Yadlowsky, Matt

'CAMA / DREDGE & FILL NO. 73302 A B C D
GENERAL PERMIT Previous permit #
-New _Modification _ Complete Reissue `Partial Reissue Date previous permit issued
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
D Rules attached.
Applicant Name _ _ Project Location: County`'°,%`
Address Street Address/ State Road/ Lot #(s)
City State _ ZIP
Phone # (_ _) _ E-Mail
Authorized Agent
CW ❑E1N,. .-*flVTA ')ES
PTS
Affected OEA ❑ HHF ❑ IH UBA N/A
AEC(s):
PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s) Y+
Floating Platform(s)
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length
avg distance offshore _
I
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_- _
Other
f
i
Shoreline Length 4r—
SAV: not sure yes no
i-
Moratorium: n/a yes no
Photos: yes I(no
Waiver Attached: yes Co
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
— Signature *"' Please read compliance statement on back of permit
App ication Fee(s) Check #
Subdivision
City _ ZIP
Phone # ( ) River Basin i c
Adj. Wtr. Body `" t l _ (Rat /man unkn
Closest Maj. Wtr. Body_
1fb
(Scale:` )
f See note on back regarding River Basin rules.
Permit Officer's Printed Name
Signatu
Issuing Date Expi tio4Da

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 1) 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, certify that this project is consistent with 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 how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

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o. 73131 }
Previous permit #
l/
B D
Date previous permit issued v
15A NCAC /Ac
,, ,, / 7R es attached.
Applicant Name G ' C✓��%� C Project Location: County ✓!„ fc)°�✓
Address'LIP '13 fC'rV 4C a (164treet Address/ State Road/ Lot #(s)
City �r� y S t a te ZIP �� �tnC.��'��✓� °"
Phone # ( `a -Mail Subdivision ,
AMA / ❑ DREDGE & FILL
r. GENERAL .PERMIT
Ww ❑Modification ❑Complete Reissue
El Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an aret of environmental � ental concern pursuant to
Authorized Agent
Affected ❑ CW Gv�_-,.®-PTA >W ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / 0 PNA yes no
City 6 r ZIP ®7 +I
Phone # ( ) p Riv B ''�f It
Adj. Wtr. Body tiqnat an unkn
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signs re Please read compliance statement on back of permit
ication Feels) Check #

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Matt Yadlows
Address of Property:
Applicant phone #
243 Andrews Lane, Stella, NC 28555
(Lot or Street #, Street or Road, City & County)
616-828-6487
Mailing Address: 21688 Brady Lake Blvd
Morley, MI 49336
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.
t
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.
(Property Owner Information)
SignaXadlows�ky
Matt
Print or Type Name
21688 Brady Lake Blvd
N�a 7 Mailing Address
Morley, MI 94336
City/State/Zip
616-828-6487
Telephone Number
/ i /
Date
(Riparian Property Owner Information)
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Signa1fture tJ
4O414 IQI r c,0. YIVI i �y�C ✓
Print or -type Name
C11 clei%*?k Ss
Mailing Address
City/Sta /Zip
p 00
Telephone Number >
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Riprap - 1 2' width along
12 T' shore line
00 dock (total length)
17 platform
t lifts
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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: Matt Yadlowsky
Address of Property:
243 Andrews Lane, Stella, NC 28555
(Lot or Street #, Street or Road, City & County)
Applicant phone #: [phone]
Mailing Address: 21688 Brady Lake Blvd
Morley, MI 49336
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.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.nebcontact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.
1 do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Matt Yadlowsky
Print or Type Name
21688 Brady Lake Blvd
Mailing Address
Morley, MI 94336
City/State2ip
616-828-6487
Telephone Number
Z/, S /,-Lo I k
Date
(Riparian Property Owner Information)
i - WW 4 WA Al �, 10
Signature
'5�41,1? --- 4mli,') � o A 14�1(
Print or Type Name
Mailing Address
City/State ip
Telephone Number
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Date
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¢' x 200' dock Itotal length)
13` x 17' platform
k boat lifts
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GoMaps
November26, 2018 1:1,128
0 0.0075 0.015 0.03 mi
D 0.015 0.03 0.06 km
Onslaw Cour yGIS
2018

GoMaps
November 26, 2018 1:9,028
0 0.075 0.15 0.3 mi
0 0.1 0.2 0.4 km
Onslow County GIS
Sources: Esri, HERE, Garmn, USGS, Intermap, INCREMENT P, NRCan,
Esri Japan, METI, Esri China (Hong Kong), Esri Korea, Esri (Thailand),
NGCC, ® OpenStreetMap contributors, and the GIS User Conmunity
2018

GoMaps
November 26, 2018 1:9,028
0 0.075 0,15 0.3 mi
�ILI�✓_I�1T�'I + IT i
0.1 0.2 0.4 km
Onslow County GIS
Sources: Esri, HERE, Garmn, USGS, Intermap, INCREMENT P, NRCan,
Esri Japan, MEn, Esri China (Hong Kong), Esri Korea, Esri (Thailand),
NG CC,© Ope nS tm et Map contributors, and the GIS User Community
2018

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