86154A_Ploschke, Daniel & Lisa_20211028

rk V
0 cus`
❑ CAMA ❑ DREDGE & FILL a(Z 9 86154 A ` B C D
Previous permit
4. GENERAL 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:
15A NCAC ' 7/`t , / Z �] Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name DO, tl• e ' 9`
L ' 5 `
O I C' 6 Q-%, ' '
Authorized Agent
Address 9 CA GA c. r
S f, - `
1c b/`� C.
Project Location (County):
City W (` S State
�O '
zip ! �� S
Street Address/State Road/Lot #(s)
Phone # (_) L / %
Email Dsn '�/ a 5 c_ 1, K'< {3 `/
�. -� ,
`
Subdivision !! f
City zip Z- -2 cI 3 's
Affected ❑ CW ❑ EW
❑ PTA
❑ ES ❑
•` ' �
Adj. Wtr. Body y (nat/ "nk)
AEC s : OEA IHA
() ❑ ❑
❑ UW
SPIMA PWS
❑ ❑
Closest Maj. Wtr. Body :a n 7.
ORW: yes/no ' PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no i
Moratorium: n/a yes
Site Photos: yes no p••
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: af, +•.
Permit Conditions
(Scaler
x:. i 4..... _._....
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1.
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. q (Please Initial)
Agen o Ap licant PRI me Permit Officer's PRINTED Name
J J
Signature*'Please rea compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

Statement of Compliance and Consi cy
J
This permit is subject to compliance k this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or crin
d or civil action; and may cause the permit to become null and void.
This permit must be on the project sit
nd accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by
ning this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with
)ropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordina
s, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of deliver
f certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the D on of Coastal Management, in issuing this permit under the best available
information and belief, certify that thi oject is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your ject:
F] Tar - Pamlico River Basin Buff Ues F-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your F
?ct is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above du
, its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If yo
3ve any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946
81) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the rE val or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriat; land location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/ 1-888-4RCOAST Fax: [phone]-6481
(Serves: Carteret, Craven — south of the Neuse r, Onslow Fax: [phone]
Counties) (Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District
Wilmington District
401 S. Griffin St. Ste. 300 127 Cardinal Drive Ext. Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
(Serves: Bertie, Camden, Chowan, Currituck, Dz Sates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm- -ne Revised6/01/2021

Ur-M 1 IrICU IVIHIL ' Mr- I UKIV Mr-UCIF' I Mr -UUCP I CU UI nllltly Ur_uvux l
(Top portion to be completed by owner or their agent)
Name of Property Owner: J n."-j /%�
Address of Property: J T ZA(f k) 9 F,4rJ S u /I5r1 S C U , 46 � 7?36
,
Mailing Address of Owner: / G� �E�' J �,� � �Ur7� ail,4 r 5 j 19 ��
Owner's email: I)AIVf ZdSe-hAl!rg—/,�k-w-6- 6wner's Phone#: 9 %
Agent's Name:
Agent's Email:
Agent 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.
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, 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 th setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setbackx1___
Signature of Adjacent 4arian Property Owner
-O R-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: D f} r
t
Mailing Address of ARPO: 00
ARPO's email: SL�yrLi50 gOL I ARPO's Phone#:
Date: Id �O - *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

am
►S C, Dj\nSION OF COASTAL MANAGEMENT
ADJACFNT RiPARiAN PROPERTY OWt4R NOTIFICAT14t1MANER FORM
,1tF� O 1 f,rt�,rtr: Rfr ItaT aQtSrE�rr tif4rr`i?
(Top i�oom ea be ad try ~Wore "tf �J<,•rl�)
rtaNt�110 Prr""'tr owl-W «►o«+ O G / i _
Ae1'�.t!1,�E llcr 7�
ctrres. y
dvfner s rr t ,rs ¢ cif !!� �',. _y%>wmees Prrorrot
A is r r: AaerA P1yo *o
Aft I A CENT RIPARIAN PROPERTY OLMhtI~" C9XTIF iC ATXW
t q n to t*s sutMOJIWI kL2A-&9 sII0 Prosr<M Q !J
tic c try ;rr �! tj= t a�. � cam- � <„r ;« c :,t .r rs e-t- 3a e�rre T' r "r ow axe
r
tN+" mit rt" oesoibed to tne, as t imm an rw &Mbch d arawM Vie Gar: +, astt OVY ors prop�
_'AL irc ceari4s4 N+►t td�as1 VtX
DO NOT ha.e obodbiom %D out imvvsiA I DO have tXnc.. Oft 10 :.etc+! V000
4 N you h~ o6poct sons to where �ot� awep�t nat�lll �t N Al vks,an W Caasttf
}r Efa ent DCAIJ In wYkkv wlrAtn 10 dW% of tece" of this nonce CLwr##pond@act should be
" omftd 9D J+IIf S. Gird U. Ste, 3W, E&&b*M COY, MC. 27902. D" IPl t+ UV" can atsa be
COAAC/fd' W ( S2)2t4-190r No response Is cot) Lk a id &a s r�no as mtO o c C000 N YW he been
nor~ by Corbtkd A/akk
WAN tR UCTtON
I ur s Ar4 t.*tal any proposed pw ou*, t+fipvino p&VL. float nV"p, bre"+ .:iet-r be Mo%" W at
tom+ men t be set a erWWmWn owme" of t "M my ar" d eoillSat► a<> a&% ur'ef4 wWAO by tree
(Mos does MA At'1C to bukhOlIft Or riprfp reWIfr Mts) (tr yeas veldt for v ouve "re VA-ar_k YOU Mmd am
LW appropnate tuank below)
I DO wv.h to waive sarrwa9 at V* 1 S' �IJ
Soak" o(A(,riC7C r i i.' ,4nm PrtL f" Qw nef
.014.
t do root wto lo way trio t 5' g4M4x►c mquwrWt (W" the Qlw*)
Sgnature of Ad*ent Ripwun PIOP&V Ovenet
TypedA%rbW*d name at ARP'O' (y 1�
M&UivV Adder of ARPO: -�-06 A �V1 li :• f r e [v !
ARPO's ewmi#: h A ikppA S 7z7_ TM 411 yZ; O's PhCrIW. 21i
Data. /0— 9, / — 1�1 l "waiver tz va6d tar up to oar* year horn A KPO'S $$gn*tuW
Rvkwd My t''4)!2r t
Sent from my Wad

t

IT
This map is prepared
from data used for the
. li r) /.
inventory of the real
�J'
property for tas
purposes. Primary
such
as worded deeds,
as recorded deeds, plats,
L
wills, and other primary
+f
public records should be
co nsuked for verification
of the information
contained in this map,
I
50044 Blackbeards CT Owners: Ploschke, Daniel W -Primary
Frisco NC, 27936 Owner
Parcel: 011725000 Ploschke, Lisa A -Primary Owner
Pin: 051608787720 Building Value: $183,700
Land Value:$140,300
Misc Value: $7,000
Total Value: $331,000
Tax District Frisco`
Subdivision: Brigands Bay
Lot BLK-Sec: Lot: 130 Blk: Sec:
Property Use: Residential
Building Type: Beach Contemporary
Year Built 2000
r rrr t t .r• r•r r