HomeMy WebLinkAboutKornafel, PaulAI1/IA / ❑DREDGE & FILLA
B �C� D
NERAL PERMIT
KE
Previous permit #
w ❑Modification ❑Complete Reissue ElPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in of environmental concern to 15A NCAC�'
and the an area pursuant
Rules attached.
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Applicant Name r`" t�
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Project Location: County
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ORW: yes ( no PNA es'% no
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A building permit may be required by: ii t i �F� 1 t t fSee note on back regarding Nver 13asin rules. -
Note Local Planning Jurisdiction) ( s
Notes/ Special Conditions 1 f. (`� f
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Application Fee(s)
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ne, Permit Officers Printed Name P i"
mpliancestatement onback ofpermit * Signat re, 1
Check # Jssuing Date IT Expiration Date
Statement of Compliance and Consistency
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 or criminal 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 officer when the project is inspected for compliance. The
applicant certifies by signing this permit that [)prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules ❑ Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth Citv District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://www.nccoastalmanagement.net/
Revised 08/27/ 14
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 7 ` 29 ' XS
Name of Property Owner Applying for Permit:
PAUL J & JUDITH A KORNAFEL
Mailing Address:
135 HERON POINT RD.
BEAUFORT, NC 28516
BOGUE BANKS MARINE CONSTRUCTION, INC.
I certify that I have authorized (agent) - to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) DOCK WITH ATTACHED PLATFORM
at (my property located at) 135 HERON POINT RD., BEAUFORT, NC 28516
Thi4s certification is valid thru (date)
9a"i 9aA
Property Owner Signature
Date RECE►VED
Sul 2 10
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to PAUL J & JUDITH A KORNAFEL 's
(Name of Property Owner)
property located at 135 HERON POINT RD.LOT 2. HERON POINT
(Address, Lot, Block, Road, etc.)
on WARE CREEK , in BEAUFORT , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location_ `
_r�_ 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)
APPROX - 90FT WALKWAY WITH ATTACHED 8FT X 16FT PLATFORM
INSTALLED OUTSIDE OF THE 15FT SETBACK REQUIREMENT
WAIVER SECTION
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.
VkL'5L� I do not wish to waive the 15' setback requirement.
ro wn r Infor ation) (Adjacent Property Owner Information)
-4- Oki,
S ature Signature * RECENED
AUL J & JUDITH A KORNAFEL tk\/ E �ou►.x 91U15
Print or Type Name Print or Type Name
135 HERON POINT RD 4.4 t 1? (Aoy,,?,=,,,, - ed
Mailing Address Mailing Address`" J
BEAUFORT- NC 28516 23 51
City/State/Zip City/State/Zi
252-732-6871 / DkornafelOD-msn.com -1 �t N
Telephone Number/email address Telephone Number/email address
-it I to I I S
Date Date"
(Revised Aug. 2014)
*Valid for one calendar year after signature`
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I here -by -certify that I own property adjacent to PAUL J & JUDITH A KORNAFEL s
(Name of Property Owner)
property located at 135 HERON POINT RD LOT 2 HERON POINT
(Address, Lot, Block, Road, etc.)
on WARE- CREEK , in BEAUFORT N.C.
(Waterbody) (City/Town and/or County)
I -lie 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)
APPROX - 90FT WALKWAY WITH ATTACHED 8FT X 16FT PLATFORM
INSTALLED OUTSIDE OF THE 15FT SETBACK REQUIREMENT
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.)
15' tback re uirement
REceVED
do wish to waive the se q 2 91015
1U1.
I do not wish to waive the 15' setback requirement.
-Property Owner Information) (Adjacent Pro
perty Owner I
nformation) 1015 '
' .n , r //I /1 ..I_ � Y'-C._. T •Y/ _ A/K'2VHD-P_'ffV
iW91,1111111W
Print or Type Name
135 HERON POINT RD
Mailing Address
13EAUJEQJ31__ AC_2a0 r
City/ool,rte/7_ip
252 73?-6871 kornafel 5 msn.com
cleplrc�n�� Nunlher/enlail address
A C'
Print or Type Name,, -71%
� -2 9
Ctyre'7iup iC?4_�C�Gki A1 t-c cn1q�i1,
Telephone Number / email address
(Revised Aug. 2014)
'Valid for one calendar year after signature*