89601A-Kozachuk

tKC®CAMA ❑ DREDGE & FILL ^_ )c N9 8%01 05 C O
GENERAL PERMIT RpF�pe dt
ut DaOp prevloNs permit issued Ip/�o/97
New ❑Modification 7jComplete Reissue (]Partial Reissue
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Site PAaps: 4„F} no .:_�
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DREDGE & FILLN9 89601 R (D B C D
ALPERMIT Previous permit $(owed 1Date previous permit issued /�0/1�odification 71 Complete Reissue ❑Partial Reissue ,V/
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:
irt I SA NCAC s1rr�0 _ I 00 f, ❑ Rules attached. © General Permit Rules available at the following link: www.decl.nc.gov/CAMArules
Applicant Name fto SCQ T\ Cl h em o2C1'TC h A-V— Authorized Agent I� 1 .
Address jU( 1 STOAe MC&n0r_- Ur, Project Location (County): Rue,,H-e, t1 q
City J at,CC(,Siert^� �State A zip i'l OOS Street Address/State Road/Lot #(s) 161 SCy
Phone#("L) 53b �S 11(O 10C, K% SV1'2.W {` 0,
Email IC aZaCh ll lL@ JVYkf.111. C(SYP1 Subdivision
OCCo .e .I pyiSYf1 k
City 1,\PYYt �11��I:h (( zip ool�tS
Affected ❑CW �EW ®PTA ❑ES ❑PTS Adj. Wtr. Body LNI)W0_f� 2i V*,9— a at nan/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body A(Ioena-lE sorx..ti
ORW: yes/10 PNA: yes/0
Type of Project/Activity CUY\S ol- A i i'r W)I X
arY7P ll�xll� Iawe)r p1aF cryn tF YTS or1�0S (Scale:If'=*f
Shoreline Length }lpE
Access Length/�y
Pier (dock) length (13J X�r Z Ac
r /r
Fixed Platform(s) 3 k X_ 1 %7 _, k�
x t (r �i F1' f d /~�
Floating Platform(s) / � + 1'
Finger pier(s)
II ' 1' I ktron'l \ctt'W
Total Platform area
Groin length/# I I {
Bulkhead/ Riprap length L¢d GY
Avg distance offshore J{t t e71
Breakwater/Sill .�
Max distance/ length Suw
Basin, channel
Cubic yards
Boat ramp
Boathouse/Boatlift ( P
Beach Bulldozing ( kt5
Others
SAV observed: yes (a 1
Moratorium: `nFa' es no tik lilt,t+-�p�
Site Photos: es no CrN lKb1G
Riparian Waiver Attached: yes < /+
A building permit/zoning permit may be required by: �l�.Y 11� Coti^L4
Permit Conditions
Agent or Applicant PRINTED Name
❑ TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
D Name
Signature *'Please read compliance statement on back of permit" Signature v'
Iaoo = iYM 2-/2'7/23 612-7/A
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

0OVOM71, ❑CAMA ❑ DREDGE & FILL NU 89601 A B C D
GENERAL PERMIT Previous permit
� Date previous permit issued
❑ New ❑ Modification [ Complete Reissue ❑ 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 1 ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdecinc gov/CAMArules
Applicant Name
Address '
City State ZIP
Phone #
Email
Affected ❑CW ❑EW ❑.PTA ❑ES ❑PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes/no_.; PNA: yes/no
Type of Project/ Activity
Chnrplinp I pnpth
Authorized Agent -
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. VI Body
(Scale: )
Access Length
Pier (dock) length
D
Fixed Platform(s)
i
..`
...
_
_�
(_
_
Floating Platform(s)ff
Finger pier(s)
Total Platform area
i_�
_ _
Groin length/q
T_
_
__
_i_
------
I_
Bulkhead/ Riprap length-
Avg distance offshore
����)-
--
Breakwater/Sill
"-'
i-
t
`
I
Max distance/ length-
.,,_.
Basin, channel-
Cubic yards
_
Boat ramp
Boathouse/BoatliR
Beach Bulldozing
Other
SAV observed. yes no
Moratorium: h/a yes no
Site Photos: yes no
Riparian Waiver Attached: ves no
A building permit/zoning permit may be required
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
❑ See 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)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit** Signature
Application Feels) Check N/Money Order Issuing Date
Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
ate
Na a of Adjacent Ri Ptop�rty 0 er
Ad $s
1W
City, State dip
RECEIVE[
OCT 1 1 2022
To Whom It May Concern: (�'/
D`"°`°
Th' d —EC
s correspon ence is to notify you as a riparian property owner that I am applying for a LAMA Minor permit to
on my property at , (� j� irJ.4S l) i ft,t) Cr c? i?'j"
in (C 7! County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCALAPE 1 NAMEI*%I "i�Ml MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Property Cwner's N
\013 -K--u t eg, I (t8v4T Cif? 0
Address
II
City
Telephone Number
state
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Riparian Signature
Print or Type Name
10-7-2022 _
Date
252-207-2842
Telepbone Number
Zip
PO Box 87, Manteo, NO 27954 / 108 kingsview ct, merry hill, nc 27957
Address City State
Zip
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
f>Iik, A)0 al', 7 )
C I\
41rct�, 4(- a-65-1 OCT 1 1 20
To Whom It May Concern: CM e
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on my property at 1 w ` t u-,i �—v v
inj r� P _ County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
if you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments ace received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(I OC PERMIT OFFICER, NAME OF LOCAL GO T, MAILING ADDRESS CITY, STATE, ZIP CODE)
UN3tcQ � 11'=J
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
*tA A Jk'
X_ I have no objection to the project described in this correspondence.
I have objocn(s) to the project described in this correspondence.
print or Type Name
Date
A)-a9- SaG4
TelephoneNnmber
Address City State Zip
�i' �� Q-y � Alpw4 Giv,,J M, Revisea jury zou

RECEIVED
O C T 1 1 2022
P/,,,) 7/--d
2/' x 171
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120'