Brzezyaski, Jay 76661C

IT'lModification ilCompleteReissue ilPartialR€hsue
As.littoriz.d bydioS@of Nordr CirolkE, D6f rt ne of EnvtrorxrE ral Qtdlq/
and thc Coastal Resources erwironmefltal concem porllEnt to l5A NCAC
^-
L Proi.dl-o.ation: County
ZEEEEEi--q- ryJ1"12../
Streer Addr${
Pr6/ious permit #
Date prryio6 permit issu€d
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D
Applicant Name
Address -o t{
Phone #
Arthorized Agent
p),,o
4
State ztP
Statc F6d Lot #(s)nl( 9,'n1 ,+-, I /
E-Mail
q
Subdivision
Phone # (_)
Adi. Y/tr. Body
Clo6€.t Maj. Wtr. Body
zt?
A'ectEd ccw V€v e,fta ,tlEs tr7rs
AEC(s): Ll oca u t{t{} .]lH cula o rga' tr R9S:
fuver
PNA yes
TIF ot Proiccv Actiyity '7{',c ,'4
PLr (ddr) brEth
Fixcd Pldorrn(s)
(hb7l7 )
Flo.tirE Pl.dorrn(r).i .1 1,,\
i_)
tr-.4 f. ,,:,/
I
I
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i
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FirElr par(s)_
Groin lensth
o$ic f.rd3
Boat rrmp
Boa6or6d Bo.tlift
Bcad!
Othg,
rr'*jil't"'
SAv: nol rln
i&r.to.trlrt de
Pho.ot ,ta
t)
ffi!\-/
,@.
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i
tI I t-"i 1
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regarding RivcrA bulldrfls Fnrlit rnay be roqoired blt
( tlote Local Phnning Juridiction)
't\..y-I Sce back Basin rulea.
t L l/,,,i g7 !;1y:..r, * ../Note, Spedal Corditions
I ..Lcr-l)
saternentoo back ofPermit rt 5 C -\
Chc<k #
L-a .,.1
Date
I FILL
oRw.
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EN N9 76661 AB o
As authorized by
and the Coastal Resou
LlModification
the State of North
IT
I rComplete Reissue E partial Reissue
Carolina, Depanment of Environmental euality
Previous permit #
Date previous permit issued
pursuant to I5A NCAC
Proiect Location: County
Street Address/ State Road/ Lot #(s)t
an
State
envaronmental
ztP (,q1 634
Address
Affected
AEC(s):
oRv/
Ciq/ot
Phone #
Authorized Agent G
Subdivision
City
?fw *')7rA -4fts) Lr- pTs
HHF I IH LrUBA tIN/A
PNA yes
c
E-Mail
zt?
cw
OEA
PWS:
Phone # (_)_River n
Adj. Wtr. Body
Closest Maj. Wtr. Body
)
)c
Type of ProiecV Activity 2 r L ,r/
Pier (do<k) len$h
Fixed Pladorm(s)
(fuler/u17')---r----_
Floating Platform(s)l 4.,'t^
Finger pier(s)
Groin lenSth fjl
ber
prap lenSth
max distance oflshor€
Basin, channel
aubic fads_
Boat ramp
Boathous€/ Boatlift
B€a.h Bulldozang
Other
-t-i t#F
Shor€iine LeaSth _
SAV: not surc
Mor&oriuri: nla
Photos:
.f:*()
EW,*0 lc'
fvter c Ly'L See note on back rcgarding Basin rules.
Notes/ Special Conditions lar^-JC oAJ tblJ q/rfo-*S(
oy'
Agent or Applicant Printed Name
# Please read
Fee(s
compliance statementon backof
Check#
Permit Ofliaer's
lr-"
/t
Date
& FILL
Applicant Name fr
D
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L"A buildin8 permit may be required by:
( Note Local Planning Jurisdiction)
Statement of Compliance and Consistency
This permit is sublect 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 proiect site and accessibletothe permit oflicerwhen the Proiect is inspected forcompliance' The
applicant certifies by signingthis permit that l) Priorto undenaking any activities authorized bythis Permit' the applicantwill
confer with appropriate local authorities to .onll.In that this profect 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 adiacent riParian
landowner(s) .
