HomeMy WebLinkAbout86107A_Machnak, Joseph & Ann_20210929®CAMA 0l DREDGE & FILL
GENERAL PERMIT is
Na 86107 B C D
Previous permit
Date previous permit mwW
K New ❑ Modification V � Complete Reissue ❑ Partial Reissue
As authorized by the State of North CarorM Department of Environmental Quak and die Coal Resources Commission In an am of errAronmental concern pursuant to:
I SA NCAC rl 14 - Rules attached. ® Gecm d Permit Rules available at the follow ng link; —9m,ric p dC d �a.*
Address _, 1 Wa v�¢gtA C J SK:.eLV11% A.A. Projea Location (Count# II—Q 41
ciry El'cut" C.`� l_ scars W_ Zip al Q V'1 Street Ad& ea&ate RoadlL t #(s)
Phone#(qn) y'55��63$ 00 sc",es
I§rnU-��ncccA ak�amci�l Coy, Subdivision �-
city Etvmbl 7JP�Q4
Affected OM KM fit] PTA ❑ n DM Adj. WV aMy L f�mnm/urrlr}
MC(s): ❑ MA ❑ MA ❑ UW ❑ SfnMA c-a PW Closest Maj. WV. Body M c aw0 w [Z 'Sc"
ORw: ye C Mk yesn i t l .t c i - f ,__:._ , `. ! , J ,/ -
TYPE of
Floating Piatform(s)
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Pin r ie a)
lie P r(
Total Platform area
_ _._s .
Groin length/tt
•�.�`-'_
Sufkhead/ Riprap length.
; . _ ....: ..:.. ...
Avg distanceoffsho2
Breakwater/Sill
•"�--<--•�-- ---
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Max distance/ length
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Basin, channel -,
_
L�-
r
Cube yards i
Boat ramp �• r r {-e
Beath Bulldozing�(
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Other
SAv observed: ym , u. _�__ h _: _ ;- +-- �-=—• �f , _.
Moratorium: yes no ' tn•;i- t .;_ _ +- ,_�>
Site Photos:jA no
I..�. ��y..-.a-�� ..{ ...� i—..t._..._ i "_ `•,-i
RlparianWaiver Attached: no I.,.,•.9�_ _i_' ' ' i_i..`_ �.1r_Li,..-r
A building permit/zoning permit may be required by: 9 L. V, �[X�
Permit Conditions --�
Name
Signature "Please read Compliance statement on back of permit**
- A ac o. �
Application Fee(s) Check #/Morley Order
TAR%P"NEUSE/BUrTER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
au xtyn`WED COMPUANCE STATOUNT. (Please initial)
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Permit 3 PRINTED Norge J
Sigma FY��4✓ t�
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Issuing Date Expiration Date
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or NAND DELIVERED
Name of Property Owners J dseel. ; tAa.(, ew- (
Address of Property: ((oo 50(� LA6 &5g >< ( 1,0 � � &.irc-X G 47 rJ C- - 2 ? IFdr
(Lot or Street t, Street or Road, City & County)
Agent's Name #: N to
Agent's phone #: P/4
Mailing Address: Pf t A
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
-X— I have no objections to this proposal. I _ 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 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at(252) 264-
3901. 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 sign the appropriate blank below,)
1 do wish to waive the 15' setback requirement.
(Property Owner Information)
K
'i rure
Print or Type Name
8z6LA G--s 66AC�4 1-0
Mailing Address
&Ata,b&�-L lac, S
City/State2ip
'75 7- H 157 31
Telephone Number/Email Address
'I-1s- 2,01-%
D�t1
I do not wish to waive the 15' setback requirement.
(Adjacent Property Owner Information)
-�knai ure
Print or Type Name
Mailing Address
/117/1 G 9T-w t ,41J, Vpp Z 3 (l 3
City/statelZip
90y -3&5 -) 6 V5 `&, de ja, rytt rZD- +
Telephone Number/Email Address
q1
Date*
'Valid for one calendar year after signature' Revised 2017
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: 3 05cQl, I V--
Address of Property: tfpd 56(r 5 WOL� 60 & b,6wX C-34V r,) L . Z 7 `!'e5
(Lot or Street #, Street or Road, City & County)
Agent's Name #: N M Mailing Address: t-(I A
Agent's phone #: N/4
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 notify the 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 (252) 264-
3901. No response is considered the same as no objection if you have boon 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 sign the appropriate blank below.)
I do wish to waive the 15' setback requirement.
(Property Owner Information)
Si` lure
Jow" i VOL4, •ate
Print or Type Name
tw &06+Ltc-S Sr -,A" L-0
Mailing Address
GLt ?,v, 6 i:L c,: � � !J (.i 79,,S
City/state/Zip
-15 7- 14Sf- I 38
Telephone Number/ Email Address
Dare
I do not wish to waive the 15' setback requirement.
'Valid for one calendar year after signature`
(Adjacent Property Owner Information)
SiQ`nature * /
jmes L, —?)EVV y
Print or Type Name
S'6 DoG wv s -J�C40 LN
Mailing Address CC Ile A
C; r/, /V� 1?9.9cd)
City/state/Zip
('75 7)633`6*6 �6)7A4;i 4amN
Telephone Number/ Enfail Address
O �"a /? ZOZ(
Da�
Revised 2017
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