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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 % -7 ' Zo z,6 [)"to Date O 3UN 10 202 (Revised 611812012 Cl-Ty 0CWj-M� r 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) ,5cc oe-11,66 R R -+f70-4l ED 1(� LPrUAR e74UE ■ I'MN■ ■�■■■■ ■� ■ ■ M■M■ I■■ MM■M■MM ■■■■■■■■■ ■■ ■ ■■I�e Il C eNC■CC_CNN ME ■■■CMEMO ■NCCCC Cl� r► '%�� N■N■■■■■� it �� i iC �� N■■■ NONE ■ ■NOON■ ■ ■■ ■■■■ NINE ■■•av■T%■� i ' ■■■■■■ i ■ MEMO ■. NINE ■� �O■■ ■. N. NOON■■ NONESENSE 11 ■■NEON. �r''� : *�..",.";�E:�R �: , O - <' _.� ' . ■ ■■N■M■INN■Mee E �■ ■ ■ ■N ■ C■NO NMME 0 No No Cie iil C C ■ ■ENE■MEN■ NNE■■ M■ ■■■ ■ ■ SEMEN■ Ali■■r ■■ ■■ IN NNE■■■■■ ■ MEMO H NEMMEM eMMN!'M on ■■■H ■ N N ■C► ��� M��i a ME■M■ e a NOJ1. ■oNO■■N■M■ M0 Eawlew I IN M 0 M a No 0 0 OEM ■■ f ■ N NM■■M■11■il ■ mo■ ME NON ■ N 111■EON ■ M■■■■01IIL�■[!NQINI■11�I■!:')■ MNE N�.■ MOM NOON■■ ON.�■■ ■■■■■N NOON W N ■ 0 0 i Oar_ ME■■■■M � ■�i Elm ■e■■■N�N ■C ■■■ ■MM CC ■ ■ C C■■■■■ ■ ■■ ■■■■C r C■I ■■■ ■ NOON■ N■ ■■■ ■ ■■C C ■■■■N,� MEIN■■ NONE ■ M N■■ ■ I. ■ ■ ■....■Now ■_ .�■ ■■ . ■NON NOON 111�/i�Irr.CNN NI' inI■■M■ NOON I �i■� ■ NOON ■■ ■■■ ■■ NOON �7I �TT�1i1■NM 'T� �N■■■■ NN ■■■NONE �eE Nee �■■ '■■■mom No NN ■■N MIME ^� ■ ■ ■ _ramr�►► ROMEMC A ■ ■NEC ■s i�,�e0 e _ C■■■ .. ,momes■ ■■ e e e ee NONE0 MEN C■ .. ■I►�ME am Ells .. lee■■■...■C■C C■ ...C..e..___.e�_■C■■■ %4 k-kaA� A%?: 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) �4: �� ® i Po cK LI-FmLzT- Ur Ali MA-rr �o c wr Mr. Ludrick G. Kukulinsk , v 3712 Butler Rd. New Bern, NC 28560 ta — f S _ k s jP Aw v P6 Mr. i. utkick G. Kukulins - - 3712 Butler Rd. New Bem, NC 245W -.}-.. - ECEIVED F UN 10 f - Cpg,,pp pppp C�y