89912A - Sachowsky

CAMA 11] DREDGE & FILL
GENERAL PERMIT
N9 89912 t) B C D
Previous permit ___________ _
Date previous permit issued ______ _
t] New D Modification D Complete Reissue D 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 1 ' ' D Rules attached . D General Permit Rules available at the following link: www.deq.nc .gov/CAMArules
Applicant Name-------------'--------,------Authorized Agent _____ r ___ L_, ____ ___,__~----+--~---
Address _________ ~---------------,---
City ____ \ _l ____ _ l t
Project Location (County): __ ~_r_r~t~~~~f'~C~"~~--------
8', I"= Street Address/State Road/Lot #(s) --'-------'--'t"""------------
Phone# ( _1_) __ ~-------/ I {I -.... \
Affected Dew GEw G)PTA LJES OPTS Adj. Wtr. Body l1-" r\ -----=-~-----'---~r _______ ,,..,,-:_:~::;a man/unk)
AEC(s): □oEA □1HA Duw OsPIMA 0Pws Closest Maj . Wtr. Body -'
ORW: yes/no 1 PNA : yes/no
I ,...,
Type of Project/ Activity ---'---=---'--'----'----=----'~--___,_~-"-'-'---.:::..._--'--'-'---'--=.:=~---'=-----'--'....::..c-------'-1--'-f__,_ ___ _
Shoreline Length __ l , __ -_l ~(~v-_' __
Access length ________ _
Pier (dock) length _______ _
Fixed Platform(s) _______ _
Floating Platform(s) ______ _
Finger pier(s) _________ _
Total Platform area _______ _
Groin length/# ________ _
EJ!Jkhead/ Riprap length __ ... ..c..f -,-,)'----
Avg distance offshore ____ ,. __ _
Breakwater/Sill ________ _
Max distance/ length ___ Z ___ _
Basin , channel ________ _
Cubic yards _________ _
Boat ramp _________ _
Boathouse/ Boatlift ______ _
Beach Bulldozing _______ _
Other ___________ _
SAV observed : yes no
Moratorium: n/a yes no
Site Photos : yes no
Riparian Waiver Attached: ye s
,,..
n9
~ fJ
I
I
A building permit/zoning permit may be required by:-----~----'-~------------
Permit Conditions ________________________________ _
{Scale: 1
□ TAR/PAM/NEUSE/BUFFER (circle one)
D See note on back regarding River Basin rules
D 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) -~'-'-I~;.) ____ _
I
I I
Agent or Ap,P,licant PRINTED Name
,1, i /,
Permit Office~'s PRINTED Name
,1
Signature **Please read compl iance statement on back of permit**
•;} \t.a'6'5 l~-JJ-c93
Signature ·
%-/J-23
Application Fee(s) Check #/Money Order Issuing Date Expiration Date
RECE !VED
JUN 2 6 2023
DCM-EC
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: Cathy Sachkowsky
Mailing address : 141 Cherokee Trail, Hertford, NC 27944
Telephone Number: 973-464-2854
I certify that I have authorized Brown Land Developing (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of a 75 FT Vinyl Bulkhead
at my property located at 141 Cherokee Trail, Hertford, NC 27944
This certification is valid through (OPEN).
Cathy Sachkowsky
6/6/2023
973-464-2854
ca thysach@ gmail.com
(Property Owner Information)
I -------
RECEIVED
JUN 2 6 2023
DCM-EC
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL · RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top port ion to be completed by owner or their agent)
Name of Property owner: ___ c_a_th_y_S_ac_h_k_o_w_s_k_y ______________ _
Address of Property: 141 Cherokee Trail, Hertford, NC 27944
Mailing Address of Owner: _S_a_m_e ___________________ _
owner's emall: [e-mail] Owner's Phone#: [phone]
Agent's Name: Brown Land Developing Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
' =c;t...64.t''l'\''t\<n'--> I hereby certify that I own property adjacent to the above referen d property. Tne individual applying for this
perm it has described to me, as shown on the attached the development they are proposing. 6.
descri tion or drawin wit dimenslo s must be rovided with this lette . 5e.e. ~~ct e.w-A-i l ~
~v'lll \~1 A..6!13 f'I\ C.So.e.~~""'~'\ "\-o L Sc.wec,r X I DO NOT have objections to this proposal. ___ I DO have objections to thls proposal.
'
If 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
malled to 401 S. Griffin St, Sta. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at (252) 26~3901~ No response is considered the same as no objection if you have b n
notified by Certified Mail.
