88341C - Struyk, Russell & Allison

CAMA El & FILL A 8 c D
F
s = GENERAL PERMIT Previous permit .s
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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
.-
Address 'i Project Location (County):
City t{"�" State i '' '� t ZIP Street Address/Sta a Road/Lot #(s)
Phone #
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale.
Shoreline Length if; 4•Lr
Access Length {' / \ ' _? ! F la
Pier (dock) length �'� ) ra f'• 1
Fixed Platform(s) ` !'�- °- �-
i r
.. .. ... _ ........d............. .................................. .. ... ... ... E ._ _.
w "
7
Floating Platform(s)
3
ya j
5 �
Finger pier(s) € !......,.....,................................. .. c:.... .
3
Total Platform area . t
Groin length/# __. M _ __._. _.... _ __M _€ _
/ r
3
1
i
3
Bulkhead/ Riprap length- i, _�.... i....:.. f....
Avg distance offshore _� _ _....._ .......
Breakwater/Sill
Max distance/ length
Basin, channel
_ _.. _. ......... _...... ....w
Cubic yards } _ a_.. ,r �. 1_..
f !,
��
Boat ramp
{. r
,;.
Boathouse/ Boatlift-• r' '� t
Beach Bulldozing i
..:............ .......... ..... i................ ; ..7 ..
3
Other77
_
3
SAV observed: yes no� .__... _,......
m M
Moratorium: n/a yes no A
Site Photos: yes no ;..._ ......j........ €.. _ _...� ... ,
3
Riparian Waiver Attached: yes no�ra ,.,...._
I _
A building permit/zoning permit may be required by: � ' r4 '�� � '
'`? ❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

❑CAMA ❑ DREDGE & FILLS 88341 A B C D
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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
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
Type of Project/ Activity
Shoreline Length _
Access Length _
Pier (dock) length
Fixed Platform(s) _
Floating Platform(.
Finger pier(s)
Total Platform are;
Groin length/# _
Bulkhead/ Riprap
Avg distance offish
Breakwater/Sill _
Max distance/ lent
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatli
Beach Bulldozing_
Other
SAV observed:
Moratorium: n/
Site Photos:
Riparian Waiver Al
A building permit/zoning permit may be required by:
Permit Conditions
P
(nat/man/unk)
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
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
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Fee(s)
Signature
Check #/Money Order Issuing Date
Expiration Date

. � l 1. • : Y.• 1 •�� � .,.� �..� 1 __.�' -1 1•1�.
Name of Property Owner Requesting Permit:
Mailing Address: Q3 -Ti &ni& WeA*=
t3c am ocv
Phone Number: �o�5e?) r7,IiS $q
Email Address:
I certify that 1 have authorized Nodel WOM
A9W / Con WlOr
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 5 i / S z -p�oe-x �vAtk,woY
/l 'r i 7 17%aGc ?" (Z) - -ro r (,,,F i s /3 >d 13
at my property located at 395
in Car kf CA— -County.
I furthemore 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.
Ptintor f

N.C. DIVISION OF COASTAL MANAGEMENTANER FORM
ADJACENT RIPARIAN PROPERTY OWNER NO o E RY
CEg'nF1CD MAIL • RETURN RECEIP
(Top portion to be completed by owner or their agent)
Name of Property Owner: luasg&lk of %N lism cTLI 1 IL -
Address of Property: (); V Cr ?a. 9 DrAjdn��
Mailing Address of Owner: 05 —Ti
g1kM I ktvk A,51 (P
'Phone*
Owner's email: 1 t' is , --
Agent's Name: ArA (1.Li fb`% Agent Phonett:,a60 • US- L43n
I hereby certify that I own property adjacent to the above referenced property. The individual ap*infl for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
I DO NOT have objections to this proposal. I DO have objections to this proposal.
have objections to what is being proposed, you must notify the N.C. Division of Coastal
lNanapernent (DCM) in w ftft wh Nn 10 days of rece(pt of this notice. Corresp miens should be
mailed to 400 Commerce Ave., Morehead City, NC 2=7. DCM repr+esentmdves can also be contacted
at [phone]. No response is considered the some as no objection N you have been noMW by
Cerdfled Maifi
WAIVER SECTION
I understand that any proposed pier, dock. mooring pilings, boat ram. breakwater, boathouse, lift, or
groin must be set back a minimum distance of I F from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetnnents). (if you wish to the you
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signatu ' of A Riparian Property Owner
1 do not wish to waive the 16 setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.

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 iIU551I l 01 hllU �W1 �9'YL
Address of Property: 3a3 Pt. V« mod. &WAP-694- mac ag5 i (0
Mailing Address of Owner.
ta3 1, P
or �— v3L C()2S51LP
Owner's email:W lisontS'ywtQ RM'14POwners Phone: • rD5-
Agent's NameArda ttkbh
Agent's Email:
Agent Phone* (h • y3 r1%
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(BoUpM ooMpn to be g2MRMW by ft Adlaced Prowrty
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. g
description or drawing with dimensions must be rxovided with this r.
(�> 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• Division or Coastal
Management (DCA!) in writing within 10 days of receipt of this notice should be
mailed to 4W Commerce Ave., MmWmW City, NC 28W- DCMrWmsentodv�es can also be contacted
at [phone]. No response is considered the same as no object M f you have been nodfed by
CertiRed UaH.
WAIVER SECTION lift, or
proposed ter, dock mooring pilings, boat ramp, ` kwater, boathouse,
I understand that any pry P � of 15' from my area of riparian access unless waived by me
groin must be set back a minimum distance If you wish �setbadc, You
(this does not apply to bulkheads or riprap reveti'nents)• ( Y _
the appropriate blank below.)
I DO wish to waive some/all of the 15 setback
ipanan Property r
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.

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WEW DRAFTING & VJ 5I6N
ANDRE Vut;m
1199 NINF FOOT ROAD
NEVVVM, NC 28510
252 665 h3i8
pro c :
RUSSELL AND ALLISON STRYUK
323 PIVER ROAD, BEAUFORT, NC
o a: 01/27/2022
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2 OF 2
no.
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by
dote

Syron, Heather M.
From: Andre Webb <[e-mail]>
Sent: Monday, February 14, 2022 7:24 AM
To: Styron, Heather M.
Subject: [External] Needed Permit
Attachments: Struyk Drawing 2 of 2.pdf; Struyk Drawing 1of2.pdf; Stryuk Cama Forms.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Hey Heather,
Hope you are doing good! I need a permit for Russell and Allison Stryuk on Pivers road in Beaufort. I have
attached the forms and drawing. Let me know if you need anything else.
Thanks
Andre