HomeMy WebLinkAbout38933D - Bucek py
ICAMA/ - DREDGE & FILL
GENERAL PERMIT Previous permit#
.New Modification -iComplete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources /�
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC (H• /Z OC
L ' ules attached.
nt Name '�3 a,,,es Evice/� Project Location: County 0 1Sloci1
s 3 o + 17 3- (1 S4 Street Address/State Road/Lot#(s)
SU c-r C . 7 State C ZIP 2 Q4 LI S" jD 7 7 3 e d Si
#( ' ) 3l5-O52f Fax#( ) Subdivision
zed Agent City-Cu 1'i (',4 7 ZIP 28 L
❑CW -E4W $PTA CI ES ❑PTS Phone# ( ) River Basin Ceti 4
d ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body C a a t (nat
❑ PWS: ❑FC: A i _ Ili,
yes /Q PNA yes /6 Crit.Hab. yes / no Closest Maj.Wtr. Body W
)f Project/Activity AJC I Q x 4 C Pit;ih Or ( re k -d new 6 on 1 htrf
(Scale:/'',
ock)length
m(s) i . T 1 i....
�r k fi I {
1 i �_ I 1
ength { -- � --
umber i I I
+ ,
ad/Riprap length j 1 j '
vg distance offshore
— —.
iax distance offshore j _ I 1 - - —
channel I i - I 1
1 I _ l � RGs/.•
ubic yards i t t— _ . _
imp f -}-. - r r i! .. 1 , 1111 —
iu Boatlift ,/2'k al i i 1 I
Bulldozing { - I I '__
I I
t
IL —
M
g� �/l
Ile Len � I I" ...._.,.._y i i
1
not sure yes � i 1 o f
I 1
gs: not sure yes no . . — .. i '
Mum: n/a yes no } I � Sid—
r ....} --- t—
I
Attached: yes no ,
s
ling permit may be required by: Si/.4. C;'* L ❑See note on back regarding River Basin
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 1 (a ,M ` c c`
Address of Property: L� � '� '� r d
(Lot or Street#, Street or Road)
a v r C ,'Ccr to,
(City and County)
I hereby certify that I own property adjacent to the above-referenced--property. The individ
applying for this permit has described to me as shown on the attached drawing the development tl
are proposing. A description or drawing, with dimensions, should be provided with this letter
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3S
within 10 days of receipt of this notice. No response is considered the same as no objectioi
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set bck a minimum distance of 15' from my area of riparian access- unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
l (0 lit
Si e Date
et s � St/ AAA
DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ( m G S UC��r `L
Address of Property: 30 7 v j r eC
(Lot or Street#, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced-property. The individ
applying for this permit has described to me as shown on the attached drawing the development tl
are proposing. A.description or drawing, with dimensions, should be provided with this letter.
Lie) I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
i:✓` / . 4,9
Sign Name Date
�Li7 S/ [! / ,,t fie^ % ®i � �
�w
� � C
, (\
( 111
i)
4�� I
31/1
GENERAL PERMIT CO JEER FORM
"PpLIC A 1 N- : T.m P P k
ADDITIONALN v S:
_r DE�'._.T,OP_-.R z D.Q PROJ DESC: 6 - !Z.
D aIG: —
�71 only;a::o) (� ill chic talc:l)
' Fe WORK: F1" 601'
(writ or..iy ems:==)
L )zxJV
(Val cniy=1.=-)
: 060 /0
(x i1 only 6)
ACTION D-12LRATIO
DR GE&FILL REQUIRt. :
CA'vIA MAJOR DEN REQUIR_�D:
.41.,,......,„.., ......,. ... . ............... ...... . .
_____________ . ,
JAMES D BUCEK
' DENISE G BUCEK ,,r, 7321
Ph 910-328-0520
3077 Third Street IQ tO
� s NCH 77o
Surf City,NC 28445 ( / BRANCH 77594 M
�c"jai
E � �DATE 111
PAY TO THE /
ORD[/E��R�OF I $ /a)��
EWACHOVIA
Wachovia Bank,N.A. t 1 3Sti
wachovia.com a -.)J
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FOR e v`/1 el.. k.l t y •
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