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Home My WebLink About34725_ZIELINSKI, RONALD & LINDA_200308197CAMA / 7 DREDGE &FILL 34 ' GENERAL PERMIT 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 I SA NCAC E] Rules attached. Applicant Name Address I - City , . ? StateUC_. Phone # ( ) I r+ i :K Fax # ( ) Authorized Agent Affected - CW ❑ EW ❑PTA ❑ ES ❑ PTS AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City Phone # ( ) Adj. Wtr. Body Closest Maj. Wtr. Body ZIP River Basin Ck-(,, (nat /ruin /unkn) . 1111MMIMEIMMMIIIM■ MINIMUM i M■N■M■� IINMIIMIM ■� ME COMMON ■ ■■■■■■■■■ ■■ ■■■NEE l- EMI ■■■■ ■�.'■�■E :■■■�■ ■.■■�.■■■■■■:.■ .. .■M.■■■■■■■.■■■WE■■■\■■■■■■■■.■■■■■■ ■■.■.■■■ ■■■■■■..■.■®■■■ ■■■■■■■®.■M& �w�■■i�■■■■■i■■ ■■ • ■■■■■■■■■■■■■■ ■■■■■■■■■■■■■ M■■IM■■■■■■ ■■��■■■■■■ ■■d!! 3ii\M■■■■ •o-,r■■■■■■■ ■■■ ■■Il■■■■■■■ ■■W INN �■n�■■ OLME sa� ��W®■■■■■■■WOMEN■■li Agent or Applicant Printed Name t• ,J ��- 1 � 14 rseV Signature Ple a read compliance statement on' backof permit" Application Fee(s) Check # G Permit Officer's Signature Issuing Datil Expiration Date .��','r'r 1, f-, - l", l?'3I��! � ► � � Local Planning Jurisdiction Rover File Name +.y;,. ''!•''t. ..: j zs; .� _s, .�.r'A'Aw'4 i . ..N. 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 consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules ❑ Other: ❑ Neuse 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 / 1-888-4RCOAST 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 Rovald --3`7ZJ- ss-3o/a i 905 ,Ciltda Zielitrski 102 Gull Cirele >? _ � Oriental, VC28577 uxFF - � -� PAYTO THE P _ - R 0 ORDE1F �Q - �'c col F,\hs FIRST CI'TIZENS`472 C1jCli-tE' �llf'St to FirstCitizans Bank & Trusl Company Oriontal.N C. 29571 www.flrst clt hens. cwn FOR I:053100300,:0047L755L,I.,52113 0090 'OLD DOCUMENT UP TO THE LIGHT TO VIEW TRUE WATERMARK 1028105 ry To The Order Of *ONE HUNDRED DOLLARS AND 00 CENTS Sender For ►TACHOVIA WM HOLD DOCUMENT UP TO THE LIGHT TO VIEW TRUE WATERMARK 'APr 278212630 86/220 Bale/ 19/2003 $*************100.00 f j d by Integrated Payment Systems Inc., Englewood. Colorado _tibank (New York State): Buffalo. N.Y. Not Good For More Than $1,000.00 11' 3 509 2 711' 1:0 2 2000868i: 6800 2 78 2 1 26 30 511' ADJACENT RIPARIAN PROPERTY OWNER S'rATEMEN'r {FOIL A PIERfUNCO'VER,LD BOAT LIFE') I hereby certify that I own property adjacent to 0m1 (Y "LL� Z �1 i �5�< < (Name of Property Owner) X property located at 16 � �� Ct � � C' 6tt�`F- � (Lot, Block, Road, etc.) � l (Wa(erbody) (Tawas and/or County) He has described to rase, as shown below, the development he is proposing at tbat location. and I ksve no objections to his proposal. I understand that a pier/uncovered boat lift muss be !ct back at a minimum of fifteen (IS') from my art* of riparian access unless waivrd by me. I do 1104 wish to waive the setback requirement. ;;Z4-11 1 Ag wish to waive Qhat setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DE VF LOPMENT: (To be filed in by individual proposing development) 1-7' �— 3r� — 13 T rf "e �- )ram S 0,M New /Id V-1P u r 4- ec-_ natur Print or Type Name �o Telephone- Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I awn property adjacent to a( c4._�i �_�� ,S�c� '$ (;dame of Property Owner) property located at _Loa.- G--.'l ( C; r-cl-e- /` C ____� (Lot, Block, Road, etc.) on /oL�rl 1, Cl 0.tA �� ow� , in C(M —CC— , N.C. (Waterbody) (Town 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. �� ✓� `�`'�� -----------------------------------�----------•-------------•------ f ---------- - -------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) PiN�Y T - --t r �y5�1�� Q (1��! S O� �` 1 • �l-�f5' 'f� /� Vtp �� o V of k S ova k00/f 19 O' l t Hato e j i rq-- C �'+ c,� C C 3 g f'�G -.IU s� Ov'e J �► Print or T Name Telephone Number zy r- Z s (- Date: �clb aµ �00'vip WI It£ �P0�j aVC9 f), �zs ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to P,,.(d wJ LJ, Z, edrkS%l ` 's (Name of Property Owner) property located at 10 2 6 A C i rdf— D r i -etk'W (Lot, Block, Road, etc.) on / 0L'r -6 Vx C[a u k� � law , in i"a w� f C0�4u k , N.C. (Waterbcidy) (Town 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. t-7 DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPIXtEttiT (To be filled in by individual proposing development) -,s� 4,3 wa;\j--es, Yv<-5-,4ba—k J--eLu / V0- V-t -C, L-Cf- Signature Print or Type Name 'i(S '1S3 _? 6`4y Telephone Number Date: 6 I k-0 OL V C9 1)e J�- ADJACENT RIPARIAN PROPERTY OWNER ST'ATEINIENT (FOR A PiERfUNCOVERED BOAT LIFT1 I hereby certify that I own property adlace»t to Oot4al lull Zi�.i ( 1,S)</ __'s (Name of Property Owner) property located at 16 ).- 6-,JL CTtLjo sitjai (Lot, Block, Road, etc.) on la1-1p OV\ C.► aU14e) 6w 1 in w��i("D C „'� ,NC. (Waterbody) (Town aad/or County) He has described to me, as sbown below, the development be is proposing at that location. and I !save no objections to his proposal. I understand that a pier/Uncovered boat lilt must be Oct back at a winlmuns of fifteen (15') from my art% of riparian access unless waived by me. I do not wish to waive the setback requirement. 11h wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED,DEVELOPMENT: (To be filled in by individual proposing development) 3 t`7 '$�oo� r-4- ►3 ► Signature Telephone Number Print or Type Name APA S O, V+t= /V Q W 0" l 10wS