80303D - Spencer

ACAMA//v DREDGE & FILL \1C1 80303 A B C
?ENERAL PERMIT Previous permit#
New Modification • Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality t
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NC ni
AC '-' 4t 000 i 0 7“12.00 .
s (� I..,Rules attached.
Applicant Name CAA Spt.t ..r $%- (4v 1.-4r_-. (cv1t SIC ✓ Project Location: CountyIS
.n te ._--- -J 1r,IA. L._—
Address SOU C4( . k (.1c0,1 1 Street Address/State Road/Lot#(s) L o 6-0
City--rJytc ill. Stateltp ZIP Z1-1'$1 e.J..iiL -0,.
Phone#t((. ) S94, 64S3 E-Mail Subdivision
Authorized Agent 6.1.1 —Cko,.,.4-5,__ City c•..It1— i1.4�c 11 ZIP ZS"IU'CW .
Phone# L_ _b -'
Affected DOM 00PTA WES OPTS ( ) . River Basin
AEC(s): UOEA HHF CBI ❑UBA OWA Adj.Wtr.Body
ORW: yes C—� PNA�yes no L...(11...,
t Closest Maj.Wtr.Body 1 S C��-.�_.___
Type of Projje_ct/Activity �eta C& 0 xr t&., „ (iL a A r, $c.w 1 sa ' .n i w c I, 1kr,II 1.4.-'
e:in,,. -C,1t 14 (Scale: IU t S. )
Pier(dock)length (p1L. -- ----- ----- .
Fixed Platform(s) /� I • ` i {II
Floating Platforms)pYltp.... w ��� - '—
� �� l ��k j
Finger pier(s) i .
Groin length St.( 1
number
Bulkhead/Riprap length SO. ' . ' - l •
(...._. l
avg distance offshore
max distance offshore -
Basin,channel . r..•
•
cubic yards J -
Boa ramp ----- -_ i�`^" e
Boathouse/Boatl Ir t. ; . `
��eaeisea�t♦wbea1N�pm�
Beach Bulldozing 9L l t c
Other - - .--
[O Li•, e/-
Shoreline Length-_._57O_
—.-
SAV- not sure yes no L61-7 5 L — .. — _ -- Lug•-9 Li
Moratorium. n/a yes t- - '
L Photos: yes
�� \�on'�--`r`1 I r Ct 111
Waiver Attached yes no —__. __.J.___11. � _ ._.-_�---._.1_.R�u..- i ��f.. • l .___..—_..
1(1
A building permit may be required by: �u..St r Sf.C.V - 71 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction
Notes/Special Conditions % "tAk,�... `A`11 r,rc c\\ COLSL\ �!{`e„. \ t,eC� ^..}
c._c.\,t- L.1 v sy\ ......I. �r`La.IC e L`z`•1 /1/AarI._e c `s Not
A é /7PP P r s Printed Name
4 f - -- 1 _ \?. \.------- 1.Z-2C).ZI
Sign)
Please ad compliance statement e of permit•• Signature
'xi
_ �' . Fee(s) checks'i.GD� - — — y0� - `5- zo-Zoli t2-ZG•Zoti
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Apd� Issuing Date Expiration Date
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er❑CAMA/ ❑DREDGE & FILL No 80303 G
�EN ERAL PERMIT Previous permit# A B C
JNew ❑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 Commission in an area of environmental concern pursuant to I SA NCAC el' { It O U U 1(-t (200
< ❑Rules attached.
Applicant Name,Sca4 Spe.1,.c. St I ? A -, LC✓;C S( CIv" Project Location: County V) / ''5,,,,, cr1L.
Address s0 U Per A 4'e U cv d i', Street Address/State Road/Lot#(s) L.oT CO
City Si'2cSv 1I c State Mp ZIP 'nit/ ,,.,cf le 1._
Phone#V( U ) Si(, 0 S3 E-Mail Subdivision
Authorized Agent V,\< < A o 4,S City - s r (2 t.t h ZIP Z se‘(.d
Affected CW [FEW X PTA [4 ES ❑PTS Phone# ( ) River Basin L__,,-ta,.. e—
s ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC : Adj.Wtr. Body / 1❑PWS. f--c.k e.� c.. w( (nat Riar /unki
ORW: yes /. PNA yes Closest Maj.Wtr. Body �
^ f� S 4^ k
igr
Type of Project/Activity (L pia C( o yLc•,,,i 1 12 U.L A r , SS CA_Al'•-4 `•^A J., Si-u(l ytt.w
(.J
f, i 1 k , 14 (Scale: N ( S )
Pier(dock)length Y t(Z, Cl
Fixed Platform(s) f i ` i
Floating Platforms) O X�(p 1 \N. /C6‘ - ,
Finger pier(s)
rt
Groin length i Ql i
I I (' Y
number _ —
I
Bulkhead/Riprap length SO I ' ,
avg distance offshore
max distance offshore a a
1 '
Basin,channel l
}
Zed
cubic yards
Boat ramp —I _l. 1 a I� ti
t I I i i
Boathouse/Boatlift -y _.._
--
}
,..4- 1 ,
4 i
4
Beach Bulldozing L —i - i ' I ` T ` \; N+
OtherI I
7 �(IoliSa� -
•
SfrA+ulC.v
• 1111
Shoreline Length SO I
SAV: not sure yes no,) le,Q t.' Si
Moratorium: n/a yes no)�y;
Photos: yes no f t-�
4110 v ►N Lo `� 4'—�(�`�rill!\! ,
Waiver Attached: yes no _�1)r
A building permit may be required by: A C f C S C.6.C \ . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ( �-
Notes/Special Conditions 6% \�,,Ic...\,..•,-.\ ,_ .�` r�( c\\ (o(-')\. \ c ' \o., \ U 'c ur kc_•-•
()e
ct`l "•-N tI+'\` ,-U1` iLf-C .l.(` SL-.ok.`.�•.� iw,,- 1-4c..� \',1a.
a< L -- /.
Agent or Applicant Printed Name Pe is Printed Name
\............._ \ ‘ \...----....___
Signijure t **Please read compliance statement on back of permit** Signature

