Kassay, Charlie

-lCAMA/ DREDGE &FILL No. 73226
GENERAL PERMIT A B C D
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
Rules attached
Applicant Name
Address
City-- State ZIP
Phone # —E-Mail
Authorized Agent
Affected D CW -EW -� PTA El ES D PTS
AEC(s): L1 OEA HHIF L1 IH 0 UBA LJ N/A
L1 PWS:
ORW: yes / no PNA yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone# River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Fixed Platform(s)
4— ------
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore —
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bul
Other
A-
7
Shoreline Length
SAV: not sure yes riq1
. ... .. ..... .
Moratorium: n/a yes no';
Photos: es no y
Waiver Attached: yes no HIE —4
r, J
A building permit may be required by: See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Nv.
Name
-ar/7
Agent or Applicant Printed NPermit Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Signature
Issuing Date
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 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, 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 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/ I-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

ADJACENT RIPARIAN PROP RTY OWNER STATEMENT
I hereby certify that I own property adjacent to Charlie Kassay s
property located at 3602 Camelot Drive (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on Neuse River in Craven County, N.C.
(Waterbody) {CityiTown andior County)
The applicant has described to me, as shown below, the development proposed at the above
locatio
1 have no objection to this proposal.
I have objections to this proposal, �K Please initial one.
v1Z:st:K11J t IVN ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must Fill In description below or attach a site drawing)
-Y fJ19r21 tr (r-&-Tl0>`1 De C-a�' ��%Ltt-� 00xT-Ait-43-
( �? ) \11 rJy L 6 P-D 1 ,Jz, L-0 CA-FEV .20 ' 0 UT PRE I- NaQ N Lk) L-
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AC??-Ox.- Loo ` X U ` %L*4EA12 ' r�Etb N �{LI Fit#
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.-Y Please initial one.-�(
(Property Owner Information)
**On Authorized Aaent Farm"*
Stg»afore "�
Mr. Charlie Kassay
Print or Type Name
3600 Camelot Drive
Mailing Address
New Bern NC 28562
Ci Isr&te/Zi
631) 5Y5-7822
Telephone Number/ email address
9/20/2018
Date
*Valid for one calendar year after signature*
ation)
P ' t or Type Name
-0 - t LE i2 �T
Mailing Ad c ess
TelephonCeNuu bb7erl em 17 address
Date' --+-Z- -�
BIZ�� Svc
(Revised Aug. 2014)

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