33480D - Tiskiewic

0 CAMA/ ❑DREDGE & FILL .,( `: 33480
GENERA►L PERMIT Previous permit#
'_-.New 'Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 144. 12(X) •
Rules attached.
Applicant Name 1)Al ul d ~\--, S kC...1 e...W is Project Location: County 1j( U r1 S W i C 1;
Address (,O‘j Lc)CY---WQUd Cow['* "St. Street Address/State Road/Lot#(s) G IS"
City -12j U V k VI A State NCJ ZIP 2-?. 4 22- LcGX--wuodA C1uu r r"-\-� 5 E
Phone# ( ) Fax#( ) Subdivision �-,U c UJ I'\ I f rr4rtN`- i U rl
Authorized Agent n Y . c-t E' WC J City -j( V% V'k fj ZIP .2 E3 L}2 2
Affected ' J CW .*EW XPTA I- ES - PTS Phone# ( ) ��`RRi�ver Basin
❑OEA ❑HHF ❑IN ❑UBA N/A
AEC(s): Adj.Wtr. Body LOC XC1 , man /unkn)
1
❑PWS. ❑FC, }l
ORW: yes / PNA fp no Crit. Hab. yes / no Closest Maj.Wtr. Body ATWUJ
Type of Project/Activity NPR) )01 e-r else‘d k°,Xrd d D cic.►
(Scale: Nor"ru )
Pier(dock)length 1 .Q I I
10' -{--- ; 4 !
Platforms) X 1� � � —
Finger pier(s) I I i
Groin length _
number I , {
1 i ! l-----}}! JL---- _ - w
Bulkhead/Riprap length ! t� { a
avg distance offshore
max distance offshore .__ .i-
Basin,channel I
_ I I —1�
cubic yards i
Boat ramp _ i}f `v ,(,. `,�
Y Y {/ N W `''
Boathouse/Boatlift i1/ �' ` ,1� M 4,,�
Y 1' YVv ? i'1zt
Beach Bulldozing —. y, ` y + 12.0 • qC f v
Other
Yr \Yliy v v vi ko t , ofr—ty
, ! V .40 \Y 7— I , v. \y,virv,. \Y ! ,
,V_\i‘! 4
�/,VV `t
Shoreline Length ,�i b �/ Y V V V �� � -''"'�^-� ,
SAY: not sure) yes no _ -(� a �(A� �f1r `i
Sandbags: not sure yes n )"
Moratorium: n/a yes nog � Ill — —
Photos: yes no i { __ ` j ill .
P
Waiver Attached: yes no I
A building permit may be required by: P(•u n S W t C k. e 0 tin '❑See note on back regarding River Basin rules.
Notes/Special Conditions t\ C O(\C %- lu(V S O t 0 ITh 7 4-1 • '.ZOO ` PI e-r-/
u k. Is k--0 k, 11 J t li..]j--, Ad j1 ce.r\± d o c Ls
.--\))7
Al .
Agent or Applicant Printed Name — i_—___ ' cer'sSignature
....----. vU1 -�v 01200��
Signature **Please read compliance statement on back of permit's"r Issuing ate ration Date
$I too`). 1 " 12- 1;')161.nsw'i e_ . Cvt". P 04 30►(0 4
Application Fee(s) Check# Local PlanningJurisdiction Rover File Name
1 -- - ._...-_&__di•-— Ji_il i. "w....aklihn.rrd..1i...- f._..�..... ._

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:
L l 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 Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-6481)or the Wilmington
Regional Office(9 I 0-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-6481
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort,Bertie, Hertford,Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I9 733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] 151-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 9I0-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick,New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
Revised 10/05i01
www.nccoastalmanagement.net

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: I)IKAICt 6 - ' W i U
ADDITIONAL NAMES:
AEC DESIG: C. 4 P T DEVELOP AREA:_ .Q I PROJ DESC: P - lZ.
(Will only take 6) (Will only take 1)
WORK: f L} )L 12D EA_ l 0 /(A
(Will only take 4)
MAINT:
(Will only take 4)
•
IMP: LPI 4 8 D O W Ito O
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 1+-3D -03 7 - 30-05
CAMA MAJOR DEVEL REQUIRED: 4-3o o3 -30 03

ivxsIoN OF
71DJACENT RIP R PERTy DOWNER NOTIP c '
, ~
MMMTBFITIRM
Name Of Individual Applying For Permit: 6jei-1
Addr€ss Of Property: &5/5- Ae,e eeiaa0 el:7,4A2� S� ;/� ' 5 e
•
(Lot or Street I, Street or Road, & County)
721D " 7Q3- •Q�®3
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,
shou:d be provided with this letter.
have no objections to this proposal.
•
.14_17gu have obiectziQns to what is being pr0Dosed
`'jo s l ana e e � a , please write the
• y�• 'nal.. -Drive Extension
Ana 40 ll O395-3900. within I0
Ys of. receiDt-of• -this n ice. No respons e i Q
as nc. obyouhave n o d aaxysidwared 1 same
Certifiet .Mai/
WAIVER OCTION
I understand that a pier, dock, mooring
house, lift pilings, breakwater, boat
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 gust initial the a
below. appropriate blank
I do wish to waive the 15'setback requirement.
I do notwish to waive the l5'setback requirement.
sgna kure . 4-, . h f .1j��?/a3 Tic!g
kc,1 Date _ •
Print Name
2 - 24' -
Telephone Number W th Area Code � i

