88998C - Karelov, Evgeni

`
oc°"'k4.[ CAMA I I DREDGE FILL N9 88998 A B C:.S.a i ' D
GENERAL PERMIT Previous permit
Date previous permit issued
E.New Modification Complete Reissue I 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:
15A NCAC ' - H )' '`"'
J i` i, 1 I Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name:r V 1 'V 1 t k< , Authorized Agent
Address .::LO L, e c•I'LAzr•v f'Or-. Project Location(County): 1.C y1'ire A-
1
City 1Gi;1" G State ZIP Street Address/State Road/Lot#(s) z CI C F',"( . C.i f 1L�V
Phone#(_)
Email Subdivision
City A'11`\On{-iC. ZIP 2 ?, I I
Affected I CW EW Fl PTA ES PTS Adj.Wtr.Body , YC �y (nat/man/unk)
AEC(s): I I DEA I I IHA UW ❑SPIMA PWS Closest Maj.Wtr.Body Lo V f CSC(.\Ot'‘
ORW:yes/no PNA:yes/no
Type of Project/Activity ' .
(Scale:NI-17c)
Shoreline Length "--"al:
Access Length '---- i t14( .
Pier(dock)length /f
j
Fixed Platform(s)
Floating Platform(s) -/ j §'''
Finger pier(s) r Y '
Total Platform area . k _,,, V
Groin length/#_ - 1f -& -44tj1
I
Bulkhead/Riprap length :_ : ;
i 1
Avg distance offshore -°--� - I -
) r ) _. FYI
t _ Prop scot
Breakwater/Sill r; . I
t, 1 . r j
Max distance/length ° ( ; , 1-1
Basin,channel
I
Cubic yards " •-
Boat ramp
Boathouse/Boatlift
•
Beach Bulldozing
Other -- . '
j
SAV observed: yes no
Moratorium: n/a yes no ( 1
Site Photos: yes no. i
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: 'C-Ci r-- re"�'- (__C•LA t,"V
-- i 11 I I TAR/PAM/NEUSE/BUFFER(circle one)
PermitConditionstl 14 t t i ht., c\v ,\CO'1� 00* f'YXC,EeC'\ i)s 1/2enje NNbN1.
G .1( A,cAill %c\ tiZC 49e- lUtv1 t--- th-e 511i lC\11 o0-1- QXrEe )2 n See note on back regarding River Basin rules
(:".;' . lv\C, \'vQAo..1Ckt<A ('Cifif C ill( �t i i `_.4"1Ci Il �f' �jC'-9 Ibrt�cl i 1Q G t'Ccr'�'C
v
'� J �1��' I See additional notes/conditions on back
! ,Alt- 4�Ct
' r 'r d t
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 PRINTED Name
- / Z-t ` `i. Jk '..T'
Signature**Please read compliance statement on back of permit** Signatur
7 _ -)
:,,' *.. _„," 4. `1) Y)/'(7-1) 1 --,/4)
.t •
Application Fee(s) 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:
Tar- Pamlico River Basin Buffer Rules 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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

3o�oC0"'"` I ICAMA I I DREDGE & FILL No 88998 A B C D
R GENERAL PERMIT Previous permit
Date previous permit issued
---
Li New Modification I I Complete Reissue n 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 I-I Rules attached. Y4 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP a Street Address/State Road/Lot#(s) ,
Phone#( )
Email Subdivision
City ZIP
Affected I-I CW I-I EW I-I PTA n ES I--I PTS Adj.Wtr.Body `` (nat/man/unk)
AEC(s): I I OEA I-I IHA piUW I--I PIMAI--I PWS Closest Maj.Wtr.Body i ,t V f' �C • 1
I. \) Y
ORW:yes/no PNA:yes/no
Type of Project/Activity ''Ci 1 i
(Scale:hi`T'L )
Shoreline Length _
Access Length ` a '
i
Pier(dock)length � C1 �� � ( E �/
{ i
Fixed Platform(s) 41
�' r ` ' ' • -
{ W
t
1
Floating Platform(s) 'S t,,,% i
I - ; x 1 ‘r � s.
E /� .� �I
Finger pier(s) ! I. 0 \sir. i „ it ,
• .. N<.r:U1.4 ,
Total Platform area ! i - ,,4
S
Groin length/#_ - r,V(\yl if• if
Bulkhead/Riprap length 1 .. ._ ............ . .._...... E
Avg distance offshore . - + t f ` i ±
Breakwater/Sill E ( �`� ���
___i____j_ ;
Max distance/length i }
Basin,channel
Cubic yards _ I t ,
Boat ram ! ;
p E
Boathouse/Boatlift '. 1 3 i I
i�, } j I
Beach Bulldozing t... , i,,.../If...✓ ! ......_ I.......... .. -
Other
` I , i N' ,� ( I
SAV observed: yes no 1 t� I
Moratorium: n/a yes no ' I 1 ( ? #
Site Photos: yes no € € 1 — •
Riparian Waiver Attached: yes no . . I 1 t .. i '
A building permit/zoning permit may be required by: Cc: k C C1 ttl'h
TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions , c ><.c ( ' <"1 ),).: , +t-'1C .1t l'e\I.
t 1 „\i( Xl•f i-r( j ri See note on back regarding River Basin rules
nSee 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)
\_ j Ii
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

