74061_Mike Horansky_20190812

0 7 CAMA/ ❑DREDGE & FILL ="pk1)14(P6742No. 74061 A C D
GENERAL PERMIT Previous permit# A./pi
�� - ew HModification Complete Reissue -iPartial Reissue Date previous permit issued PO
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 5A NCAC 0 7 F I. I 2.00
(� ❑Rules attach d.
Applicant Name /"f )1(l{ -"(�- II OR Ar)S1 Project Location: County WA51/tAl[, Rhvi
Address !c/ s U/''t/A i iZ J;Y P.) Street Address/State Road/ Lot#(s) 2 y V S 1 ti m Jr JZ ply
City kol>1 - State A'C ZIP ;7 76 k 0 Izol'ITI 01 F ^l c 32_
Phone#( ) E-Mail Subdivision 'U M M 1 R 13 y Authorized Agent /(IA SAG) Y F-IL City Ro PaZ ZIP 17 !Q
70
Affected -=Cw �EW 1 TA ❑ES ❑PTS Phone# ( ) River Basin PA S Q 1,0,4/✓AI
1_OEA ❑HHF O(IH OUBA ' ❑N/A ��pp��/tf/� S6uNh man /unkn)
Adj.Wtr. Body O: E
PWS:
,v� Closest Maj.Wtr. Body A i FIT/"A i2t i R Soo Ali"
ORW: yes /6 PNA yes /
/6/X17 ' P(4 t r i
Type of Project/Activity A U�U(2 j Z C I.) U 1 i''1 t ` X y 3 r 1
/.// (Scale: f :a0 / )
Pier(dock)length 41 3')t 6
Fixed Platform(s) i , 1 �� 4 I ( 1 1 1 i Ir. ✓� . •
Floating Platform(s) t I Dell'
Finger pier(s)-_ = I I I1 1 # '
�( I j
I Groin length ` y - I ,I l *17 ,
l number . _ _- a
1 Bulkhead/Riprap length -� {I+• { —' C
avg distance offshore ' f
max distance offshore T�U 1. )- * - t
'! I i
Basin,channel - . ----- . - a - i -
cubic yards
--... 1
Boat ramp AL____.T—
Boathouse/Boatlift 1 -- -- '
I--- - I • ,�-- A rx�1m� y h
Beach Bulldozing - i FI L
Other
1111 4
1 �,
I
r I
Shoreline Length 0 1.,E.•. /L.�,c 4•A i s.r jl, r,,pr+s A. y --
SAV: yes no ,
t, 4 t I .� V1L
Moratorium: n/a yes 63— 61►
Photos: yes 1 i i 4 UYli ! --
Waiver Attached:Z.
Op no I f ' e J I _ 1 I • ,
A building permit may be required by: W/1�I I9 L TO/`-' CO. . E See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions ,51 6 71/ IZ obi A(/ n1olt/z I, o) Z 721 / 2 O.F Aitot,...k 17
3Zor 1 Z Gf /2LAreo7,,A
i �‘/A.A S,,1 ,v Li ", YE_ Vl/0 1-IA T
rApplicant Printed Name PermitOffi 's P inted N
Signature **Please read compliance statement n back of permit**' Signature
IZ,bo. Vc, l5119 /Z AL/ G Zo1Q1 12 DCc zoo
Application Fee(s) Check# 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 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 (252-946-648I) 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/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. I 27 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden, Chowan, Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

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Division of coastal management agency form for permit applications
Mike Horansky ,owner of the property located at:
(Name of Property Owner)
244 Summerby Rd Roper,NC 27970
(Property Address)
Hereby authorize Sawyers Residential & Marine Construction, Inc./ Ivan Sawyer
(Name of person or company acting as agent)
To act as my agent for the purpose of obtaining any needed Coastal Area
Management Act and/or Dredge and Fill Act permit, that may be needed for the
proposed development at the above indicated property, which entails:
To Install New Concrete Pier with L shape Platform
(Describe proposed development for which permits are being sought)
This agency is limit to the specific activities described above, and will expire
on: Li3 t
(Date on which authorization expires)4`/.242 /4/010,3-S
l /
(Signature) � (Date)
k2 (,-"\- CIA,tel k1/4 (�
(Printed name of owner) ( (Title,if officer of corp.owner or trustee for property)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Mike Horansky
(Name of Property Owner)
property located at _244 Summerby Rd Roper, NC 27970
(Lot, Block, Road, ect.)
on Albemarle Sound , in Washington County
(Waterbody) (Town and/or County)
The applicant has described to me, as shown below,the development
proposed at the above location. I understand that any construction, excluding
bulkheads, must be set back a minimum distance of fifteen feet(15') from my
area of riparian access unless waived by me.
I have no objection to the project as proposed but do not wish to waive
the(15') setback requirement.
V I have no objection to the project as proposed and do wish to waive the
(15')setback requirement.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development.)
To InStall New Concrete Pier and L shape platform
� 1
Cu 0 gbielaela
Print or Type name Sig a lre
252 — 13—S 383 8/8l2D►ok
Telephone Number Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Mike Horansky
(Name of Property Owner)
property located at _ 244 Summerby Rd Roper,NC 27970
(Lot, Block, Road, ect.)
on Albemarle Sound , in Washington County
(Waterbody) (Town and/or County)
The applicant has described to me, as shown below,the development
proposed at the above location. I understand that any construction, excluding
bulkheads, must be set back a minimum distance of fifteen feet(15') from my
area of riparian access unless waived by me.
I have no objection to the project as proposed but do not wish to waive
the(15') setback requirement.
Vt I have no objection to the project as proposed and do wish to waive the
(15') setback requirement.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
To InStall New Concrete Pier and L shape platform
Print or Type name Signature
100--1,71 1tpla
Telephone Number Date

