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Home My WebLink About76275D - Spach❑i CAMA / ❑ DREDGE & FILL GENERAL PE.RMIT ❑New ❑Modification Ixtomplete Reissue El Partial Reissue 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 15A NCAC Applicant Namee C.4 j,?: c k Address ( cis \Z a City:7sl,iI,t, • c State n ZIP bI->z j Phone # ((; T) 21 E-Mail Authorized Agent fir,c 1c � -J s El CW �*,PTA ❑ ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / PNA yes-'l ng No. 76275 A B C D' Previous permit # I Date previous permit issued 2 �,t `t Project Location: County 61" • tzw3 t�C ❑ Rules attached. Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin L Adj. Wtr. Body t•, \2< J /man Junkn) Closest Maj. Wtr. Body W Type of Project/ Activity 4 �. C l �� (Scale: >`J \ S ) Pier (dock) length �„ X �1(y Fixed Platform(s) t41 )(2.0 I Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Ripraplength avg distance offshore_ max distance offshore Basin, channel cubic yards Pont ramp Boathouse/ oat' X t Z Beach Bulldozing Other Shoreline Length - S SAV: not sure yes c Moratorium: �fiJa yes no Photos: yes V Waiver Attached: yes A building permit maybe required by: See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) t Notes/ Special Conditions �� 411 P ` �^ • G— rv^c u ' - ` / - 1�` 2 1 S D S �,< i/ ns ! c �\ t^ 4-4 a Age r Appli t Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # "U(t k-, `Sror G Permit Officer's Printed Name Signature '7J 1 2-0 2- Issuing Date Expirati n baie AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Mama of Property Owner Requesting Permit_ Glenn l_ee Spech Mailing Address- 105 Dudley Rd Billerica, MA C 1821-4143 Rhone Number: f51715 r 1-w?21 Email Acdress_ Ispactt@gmail.com I certify that I have authorized Joe; Klass A►gen? a Cortraa*T to act on my behalf, for the purpose of applying for and obtaining all CALLA permits necessary for the following proposed development- install pier ana dor.-( at rr.v property located at 3555 Shell Point Rd. SW ir; Erinswick County. t furthermore certify that 1 am authorized to grant, and do In fiat grant perMiSsion to Division of Ooasta; Management staff the Local Permit Officer an+f Meir agents to enter on the aforermntioned lands in connection with evaluating information related to ,his permrt application_ Prop Owner Information: S' ire Pnnt or Type Name • —,Tie Date This cwtifica6an is valid through JdW � .2a2f% 4 15JCAIVIA / -i DREDGE & FILL No 72317 A B ' C bEN ERAL PERMIT Previous permit # 'KNew Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 1 a Cqand the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name Address ! (�)S D11 LCy D CityL , �.0 « i A State ZIP G 1yL Phone # 5-6y E-Mail —"/"— Authorized Agent �ON ►J K- ),a`P,_1 / Affected ❑ CW ITA El ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ORW: yes / PNA yes /45� Project Location: CountyR`)N-,✓1 .c �(- Street Address/ State Road/ Lot #(s) 3S5 S S kELc. Pot, Subdivision ''JJ City SrI /ILt U T TE ZIP 2 74-40 A CeN-TPhone # (-110 )�d2 O (vSCA River Basin I_,,,. at rZ Adj. Wtr. Body S A"c)TTF- wE man unkn Closest Maj. Wtr. Body A\W Type of Project/ Activity Pier (dock) length ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■NEON " ' OEOE■■■E■■■O■O■EEO■■NEE■EEO■■E■■NEE■■ ::EI A■■:ENDED■OE■OE■■■■EOEEE�■OO■■■E■■E 7—NC L I • ■■ ■OE■O■■■EOOEE■■E■■EON■EEO■■EOEE■■EEO■■■ ■■E■EOE ONE OEOE ■■■■OE■■OEE■�E■O■■E E■■FEED■DOE■■■■■1111■ ; �rri�l■EOO■■E■■E■NEE■ =M11N■■■■■=E■EEN■E E■■■O■NONE■■■■NOIII 1111MEME1111011IM91� := :::::�ME ME::::: ■■■■O■■■■O■OO■OOF!