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:
Tar - Pamlico River Basin Buffer Rules 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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

ADiACENT RIPAR]AI\1 PROPERTY OWNER STAi EIlf1Et
,
I hereby certify that I own pro erty adjacent to l/g-c/o/p_ K4rAe. lm ✓ _'s
- (Name of Property Owner)
property located at 390 S'eaA'lto 'e A4f e C
(Address, Lot, Block, Road,etc.'
on Qmrc & , in 44/a cCis.{rrer- NI-C.
kWaterbody) (City l IT ow and/or County)
The applicant has described to me, as shown below, the development proposed at the above -
location.
I have no objection to this proposal_
I have oblec_iiorts_io_this_pr_oposal`______.__...___
DESCRi'T IOhi AND/OR D RAWI'G OF PROPOSED DEVELOPEIHPNT
(individual r roposlnc1 development must fill in description below or attach a sit le drawing) .
3 ,$/et.a h .L G' !4-/Qc
a go 3 4 0 4 / 2--
•
-fr apos ec
hoc' St II
oF1sC.a•e�
Aex l5'
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 initiai the appropriate blank below.)
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)
(-LILY _
is atur'e S atur
,,rt a72kiare10V . C16., e, Fg 1 Jk
Printype Name Print or Type Name /
5 G 5 S c a.s kw",ar, • 209 2 e c✓asf-ev .74Y'
iviailing-Addre se Mailing Addres
144 /44, ,c Ale dg5,/ C'4a,lo e Vc 2g2ro
City/State/Zip ay/State/Zip
. > / 7 776 OA4F-6 / `tS a a?s—q 4O( i.-
Telephone Number Telephone Number
-A3
Date Date
(Revised 6/18I2012)

ADJACENT RIPARIAN PROPERTY OWNER STA T EMEt'?
i hereby certify that I own property adjacent io IvicIdei i'4rr
!dame a Property Owner)
Property boosted at ,39 0 .'E 4.rL %,e 2,- )4la4041_ �tJG
c ` Addrilifit Lot, Block,Road,asitc
�ira= f7 fn . 4/a A, 1-4 N.C.
'+Nst1ribody (City/Tow.ardtor County)
The as)piicant has described to me, as shown below, the develaorner; proposed at the above
iocahlOy
i have no objection to this proposa-
1 navA,obte£tionS..tLitbiis oposa
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual Proposing development must fill in dsipfion below or attach&ale drawing)
-f' Qu ac kJ C -
3go act i 4Ciz
G An G- ear t V S„, :�a
i)ropos�c�'
ot4S, cr
•
understand that a pier.dock. mooring prangs. creaMwater,boathouse,lift or groin malt be set
.acit a martiriurn c;s:ance of 15'from my area of riparian access unless waived by me. (If you
wish to waive the set:edk,you must WWI the appropriate Nat*below
✓ !oo wish to waive tha 15'HOMOG&sco;arrtrtefl
I do not wish to waive the 15 setback reoutrerr,era<.
(Property Owner information) 'AA _djacenttProperty Owner informations)
-7' 'a -4ygin
`y i mare/o✓ tGt1�4__. 0.����Q i^
�'°}{ Nr"a NATP - vos N .
5G5Sea.sA%+'t, !^ _ __ a�55 F S+e�. _cll (one.
ng- ‘. r n ;f
�t u a3 5 3
ldt. f c- .vr ?kOL(4 C .tcf // C 4 'i
1 77 Q - 10-c y� t. -53`t-�1331
'ekohorie Number :e ohene N;:rnber
A24.-_2_0A3 os
:-.7e.

