86132A_Tafelski, Julie_20211027

L&CAMA a DREDGE & FILL
GENERAL PERMIT Previous permit
Date previous permit issued
%New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
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 SA NCAC - r j' • 120 rtv Rules attached. ❑ General Permit Rules available
at the following link: www.deq.nc.gov/CAMArules
Applicant Name T" �- �GI/"`e� /, �) M �! Authorized Agent 6yAaak Ll E) l 0 f LJ
Address 1 r �7 I)J1( V i viv l /i' 1 V`- Project Location (County): tywl� ,/i
City State C_ ZIP : I,� �Street Address/State Road/Lot #(s) c li a-V {Jc� &w
Phone # (%0) 220 — 5505 \11 t y day ' ' UA - am
Email �q �nn.e Cu S 1AC1.�A b�C@ a a.� L �YN Subdivision. Co
City l VIA yi oy-116 ZIP24-tNs
Affected ❑ CW XEW %PTA ❑ ES ❑ PTS Adj. Wtr. Body ( t 4ALkQ Ai/'-1 [) �-V .WSZI (na(ma nk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ElPWS Closest Maj. Wtr. Body .-� ry1 (Jeyy CL4z U- (-21 �LL-i yi
ORW: yesc PNA: yes noel;
Type of Project/ Activity C V , '7;''V i— CA-'• 44-- 14' A. 11' R(rk-L- Ud al e l l'it i
Shoreline Length �J
Access Length
Pier (dock) length \
Fixed Platform(,)
Floating Platform(s) \�
Finger pier(,)
Total Platoorn
Groin length/
Bulkhead/ Ril
Avg distance offshore
Breakwater/Sill
Max distance/ length"`����
Basin, channel
Cubic yards fV
Boat ramp
Boatli Boathouse 14 it
Beach Bulldozing I
Other
�a
o I"�'\yr
`AWN
V
SAV observed: yes (O11 rq
Moratorium: n® yes no - 5� 4'1 V
Site Photos: 8,' no,4—`�^Riparian Waiver Attached: no A building permit/zoning permit rt Y be required by:
Permit Conditions _
1 MCA c 01. i
eF -tom wakeAC-10
O PMA6 , __c-c[.Q
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE
William Eger
gen A7pgl'ic_an-t-PRINTED Name
Signature "Please readKompliance statement on back of permit' `
401.Cc , QC; .� ! U � Z
Application Feels) Check N/Money Order
N t�
.1-- exi s� I bWAW
Ar u�ariZe�1 �
8o a4- U
x
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial) WE
10
Permit Officer's PRINTED Name..
Signat e ZOZE
iL" i -Z-f / *A& —
Issuing Date— Expi lion Date
S1N L

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Julie Tafelski & David Osborne
Mailing Address: 1158 Harbour View Drive
Colington, NC 27948
Phone Number: 570-220-5505
Email Address: [e-mail]
I certify that I have authorized Affordable Bill's/William Eger
Agent / Contractor r
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Install 4 pilings for boat lift
and 1-10,000 lb. boatlift. No electric connection.
at my property located at 1158 Harbour View Drive, Colington
in Dare County.
I furthermore certify that I 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:
Julie Tafelski & David Osborne
Print or Type Name
(,tail e
Tittle(
-1
Date
This certification is valid through I I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
Julie Tafelski & David Osborne
1158 Harbour View Drive, Colington
Mailing Address of Owner: same as above
Owner's email: [e-mail]
Owner's Phone#: [phone]
Agent's Name: Affordable Bill's/William Eger
Agent's Email: [e-mail]
Agent Phone#: [phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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.
>t I DO NOT have objections to this proposal. I DO have objections to this proposal.
if you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27949. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
'D I DO wish to waive some/all of the 15' setback C i
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Roger Dow `--i
Mailing Address of ARPO: 1156 Harbour View Dr. Colington, N C 2,79/48 /
ARPO's email: ARPO's Phone#: 3�_
Date: ` *waiver Is valid for up to one year from ARPO's Signature"
777- Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Julie Tafelski & David Osborne
Address of Property: 1158 Harbour View Drive, Colington
Mailing Address of Owner. same as above
Owner's email: [e-mail]
Owner's Phone#: [phone]
Agent's Name: Affordable Bill'sWlliam Eger Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner}
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 DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in wilting within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St, Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive somelall of the 15' setback
-0R-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank) & S K
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Alan & Susan Kundrock (1160 Harbour View)
Mailing Address of ARPO: 515 Lee Dale Drive, Heathsville, VA 22473
ARPO's email: 5•
U/V -D fZ 0 c K L c ARPO's Pho a#:
Date: ` z $ Z 1
S "1 t - 2t(i - G _I -1 8
"waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

r
as.
This map is prepared
from data used for the
inventory of the real
r property foPrimr tax
purposes. ary
'. information sources such
as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
of the information
contained in this map.
i
t �
1158 Harbour View DR
Colington NC, 27948
Parcel: 019914000
Pin: 986308975863
r
Owners: Tafelski, Julie L -Primary
Tax District: Colington
Owner
Subdivision: Colington Harbour Sec N
Lot BLK-Sec: Lot: 22 Blk: Sec: N
Building Value: $230,500
Property Use: Residential
Land Value: $136,400
Building Type: Multi-sided/dome
Misc Value: $9,300
Year Built: 1972
Total Value: $376,200

f

pi