HomeMy WebLinkAboutKuKulinski, LudrickQYCAMA / DREDGE & FILL W 7678 A B D
GENERAL PERMIT Previous permit#
)eNew Modification Compiete Reissue Partial Reissue Date previous permit issued
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_ ' XRules attached.
Kt ! Project Location: County r: } _
Applicant Name. ,{.. i ►.< , .2
��tn �
c imA Address Street Address/ State (toad/ Lot #(s) ��
City .t 'G�1f+.:'_ li State IVY- zip
Subdivision
Phone # `� !7i: tE-Mail
_
Authorized Agent
Affected CW �tW ,,�kPTA ES
AOEA HHF !H USA
Affec
PWS __ —
ORW es r, PNA yes nab
Type of Project Activity. f
City _ ZIP
PTS Phone # 3 River Basin A)&4A ( '
N A Adj. Wtr. Body (-. ', ! a V natar' ':nkn)
Closest Ma . Wtr. Body
�c'Gi!?�
! Y
(Scale:
Pier idaFk; len �` . Ce i fi✓ _
Fixed PiatformtS, _ f t
Floating Platform(s)
winger p`w(si
Groin length t i
number
aulkhead/ Riprap length 1 r •, ,
avg distance offshore l
may distance offshore
Basir,, channel
cubs yards y
Goat ram '
tit
16'x 25' boathouse
Beach a dr.zir
GO
Shoreline length . 1
SAY not sure yes o
Moratorium: nla yes
Photos: fts n
-t y yY ';
Waiver Attuhed. ye rtia �� , ','lt(�� �.�;
A building permit may be required by /' $'T �%? See note on back regarding River Basin rules.
Note vocal Planning Jurisdiction) �.
Notes! Special Conditions _. The proposed boathouse roof over the proposed boat lift shall not exceed 400 square feet.
Alavl rP -k('4 I I _') -
r
tkp;a�fsti t Printed Narrn \
signatwe "' Piease read compliance I atement on back of permit""
� � cvt�n
PermittNficer's Pnr)ted N t
Signat e
� CAMA / ❑ DREDGE & FILL NO 76788 A B C D
GENERAL PERMIT Previous permit#
New []Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality �7
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0`__/ __,
XRules attached.
Applicant Name t (� kAKU 1 'l as i Project Location: County �Cyen
Addresskfl Street Address/ State Road/ Lot #(s) 53P M e—
City State NCZIP��
Phone # Zg-GE-Mail Subdivision
Authorized Agent
Affected ❑ CW _ L `W TA ❑ ES ❑ PTS
❑ OEA ElHHF ElIH [IUBA ❑ N/A
AEC(s):
❑ PWS:
ORW: yes no PNA yes 'V
Type of Project/ Activity P % C)
Pier (dock) lengtei j x C
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length �-
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse( oatl'if
Beach B dozin
Other' boat
Shoreline Length ZZ /
SAV: not sure yes
Moratorium: n/a yes
Photos: yes gn
Waiver Attached: 49
no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions (A
MA 110
Agent orjApplf(C4ht Printed Name
M3R1
Ppplicnature Please read compliance statement on backof permit"
ation Fee(s) Check #
City ZIP Phone # ( ) River Basin IAA $
Adj. Wtr. Body na an unkn
Closest Maj. Wtr. Body
(Scale: 10 )
M See note on back regarding River Basin rules.
Permit Officer's Pri ed N e
Signat e �f
"
issu ng ate xpi tion Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
iGvu---
I hereby certify that I own property adjacent to _ s
� (Name o Property Owner)
property located at �'7 17 � ;�.�'[rC'J-' '�c� /4V
(Address, Lot, Block, Road, etc.)
on AJo/1tom-' 'll 1(f , in � /11�- f'�fi� . ��il�l/i= (.0 , N.C.
(Waterbody) (City/To— a d/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 objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
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 initial the appropriate blank below.)
S-� 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)
z°
Signature
Signature
MAP14 04) i. // h
P Y �. T u rl4 Y
Print or Type Name
Print or Type Name
.71
14-1 L/4L-ker+
Mailing Addlys
Mailing Address
�j .i ,(j .� � P- AJ !J L A � S
City/St te/Zip
city/State/Zip T
73ty.�l
��7S LU/U
Telephone Number��[0��®
Telephone Number
7 - ::7 r
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Date O
3UN 10 202
(Revised 611812012 Cl-Ty
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Back Adjace€it Riparian Property owners Statment rev Ju...
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i LLL D K t L K
I hereby certify that I own property adjacent to a i.�,L i k)Sk. L M A-P ii*-�s
(Name of Property Owner)
property located at 2 Itij"tr� _R () a T-D
e (Address, Lot, Block, Road, etc.) /� , I
on 1\� C (k-5, 1 t% , in �A rh�S C I T- l 4 � 1/ �NN.C.
(Waterbody) (City/Town an / r County)
The applicant has described to me, as shown below, the development proposed at the above
location.
_ I have no objection to this proposal. �' tp ( kP `ZveJ
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
She � I
I hereby certify that I own property adjacent to iV) n / ) 's
(Nance of Property Owner)
property located at .O f U rt-6-P 9n A-0
(Address, Lot, Block, Road, etc.)
on /t ! (--i T) II/C , in tlljll?ZC C�.r {t ; 0 ,4VC k) , N.C.
(Waterbody) (Cityffovin andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location.
_ 1 have no objection to this proposal. �rL� /7�ta 2L)
Zal1 /1��5 Pa 7
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
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wr Mr. Ludrick G. Kukulinsk
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3712 Butler Rd.
New Bern, NC 28560
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Mr. i. utkick G. Kukulins
- - 3712 Butler Rd.
New Bem, NC 245W
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ECEIVED
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UN 10
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