HomeMy WebLinkAbout89801A - Shekletski❑LAMA O'DREDGE & FILL
3 GENERAL PERMIT
N9 89801 A B C D
Previous permit
Date previous permit issued
F-INew ❑ Modifiication ❑ 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: wwyv.deq.nc.gov/CAMArules
Applicant Name _
Address
City State
Phone # (- )
Email
Affected ❑ eW ❑ EW 2 PTA
AEC(s): ❑OEA ❑IHA ❑UW
ORW: yes/no, D PNA: ye�/no
Type of Project/ Activity 1, E "J
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ZIP
ES ❑ PITS
❑SPIMA ❑PWS
Authorized Agent / 1.i )1 .a r i
Project Location (County): c c
Street Address/State Road/Lot#(s) '1{0 A
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Adj. Wtr. Body Lr•,a I %, (.I �) r' :.. �-.=r'.�.#' (F�man/unk)
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Closest Mal. Wtr. Body ...
(Scale: 1'
Access Length
Pier (deck) length
Fixed Platform(s)
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Bulkhead/ Riprap length 104'
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A building permit/zoning permit may be required by: -
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
Signature '*Please read compliance statement on back of permit"*
Application Feels) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date
Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ' `-e' f' ' e'�r
Mailing Address:
r
i
Phone Number: f 5- j
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: ICs to r f 4 it
at my property located at 11 ` A&-y- '
in P4 /�. �-. County.
I furthermore certify that I 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:
Signature
Print or Type Name
b�r'1>Il
Title
f /S i�
Date
This certification is valid through l I t T /.L; Z
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: GRACE S SHEKLETSKI
Address of Property: 7009_MARTINS POINT ROAD, MARTINS POINT, NC
Mailing Address Of Owner: 7009 MARTINS POINT ROAD. MARTINS POINT, NC
Owner's email: JOB(a)OBXISLAND.COM
Owner's Phone#: 252-982-6136
Agent's Name: SCOTT C SMALL OF LSl MARINE LLC
Agent Phone#: 2521-473-7695
Agent's Email: SCOTT(al-SIMARINE COM / MONICA( 41 SIMARINE COM
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal,
tt you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at (252) 264-3901. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must si0n
the appropriate blank below.)
I DO wish to waive sometall of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank
I/
Signature of Adjacent Riparian Property Owner: _
Typed/Printed name of ARPO:
Mailing Address of ARPO: 7005 MARTINS PT RD KITTY HAWK NC 27949
ARPO'semail: \11--bI.4G>1 ARPO'sPhone#: �(} ���- ql(
Date: _ Z -waiver is valid for up to one year from ARPO's Signature"
V
Revised July 2021
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: GRACE S SI4F.KLETSKI
Address of Property: 7009 MARTINS POINT ROAD, MARTINS POINT, NC
Mailing Address of Owner: 7009 MARTINS POINT ROAD. MARTINS POINT, NC
Owner's email: !OE@OBXISLAND.COM
Owner's Phone#: 252-982.6136
Agent's Name: SCOTT C SMALL OF LSI MARINE LLC
Agent Phone#: 252-473-7695
Agent's Email: SCOTTLMLSIMARINE.COM/MONICAf'LSIMARINECOM
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
descrintinn nN4ro,u;nn . ;+f .__-. ... ....... ... ...
I DO NOT have objections to this proposal. I DO have objections to this proposal.
It you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste, 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at (252) 264-3901. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lit, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO: DENICE L TAPPERO
Mailing Address of ARPO: 7013 MARTINS PT RD, KITTY HAWK, NC 27949 A [�
ARPO's email: dQ}'�I'l2 l^ it #MARPO's Phone#: ,a rj, D 'a _ i 8J7
Date: 74/1�3 -waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
PROPOSED NEW BULKHEAD @ 7009 MARTINS POINT RD, KITTY HAWK, NC
FOR GRACE S SHEKLETSKI / JOE STATEN
RIPARIAN DRAWING 1 OF 1 - 6/19/2023 - SCALE 1" = 30'
BY: SCOTT C SMALL OF LSI MARINE CONSTRUCTION, LLC - 252-473-7695
SCOTT@LSIMARINE.COM - WWW.LSIMARINE.COM
GINGUITE CREEK
NORTH
EXISTING PIER &PLATFORM
j
� J71
PROPOSED NEW
VINYL BULKHEAD
REPLACEMENT
EXISTINGBULKHEAD
bk
:MARINE
Construction, LLC
P!L
7005 MARTINS POINT RD
PROPERTY OF:
NICCOLO N DONZELLA & ELIZABETH TORPHY-DONZELLA --
1 7009 MARTINS POINT RD
100,
PROPERTY OF:
GRACE S SHEKLETSKI
7013 MARTINS POINT RD
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