The URL can be used to link to this page

Home My WebLink About85956D - POLATSEK,30.+000AST"1 ❑CAMA ❑ DREDGE & FILL f �� N9 85956 A B C GENERAL PERMIT Previous permit n /�, (�C Date previous permit issued n. New ❑ Modification ❑ Complete Reissue ❑ Partlaloelssue �J P As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commissiol in an area of environmental concern pursuant to: ,�± r 15A NCAC ❑ Rules attached. General Permit Rules available at the following link: www.degq.nc.gov/CAMArules Applicant Address N t (Q""V City ', i �d' e State L ZIP Phone # (� Email Authorized Agent t / Project Location (County): "' „ i(N IK Street Address/State Road/Lot #(s) do"�i If, 'sy 0riV�c. Subdivision A City 1 f-�{�(JifGCi ZIP �S orb Affected ❑ CW 0EW rf PTA ❑ ES ❑ PTS Adj. Wtr. Body lls%�lj� n I' (n- ar unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/6 PNA: yes/& _ Type of Project/ Activity r Shoreline Length Access Length Pier (dock) length /y h Fixed Platform(s) :> Y C urn Floating Platform(s) Finger pier(s) -- i Total Platform area l Groin length/# ijte Bulkhead/ Riprap-Lengittr 6 1 Avg distance offshore Breakwater/Sill ^� Max distance/ length .+- Basin, channel Cubic yards Boat ramp Boathouse(lioatlift ' Beach Bulldozing Other, Y SAV observed: yes no Moratorium: n/a yes no i Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions /1 s� l l` P; ' i i t r (Scale: A tS j ',ti11,1 ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back 1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) 114 it 1(- it �lywif 1 a Agent or Applicant PRINTED Name Permit Officer's PRINTED ame Signature `*Please read compliance statement on back of permit" Signature "1 )4 1 a 01 h Q Application Feels) I Check #/Money Order Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 1-1 Tar - Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven — south of the Neuse River, Onslow Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 (Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised6/01/2021 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: �VIOGI\ ?0 ( p 4<e- Mailing Address: Aon--L S W, 1 �. Ter I L Phone Number: L'S - a 09 q q 14 Email Address: I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: sDOC-L- �� ; at my property located at --)a in County. l furthermore certify that l 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: r pj'e; "I �—j )6' " VIA, - pp Signature �Drbon�5)o1a-�p !� Print or Type Name ® U�Y1�Zr Title Date This certification is valid through 6 q— 1 2 - I --� G 1 S�IA ��5 (9 lei Al 7/6/22, 5:19 PM Mail - Greg Holden - Outlook Rur-'`28Bt 1w-W Frame:mmum Tos9429E�6 P.2�2 y TU pwp mm a! *b aaw iota ptvrPOn poem aurae to yae m m m4mcm popwW o" rw a ft iadi+ndues er bdbft fssd bdm 1l% CAMA G@md Pm!A* "PNWias psxroeirr drs appli=W p *wi* dW CiwsiW at 0s 1111 MiAM� lbts1 9babgNwsoabjtmodoMa0 1 l jWsord&A eadl *race popowd etseis. litre lass asa soiriatti d dr r Ma owtsers W a sierirre =mm wor ar atreer bdwbmmb soft ss m wAmewd Ww as rtdWof dr applied L 'l�ris !sirs wnrs � w yaee W tMia IItMMrwMr� �sMaol ar �1�! ti tMe turpplceeet w as � Siateeairr t9ese Www of bw*Adual Appbyirep Fw Par+oBnan Polatsek Addrew of Pr+dpwt�r' t 20 SasiirfFsh st {fait ar Ssrrac i. Sneae ar Rand) . Holden Beach, Brunswick County (Ci y and Ca q) t ieareby eerdivy thK i own pmparty m dta ebore-ielb+en pnoW ZY- 11ie in W%dtW appM. r* fbr thts pewit has dart ribed to sae as drawn (m ft at" drawing dw &"Wpeasee dWV are ptoposi k& A da0Vnoe, ter dtas v%. rritb dimonskm sbmW be peon wide ehb tester. t lava no to dab proposal. it ym Mawr objeodalls a altar is b ft Prapsatd. PkM .rite dw MUM of C99MI 'liastyesaat. Lis Cardietwa Drive izaadsoN VOI oirrisew.14C 26W ar Doll MtM•'rf •723S a WWm 10 dl "o! rwiprt stab wow No rsepswe i swulderad do ttassta 0 ago objm tbs N7ft bwna been asdisd by