.r, ,; 1 •r; 3 T ,A
f ,
orthto,p,
y� • r.. X
"Tt�� � • .�,.Y
z ' �, • — • r may!
4:;"."'' "••''' l'-' '- --,,' '•-• '".4.1' -''
a'g 'ma y L ...
l k'"R,Sv-- a , '.. - _Y. �-9r ' • r �. y.�
• •
,-7 a "ii yy r..n+e ?I - -(e • ., S:
a,Q.aT3& '•4 y1L 'Y ,.`? „-)0-1'dlii. _t . r , 4.4.
T1_—_._�'"` _-______
v! a • -
c
v S �''-
S +'sy` #r 4 `t E P fir' 7" s
F
• !. ." ',,', ..4,,
t •
r �... Ry.." 1_. ' 44 '- - tf r r$ ! t x fyR
x. '4 ' r „ ,r r .. ,_ l� t }, ,,.,1,*.4 a.F R• <.
' ; 1 ,fir n . ►r t `'r y, r'.* Hta''•-e t '''' ` ; �,', 'tom '`. .. jr i ±t "1 '"y1 I
YM k - r '. .. .. ... :,tea? �_Y,.. Ye'�...',i-;,C....._,�-. � �.' '•.s9su�, rti r0. ,t.'►:,`.-t�'•e+ti.e" core" �G�L - Ae
1.,•
:; � ;
.iy ,r •; 3•AIM$ �' `' .�6 'A+.I I�•' ;. R'r *" p'''l-(- Z. �.0
p b f R 1 ./ ' , l' Nr+�R 'I rah.-.ae.. -'''r� q . ' -`2 t,.P'1sr, r ,Rn 'j;'54
�'Frt
.: t. • - :,f. 7 ry.a ¢,., .i i.;v •'.�r'T2.4` or' -... ; A.- f .+• " L . ;:-: (
X .' .y 1. `.F:.. '
l `
n i' y •'� * ti4. A..1''4µt., t �J ' i k f . , # , a ••t a
qy gxp. r .r 4 � ` t yR .t.`'p rzr�-ti±,c'rkrs
•
*• `-� } - '. a:s i r ' " a '�- itw + '�1 jr.• ."q' 'n
1,4. .c' ",,?.r s r ▪*▪ ..a[# is .1. ........, . iN_ t,-...t rf "' ,yam d-,
L ' . i'v` 11 kf 7 t.... r r..y.;.:n.. .. ;'MYt'' .'s L''
`t

•
•
QIVISION OF CO4STAL MIAG +IENT
7DDJACENT RIP PROPERTY O : .
� _ WN�t HOTI�'ICATIONIWAIQBB:_FARM.
Name Of Individual Applying For Permit: /, '/,0 E/?s. "C
Address Of Property: 4/s /eve.4 d�.4"
4 e'J �� /r44 -
(Lot or Street f, Street or Road, City & Co y)
•
Flo
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,
shoud be p vided with this letter.
I have no objections to this proposal.
•
;Z you have objections to what is being proposed ease write the
s 'o s l anagemRent "`per
. W 127 a ri; � ya _ Extengip�_.
o Carolina 28405. or call .910' 395-390 ' wit n s o . ce'rot o this no C is No r`estionse-
me
as nc objection j.Z you have -been notifi ed by Certf Pf on Mom;
WAIN= oCTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift must be set back a minimum distance of 15'
from gay area of riparian ,access .unless waived by-me. -(I f you wish --
to waive - the setback, you trust initial the appropriate - blank
below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
•
s 6,3
QC // Date AWAPrint Name
41 Telephone Number With ;.Area Code

Mr.David R.Tiskiewic --^�- --- .__.-
ro 615 Lockwood Ct SE
111011)
Aiiiii Bolivia,NC 28422fr ,;/,7c Cam/
DAVID 1iSKIEWLC
LOT 38 ST 11ON ONE- - RIVER RUN/ RA+.17cT10,V
LOCKWOoo FOLty rwN. BRUJswicl co., r r,c.
Sc,4LE =14=4O' 0A-rE : 1(0 JU1,.4E 19V9
M C. !( PG. 25b
o to to 30 ao so co
TH15 PROPERTY 'S Iii F0000 zoNE VE-74 Ay F-i.R.M. 370295 035.5
DAYEO Z APRJL fpy/.
tii83.45E'"
,
1
_\'(iCs- 38
.
• Lv
elo
69.
td=7 CL_ IT:
���
f
•
- \
•• - AIVIE E.LE'NiS
2.Z 40 SM ITHT(Dwr.1 1
BOL1v1A, NC 284-2.
PN.916-2.53-326Z

n a
1 YeI. w � _
L Cn4.4 ."4:
W y, `fit
•
i DAVID R TISKIEWIC 05/99 1392 r F"
CAROLE AT
TISKIEWIC
615 LOCKWOOD CT SE
BOLIVIA NC 28422-7782 ! 9f 8-426/514
�o male C c � 2D303 4
I
mo d., C
i rAY. oni./.„9,e z, ,
. ' odsZeze A-2.64(6eig-e_ce
—a
BB&T
-
BRANCH BANKING qNDSBU TRUST COMPANYVIRRGIN ( a n
FFREDERICKKS IA01,
e
Juno �J© /r. lJ l .fi �iaP -�� 1C. Y
i:05 i140i, 2601: 5 L 3 1 79406311' L 39 2
P+ zT e
ill. �•'.- y1,
_ s
.
i1,i
Iv,