HomeMy WebLinkAbout86461A_Kralik, Andrew & Harriet_20220202Im
❑CAMA ❑ DREDGE & FILL ery N9 86461 A B C D
3ff--F�
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 a " ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (�_)
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
TVDe of Proiect/ Activitv
S (Scale.
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
Cubic yards `r
,
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
yes no
Moratorium: n/a
yes no
Site Photos:
yes no
+
Riparian Waiver Attached:
yes no
A building hermit/zoning permit may be reauired bv:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
15
i
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Si ature **Please read compliance statement on back of permit**
Applicati6n Fee(s) �L-� > Check #/Money Order
Permit Officer's PRINTED Name
t
Signature
��-?- C-,)-2
Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:, Q.R u(2W A
Mailing Address: V ��C'
x
Phone Number: X
Email Address: x, (eA �ra<Akq
I certify that I have authorized % ` G� &'h "J5
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: A5 1(CA�e c!
at my property located at
in Ccel'14td� County.
wGC
1 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:
I ISignature
�ww�
�fa4<
Print or Type Name
Title
Date
This certification is valid through g / :�p / -00Z2
■ Comple items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: WO' a+
A. Signature (� I? Agent
X 'as �� 1 1 '\ w� El Addresse
B. Received by (Printed Name) C. Date of Deliver
L , 1'-t,_11wu!cit lo-- 6 11
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: R No
3. Service Type
❑ Priority Mail Express®
I
I'
111111111
III
1111111111111111111
❑ Signature
El Registered MaiITM
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restrict
❑ Certified Mail®
Delivery
9590 9402 3209 7166 6720 70
(;.Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
2. Article Number (IYansfer frnm .c—i— r tian
F7 r^"^^` -i Delivery Restricted Delivery
❑ Signature ConfirmationT
❑ Signature Confirmation
7020 2450 0002 3104
tail
0897 tail Restricted Delivery
Restricted Delivery
tuver a ouW)
:IS Form 3811. July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
■ Complef8 items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
L 16-\ck N1O-GA
) .3-? ire 2d
oA
I IIII I'I IIIIIIII I I II II I IIII
9590 9402 3209 7166 6720 87
?. Article Number (Transfer from service label)
7020 2450 0002 3104 0903
ns Form 3811. July 2015 PSN 7530-02-000-9053
A. Signature
X L'�
B. Received by (Printed Name)
0 Agent
❑ Addresse
C. Date of Deliver
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered Mail -
El Adult Signature Restricted Delivery
❑ Registered Mail Restrict
%ZCertifled Mail@
Delivery
❑ Certified Mail Restricted Delivery
D Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
0 Signature ConfirmationT
n 1--rl Mail
❑ Signature Confirmation
Mail Restricted Delivery
Restricted Delivery
00)
Domestic Return Receipl
I]
DoocA
(A'l, L�N
414-
aF ro
4a�l k
sae
eab
Currituck County GIS Data Viewer
Currituck County GIS
Phone: (252) 232-2034
E-mail: gis@currituckcountync.gov
Addresses
Communities
Aydiett
Barco
Coinpck
corolla
Currituck
Gibbs Woods
Grandy
Harbinger
Jarvisburg
Knott Island
Maple
Moyock
Point Harbor
Poplar Branch
Pove4 Point
Shawboro
sago
Waterwy
County Boundary
- •State
-- County
Streets
Wright Memorial Bridge
Major Streets
—Artdial_Princlpal
-- Arterial-Mapr
—Collector-Major
Parcel Land Hooks
Parcels
Currituck County
Aerial Photography (202(
Red: Band_t
Wreen: Band-2
MBkse: Band_3
This map should be used for general reference purposes only. Currituck County assumes no legal liability for the information
shown on this map.
\ - _ _ ✓w ! .. \, _.� '"s .III.
� w
_ E �
r
-
a
t. o
ORO
' 1 _ AL
a a � •�a7r� ; �n