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Home My WebLink About16560D - Kowalchuk f • CAMA AND DREDGE AND FILL . : 016.5U. GENERAL PERMIT as authorized by the State of North Carolina Department of Environment, Health,and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 —4 I z-O c Applicant Name L) ICH 01.4S kovJA-LCt4 k(K 70 P I e V a4Cri..4 Phone Number €4:V 8`El 7 Address 2q 0 7- -S-t- Y do(J.i *b R City ` Cc % n.,--, a State P. C_ { (Zip 2-$4-C s' Project Location (County, State Road Water ody, etc ) C• +w"-a. \ in Pr- c" � W Csf cJlw,►StT ' 1a_4* , v' ' U Type of Project Al i vity. IL w • I. • ID r- PROJECT DESCRIPTION SKETCH ^� w (SCALE: (.,O ) Pa Pier(dock),length ice- .,._ / - - t 4-4-4mti .. I .(, XS Groin length toy )i ,) i -4 em _ An or„. LeSCQ EL 3 4- 1:4 ., number aN 10-c,� sae , Bulkhead length,•,_,, =f t t A-'TThd f4 Cj S Ct t u-e i t I t max.distance offshore I ,�ifr MII --- ( - nf t 1 i .-- Basin,channel dimensions '4,. 1_ ,.x,. }�. k ,, cubic yards t 1t x* _` ) Boat ramp dimensions I Other IT p_ e ti zi+x 1 O . . 0 O� ADO/—_ F This permit is subject to compliance with this application, site drawing and,,attakhe r neral and specific conditions. Any =— violation of tise terms may subject the permittee to a fine, ',-' imprisonment or civil action; and may cause the permit to be CN2 :pplicant's signature come null and void. C L./ «�1 This permit must be on the project site and accessible to the permit officer's signature permit officer when the project is inspected for compliance. 'The applicant certifies by signing this permit that 1) this pro- CA k - 1 G ( -1 to 9 ject is consistent with the local land use plan and all local issuing date expiration date ordinances, and 2) a written statement has been obtained from • adjacent riparian landowners certifying that they have no '7 tom. 1 ' cU (o objections to the proposed work. attachments GENERAL PERMIT COMPUTER FORM APPLICANT NAME: MI I 410 1 a.5 Voco A-L GN-u k ADDITIONAL NAMES: AEC DESIG: , --WI DEVELOP . [AREA: _ PROJ DESC: P - I (Will only take 6) (Will only take 1) 't WORK: - ., 1 ..s SL I S , tt `fi " (Will only take 4) .L .A- ) ID 1 La MAINT: 1)6\ --. 3(,-6 (Will only take 4) 2¢0 (0129-6 IMP: Cc.J C00 (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: CAMA MAJOR DEVEL REQUIRED: 9 1 g,9 g I D--16 I . • A DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: Ilkci044.s. d- 3 i..c a NDu/42 c d v K Address Of Property: 2.?O 9-. E. )',+< AT it . L0 �e.,4c.A, VC 1 g' 1 c (Lot or S.treet #, Street or Road, City & County) I hereby certify that I own property adjacent to the above- referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they 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 Coastal Management, 127 Cardinal Drive Extension. Wilmington, North Carolina, 28405 or call 910 395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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. ) L/ "/I do wish to waive the 15'setback requirement. I do not wish to waive the 15'setback requirement. K d, blij(E;)- q- re Date Print Nam q !a - 22e- s'a Telephone Number With Area Code ' DIVISION OF COASTAL MANAGEMENT i / ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM 1 Name Of Individual Applying For Permit: Alici-idAS 4-JNA6C/ DU/41--N✓K Address Of Property: oZcIOo2 . `1ACNT JRsv16 \_o - 4 eAc �,�.co s (Lot or Street #, Street or Road, City & County) . I hereby certify that I own property adjacent to the above- referenced property . The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. i --- 4 I have no objections to this proposal . . If you have objections to what is beinc proposed, Please write the Division of Coastal Manacement . 127 Cardinal Drive Extension , Wilmincton , North Carolina , 28405 or call 910 395-3900 within 10 days of receipt of this notice. No response is considered the! same as no objection if you have been notified by Certified Mail - t WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, , boat house, lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If youwish to waive the setback, you must initial the appropriate blank below. ) I do wish to waive the 15'setback requirement. ��Ai I do not wish to waive the 15'setback requirement. ..-)2---"r--e-tlit?-4(--ee\e-D g--10-7 • , w i Signature Date • • re a4 A - g I LU,) `s w'll,r Print Name ►- q, - 27e-34y2- = IDI-I--INF1 Telephone Number With Area Code 1 . 0�I • • • • • • Q • : Aj si • • tiz • lt000'0 • • I •• . 01 )JU6 � OJ aut9 , 00/7 ,< 'i ' b �01 = ,, ( (11 l i •J� �y'��•a za67 °y,,dMox ,1',.'4 Jq� to,n4,a6 FUNCTION=> A NEXT PERMIT=> GENERAL PERMIT ENTRY/UPDATE RRD16( PERMIT NO: GP16560 DISTRICT: I COUNTY: BRUNSWICK AEC DESIG: PT EW APP FEE: 50 . 00 REGIONAL REP: BROOKS APPLICANT NAME: NICHOLAD KOWALCHUK MAILING ADDRESS : 2902 E. YACHT DRIVE CITY: LONG BEACH STATE: NC ZIP: 28465 LOCATION: SAME WATER BODY: AIWW LOCATION ADDRESS : (WHEN DIFFERENT FROM MAILING) CITY: LONG BEACH STATE: NC ZIP: DEV AREA: 0 . 01 PROJECT DESC: P-12 STATE PLANE COORD X: Y: WORK: pr 126 5 00 0 bl 15 24 00 0 el 24 10 00 0 0 0 00 MNT: 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 ( IMP: ow 600 0 0 0 0 0 ACTION EXPIRATION DREDGE AND FILL: CAMA MAJOR DEVELOPMENT: 09 12 98 12 16 98 MESSAGE: INV ACTION DATE, PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PF5=ADD NAMES ll a.cs: - � r.mmr'r-'�'7114 5 r_, f r n k a n c r a A or u m 6 e 358 r COASTAL DOCKWORKS P.O.BOX 10671 66 301531 SOUTHPORT,NC 28461 9 / _ 453 DATE !�-=S i $ 5a . II PAY G i9-h� TO THE �� J ORDER OF r'^� oL h G/ DOLLARS ' " i 6.r�7 /✓Ol ✓ S f SOS ''' Soul p [�RnSt1 CITIZENS 457 �I 1' �! I\ ort, 28 5 N C.a 5rusl Campe ry t ///JJJ hP v FOR /l O(.//4LGk y Y c� m — 5810 1:0 5 3 L00 3001:00 4 5 3 L 6 7 60 C1191 6 - 1 1110003L. '0 0 0 3 s-s -r i