89154A - Spangnolo, Joseph and Robin

'Aco y"&FICAMA ❑ DREDGE & FILL N9 89154 A B C D
ff Previous permit
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GENERAL PERMIT ate previous permit issued
New []Modification []Complete Reissue ❑ 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq nc gov/CAMArules
Applicant Name _
Address
City
Phone At ( )
Email
State ZIP
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nadman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW:yes/no ;PNA: yes/no.
Type of Project/ Activity
(Scale: )
Access Length
Pier (dock) length
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Fixed Platform(s)
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Floating Platform(s)r-
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Fingerpier(s)
Total Platform areaGroin
_
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length/#
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Bulkhead/ Ri ra len h `
P P length
1
Avgdistance
Breakwater/Sill-
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-
Max distance/length
Basin, channel
Cubic yards
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Boat ramp
1
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Boathouse/ Boatlift
t-«-
Beach Bulldozing
Other
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71
SAV observed: yes no
Moratorium: n/a yes no
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Site Photos: yes. no
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Riparian Waiver Attached: yes no
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A building permit/zoning permit may be required by:
Permit Conditions
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) V I",
Agent or Applicant PRINTED Name
Signature *"Please read compliance statement on back of permit`*
Permit Officer's PRINTED Name
Signature
Application Feels) Check q/Money Order Issuing Date
Expiration Date

RECEIVED
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Te 3� S n"C l O
V
Mailing Address:
Phone Number:
Email Address:
('L-,e %C•,2eAAe �� a33ab
"Is 9 - &So - 3Q 9
I certify that I have authorized L4 �e ,. VvIC.«,'n c , r.,, L
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
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h 14 eC&
JUL 1 8 2024
DCM-EC
at my property located at W6!27 51 Lk ?ti 16 A C
in PeL4#'1vCv-\-S County.
1 furthermore certify that / am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
c�ae S�G.SNCilJL/%
Print or Typ6 Name
Op%- e /
Title
7. / K / 2
Date
This certification is valid through ! � / ! � / P ✓/

N.C. DIVISION OF COASTAL MANAGEMENT RECEIVED
ADJACENT RIPARIAN PROPERTY OWNER NOT IFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY JUL 18 2024
c�r
Name of Property Owne�
Address of Property: _
Mailing Address of Owner.
Owners email: ,.C/
Agent's Name:
Agent's Email: v / l`t
to be completed by owner or their agent)
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owner's Phone#:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to 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 must be provided with this letter.
1 DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must nottry the mf,. umm,vu u,
Management (DCM) in writing within 90 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' seta
Signature of Adfqont Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
`waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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T RECEIVED
N.C. DIVISION OF COASTAL MANAGEIYIEN
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY JUL 10 2024
Toseph 5P`cjnt,,t(o
DCM-EC
Name of Property Owner:[
Address of Property: _
Mailing Address of Owner'.
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Owners email: JC%,!7/O-y
Agent's Name:
to be completed by owner ojrr their a�g' e t))
Agent Phone#:
41/41t-
Agent's Email: /
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to 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 must be provided with_this letter.
_ 1 DO NOT have objections to this proposal. I DO have objections to this proposal.
!f you have objections to what is being proposed, you must noury ❑te jv.i . ✓.v,a•a•• w• ww��•�•
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St, Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the some as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
1 DO wish to waive some/all of the 15' s?Igla
t Riparian Property Owner
_OR_
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
"waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
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