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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 b a I U— cl.,..on�o i e�a<ti I n re. 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 l �lj ivt lL �-'�G1Ci.4{ Subdivision ,,}f City M --,1: t r.. 2i 1�1 11,N ZIP Adj. Wtr. Body Lr•,a I %, (.I �) r' :.. �-.=r'.�.#' (F�man/unk) c Closest Mal. Wtr. Body ... (Scale: 1' Access Length Pier (deck) length Fixed Platform(s) H ■ .■■■ ■■■■ ■ ■ IN ME Floating Platform(s)■ iir� � �i■■■■■■■ ■■■■001111111110, ■■ ■i■ milli � 0 �■ �IIC:C Total Platform area Bulkhead/ Riprap length 104' Boat eachWON - ... :-.:.. No IN1,1111 ■ ■■ 1 JIM (�on■■ 11 i ■■■i■n■■■■■■■N■ ■ ■ �®�NINE � 7I�lI�G MIME C■� ��E � " ME � ir�� i ■ ■■■n��i�■■■ MEME mom 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 pw�w \\ , 2 x /