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Home My WebLink About72825A_Iszczenko, Burt_20190812v bCAMA / DREbGE & FILL GENERAL PERMIT i'ZNew ❑Modification ❑Complete Reissue ❑Partial Reissue No. 73825 a B C D Previous permit # Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality f and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / f &-Rules attached. Applicant Name v. r j,� , s 2 G Z e n k C Project Location: County eQ C, 4 v o I S Address` �% S o�. a S ; ci � r , v� Street Address/ State Road/ Lot #(s) CityH e r -k -� r State NC ZIP Z? y `i / 4-1 s o r c� S c�e Lp . Phone # (") 3 3a- J 7S E-Mail 99d u : �94Q:I,Subdivision — A utho ized.Agent 1J 1 G /1 1 _l_ S Z C Z e/i K o City H e r tf o r J ZIP Z_-7 `l `i r Affected ❑ CAN � O Lf TA ❑ ES ElPTS Phone # ( ) - River Basin vv .Ito n AEC(s): El oEA ❑ HHF ❑ IH ❑ UBA El N/A Adj. Wtr. Body ,/� �1 J /man /unkn) ❑ PWS: a ,,. o r/ (P SO N na Closest Mai. Wtr. Body lie C. A vnT". yc, /. nv/yca / 11V Type of Project/ Activity C' o S t r .A c 4' /a2 g 3 2 a 4->t a" s G. .o Q S, d c S (Scale: Pier (dock) length- Fixed Platform(s) 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/ oatlif Beach Bulldozing Other Shoreline Length e C SAV: not sure yes no Moratorium: Cn/> yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: c 4 V, M n S Co n ( Note Local Planning Jurisdiction <++ Notes/ Special Conditions J � % S ¢ S' q ❑ See note on back regarding River Basin rules. Agent or Applicant :PrZinName Permit Officer's Printed Name Signature * Ple a read compliance statement on back of permit Sig4iture Application Fee(s) Check ## Issuing Date Expiration Date A 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 I) 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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888ARCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) (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://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner. ,B iL✓f f.o Address of Property: ✓7 (Lot or Street #, Street or Road, City & Agent's Name #: Agent's phone #: Mailing Address: 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. Correspondence should be mailed to 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264- 3901. 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, 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 sign the appropriate blank below.) _, I do wish to waive the 15' setback requirement. (Property Owner Information) Signature Print or Type Name /4�f Jou41A,J-C- 2 Mailing Address City/State Zip // 6 Telephone Number / Email Address I do not wish to waive the 15' setback requirement. (Ad'acent Property Owner Information) Signature IZo�-A Q. LG\.J' S Print or Type Name I , a-- S Mailing Address lA.�J Fo �,J C- a-7 S Q� Ci yStatelZip C piz Telephone Number/Email Address Date Date *Valid for one calendar year after signature` Revised 2017 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: R� 4 t' wI ESZY-z Pl-w Address of Property: /'Y � �o� ��C41 '7Q'5`�i ��rva -h S (01A - 771 v (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: 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 withdimensions 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. Correspondence should be mailed to 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264- 3901. 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, 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 sign 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) Signature Print or Type Name Mailing Address/ / //� City/Stat /Zip �vc,��ck4�erNbG��jh�c, /, coh., Telephone Number/Email Address (Adjacent, Property Owner Information) 'Signature l Print or Type Name n L 20A Z) Mailing Address City/State/Zip 05;:) a�O Q-) Telephone Number / Email Address Date *Valid for one calendar year after signature* Date* Revised 2017 8/8/2019, 9:44.38 AM perquimans_nc_misc perquimans_nc_easement perquimans_nc_acres perquimans_nc_lot perquimans_nc__dims Imagery2016 1:1,128 0 0.01 0.01 0,03 mi 0 0.01 OM 0.04 km Esn, HERE, Garmin, Icl OpenStreetMap contributors, and the GIs user oummungy rl �� ot Pargwmans GIS or lax purposes only. Na legal document or survey Perquinans nor state of NC assume any liability resultingfrom use of this map. 49" co 0 00 ans Count ,North Carolina , - OTH IMP DESCR----- GU CFI LEN WIJ t ]'�•':-Ns - ;%C 2-: .s:: 125'3,a 'I=_DE '--. 3r L'XHE, ,!?4E.,i6wLc - '- - 4 -1)0- 7 -1.Q14 HW 7 T _ T SHOP/LG/GRACE C D A e9E15 - 883;6- 4 911 z 3C,i75 .£' F'O YES S ^TERiLGrGRA---E C c A 1ACC. 10-3n- 311 5IL'E OR ISZCZENKO, BURT WaEMANNE B AND i7MICHAEL, MATTHEWTc jOS6'UAC 15471 COATESVILLE ROA€) SEAVERJAM, VA 23015 277 8394 OrFE STOGY FRA?^.E 1,4684 423 06 718 0-PZN FRAMF PORCH 224 i i�;a54".GE;'FI11I_N 504 i � 1�7 8/4; 2_- 32 I 1 32 1_22 i ! ONE STORY FRAMED 23 GARAGE 1 30 I 1 *1640 1 •504 1 i 54 7 OFP *224 1 1 32 1 I T E-- --V A L r' £-- N o - _ 13,440 b cD 2,000 1C.00 1,00'v --R A T E— --VALUE-- V4%D0vG0 .... - 34.60 . 0'3 00 ,00 .00 .00 .00 na • 0 0 0? 124.32E Y ,=33 N -EATE; Freisrf ! AM ZGS RE ---:a ww T}wSG:NT& T&AJN G'A -ZATM SO N D T Y P E---UNITS-----RASE--FAC.--AOJ.---V A L v E-- w 23600 0 10 o ., c Z 26.00% 0.0-100000 100 % $215,200 1.684 468.41 O 0 C.-LAN WINSLOW HENRY WATER i00001 3;,J'__ 60 40 C') $0 0 50 m GO 0 50 T 40 0 $0 7C P; 0 40 > 0 40 ~_ SAS ZATf 5 2016 iaJTS 1 �Aa;a•.r $225,000 R sdcKS ti0T i/f4T ° C-RIAIG FUL.C4 P '2 Dh T .F WM H HENRY 3 3-R_ S,FROM .._T L F_- z_t ___, _ ILLI .. _x.'vNNE HENRY FOR2'717: LOO000 I :,`°el $°' Ivy '00 Q N 115200 wrsx a �vA se 23600 uV,'a'VAWf 100000 TOTAtASSMM'44wf 238800 -s5M"f4_IIVALA 60 T4T T $238 , 800 �/y ;:;� /' s �oie V i�� G1C6 nogT I� I� 4i 'Z1 a.. ?�^ a..�� J ? � \«� .�� .«—�«�/� /�,�\�� y..� . � « 2 .: � �. »,. y . . � � .. NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Iszczenko Date: 08/12/19 Permit #: 73825A Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) Open water Dredge ❑ Fill ❑ Both ❑ Other ® 384 384 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-888-4RCOAST °a w w.w n.ccoastai anacggMr--qt,net revised. t}2,03 10