ADJAcENT RIPARIAN PROPERTY OWNER STATaitilENT
i hereby certify that I own property adjacent io of-c.o., lecLesi• Lee
(Name ci Property Owner':
)rogen,/located st 390 Xtgt.sitcw e A-it c..1-tk_ AJ c
iadrinass. Lot,Block,Road,etc.
(3.ri. S•464.4) n. 71-io A.. . N.C.;
VaterIxidy) (City(7 and/or County)
The applicant has*tooted to me, as shown below, the develoornert proposed at the above
locat7-
have no objection to this proposal.
iaye Obiectiorts_taltds_drodcsaL
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in ocr7tion elow or'Cad"a site drewing)
5 -f 'C. kJ -
3 g0
Ch1G- d.r e •,/
r 0,034
go4 ci
understand that a oter.dock. mooring pilings, PreaKwater.boathouse, :Lot, or groin must oe set
rack a minimum distance of 15 from my areo ot ripanan access unless weared by me. (if you
wtsti to waive the setpacK, you must Initial the appropriate olai*table./
Vco wish to waive the •5 scidock recJirerrien:
I do not wish to waive the 15 setback reauFreriern.
Property Owner inioneation) (Adjacent Property Owner infonnedon)
-Maeigilen&R. 62alefrt_.
g. %el/ rlAra to V Swisira jIme
rvne,Witv)
ancis- Seel
AiWging itid~ Msloirr,Azttruzi.n
#4/4.404.1.0 A/C 01/5i/ Vtokoeri.
CifyiS/TI'r
(4/48147 76 Oa +0 NG-561-41331
Teleotoie Number 7G4ePhIne
A 3 ao a3
Dots Dar
iRevised 8/f 8,20/2)
RECEIVED920
JUN I23
DCM-mHD CITY

ADJACENT I iPAR1A?PROP ";_R S T A i E:MREN-7
;»reby certify tilst 1 own oropeily adjacent io 11 t-c.� ! 2 ✓ 's
Name cif Piz, "fy Owner)
iroperty located at S9Q t ai a A-4I4..41 Al C
`1 ;Address, Lot,A LLBlock,Road,etc.'.
on rr .ylsts.�7C� . rt NTL.� �c s.fr.Y__ .N.C.
(WWatercady) (Nvliav s :?dior County)
The apnicari;lies described to rne, as shown below, the development proposed at The above
location.
have no objection to this proposal
--- _ i havfoizk1~I 1s_to.this_proposaf:_-
DESCRIPTION AND/OR s7?_AWING OF PROPOSED DEVELOPMENT
(ncrrvf dutii p.+Opos fg development must fill in aAcription below or attach a Ise drawing)
/-lcka4- - l�1 C
38o 3er 2-
ftoposed
go, St11
Of••F re
AV I understand that a pier,docK. mooring oiler.gs, breakwater.ocathouse.I_fit, ar groin must be set
back a minimum distance of 15'from my area at riparian zooms unless waived by me. (Ii y¢
wish to waive the setback.you must inttal the appropriate blank below
do wish to waive the'15 setbacc ,eo-firemen-
I do not wish to waive the 1 a se back reowremert.
',arorery. Overwer information) Adjacent Propervr Owner ir. _>netier.'.
aZuAL.2), _
t s21aFg., l� S.fan uarP
-� Imo✓ _�� � K 441 JJ
P,nt yoe Trini or Yee r arrno
5G534.4.3 2 "J 2
4 /ifMaiiing-Addreaei Idanirq Rr'nr
HT!1v�1'!e /(! C /' s1/ (' 40,.-/0 e I/C ' 2(O
Cfiir/'Sfai t 21p Ctry/SfaawZp
`t17 7'16 valf-D ja d5g b �--
Teleohcne Number Telephone NE;m,bor
—A — ao13 ,s - y —a43
:Jere Dam
'RCU1see a/?a/2012,)
RECEIVED
JUN 2 0 2023
DCIVI-1111-tO CITY

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: eU eiug Q,y a-/�/
Mailing Address: 6!G S/ 5,t.Ot l•eta PA
11 1 � Ifd 111
Phone Number: 4/ 7 7 7 G o.240
Email Address: �1¢ c.soc4.-cam. oi4(o ®�E 1.4.4..i
I certify that I have authorized �IM a s L„Q-,„�Ne 1,)c t ,
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: �OchK aS `//f
at my property located at .39 D 5.p„,, ari2. A, l 4 NC ik S'a f
in CI cvvi 'Grp.-County.
I furthermore certify that / 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:
Yjzt-
Signature
%f c,t'e- 4c /,.j
Print or Type Na e RFcc 1F '
Uwu2n
Title w\\\% 1% l‘t I{
._ l_ t( J ,' 3 MH0 v1TY
Date Q�M�
This certification is valid through S / a ( / Z