�a■■NEE■■1C■ems■E■■■■NEE■ ■■■■EEO■■■■■■■N■ I■ ■■■N■■ ■Y1�i■■■■■■■■■■Mi. G■E�%■OLIlIN+�1��0■/��': i►//�O■■OE■SiliL'EEO■■E■NEE■ ■■ENO■■■■I!l�E■■OEO�O■E■OE�OE■EENEOOEEEE - fit*■■■NE■■■■NNI■■■■E7E�i.Z��Ac'�lE�'�.1■■■■■■E■■■■ ENEE■NEE■EEI■■E■EiifiEEEEEONEE■ �► - EOEE■■E■■�EI■■E■OOOEEE■EO■FOE■DOE■OENEE■■ - � ■■SEE■E■■ _ ,SEE■EEO■EOOEI■■OEOEE■■■EEEEE■■OO�EOEE■■E OI■■E■■OOOE■EE■■E■■■SEE■EEOE■O I, ■OEE■O■■■OE■ Agent or Applicant Printed Name (d• Sig ture "Please read co piiance statement on b ck of permit ** 2. 4 Applicatio ee(s) Check # PermitOfficer�s Printed Name ' y Signature Zo �� 2oz-v Issuing Date Exp' tiA Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent toE^I �_ L LSRcd _ Is of Property Owner)_ property located at 355s 5N6-L- —'f=oi��- (Address, Lot Block, Road, etc.) on J60- �, in tQ��r► ,� te�G �o JA , N.C. (Waterbody) (City/Town 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) it It ,jEC- NrCtiEa �18i� 19 WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 K I do not wish to waive the 15' setback requirement. �)er_U Owner lnfo"ion) (Adjacent Property Print or TV9e Name c" 16Soolxcl M� rng Address ;tSi cc-&-Ofe.� t'�� D f $Z 06oState2ip to j l - 5? t - 5'72f Telephone Number / email address Date ;Valid for one calendar year after signature' Jtgr i t Print or Type Name T- C� / 5,0 Mailing Address C 2 `{-? o t% 1`f, City /41t,08 p 2S3--7039 Telephone Number/email address Date" (Revised Aug. 2014) N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Ir�- —(e- 19 Name of Property Owner Applying for Permit: L.&e ,5i9 eat --- ---- Mailing Address: C) a I certify that I have authorized (agent) - jtbj 0. K t� L� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) ; 1 , at (my property located at) 35.> 5 5 t6-u-- o c 5r' Cl rr-6 ! N C This certification is valid thru (date) Ip—(e-- Zo J Property Owner Signature/,,-,*" Date N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 1f> —fie- t 9 Name of Property Owner Applying for Permit: LEE 509&C4 _ - --- Mailing Address: I certify that I have authorized (agent) - jt63 � • �'�- ��'- to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) J�t�at'r'E A)C ZS`f7 This certification is valid thru (date) / b — 4e V Z O Property Owner Signature/,--'�' Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to o &A - LEE �j Q� ---7 n (Name of Prop-e+rty"�,,r�ner) property located at 5 S S �f�K� 7"'T JG� A-7:> L-01 _ (Address, Lot Block, Road etc.) nn .:5 M(-41 � ��E�d- _, in �i2Jr45•�1rC�IG _ avrti (Waterbody) (CitylTown and/or Coun ) — . S , N.C. The applicant has described to me, as shown below, the development proposed at the above location. _x _ 1 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) SEE l4-t''>�t�Ec7 Ex�/,s�-r' �,✓� +l WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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. (Pro wrier Into rmati G Signature Cf4 as 1-� lasTypeE D ,, $ 47A _ o 1'Fz l Cily/State/Zi r21-7 --- Telephone Number/email address Dare `Valid for one calendar year after signature' (Adjacent Property Owner Information) Signalurc* ^n Print or Type Name 44W o Maibn Address �n 2�64r1-Z-1 QyvstatatlZip Telephone Number/email address to—Ce—(�1 Date' (Revised Aug. 2014) Date Received Oate Da oaitad Check From Name Neme of Permit Holder Vendor Check Number Cheek amount Permit NumberlCommenfs Receipt or Refund/Reallocated Column) Column) Column3 Column) Column., Column. Column? Cohimn8 Column9 _ 10/14/2019 Glenn Lee S ach and Amy M S ach same USAA Federal Savings Bank 2479' $ 200.00 GP 72317D BB rot. 8287D Daft R..~ Dtm Dpoftd Check From (Name) Nama of P—H Hold- Vendor Check Numbev Chock ounf P—If Numb—ICommenfs RocokW n Refund/Reallocafed Coh-1 Coh-2 Co1umn3 CokmnM Column5 Cdumn6 7 C.1-8 Cr-9 t 3/11/2020 3/11/2020 B & J Construction of NC LLC Glen Lee Spach BUT PNC Bank 2171 8462 $ 200.00 GP #76275D GP #76123D BB rct 10907 TMc rct. 10351 3/11/2020 3/11/2020 F & S Marine Contractors Inc. Fi ure 8 Island Yacht Club $ 400.00