CwmM d bU L WAIM SECTION I smdwleaesd drat a pWr. dick. ■a-r Phok bmftwmw. boat boa t or drat RR aewe be set- back a ebb*= dittieace or tv ram xw arcs or f%wba semis - o" ersivad kLm fu rm 'w" to weiw iW bidd" -pp s 1 -0 blmoit beionr.) I do wide a wrM rice I T ae D "I rpuira waL t l�l� � o lMe t x !wb■att saQtieatasset. NCM 1 R Tai"m a Nwalbrr WO Ana code 7/6/22, 5:21 PM Mail - Greg Holden - Outlook The pattpaee ar*6 lhnn is ao provide prepay NOW M you N tell tt OPM CAM po"11 awaar a do WfivAMar WAWAaak HMO b*f, . TM CAMA Gtonolol Pat* %V1s sloe prsolAatel sspft dtatsppikntet ptNride *# Cieioion of C�oaesl enalirNnehla diet a arlWe s111oMaatt for lapel trite W ttlPd by dR s*wm 'Wir` Ptapam ar WI, krlkatios dlot *q htlrul ss abjM*, W do pn pw A veldt K dm die,adjKM 1*Wjes pop exiiiap ii" bane Aodiiisd by castitleA tnrelt oldie pnoplMeA arsdt, UAte dws ilea! ant toiireipod ro the tudjaotslt aIPotfoe prapory► saauas by a mints Comwiior at coley leinidnoit Oft USX mdwftd MOOR OR bdWsf the applicm Thb form wa sent to you by the raftMed Individualor eanAptlay dingo M by *aMpplaw sas "e spot: Agpowsp Name of Individual Applying For Pern iC Br ta�Y-' 12t SP /< Address of Property: (i.u; of Straec al, Solana or Read) r. t � . rUn ' _: k c ht1'j (COY attd Cttaaty) t hereby certify that t tswp ptgpt ttyr ad}ata'slf to titsabove-refenenoed pt tatty. The individusi apptvfng for this permit hass 'descn'xd to me as shown on the atagehcd drawang the development they are proposing A description or drawing. with dimensirxts, should be pmvk dd whit this Ietttr, t% 1 have no objections to this proposal. if you huve ob;ecdoss to whaa is befog proposed, please write she Divbion or Coastal _IaeogeMML a37 Cardiaad Drive Exttminay °VYilmington. NC 2A,1d5 or call9l()•T9fr7215 within Ila days of receipt ortb%mMic,. NO raaPoaac h tons[derad The same as no objeetbn if you have bean aorified by Cerrifled Mail. WAnTR SECTION I unde"Mad that a pier. dock mooring pilings. breakwater. bout house or bout lift must be set back u minitsutae distance of IF from my area of riparian access - Inks$ wFaivtd by me. M you wisb W waive the you aron iakial she appropriate blank below.) )0t do wish to waive the 1 S' setback requirermnt. i r ILM wish to waivt; the 13' sabnk fequirernm sip Nam Dote t f!c 40 i Ttivolxm Number WM Area Code https://outlook.live.com/mail/0/i nboxlid/AQ M kADAwATY3ZmYAZS05 MzYxLWY50DEtM DAC LTAwCgBGAAADKkO B9hjzZUaQZcY7hutpYQcAAn p RY 10... 2/3 Date ReceMed Date Dec—ted Check From Name) Name orPermk Holder Vendor Check number Check amount Permk Number/Comments Receipt or Rerund/R-11-ated Columnf Co1umn2 Column] Column4 Columns Cplumn6 Column7 Columns Cclumn9 7/27/2022 7/28/2022 Gregory Holden Polatsek United Bank 5639 $ 200.00 GP #85956D PA rot. 17956 7/27/2022 7/28/2022 John McClure Dills United Bank 1104 $ 600.00 GP #85760D PA rot. 17962 7/27/2022 7/28/2022 American Marine Construction Inc. Horseman First Citizens Bank 89783 $ 200.00 GP #85768D PA rct. 17957 7/27/2022 7/28/2022 Vann Dean Construction LLC Bryant First Citizens Bank 1573 $ 200.00 GP #85767D PA rot. 17955 7/27/2022 7/28/2022 H5 Construction Services, LLC Hall Truist 10144 $ 200.00 GP #85769D PA rot. 17958 7/27/2022 7/28/2022 Tommy -Earnhardt _ same Uwharrie Bank 6098 $ 200.00 GP #85774D PA rct. 17963 7/27/2022 7128/2022 Devane Family LLC same First Bank 1529 $ 200.00 GP #87623D BB rct. 18080 7/2712022 7/28/2022 AMW Docks & Marine Construction _ Bistarkey Truist 7301 $ 400.00 GP #87787D BB rct. 18082 7/27/2022 7/28/2022 James Godwin II Godwin First Citizens Bank_ 8975 $ 200.00 GP #87652D JD rot. 18110 _ 7/27/2022 7/28/2022 Soulhem NC Marine LLC Oldham & Jade Holdings, LLC First Bank 1535 $ 200.00 GP #87653D JD rot. 18111 7/27/2022 7/28/2022 Southern NC Marine LLC Windham First Bank 1528 $ 200.00 GP #86061 D JD rot. 18073