The State of Nonh carolina and the Division of Coastal Management, in issuing this P€rmit under the best available
informationandbelief,certirythatthisProiectisconsistentwiththeNorthCarolinaCoastalManaSementProSram.
I I Neuse River Basin Buffer Rules
lf indicated on front of permit, your Proiect is subiect to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffei rules are enforced by the NC Division of
Water Resources. contact the Division of Water Resources at the washinSton Regional office (252-946-6481) or the
wilid;; R"8'.naloflice (g l0-i96-7215)for more information on how to complywith these buffer rules.
River Basin RulesAPP|icable To Your Proiect:
]l Tar- PamlicoRiver Basin Buffer Rules
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I -888-4RCOAST
Fax:[phone]
(Sewes: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth Citv District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
257-264-390t
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
L l other:
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax:252-948-M78
(Serves: Beaufort, Bertie, Hertford, Hyde'
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
WilminSton, NC 28405-3845
9to-796-7215
Fax: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://poral.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
Subject:
Cannon. Amanda J
From:
Sent:
To:
Attachments:
Ryan
Tha nks
Davenport, Ryan
Tuesday, May 26, 2020 9:33 AM
Cannon, Amanda J
FW: [External] 410 Emerald Dr
AgentcAMAPermit.pdri CAMA Minor Deveropment permit - 26.?dt 2or612r revised siteplan.pdf
From: Greg Hall Imailto:[e-mail]]
Sent: Wednesday, May ZO,2020 1:01 pM
To: Davenport, Ryan <[e-mail]>
Subject: [External] 4tO Emerald Dr
I am still waiting on the certified mail receipts for the notification of the adjacent properties at 410 EmeraldDr' You met we Josh and me there last week. Attached is the application, site map and owner authorization.
As soon as the receipts come in r wifl send them over. Let me know if you need anything erse.
CAUTION
1
Greg Hall
Ace Builders lnc.
252-422-2596
Fax [phone]
[e-mail]
External email.Do not click links o(open unlessattachments you allSendverify.email anassuspicious toattachment
CAMA Minor Development Permit
Land Owner Name
Jay & Lora Bzezynski
Land Owner Address
12525 WHITE DRIVE, FAIRFAX, Virginia 22030
Phone
[phone]
Authorized Agent Name
Greg Hall
Authorized Agent AddresB
PO Box 4910, Emerald lsle, North Carolina 28594
Phone
(252\ 422-2596
Size of loUparcel
16,339
Location of Project
410 Emerald Dr, Emerald lsle, North Carolina 28594
(Address, Street name and/or directions to site. lf not ocoanfron! what is the name of the adjacent
water body)
410 Emerald Dr
Bogue Sound
Email
canesdevils@g mail.com
Email
38
Proposed Use:
Residential
Single-family
AOO Ien netel
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit fficer if you are
not sure which AEC applies to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED
STRUCTURE: (includes air conditioned living space, parking elevated above ground
level, non-conditioned space elevated above ground level but excluding non-load-bearing
attic space)
Description of Proiect
New SFR with bulk head at the sound
(2) COASTAL SHORELINE AECs: srzE oF BUILDING FoorpRrNT AND orHER
IMPERVIOUS oR BUILT uPoN SURFACES: (includes the area of the roof/drip line of
all buildings, driveways, covered decks, concrete or masoffy patios, etc. that are within the
applicable AEC. Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT:
ls the project located in an area subject to a
State Stormwater Management permit issued by
the NC Division of Water euatity?
No
orHER PERMlrs MAY BE REQUIRED: The activity you are planning may require
permits other than the CAMA minor development permit, including, but nit limited to:
Drinking water well, Septic Tank (or other sanitary waste treatment system), Building,
Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energ, Conservation,
FIA certification, Sand Dune, Sediment control, Subdivision Approval, Mobile Home
Park Approval, Highway connection, and others. Check with youi Local permit officer for
more information.
STATEMENT OF O\MIERSHIP:
l, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property
in an AEC or a person authorized to acl as an agent for purposei of applying-ror a cnun minoi
dev.elopmenl permit, certiry that the person listed as bndowner on thii iipli&tion tras a sitninLnt inlerestin the real property described therein. This interest can be described as:'(check onej
an owner or record title, Tifle is vested in _, see Deed Book
page _ in the _ County Registry of Deeds.
