86627A_Silorski, Mark & Mary_20220713

- � FILL
GENERAL PERMIT
New ❑ Modification []Complete Reissue ❑ Partial Reissue
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D
Previous permit Wcolf '°C
Date previous permit issued 4-,11 - o2Q
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 1H < < e�L.e�G —. Rules attached. iVr General Permit Rules available at the following link: fir,, Aeq.nc-rovJCAMAnflgs
Applicant Name '� t' Ma V S; Ior skl
Address _ qal 2- Ic rG �7Oh�-,r _
City �t. p�T State VA—. ZIP
Phone
Email
Affected I 1 CW [—t EW E4TA ES El
PTS
AEC(s): ❑ OEA u IHA DIUW SPIMA ❑ PWS
ORW: Yes PNA: yes/Q
Authorized Agent 2Gr_
Project Location (County): f� / +,rr c k
Street Address/State Road?Lot #(s) 9 S� L�(„pa"t T -i" Ca. .
TLC--- ;S L
Subdivision'I
City Car o t 1 C- (�" _zip
Adj. Wtr. Body ,r.r,' -u:k,-
Closest Mal. Wtr. Body C-LIr r -4L k- �
Type of Project/ Activity Ak'y q2'k S' Pier t,.>/ (a' X $' P/,-� �rJrnti
(Scaie:N-rS
Shoreline Length
Access Length
V
Pier (dock) length Ita S
r
'nixed Platformis) /,',Z,r X a_
r
Floating Platform(s)
1r
Finger
01 S+cps
piers)
Total Platform area
Groin length/tJ
!{jr
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
r
f
Cubic yards
s
A,w4VenLeG,A
1. t _- A /,f #- �rCC/iCw Ae
Boat ramp
Boathouse/ Boatlift C�
Beach Bulldozing Ct3S
Other 54,:r s Q�(r
SAV observed: _ yes
Moratorium: Via- yes no
Site Photos: 1— � no
Riparian Waiver Attached: yes t —
A building permit/zoning permit maybe required by: L4.1, -At c�
Permit Conditions gl i GL.. %>�a
@ ,v wL�
11 TAR/PAM/NEUSEtBUFFER (circle one)
ElSee note on back regarding River Basin rules
11 See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY 1.0 THIS PROJECT AND REVIEWED COMPLIANCE S_TATEE,M�-E_NT. (Please Initial) x
Agent or Aplican P iNTED Name Perr it O 'cer's PRINTED Na
Signature "Please read compliance statement on back of permit" Signature
- — - Check Ill/Money Order Issuing Date Expiration Date

Paul Snearer
Agent Authorization Form -pier
Jun 14, 2022 at 8:21:09 AM
Mark Sikorski ML Sikorsk:
Mark & Marylou
Please find attached the authorization form. Can YOU Please Sign off and
forward back
Thanks
Debbic:)
N C. DIVtSjOt4 OF COA5TAI MANAGEMENT
AGENT AUTHORIZATION FORM
Name of ft 0
Oik" Adcr"
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ac? an ft�
of 4"iri"S t- WW Ob-" ON CAMA PM t.
ago -
of (my ppopeft
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owner S.Vnw

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all
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X1ST �IVCT jN=> LI N
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f4ea�1Xv 4d -�.v a� Bol14,e,:-d.
5A50 w( Sxtl AT ENl.
wit R L-Evl-�L To ToP E'l tZ PPRox 4`

