86853A - Dolberg, David

AiOWr' I iCA1VIA DREDGE & FILL 9 86853 B C
Previous permit v_
GENERAL PERMIT Date previous permit issued
New [_{ Modification i.] Complete Reissue I 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 N - 1 �),4 �sN.._..._ � j Rules attached. FX1 General Permit Rules available at the following link: www.dea,nc. u CAM!A .ides
Applicant Name � v � ht+_ _
Address C 7 QL ',S4,
City i- ' '- 3, Y . State State —_.. ZIP %d . r)
Phone #(�)
Email d ! 6 C: (N i t ids a ----- �__—.
Affected E]CW MEW N PTA
L_,. i
AEC(s): OEA ri IHA 1—; U W
ORW: yeen r PNA: ye np
Type of Project/ Activity
+- I S"
Shoreline Length _._—.._._.—..._._..
5­7�ength T a ' X S
ler dock) length t�1 I _ 'A
4- L1.5' fv s L
Finatin& Ptatfarmi<) �...t r= Eli,. 1}-y o,n_
Finger pier(s)
,.
o a Platform
Groin length/# I t'
Authorized Agent—" _." 4. ', }vv', c,_
Project Location (County): Car ' c IC Col.- � t—
Street AddreWState Road/ Lot #(s)
Let is 3'4
Subdivision 42') t ii t 1c, &' ti#
.............ZfP . ............._i to
-
IVES iX' PTS Adj. Wtr. Body �U s v". L.' L 'X I �- c? na manlunk)
___ SPI MA � j PINS
Closest Mai. SNtr, body t .-+J v' r - .1 k . z� •� ��
01' (Scale,
`t-
-- / -r L
or�
v_
Bulkhead/ Riprap length
'•�, �t r y I t t t t\ i s t. t t. t i t i t s
111—" — \v
Avg distance offshore^'-
Breakwater/Sill v_
t va ^
Max distance/ length
Basin, channel
Cubic yards
t t sty o.,\ r
._.�...._.
Boat ramp
t z, %`i' Ylk,ter P.Sti
Boathouse/ Boetlift
Beach Bulldozing
SAV Observed: es. no
Moratorium: %J(a.,) yes no
w.
'
Site Photos: * no
Riparian Waiver Attached: yes f'
A building permit/zoning permit may be required by: L v ✓ + u 1<
�� . -�f _
Permit Conditions
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TARiPAMINEUSEISUFFER (circle Dire)
DSee note on back regarding River Basin ruses
EJ See additional notes/conditions on back
LAM AWAR OF ST TUTEES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) �-
Agent or Applicant PRINTED Permit Officer's-PRth* ame ,
Signature "Pje25e4+yt�tnpiianc�staramct,r h, t= s P
cat:
Application Feels) Check #/Money Order Issuing date Expiration Date
V

Authendrign 0, 0S16A746-Ac52-E71 i-AC20-OOSOF2765A61
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
l hereby certify that I own property adjacent to David Dolberg
's
Property located at 982 Cruz Bay Court (Name of Property Owner)
tACIUreSS, Lot, block, Road, etc.)
on CurrituCk Sound in Corolla
(Waterbody) N.C.
(City/Town and/or County)
Agents tame #: Millstone Marine Construction Mailing Address: 201-A Etheridge Road
v�o+icu v.v.271-054
He/She has described to me as shown below the development hetshe is proposing atthat location,
and ! have no objections to the proposal.
(IndiDESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT '-
vidual proposing development must fill in description below or attach a site drawing)
Construct a new
tf you have objectlons tp what is beln9 propped, You mustnotify the Division of Caas W1 N1anarlemwg
available
le writing within pp days of receipt of this notice. Contact information for DCM offices is
available at v~-nccoastalmangementnetico►iFct tact
or ti mn fo
response is Considered the same AM nn nhiartinn if -d h ht or „ calling 8'4RCOAST. No
Y I.VY f!'0;L
!Pr Owner of a
Signature
David no"'.Ylharn
Print or Type Name
10721 Sandy Run Trail
Mailing Address
Fairfax Virginia, 22039
tT,S !n_
Telephone -Number
Date
(Rilxa,rian Property Owner Information)
t-e"' Vupt'PL 01/12/23
Signature
D non 1 L-LC
Vv LV
Print or Type Name
P.O. Box 90
Mailing Address
Kill Devil Hills N.C- 27948
Ciiyi�taie., p
Telephone Number
Date

Name of Prope Owner Requesting Permit: David L
Mailing Address:', 10721 Sandy Run Trail
P r.,;.f-,..•�r...:..C.. -»non I
Phone Number:
Email Address: [e-mail]
I rpr}i{» th?4 1 iiai/ o�Hn�i�� 1 MillstonA Marini- (nnctnir-. inn
Agent / Contractor
to act on my beha. , for the purpose of applying for and obtaining all CAMA permits
necessary for the Iiowing proposed development
10 construct a n w pier
at my property to ted at 982 Cruz Bay Court
in Currituck j County.
luidiarrrrure ce mar i am aumonzea to grant~ and do in fact grant permission to
Division of Coastaj Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
Permit applicaiion-
Property_Qmer lnfort ion:
David
Print or l ype Name
Owner
Trtle
12 t 20 ! 2022
Date
This certification is valid through 7 1 31 1 2023
Revised Mar. 2016

DIVISION OF COASTAL, MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
i hereby certify that I own property adjacent to David Dolberg ,s
Name of Properly Owner}
property located at 982 Cruz Bay Court
on Currituck Sound
(Waterbody)
(Address, Lot, Block, Road, etc.)
in Corolla
Agents Name #7 Millstone Marine Construction
•yc--i o }r,ounc ir. 252 202 2e7a
N.C.
(CitylTown and/or County)
Mailing Address: 201-A Etheridge Road
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
construct a new pier
If you have objections to what is being proposed, You must no* the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice_ Contact intomudon for DCM offices is
available at www.nccoasta/mangementnevcontact dcm.htm or by calling 9-888-4RC0.4ST. Ato
resaonse is considered tha Gain ac nn nhiortinn if vn,. h ht r. or affl,g 1-8
(Pro, Owner fo }
S! JatuJ re
D-gvid r)nlhorn
Print or Typg Name
10721 Sandy Run Trail
Mailing Tddres�
Fairfax Virginia, 22039
TeiePhone Number
Date
(RIPana ope Owner Information)
Signature
Pnnt or Type Name
8124 Twelfth Corps Drive
Marling Address
Fredricksburg Va. 22407
Giov iateitip
540-557-7615
Tetephone Number
1 /.13/2023
Date

(,00 blt
Pier for The Dolberg's's Lot 34
982 Cruz Bay

2

ml
CONSTRUCTION
ENGINEERING
SERVICES, INC.
aN P.O. Box 665, Manteo, NC 27954
[phone]
FAX [phone].
" \ k i 111111
Iq -ol c .-
TYPICAL SECTION OF COVERED -PLATFORM
KALE: 316. 1*-o
A
SE L v--
Z U 4A 6
-2--
SHEET NO, OF-
CALCULATFO BY DATE
CHECKED BY -.------
SCALE
D pKvic-7 -n-'