ui ncton . North Carolina . 28405 or call 910 3c5-3500 within 10
days of _ ecaipt of this notice . No response is I ci r
Con__Cc_red the Same
as no ob iecti on if You have been notified by Certified mail
•
WATVIR SECTION
•
undo--stand that a tier, dock, mooring pilings, breakwater., boat
_ oa
house , lift or sandbaos must be set rack a minimum distance of 15 '
from. my .area of ri tari an access unless waived by me. (If you wish
•
to waive t_]a setback, you must initial ti a1 the appropriate blank
below. )
•
•
do wish to waive the l S'setback r=_,, `ema:'t.
I do not wish to waive the iS 'seetback rccuirement.
•
•
•
__cnazure Date T-53F-Ai
„AO ,4 ws vio
rint Name --�- �
Telephone Number With Area Code

•
DIVISION OF COASTAL MANAGEMENT
ADJAC=-NT RIPARiAN PROPERTY OWNER NOTIFICATION/TAI77.7- FORM
Name Of Individual Applying For Permit.. 1 e Al/ )/
Address Of Property; 1 _5.5C'-( / i V f/✓0Y/1/)cliAl.,/r A•
li
- _ q a� b - 1 �l c. �/ -14 rk -S &/C%k Qv r
(Lot o tree r, SLreet or Road, City & County)
•
i hereby certify . that I own property adjacent tb 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 description or drawing, with dimensions
should be provided with this letter.
I have no objections to this proposal.
•
If you have ob iections to what is bung proposed . D1=CSC write the
Division of Coastal Manace_:Ient . 127 Cardinal Drive Extension .
Wilminctcn . North Carolina . 28405 or call 910 395-3500 within i0
Caws of `eceimt of this notice. No response is considered the came
as no ObiE:tion if you have been notified by . Certified Mall
•
WAT= SECTION
•
I understand that a pier, dock, mooring pilings; breakwater,ra ' er, boat
house, lift Or sandbags must be set tack a minimum di±tance of 15'
from_ my 'area of riparian access unless waived by me. (If you wish
to waive the setback, you must in'_tial the a proPriat= blank
below. )
����%��i �� do wish to waive i va the i� setback re_L'i r8']i e:1i.
I do not wish to waive the 15'setback re?uirement.
•
•
, . 4„./7-1S7
, lun=z1, a - Date A. • �
F. �, e/ 7-T"
ILL �- „___Af,-
Print Nt
© I--1 IV F=I
T_lephon= Number With Area Code

r
t 1028
u.Ap
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INSURANCE pG "` OATS :V "
f\ ' SPENCER O DRpmER 255° - -.',:. , !- - ,.., It
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9 575g BON Sc 28359 ,. , .._,. i •. ARS_0
m PAY E i : ,.�
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o � BAN
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f - % ' N °b. �°n $c . . .� 00096L2u�
ct,
FOR ._�f �,0 2VI"
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