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date ZS/-S�/ 2/
Name of Property Owner Applying for Permit:
Mailing Address:
66 /aI4 A444,) Z.
-s/, svz//c4 .1 7g y
I certify that I have authorized (agent) J/�/ Dl*1?r to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) ail pK/,(�►�/� �Gi.�/�!�dttC j�� resc
at(my property located at) /'c20a /PJ!/Br jalr A Se.,„1i7� .ie;ie ft .
This certification is valid thru(date) S/„?,zz •
P rty Owner Signature Date

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Check
Date RecWrad Dab Dapomited Check From(Name) Name ofPamdt Holder Vendor Check number amount Permit Number/Comments Rm.Npt or Refund/Reallocated
Column., Cokrmn2 Column.? Column/ Cokann6 Columns Column? Column8 Column9
922021 9/72021 Judith Kurzer 'aame State Empioyaes CU 4489 $ 400.00 GP 880193D PA rct 12797
922021 9/7/2021 Scott Blankenship same Bank of America 1045 $ 200.00 OP 080199D PA rut 12800
9/7/2021 9/1/2021 Southern NC Marine LLC Charles Todd Parker First Bank 1470 $ 200.00 OP 880254D JD rot.14924
9/2/2021 9/1/2021 Southern NC Marine LLC Stuart Sanderson First Bank 1471 $ 200.00 OP 980253D JD rct 14923
9/22021 9/1/2021 Maritime Coastal Construction,LLC Bill Thomas CresCom Bank 3408 $ 800.00 GP 080303D BB rut 15819
92/2021 9/1/2021 H5 Construction.LLC Kimberly Swain Truist 1072 $ 200.00 OP 880284D BB rct.15528
922021 9/12021 H5 Construction LLC Kelly and Sharon Jarvis Truist 1078 $ 200 00 OP 880285D BB rct.15527