HomeMy WebLinkAbout32987_PAWLAK, CHRIS_20021112❑CAMA / ❑ DREDGE & FILL S 3.%987.
GENERAL PERMIT 6) Previous permit#
❑New ❑Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Applicant Name
AddressG
City
kids
State K)Cf ZIP :-XI04
Phone # ( )
Faxj # (� )
Authorized Agent
/1r
Affected ❑ CW
O EW
O PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
1 PWS:
❑ FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / no
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City_ _ ZIP
Phone # River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body `
Type of Project/ Activity
d
'r i7
(Scale: NN l
Pier (dock) length
Platform(s)
-
......
rt
_.. - - — --
1 1j- - - -- -�
Finger pier(s)
Groin length
I
number
Bulkhead/ Riprap length Z
avg distance offshore
max distance offshore
I
--
Basin, channel
cubic yards
Boat ram
Boathouse/ Boatlift
Beach Bulldozing#1
Other
Shoreline Length
.... ...... .. -i
SAV: not sure yes no
Sandbags: not sure yes no-
i
Moratorium: n/a yes no
j
-
Photos: yes no
Waiver Attached: yes no
r
A building permit may be required
by: I
l u O CO-
See note on back regarding River Basin rules.
Notes/ Special Conditions
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Agent or Applicant Printed Name
Signat Pleaie read compliance statement on back of permit
Application Fee(s) Check #
G'Permit Officer's Signature J ._
Issuing Date Expiration Date
Local Planningf urisdiction Rover File Name
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑Other:
euse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:919-733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-395-3900
Fax:910-350-2004
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01
A7 i-I
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Donna D. Moffitt, Director William G. Ross Jr., secretary
January 15, 2003
Phillip E. Willis & J. David Willis
d.b.a. Willis Trucking and Land Development
22215 NC 55 Highway
Oriental, NC 28571
Dear Mr. Willis:
We received your check # 4471 dated 01/1O/O3 in the corrected amount of $50.00
for GPC # 32987 issued to Chris Pawlak. Please find enclosed your previous check
# 4080 in the amount of $100.00 dated 10/15/02 for your records. Thank you for
your prompt attention to this matter. If we can be of further assistance to you,
please feel free to contact us.
Sincerely
Sher`VR. Keel
Enclosure
151-B Hwy. 24, Hestron Plaza II, t,,Iorehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: http://dcm2.enr.state.nc.us
An Equal Opportunity 1 Affirmative Action Employe(- 50% Recycled 110% Post Consumer Pal-er
r-n'LL11" f . WILLIS 252-249-28776-P-#
J. DAVID WILLIS 252-249-0313 C+-rc3S PA,,(LAK
DBA WILLIS TRUCKING AND LAND DEVELOPMENT 4471
22215 NC 55 HIGHWAY
O, 55-30/53, 28571 47
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Paytothe ;�
Order of
FIRST CI'1'1ZC S 471
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UNITED STATES POSTAL SERVICE
First<Class Mail
Postage &Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
AA�
I?fFflfi?1JfI?1FIFFFi3Ff�l4?i�f�fE3ii3Ej!3FiIF3!i3�!111F1!ifi�
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
C�d4C, a VQilC
Sig
X❑ Agent
❑ Addre:
ceived by ( Printed Name) C. Date of Deli,
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D. Is delivery address different from item 1? Ef Yes
If YES, enter delivery address below: ❑ No
3.
B'Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
-'15 Med Mail ❑ C.O.D.
4. Rests ted Delivery? (Extra Fee) ❑ Yes
2. Article Number 1
(Transfer from service label) 7001 1940 0001 0 0 2-ri 5 9 J 5
Ps Form 3811, August 2001 Domestic Return Rqc pt 102596 -01-M-2509
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent topzvi)-44
ame of Property Owner)
property located at
01
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(Lot, Block, Road etc.1-11
on ^1JP%L- in , N.C.
(W erbody) Vown and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from
my area of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
A%"os P [/mow
Print or Type Name
Tigephc& Number
Date: L
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed
T ❑ Agent
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D. Is delivery address different from item 1? L—l'rea
If YES, enter delivery address below: ❑ No
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❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7001 1940 0001 0025 5922
(Transfer from service label)
PS Form 38111 August 2001 Domestic Return Receipt
102595 01 M 2509
07 02 03:18p Mariel Dobler 1-631-477-8517 p.2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILTNGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to AL
ame of Property Owner)
property located at
(Lot, Block, Road etc.
on in 4C:d , N.C.
(W erbody) ( own and/or County)
He has described to me, as shown below, the development he is proposing at that
location, aod, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlifrt/boathouse must be set back a minimum distance of fifteen feet (15') from
my area of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Print or Type Name
Telephone Number
Date:
10-07-02 15:05 RECEIVED FROM:1 631 477 8517 P-02
n'ct 07 02 03:18p Mariel Dobler
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1-631-477-8517 p.l
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10-07-02 15:04 RECEIVED FROM:1 631 477 8517 P.01
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