75582A_Kraniak, Robert & Katie_20200423

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GENERAL PERMIT Previous permit #y
j'iNew 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+ l t%
74Rules attached.
Applicant Name _J(6.0;_ �p _..._�.._.—_... _.
city- ,1 ${ - — __. State_L4!_C_ ZIPS q 2 L
Phone # (.jP_5Y9- 71E-Mail_.--
Authorized Agent r
Affected _ CW SEW ZN PTA ;K ES ;:1 PTS
AEC(s): `' OEA HHF E_ IH l_l URA -.1 N/A
PWS:
ORW: yes / v PNA yes /
Project Location: County
Street Address/ State Road/ Lot
Phone # (..�_) River Basin
Adj. Wtr. Body_---_.?
Closest Mal. Wtr. Body —...__...... ...
.
s t
Type of Project/ Activity Cr. .)-lip had i 1`, nR
gAln.tek (Scale: IIt= tio` )
Pier (dock)length
Fixed Pladorm(s)
Floating Platform(s)
Finger pier(s)...___^'`'.._
i _.
Groin length
number-
u eaV Riprap ten h tmt
avg distance offshore"'.
max distance offshore ^s
Basin. channel
cubic yards
{
Boat ramp
Boathouse/ Boatllft
Beach Bulldozing {,
Other
----..
Shoreline Length mot` .L{s {;yys 4yt y,
SAV: not sure yes
Moratorium:
,-- 'lcr4ga art pit. 9' i clz,ci`s�.�:
yes no
Photos: (e no��
Waiver Attached: yes
A building permit may be required by:
(Note Local Planning Jurisdiction) _ _
Notes[ Special Conditions _ A/
N
` t
Agent or Applicant Printed Name
Signature Please read comp t., statement on back of permit "
Application Fee(s) Check
(__; See note on back regarding River Basin rules.
PermitOfficor's Printed Name
Issuing Date Expiration Date

�;t�iVi l xDREDGE & FILL � �;
rB C D
GENERAL PERMIT Previous permit # �
t New i-:Modification EComplete Reissue -Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality --- u 4 `
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC T t 4
,�' Rules attached.
Applicant Name_. 3,o �sy� i asf�_ .jMG ( I _ Project Location: County- _ , ,fit ..._
Address (_ ,..elqwaaa- W&P Street Address/ State Road/ Lot #(s) —
Ciry­_ra...-._.- _ _ _State NC_ ZIP 2`�t.i�y _ —
Phone # (Qi j 33S' 1Viemaii _ Subdivision yaf,4wao4_.....o, t ct
Authorized Agent _Eokr__S f+.G4'2f�t_ _ Q� �� l..-.._..._.
Cw SEWPtAE5 Ts Phone River Basing
Affected OEA HHF -it" � UBA 7 N/A
AEC(s): Adj. Wtr. Body_..__—_._ q it4IC— __...
/man_.Lu_nkn)
PWS:
dR3lV: yes / ") PNA yes / Closest Mai. Wtr. Body
Type of Project/ Activity �/04.,74 rU tad s i t iw, liti e a,d h, liya, c°Y'wGtr'd 0
i sr n MawL - -- (Scale: t 4t , 5 (h l )
Pier (dock) length
_.
Fixed Platform(s)
FloatingPlatform(s) r""" .._.__. ,
piers 3 --- /
Finger s
Groin length f
number
Bulkhead/ Riprap length 2 56, .s ........ VO, U 0-k'r4pi
avg distance offshore7Nn
_
max distance offshore
Basin. channelCL
cubic yards -+ Ci. _ #
Boat ramp
Boathouse/ Bondirt_ "" I t !
Beach Bulldozing .�'°, V �
Other
Shoreline Length i s n R 2a-t U
-
SAV: not sure yes 4e „
Moratorium: yes no
Photos: ye
no
Waiver Attached: yes
A building permit may be required by: _!d f r fiI ,t�f�..rll See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Motes/ Special Conditions _ c,rr +rA./a r s 4
Application Fee(s)
back of perm it -''
Check #
Avdg__
Permit (titer's
Issuing

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: n �- (� 1Iut:l niA
Address of Property:
Agent's Narne #:
Agent's phone #:
(Lot or Street #, Street or Road. City & County)
Mailing Address:
9 q,9
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 notlfy the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 1367 US
17 South, Elizabeth City, NC, 27909. DCM representatives can also be contactedat [phone]. 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 initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Print or Type Name
ID5 �(eayer)WDC-)J I>
Mailing Address
,Lama N(-? 2-74- I
City/Statel—Lip
d52`,499-19S
Telephone Number/Email Address
(Adjacent Property Owner Information)
.S'i,t�n rttrre*
Print or Type Name
Mailing Address
c am ve-->-i C -7 E.z /
City/Statellip
Telephone Number / Email Address
l�ulc'
'Valid for one calendar year after signature'
Revised Aug. 2014

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: anA TVZtle fQi n i o-K
Address of Property: DS, 0 cwcntc7d I, (fin
(Lot or Street #, Street or Road. Ci y & 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
e proposing. A description or drawinq, with dimensions, must be provided with this letter.
I have no objections to this proposal. 1 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 1367 US
17 South, Elizabeth City, NC, 27909. DCM representatives can also be contactedat [phone]. 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
If you wish to waive the setback, you must initial the appropriate blank below.)
W7
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property O ormation)
,Si �r ra
Si
�►d far n r�
Print or Type Name
Ds Aw-nu:�n-oI_ �
Mailing Address
0,W1V N e, 0�
City/StatelZip
nzn
Telephone Number/Email Address
I)aw
'Valid for one calendar year after signature'
jacent Pr4pe ft'qvyner tri�mation)
Si��rratrrr� �
� bby � c -
Print or Type Name
Itv
Mailing Address
�°1UQ12e, ,�G ��92�-65oj
City/State/Zip
,259-3-,35- 7vi6
Telephone Number / Email Address
- 641(6L?0��o
Darr.
Revised Aug. 2014