Macko, Steve 80004C

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AMA / ❑ DREDGE & FILL V� NNI?�/ 80004 A B D
ENERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As au ed by the State of North Carolina, Department of Environmental Quality MZM;:�
and the Coastal Resou
rces Commission in an area of environmental concern pursuant to 15A NCAC Q7RJ/Applicant Name Project Location: County 6Address 105,-Street Address/ State Road/ Lot #(s) 8�
Authorized Agent
Affected D CW A El ES ❑ PTS
❑OEA ❑HHF ❑IH ❑USA ❑N/A
AEC(s):
❑ PWS:
ORW: yes /(ny,) PNA yes
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore `� C
Basin, channel /
cubic yards_�� -T
Boat ramp
Boathouse Boatli � %t
r r
Beach Bulldozing
Other I
Shoreline Length 77
SAM not sure yes
Moratorium: n/a yes
Photos: y n
Waiver Attached: yes no
A building permit maybe required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Subdivision
City i (/L IP_
Phone # O River Basin W
Aka it
Adj. Wtr. Body (nat a unkn
Closest Maj. War. Body
(Scale: jV/TI )
i
I ,
❑ See note on back regardingRiverBasin rules.
`ature ** lease read compliance statement on back of permit**
SD&).1 /090
pplicadon Fee(s) Check #

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: !7fe,)e A4k u
Mailing Address:
Phone Number:
- Yr// -67L
"2--76 / 7
Email Address: 5 .e'le . A a c,- °-7I/
I certify that I have authorized 141 aloe 6re1�
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at r o /its 4r', �a R ✓ f ` �� 11, : •" j . Lc
in l_`rt�c County.
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:
iz �' —Z "
Signature
S�t�rh Aekeku
�Print or Type Name
e w ✓! e
Title I/
l 2-
Date
This certification is valid through -� / Z'z I ZP�z
?j � 0100
COL- / as o
RECEIVED
APR 0 5 2021
DCM-MHD CITY

I hereby certify that I own property adjacent to Steven Macko 's
(Name of Property Owner)
property located at 103 Mulberry Court
(Address, Lot, Block, Road, etc.)
on _Canal leading to Bogue Sound in Pine Knoll Shores, N.C.
(Waterbody) (CityITown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must Bil In description below or attach a site drawing)
WAIVER SECTIO
understand that a pier, dock, mooring pilings, 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 initial the appropriate blank below.)
I�
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
(Adjacent Property Owner Information)
Lzlc
Sign it re
lil oe<a 7� �.n cka
Si t a ,_
F'Zr�CrYf
Print or Type Name
/Q•'no/c(ddAI
Pdnt or Type Name
Un1cLFAF D2/Vr
1rS3H
Mailing Address
!GF tr,y4 Z'76/7
Mailing Address
­11tJL.JLNt[a. .511OX&S A/C
CitylStatelZip ''--
419-v9/-n76/
Cityglatelzip
10-X, 1106
Telephone N mber
Telephone oneh Number
Unto
Date
(Revised 6/18/2MIKE)vED
APR 0 5 2021
DCM-MHD

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that i own property adjacent to Steven Macko 's
(Name of Property Owner)
property located at 103 Mulberry Court
(Address, Lot, Block, Road, etc.)
on _Canal leading to Bogue Sound , in Pine Knoll Shores, N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below. `the development proposed tat the above
, t
loeation. -- A5 6,a p,S �(A;n C'tcf..)4- -1b'1'Ywcrl'RiGh¢.(7�—
_ I have no objection to this proposal.o� W�� Jr4+ 4i 5 d4� {a Joira0.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 initial the appropriate blank below.)
%)o c �5e r� y 5 I g s sly car,
_ I do wish to waive the 15' setback requirement.
d�.d talol�ao. J
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signnnn���
SLe�oy ,T /Ltpc�v
Print or Type Name
rn 5�Y
Mailin Address
p. NG 27G�'7
City/State2i 9 -
/>07bl
Telephone Number
3//a�Z/
!June
(Adjacent Property Ow., MLInformation)
Sigvali n
Print or Type Name
-403 Mt,clwa,'Y br.
Mai(i�4 Ad ress
�1C 72aFCia
CityCity/s�(ct tot) Lt%--99a9
Telephongg Number
d�au4laI
Dale
(Revised 611812012) RECEIVED
APR 0 5 2021
DCM-MHD CITY

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CITY
AppPPMW E`-"" s CON51. STEVE MACKO
AWRE WE(ifs 103 MULBERRY COURT, PINE KNOLL SHORES
W"orl
3A1301.17Aq'G1?fROADa:
NEW WN, NC 25562 PROPOSED SITE PLAN
.M. 252-665-A396