74357D - Koruda

M. ;t CAMA / ❑DREDGE &FILL NO. 74357 A B C Q
GENERAL PERMIT Previous permit #
)CNew ❑Modification El Complete Reissue El 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 O F-� (2 ��
❑ Rules attached.
Applicant Name p,,g 1_ Ko4Lw oA Project Location: County Q2, t-Sw I c.Ile-
Address 13 (V !2A.tL. NAr Gf?-t C Y Street Address/ State Road/ Lot #(s)
City CNApe c 1 l ILL. State P ZIP 2-'4• SI LP
Phone # (914 ) 4904 3$38 E-Mail GuT5v2lOeC&MAIL.t u^ Subdivision
Authorized Agent (Z t clL Wi'ST City CSC-c MAy t %L,1 t A<<-1 ZIP 'Z b4tyq
Affected ❑Cw AEw ETA El ES ❑PTS Phone# ("IVy) 3(P3 o(gi r River Basin L�—R62
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body CA NA k (nat 6 unkn)
❑ PWS:
ORW: yes / PNA yes / 4OX Closest Maj. Wtr. Body A tw vJ
i
Type of Project/ Activity CvN2 .+ ZyC �j BOA, I A�, p A cccss P1 t 2
(Scale: V Y30 ; )
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Bow
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Phoi
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A building permit may be required by: TW �*J u V_ OC F nN 1 St_f of /t C-1t ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions Prl %. F pT1-1. IZVU' C��.it�� 5 rA�"t% FCbg WA 9-66ut.AZr Q,4 S
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Agent or Applic Printed Name
i res Please read compliance statement on back of permit's*'
A a:oc ,"
Application Fee(s) Check #
Permit
Signature
// a
Issuing Datf AxpVation Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: 136 Carolina Forest Ct
Chapel Hill, NC 27516
Phone Number:
Email Address:
Mark Koruda
919-604-3538
gutsurg@gmailzom
1 certify that I have authorized Rick West
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Boat Litt
at my property located at 2 Dare St, Ocean Isle Beach, NC 28469
in Brunswick County.
I furthermore certify that / am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Mark Koruda
Print or Type Name
Owner
Trtle
9 / 1 / 2019
Date
This certification is valid through / /

To whom it may concern: Date 8-8-19
Markis asking for your help in getting his extension, foating dock and boat lift approved.
He needs you to approve the Cama Riparian paperwork.
We have sent you a drawing of what he wants to do, please look it over.
if there are any question on the layout of the boat lift please call Rick at AMW Docks 704-363-0668.
1 am Marks agent and will be glade to help.
Tyler of coastal management is the Cama's agent if you have any questions please call him at
910-796-7424.
PMase N in all areas that are highlighted
Also, no check marks ple" in the waver section Cama will only accept initials
Thankyou
Rick West

CERTIFIED IiAAIL • R UR
EIPT UESTED
DN13tON OF COASTAL MANAGEMENT
NOTIFICA N•>TyONlWANER FORM
ADJACENT RIPARIAN PROPER /
Owner.
Name of Property �Steet
�Address of Property:(Lot or , Street or Road, City County) 'a-1 S4)
�c� / �rt4/l�� ding Address: 70 7
Agent's Name #: �`G v ,
G3 G �' �J� o��`f�
Agent's Phom #: O W D
The individual
I hereby certify that I own property adjacent to the above referenced grope the development
applying for this permit has described to me as shown on the
e attached drawing_ er.
they are proposing. A
or wi m
I have objections to this proposal.
J,f --I have no objections to this proposal.
must notNy the Dhrislon of Coastal Managers �t
to what is beMg I"O11 etion for DCM des
If you ha" objectlo" wlddn ill y �� nla *rrwnt.otice- by
in>0i ling O
avaNablo at " /►"Ilw no if haw been
No ties /s conslderod the same as
WAIVER SECTION
pilings, boat ramp, breakwater, boathouse, or lift must
I understand that a Pier, dock, mooring P area of riparian access unless waived by me. (if
be set back a minimum distance of 15 from my appropriate blank below.)
you wish to waive the setback, you gHM&10" the
L f `•� I do wish to waive the 15' setback requirement-
I do not wish to waive the 15' setback requirement.
Mir)
(p ner In on)
Signature
Pf►nt or T 1 Maine,"
Mailing Address
�' �" c� /--1 Z L �t-,f
City/statelzip
Telephone Number / Email Address
?- Go- l
Date
(Riparian PrpropertY Owner Inform
Signature
Print or Type Name
�L3L _d
Mailing Address
City/Siat&zp
a! ,e - y l ' -' L!7-
Telephone Number / Email Address
----
Date (Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property: rc`�
(Lott or Street #, Street or Road, City & County)
Agent's Name #:i ! �'tu�o�Mailing Address: / % d
Agent's phone #: �b� :3`�-� 6Q -� �6 /
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 httpYAvww nccoastaimanaaement net/woWcm/staff-lisdng or by calling 1-888-4RCOAST.
No response is considered the some as no objection H you have been notMed by Certified Mail. _
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, 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.
(props caner Inform on)
Signature
1
Print or T ame
lL�4 f a v 4c1y1A
12 G C,4r-o-t , Pt F o ri—s`S' c1—
Mailing Address
City/statelDp
I?/ (? - (�, ay-�s��
Telephone Number / Email Address
,�D -8i -/ S
Date
(Riparian Property or Information)
�d \
Signature
Print or Type7 Name
4
Mailing Address
6
C\
City/State/Zip
Telephone Number / Email Address
7-C -f 1
Date
(Revised Aug. 2014)

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Dab Rwelv.d
Date Da a/tad
Chock Fmm Nam.
Nam. of Prmit Neld.r
Vendor
Chock Number
Cheek
amount
P—H Numbr/Comms t.
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9/12/2019
Charles Fox Homes, LTD
Jamie and Carie Austin
Branch Banking and Trust
26001
$ 200.00
GP #74597D
BB rct. 9109
9/12/2019
AMW Docks & Marine Const./Rick We
Jack Rosenblat
BB&T
5572
$ 200.00
GP #74503D
IBB rct. 9107
9/12/2019
AMW Docks & Marine Const./Rick We
Mark Koruda
BB&T
5592
$ 200 00
GP #74357D
TMc rct. 9148
9/12/20191
j Wayne Smith and Son Inc
I Wayne Everhart
BUT
1 19628
1 $ 400.00
1 GP #71838D
j Tmac rct. 9190