WAIVER SECTIO~
I understand that any proposed pie r , dock, moor ing pilings, boat , breakwater, boathouse , lift, or
groin must be set back a minimum distance of 15' from ea of riparian access unless waived by me
(th is does not apply to bulkheads or riprap rev~'~"' . (If you wi~h to waive the setback, you must sign
the appropriate blank below.) ·
Signature of Adjacent Riparian Property Owner
-OR-
ot wish to waive the 15 ' setback requirement (initial the blank) _____ _
Signature of Adj acent Riparian Property Owner:~. ~~Sd.Lz::;.!!:S.::!:~~!.i:!!:!!~-:e;itJL.~~(ffv.. W~5~
Typed/Printed name or ARPO: (3..1»,\ e. ~ ~ Oi+s lv, lUo.rv\\5c:.,u.x,: t;:J 1'~ •
MailingAddressofARPO: qosTux .. ior<DR-.. ~t:e)(atv,:At-i'o .... VP+ ~;50~.
F i ·
ARPO 's email: dbsc.wo..rd.@ ['MSl\),C.QM ARPO's Phone#: 703-780-/;/90
Date : .:J/,,l,l>f,L lo. ~O~ 3 *waiver is valid for up to one year from ARPO's Signature* •
\ N.C. DMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERlY OWNER NOTIFICATIONIWAIVER FORM
CERT IFIED MAIL · RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. Ctttnu\ sac t\~IA..6~ -
Address of Property: I LI \ C twrl)kee. --rf'l+l f ,3-(ertfurcf i\JC '2,:tlJU . l
Mailing A'ddress of-Owner: f».KY\~-. . . . . · ·
· Ownetsemait.=~t!oo;~Phone< • 9]'3-tjulJ-2%'9-J
Agent's Name: __ ~___ . ~Phone ')52-lfJfJ:3lt-st°" o~•net. Agentls-Ernei~,ElJelk:,tj · lefd I OC ~ Dt/J:ZOO ~-MY)
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIRCATION
l Bott'blfrportion·t.obi!compfetedJWthe "Aclfaceiif PropertyOwner)
J hereby c;ertify that I own property adjacent to the above referenced property. Too individual applying for this
permit has described to me, as shown on the af:tached •drawing, the development they are proposing. 5
description or drawing, wi1h dimensions. must be provided with this letter. ·
~ DO NOT have objections to this pro~ __ I DO have objections to this proposal.
H you have objections to what is being proposed, you must notify the N.C. Division of Coastal
M;,n;1gem.ent (DCM) in writing within 10 da¥$ of ,eceipt of this noti,:;e. Correspomlem;e should be
mailed to 401 S. Griffin St, Ste. ~ Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified lllai1.
WAIVER SECTION
I understand that a_ny proposed pier, dock, mooring piTings , bo_at ramp, breakwater, boathouse, lift, or
grein-must~be-set..ooGk -a-mini~1-8-·fl:8m-nty area-of.rlparian~nlese--waiv0a"Dy ·ll'l&
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank befow.) .
\
,
I DO wish to waive some/all°' the 15' 7~./41 ~ (rx-z Cu-ft,,/'..)
-OR-. sign~olAdjacentRipanan.P.rop .owner. RECE\VED
I do not wish-to waive .the 1 5' setback requirement (initial -the blank} ____ _
Signature of Adjacent Riparian Property Owner.----------ocM-E C
Typed/Printed name of ARPO: ...;;;uo;;..;:;;...hK...;.J.o...£.-tt~1>(-__._,'--1-"C~~::;..._--------
Mailing Address of ARPO: \'2.LD To,rl(,e,y five, \\leWpoY-t News VA22j.00L.p
ARPO's emai1:'f0 ( t igtri@lot·CiJYARpo,s Ph;~~ &~g~ \9 ~~
Date: . "waiver is valid for up to one year from ARP0'3 Signature"' .
Revised July 20:n
7/13/2023, 10:00 :47 AM
perqu imans_nc_misc
perquimans_nc_lot
perquimans_nc_easement
perquimans_nc_dims
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Imagery 2020
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■ Blue : Band_3 / ~~ 1
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0 O.Q1 0.01 0 .02 km
State or North Garol lna DOT, Slate or North Carolina DOT, Esr l, HERE, Garmin .
GeoTectmologles , Inc., usos, EP A
~c,~ o~~~ t\ ~ * 0 \ L~~, !~offf).~-r}Y' PerquimansG IS
O" b)(V-~ For tax purposes only. Not a legal docm,ent or survey. Perquimans nor Slate of NC assume any llall(II)' resullng trom use Of thlS map. ro
Untitled Map Legend
131 Cherokee Tra il