28940_SPILLANE, BRIAN & BRENDA_20010911

CAMA and DREDGE AND FILL �` G .E N E R A L��5%
P E R M I Tcyw,A
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Co"!Ii
wl
in an area of environmental concern pursuant to 15 NCAC
Applicant Name.' 2 n,-.: w c Tirt_04a i to, Phone Number
Address /D 1.3 cl,4��*u_k(fyce`i �r
City ��C��ln�� State Zip
Project Location (County, State Road, Water Body, etc.) i aVP.N C c,o -3
Ic AQVC" tiY'C
v
Type of Project Activity l �J,1- r��. r" ��- y �F/eya.4-el Lox wn.i Vc-: rr�-1 r C'k. t o 4�—
01 13'x 13
PROJECT DESCRIPTION 'SKETCH (SCALE:
1 r.
Pier (dock) Length - F L r Y U #Le
'. _
Groin Length }b
number f t !
Bulkhead Length I
max. distance offshore
r
Basin, channel dimensions Q
cubic yards
Boat ramp dimensions
Other 3'Y f 7y rCJ,,),J1` . t e .
I
This permit is subject to compliance with this application, site drawing �6Vx
and attached general and specific conditions. Any violation of these terms
applicant's�ignature
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-
_1413 permit officer's signature
ficer when the project is inspected for compliance. The applicant certi-
j <S: 4 -�00
fies by signing this permit that 1) this project is consistent with the local
issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
attachrrier
In issuing this permit the State of North Carolina certifies that this project
*IQa l ,y-, �,t 0 �n
is consistent with the North Carolina Coastal Management Program.
applicar

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT APR 2 g 2004
(FOR A PIBRlMOORING PILINGSIBOATLIFI"/BOATNOUSE)
I hereby certify that 1 own property adjacent to(Nante or - Property owner)
property located at
(i,ot. $io , Road, e c
J , N.C.
, to
(V4'atody)
on __ (Tuwn and/or Co�snty)
He has described to me, as shown below, the development he is proposing at that beat on,
ing
and, I have no objections stt back a proposal.
jnimurr, distance of fifteen feet (15') pom "r4 area
pilings/boatliftlboathouse must be
of riparian access unless waived by me.
l AgWI wish to waive the setback requirement.
I dg wish to waive that setback requirement.
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MACWT
DESCRIPTION AND/OR
(To be filled in
Y
DK.AVVING OF PROPOSED Dr V ELO
by i plividetl proposing de ,elopme►d)
i
i
SI
Print er Type Name
----------
1'elephone Number
- Date: Z- 7 Z C)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATUFT/BOATHOUSE) AP 2 8 ZO��
I hereby certify that I own property adjacent to Game of propert�yyo ner) S
property located at ,Road, etc.)
on '-� to (Town and/or County)
Vat's body)
He has described to me, as shown below, the development he is proposing at Cher/moo ing
and, I have no objections to his proposal, I understand that a pom m area
pilings/boatlift/boathouse must be set back a rnin.murri distance of fifteen feet 05') y
of riparian access unless waived by me.
1 tio not wish to waive the setback requirement.
i dD wish to waive that setback requirement.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by fodivid&al Proposing development)
A
& 2 P �ic
Print or Type Name
Telephone Number
Date: