21589_SPENCER, ROBERT_19990419

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CAMA AND DREDGE AN CC'I'
D FILL
GENERAL 1-4a' 021 589 —c
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name
A`iriracc
City State
Project Location (County, State Road, Water Body, etc.)
Phone Number
Zip
Type of Project Activity
Ir—a1u z., f5 1 c.,`.aPr t oe-4r�D�rim �q<<5 cr
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
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 may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
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-
ject is consistent with the local 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.
applicant's si
permit officer's signature
issuing date expiration date
b_1
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee ��� `�i 1, Yo

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NEGOTIABLE ONLY" THE. hS ;AND POSSESSIONS
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From: Waverly & Linda Shore To: LYNNETTE Date: 3/13189 Time: B:1 6:22 AM
ADJACENT RWARIAN PPOPERTY OVIMM STATE UM
(FOR A PIER/bsl0ORING PIUNGSIBOAT=IBOAT'HOUSE)
I hereby cmdfy that I own property adjarent to �o6V-+—
( 12M of Property Ow')
property located at
(Lot, Block, Road, .}
in b <9
' C) N.C.
(Waterbody) (Town muY(w CMWty)
He has described to me, as shown below, the development he is proposing at tbat
location, and, I have no objections to his proposal, I understand that g Pier/mooring
PUingsrboatliftlboaftuse must be set back a minimum distance of f. t= feet (15') from my area
Of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I IQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWWG OF PROPOM DEVELOP.NJENT:
1 (To be filled in by Wiv =I proposing developnerrt)
Print or Type Na=
Telephone Number
Date: I - -
Page 1 of 1

MAR-1E-_1999 16:22 19607677419 P.02/02
" i ' �uyi;WOvElly h Ll f10!! y1Qf0 0' �rM1J�?7E J�ter ]n 9r�6 TY IW 0.16.L9 AM P 7 of 7
ADJACEN7 RIPARIAN 17RdPMy ()WIFE i STATEV['
TOR A PIES HO QRdNG PIfINCV80AIIYX'T180ATHOi7S,Z'j
I tureby cera;*Y that I awn propel zejarmt to
NIM of Over)
Ply IMMd at
(14t, Block
(Waterbw y) (To rn an&(* Gaimtg) N C.
H9 bas deed to mc, as shown below, the &-MUpmmt he is lmpoding at that
10=4011, uX, I lt=ve no abjerti= to his proposal. I und=bLnd tic a p�er/mpprst►g
pMWbeatli8lzJ ttouu mnat beset bark a siiaf= rFr.-m a of fftt ,feat (1S' f,-� mp q
of ti mxka asses: ualtsa waived by me.
_.X—._ I �L= wish to WRive tha 5e6wjc W'Wament
I do wish to waive that Winck r$qnirraaent.
DXSCRIMON ANWOR DRJWWING OF PROPUM DBYEMF.%fEN7:
fro be AUed in by &&idudpmpo3ift: dtrt ,�,t)
s
Rlf"A��'A 3. 14re/1 J,
Prttlt ar Type Barre
-is Z'&
Tekphoaa Atumbe
Date; _ 3 �lb /4 5
TOTAL P.02