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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 cp -T r bl.l.t'c 9 f' - �'C'Y• �'• - �� 'rjt5'• ` i f'� t�f t i .�rY"1 T� _' Y �Y.t. }5k. J 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 1 Paytothe ;� Order of FIRST CI'1'1ZC S 471 j Fsl:n�zu�n.s�B� 2a nk 8. Trust Company .'.'NC8515. .firstci enom For053 03001;001,71 LO237 — Ke) /� f'�.`.�37•r�3a. .;::_ ,_.:.,ram u• 01, t, 7 l Dollars 8" G&-RojANA $gFETY BLUE W�BL 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, Uo� 1--R 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 .. -..ate r 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 Z(J/-��dx w (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 N W E s Text Centerline 0 Parcels.shp Centerline PLIME1RMRNPm AU �F mICJ4Sml m1 fHBY fN ImHS: PWCOm1TO SrOS IN PiFAE31NIlllffWLY6 Am7 llF INmNMmN w NmMfll'®N mS W mIA'®IMIOPflYSmflml S SINK GffExINsmlmi NiHAR4 GNP NtliMI16NA mS HIPS m gswmfu Rms 0rC6Li F. BS NNS /IONt m61[II R61AP N m� ORY Im! NF P(AI61 IIX NIOmI -Class M UNITED STATES POSTAL SERVICE First Pas USP Permit No. G-1 0 • Sender: Please print your name, address, and ZIP+4 in this box • C4 0 t ■ 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 X I ❑ Addre W Received by ( Printed Name) �. ate of jel D. Is delivery address different from item 1? L—l'rea If YES, enter delivery address below: ❑ No 3. ♦''Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ 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 - u 1-631-477-8517 p.l 1S/VCJgw� -�, �'? c 10-07-02 15:04 RECEIVED FROM:1 631 477 8517 P.01 ro Q Ln (A m CD Text Centerline ParGels.shp Centerline os�nanun5sv➢➢us ➢a➢qn n�nwnv5..wa�uane nxnuau�vfiuffi� vuW fIIMn �: i➢ icnmum�ureMvmwdo nearRr�55R mowmxm N Mufi I.ORI Adal ft41lO yf �iA C ld E� mI ➢19f 50[ f i/ vn�nRwoa��aroreaa omRrttfinta:n�9sEw5 �O�ROPf4 AII R NV �6Q3. a�tira.wtacui xdxu tv LD 0 Ln