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Q' EX Rebar d� 0 is 30
Ex. PK Non
so
Pk No Set
Water Meter
®
—
1 inch - 30 ft
Manhole
Water Valve
O S SirrigattNat7V&ve Box
S� CURRITUCK
IN
Washer Set
SOUND
L`1
NAVD 88V°tion
L-3
i+1
c
L-2 L-4 r
cli
FLOOD ZONE HNVI Bu it
DECK AE (4')
CANT. ROOF 4
at£RHANc
CftUNgtPETE
C 124�
1&0
FLOOD ZONE I e��
X'(O.2x
—
D.B. 290.
I 30' CAMA SETBACK
m , ur r
PG. 578
FLOOD ZO
ZS'
'NE
X'
C
w000 / r7
T"TPICAL
PC- Go
U i D n ! A SPACE / —/ —
� i0'Xi8' T0V'
�
_ e NET c'
RERAR
to. DEEP
REe�
, 44
s` 6
' • � / 19- Address, 932 Sun Furst
� Court
e 100.00'
_ RUSH
$� r e
Lot Aren s 11,146 S ,
q Ft.
L'� Proposed ZOrd
t{
5lNE60NlYi
ng
c r Lot Coverage
� 5Z'w
:3,662 Sq, Ft. <32.97J
U
ATE S.S.S. NAIL &
PArOPo ed Ei,983 Sq. Ft.
WASHER ELEV.-
7.54' NAVD 88
omP CANA Coverage- 2,168 Sq, Ft. C24.1YJ
M 1�►!r _ ]BURST��
U
RoodS!
� Rood Zones are subject to ehnnge
Setbacks shown are as Per the Subd. Plat,Zoning $ CAMAt they do not
COLMT (30' R/W)
LINE TART fr s thte aY exist5tricth,e co„enants
CURVE DATA,
L-1: N29'31'46'W 59.56' Certifier hereon is not re
C-1 R= 40.00' L= 32.94
L-2: N40'37*59'W 47.50' for utilities and/or features hat are
L-3• S49'22'ot'w 0.45'
ndditfo setbntks
C= S14'00'30'E 32,02,
nor any
additional tha�vey,
L-4: N41'I9243'W 46.86' are not shown,
L-5: N22'24'18"E 6.55'
There is a 30' Utility, .&Ipl9ht-CF-Way
Easement along ttw, K1f "o -Mafq:
I. M. DOUGLAS SMNS. jq_ P-LC.
that the error of closure os calculated b
by
that thta z
Plot dea tur. iron, le actual 0field00; land survey
latitudes and departures ie a! boa! 1.70,000;
Witness my hand and seal this day of A.O..2021 _- -
SITE PLAN
L
- (COUNTY PARKING) -- sl-i`
Mr t of 2
OROLLA
LOT 125, .MONTERAY SHORES P.U.D.
_ SITE
PHASE 1- - SECTION 2
SURVEYED FOR
WALEHEAD MARK JOSEPH SIKORSKI
RIM z CLUB
and MARY LOU B. SIKORSKI
i
POPLAR BRANCH TOWNSHIP
VICINITY MAP (N.T.S.)
CURRITUCK COUNTY NORTH CAROLINA
DATE SURVEYED: F.I.R.M.: 3720 993 O K C-1697
12-13-2021 F.I.R.M. DATE: 12-21-18 1g n �. ��t/1.V-Qy L-&'V--Gc¢A.
REV.: FLOOD ZONE: SEE PLOT 2700 N. Croaton Hwy. Kill Devil Hills, NC. 27948
SCALE: 1" 30' REC. REF. P.C.—B, SL. 377 Phone: [phone] Fax: [phone]
LE NO.: 21-319 D.B. 1567,
PG. 638
DWG NO.: 21319SP PIN NO.: Any unauthorized use or alteration of this document is prohibited
115C—nc1n—n19S—nnnn A red seal must be Present for this to be on original document

■ Complete items 1, 2, and 3. A.
■ Print your name and address on the reverse X
so that we can return the card to you.
■ Attach this card to the back of the mailpiece, B.
or on the front if space permits.
h Article Addressed to:
�o.Yb7a1 a0,
OGpf-i P�a�
5 , a. r-n
sr)T-
1111111111111111111111111111111111111111111111111
9590 9402 3871 8060 8578 85
2 Article Number (Transfer from service label) !
7r17^ r,r
❑ Agent
❑ Addresses
(Printed Name) C. Date of Deliver
D. Is delivery addpm qiolfiarentltonn item 1 T ❑ Yes
Ifnter eliv a r below: ❑ No
V Ep�r�� ,
Servi T e Priority Mail 6cpress�l
Ault I ❑ Registered MaiITTM
❑ Aduklgnatureftestrlcted Delivery
❑ Certified Mail®
❑ Registered Mail Restrict
Delivery
❑ Certified Mail Restrrcted Delivery
I
C�ve Restricted Delivery
u
❑ Return Receipt for
Merchandise
❑Signature Confirmation"
0 Signature Confirmation
inured Mail Restricted Delivery
wer $5001
Restricted Delivery
..,_..
�S Form 3811, July 2015 PSN 7530-02-000-9053
Return Receipi

■ Complete 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:
s�Gn H )kP#Et"L*
4)q _rC� P-► P, a,Xkjq
cn
L11
❑ Agent
O Addresse
B. Received by (Printed Name) C. Date of Deliver
D. Is deliv address di t from it 1? O Yes
If YE enter de)lf e _ w: ❑ No
ll I IIIIII I'll ICI I ll l l II111� I� II 1 II�1111 1 III 3. Service Type ❑ Priority Mail Express®
❑ Adult Signature ❑Registered MaiITM'
❑ Adult Signature Restricted Delivery ❑ Registered Mall Restrict
❑ Certified Mail® Delivery
9590 9402 6361 0296 8729 90 ❑ Certreed Mail Restricted Delivery ❑ Signature Confirmation*
❑ collect on Delivery ❑ Signature Confirmation
2. Ivey Restricted Delivery Restricted Delivery
7 0 2 0 0090 0001 7 618 716 7 esfrlcted Delivery
over 500)
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ACP166af,M f
&� cer,
ry
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