_an owner by virtue of inheritance. Applicant is an heir to the estate of ;
probate was in County
-if
other interest, such as written contracl or lease, explain below or use a separate sheet & attach to
this application.
NOTIFICATION OF ADJACENT PROPERW O\/V}.lERS:
I furthermore certiff that the following persons are owners of properties adjoining this
property. I affirm that I have given AGTUAL NOTIGE to each of them conceming my
intent to develop this property and to apply 1o. u 9414.,{ permit.
3,633
(1) Name
Scott Wallace
(2)Name
Grace Brown
Address
146 KINGSTON DR, CHAPEL HILL, North Carotina
27514
Date
5t12t2020
Landowner or person authorized to act aa his/her agent for purpose of filing a GAMA permitapplication
Greg Hall
This application includes: general information (rhis form), a site drawing as described
on the back of this application, the ownership statement, the ocean Hazard AEC Notice
where necessary, a check for $100.00 made payable to the locality, and any information as
may be provided orally by the applicant. The details ofthe application as described by
these sources are incorporated without reference in any permit which may be issued.
Deviation from these details will constitute a violation of any permit. Any person
developing in an AEC without permit is subject to civil, criminal and administrative action.
Addresg
5132 NORTHGREEN DRIVE, FUQUAY VARINA
NC, North Carolina 27526
(3) Name Address
(4) Name Address
ACKNOhII-EDGEMENTS:
l, the undersigned, acknowledge that the land owner is aware that the proposed development is planned
for_an area which may be susceptible to erosion and/or flooding. I acknowiedge that the Lo;i Fermitofficer has explained to me the particular hazard problems asJociated with th'is lot. This eiplanation wasaccompanied by recommendations concerning stabilization and floodproofing lechniques.
I furthermore certiry that lam authorized to grant, and do an fact grant, permission to Division of CoastalManagement staff, the Local Permit officer and their agents to enter on the aforementioned lands in
connection with evaluating information related to this permit application.
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting permit:\ Lo,"-.Bc.*
Mailing Address:5- W Xlo Dr
03o
'Jo> A ]o Ol f).--
C-,3..,F\e.-s )""1)s
(
Phone Number:
Email Address:
I certify that I have authorized G \,/ J
, C,rrr-...
c
/ Contractor
to act on my beharf, for the purpose of apprying for and obtaining aI GAMA permits
N ar-,,V.anro- ,-a'.rr\f 'fo."r'..-
at my property located at O \
tn e-/e-County.
J
IJ )(vrY
l-f1tllerm9r9 certw that r am authorized to grant, and do in fact grant permission toDivision o-f coastar Management staff, the Loial permit officer aro in"ir rjinti iiri",on the aforementioned lands in connection with evaluating information i"tai,t iti iii"permit application.
Property Owner lnformation :
_1 ,
Tide
lr- r )-€
Date
This certification is valid through
.L
necessary for the following proposed development:
.E- D r."--,-.,-./,'i I
eri*Jr rypefriie-
-)-
ETA^LD DR'IE
N.C.5a
Si
Allrmc OcEirN
oc€AN ORIVE
l.,lE PEFc RrEnfl col,fl{ty ," J-_/^
[e"g:":^;
UT€ P€R
c flEnEr cou[TY cts
ound sF-Sl.;t
t/2'El,f,.
IN EDGE OF
l'Ets.6' AEOVE tN
C
$
t,ft VICINITY MAP
D NOT TO SC r.E
- r+o)
'.qir.
Ab
LEGEND
EI.P. E(ENNG NON NPEsr.s sEr no sra(ER/t EGI|I .Ir TAY_r'.Es.L ralNuura Burrltrc sEIElct( L9€t/.8. IrP BOO|(
PG. PICESF. SQIXRE FEETI CEXTE'{JNE---EC.l. EXlsIllG CO{CREIE Io|{ILEIIEt.s. Eosnirc no{ s GEra.N. Eosms Llc M{-s.ta.N. sET Llc t{AtLP.P. POIER FOTEer. qrY reU.I1 TATER IGIERmu,otFr tlG-|f\|ritEi uf-
-
B,lUlI| lt{E-(,/EF E D Uli.tlY frE-f,-
ElsEtfxT u{€-Roo mac ut€........ ......-.....
o.R.rr"Ec.