I
erCAMA / DREDGE & FILL No. 74061 �
EN E RAL PERMIT Previous perm !u it# '1� (� C D
)C - ew Modification Complete Reissue Partial Reissue Date previous permit issued /Jl
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 15A NCAC 0 '/I-1. I Zoo
E Rules attachid.
Applicant Name fillKe r l Jo A(JSY \( Project Location: County PASti(A/ ,72//%
Address Ti Li t'i 4N/M1"1(/LA3Y KO Street Address/State Road/Lot#(s) 2 y(( S ,,14,4 tir jy
0Z/7 tr
City kOI>rg State/VC ZIP 76 ____ _ IZOPi g- OFF /1 C 34..
Phone # ( ) E-Mail Subdivision SUM frt Ea )
Authorized Agent /(JnnJ S/4t,J Y JAIL City RO P Z ZIP /'n '7Q
.7b
Affected Cw �'EW TA ❑ES ❑PTS Phone# ( )_ River Basin PA S Quo tiniK
=OEA E HHF _IH 7 UBA ^N/A AS 6{,tNA man /unkn)
AEC(s): _ Adj.Wtr. Body
PWS:
ORW: yes / ,o PNA yes // -� Closest Maj.Wtr. Body A L•p j'-M4 % So'Ak
Type of Project/Activity A U Tl4DP 12 C IJ If `XI 7 r ! t!/117d1I1 fi` X ti 3 Pi t!2
'I
'
/ (Scale: ! • 20 )
�Pier(dock)length l3 �
Fixed Platform(s) 1` '�7 / : , i
1 �u� �)�(z.
r - K
, ,
Floating Platform(s)
Yii----- •
Finger pier(s) ( J r
Groin length — �V .1..� Ivy
number i �' -- {��/ '�% �! 1
I p I
! A 0Bulkhead/Riprap length / {L 14 AF'L�^ _
avg distance offshore_ �. /cl^ �rR f
max distance offshore so N 1
Basin,channel "--- _ED ' _--
cubic yards `
Boat ramp _
Boathouse/Boatlift J i © f
r _— — — I / 1. /� ( I
Beach Bulldozing . I ._ .0. s. 1 . 19l f - 1
Other I - - � I 1
i I r t
! _
Shoreline Length . 0 _ r `1St r.�s•.*_ s: _v wr�•+ j�w.� OP r w
SAV: not sur yes no �C y a N 0 --..._ _..
Moratorium: n/a yes \�6} fl - 0 ' :
Photos: yes —,I U n � x! ��--41� f11'
Waiver Attached:zil no --_ — '
' r �r - J
A building permit may be required by: W/ - I/��d-O(`-' CO. . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) rr
Notes/Special Conditions ,>E( O 7 di. l i Dc>, A( ni0g/� )� Z 7 ZF T 2 O F A Li()1_ -
32011 z G F /21,4 /2/A
v4 V' /1i. off V 3Li P/ IC xf-V 1 Al ►-IA r
en r Applicant Printed Name PermitOinted�
/ /, _
Signature **Please read complian tatement n back of permit** Signature
/Zao. (26 /Cil9 /2 AU 6 20idl 1 z DEc Z 7i
Application Fee(s) Check# 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 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(9 I 0-796-7215)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/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

T
Applicant: MIKE I-IoaA&51c-y
Date: I Z AVI G z o l j
-General Permit#: 7yoG _13
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft. FINAL Sq.Ft TOTAL Feet FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name Choose One includes any Excludes any total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
6 Pi. i l,f A c ti- Dredge CI ❑ Both 0 Other [ c3o Fr c3 O irz
Dredge❑ Fill❑ Both 0 Other ❑
Dredge 0 Fill 0 Both 0 Other ❑
Dredge 0 Fill 0 Both ❑ Other 0
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill 0 Both 0 Other ❑
Dredge 0 Fill❑ Both 0 Other 0
Dredge 0 Fill 0 Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill 0 Both Cl Other ❑
Dredge❑ Fill❑ Both ❑ Other 0