^nJrg'Hmmfi t#qs..22 SFOI ttEtllrr{co{TouR tt€
-e -
iAnn^I rnE uf€ -.-.-.-NOTES
I
il
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6-l
7.\
IRE =ra.5JO.O S.F.(AY @O@|l\l^IEOlrgff - t:10.ffi; Corfirr IOar).
RETEnE)&€ : I.a 3 PGJC
P.l-N. lM,tl l5GD(E lllxr.
FrOoO Zol€ :Zo.iES gioll{ PER F-|.&L-
J720AJ2aOqJ. 7-tt-2003.
FIi.AL ll^P RECOfttED :1q64.IH6 PROftNTY E S,AEI TO A!
E(*IIEXTS, rGREErGlrTq A{O R6HrSOF AY Of RECORD PRTOR TD 1I€ DAIE6 T}6 FIAT.&) rmREss4ro ETEMTD of vE
s.t EflnE lor 6 urr r nE 5/5'o-Rr-lEc-to-) nE@io FtlT tits ito BE^l |o' nCFtnOrED SO lSSt LED IE,EtlCxxlx t90t fRoI taxntac grct€.
II.) EI{IIRE L.qI 6 LIIED IO 5*
-gER\mUscCryERE.LI.P.
2) i{E Ra G NC 5A ls 6(,' f,fl}l AN. ADOIIIOI{AL 10'OF ETSEYEXT ACH SDEmR a Tora oF 80' sEE o.B.Jqs. PG.s7..?',
E.t.s.
S C.
EX.tl. AT a56ffi"S*
Eme '{$rl
A roT[ oF e'Elr.N. Af q
htTEsEgnoN oF sth bl
20I} O'ERALD OEVE trPER\rqJs IREA Cllrcu-AlroNs5t ruroE PER Clra^r5.Jot.6,t SF. AA(^'E NO II rxH U ]In
r5.JDl.6,t r O25- 1.8,t7.91 S.F. ltl-OrrED
HoiJSE ll PORCI€S- 2724.12 lF.
ORi/E r PARKNG- 1121-t() SF.roTtl PaoPosED- 3.8r17.9r SF.
30 0 30 60 90
GRAPHIC SCALE _ FEETI*B ITF IS NOI MR RECORDINA
115
119
PORCX
PROPOSED EtXHEtO........A{o 8m( FllI.. . '
I
5nsl{
nnsrbffio.o'
POBOT
118
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latalrllrltrrttrlt
JoV D.,ffitezynski
Loro A. Brzezynski
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3,FJA| 59
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$
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ADJACENT RTPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I h8reby certiry that I own propsty adjacsnl to R 's
(Namc ot Property Owner)
propedy located at 4 l,o f--rt r-.. \l D
ctc.)
on N.C.
Oown andror County)
Ho has dascribed to ma as shown in th. attact.d apprication and proJect drawing(s), lhe deveropmeflth€ is proposing at that locatjon, and, I have no objeaions O tris oijpo'J.
ON
GraiEt N/l arie Brown
F
9
Ju
71
020
Address,
tn
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hsreby csrfify that I own pr@eny Edrscsnt to 's
(NEmc of Propcrty Ownlr)
p.oparty ,ocsled 8t "l l,o tr-"'. s -., \,{ \ u
Addrass, Lot, Block,Ro.d, ctc.)
on ?-".", * S....^.1 ih 4,1/N.C.\-qptctocvt
He har de3ctlb€d to mc as shown ln lho attached appticauon and goiect drawLg(s). tho dcvelopmsnthe h promdng at that tocauon, Bnd. I havB no ooleaions to tr;s prop&d. -' '
(APPLTCATION AND ORAWNG OF PROPOSED DEVELOPMENT ATTACHED)
(Yow'r County)
S
P.int or Neme
a
Telephooe
Ob /a I /.t>tc
Oete
signature and confirmation of no objection basod on construction of th€ bulkhead as shorrn on theattached draw{ng.
Bulkhsad is to be constnrrsd arg_rir€ roward Bogue sound arong t," indicared cAMAdesignated Nghwater ma* as it approaches OlJr property. tt
:J<*u)