HomeMy WebLinkAbout60346_PLOZIZKA, AUGUST & CHERYL_20120816D CAMA / Evr'C'DREDGE & FILL 1--� No. 60346
GENERAL PERMIT Previous permit #
F-9 New ElModification L-1 Complete Reissue F1 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
"I _] Rules attached.
Applicant Name '1VC IU 3"
1 IK:7
Io, Z
Project Location: County___
Address—i U i->T
N cst.
'If
Street Address/ State Road/ Lot #(s)
City
State
ZIP
----------
Phone # (Jo
Fax #
Subdivision f
Authorized Agent
City i Cr ZIP
Affected El CW El EW
El PTA El ES
El PTS
Phone# (— River Basin
AEC(s): El OEA L-1 HHF
El lH El UBA
El N/A
Adj. Wtr. Bodyvf(Y"V !
4 Oa /man /unUn
0 Pws:
E FC:
At-, r
ORW: yes / no PNA
yes / no Crit.Hab. yes no
Closest Maj. Wtr. Body- —
Type of Project/ Activity
(Scale:
I
Pier (clock) length
Platform(s)
Finger pier(
Groin length LLIM
*4110
number N
4
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
yr [7
Boathouse/ BoatliA -IN x
Beach Bulldozing I All
lk
Other
Yt
04
It.
I
?30
Shoreline Length
SAV: not sure yes
Sandbags: not sure yes
Moratorium: n/a yes
07
Photos: yes
C9 i L
Waiver Attached: yes no
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
t
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
PermitOfficer's Signature
Issuing Date Expi;a-ioon Date
"r,
Application Fee(s) Check # Local Planning Jurisdiction 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 I) 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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
J 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: 252-247-3330
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Nag = rIER: COMPLETE THIS SECTION
i■ 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.QArticle Addressed to:
(iC�S 4 Co ► a7 42 C'C r ck ( DQ V L (✓L
ZgrS IV. w:(fIQms
45 b3i-63 N C-
a -7s3o
A. Si ur
X ❑ Agent
❑ Addressee
' by ( Printed Name) C. D to of D ivery
D. Is delivery address different from item 1. ❑ As
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
2. Article Number 7p12 �,p1� pppy 6532 0225
(Transfer from service lai .;_.__
PS Form 3811, February 2004 Domestic Return Receipt
❑ Yes
102595-02-M-1540
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
AUG 4 3 2112
DCM MI:D C1 TY
Ili}li 11 if ki�f f77!!}1!!/l�FFF��!
Applicant phone s: 704-64"776 Ma*V Ad&m' P O Box 13M Granite Ouarry, NC 28072
I hereby cerbfy that I own property adacent to the above referenced property. The individual
applying for this permit has descnbed to me as shown on the attached drawing the devoebpment
they we ProPoskV• A descr"on or dravAV. with c!imensi m, must be mvkjad with V" otter.
v
I have no obimions to this proposal, _ I have objections to this proposal.
ayor, have OW6L tons to wfW is bMr g proF OSOA you must noffy me ohrision of Co"Of
it sspwu«rr (DGtr} a► wdta y ,. h Conrice kwkw� l" MM
0fF1M !s a+►aflabla st www Orst.J►bw or by MOV 14W&
4RCOAS T. No rssporess is CmsidrrW tfN ssme ss ra ob/scdon 1 you haw bom noUftd by
CartNfsd Mail
WAIVER SECTION
I understand that a pier. dock, mooring Pilings, breakwater, boathom. or lift must be set back a
minimum distance of t S from my area at riparian access unless waived by me. {tf you wish to
waive the set)ack, you must InRW the appropriate blank below.)
I do wish to waive the 15 seo" requirement
_ I do not wish to waive the IS! setback requirement.
(Property Owrt r Mt adon
Sigri4fw
August J and Cheryl Pbzizka
Print or Type Name
P O Box 1380
Cawoa Ouarry, MC 28072-13N
U)VIStataTo
704-eeo-47e5
TeAwroorm NumbW
July 20, 2012
Dow
{Ripari
. "--in.k ure -�-
m-I tk'►1 �3iZ
Pant or Type Name
staff Aa�s rc . Air— UZI
r.+i!yisratdZp 76 q 905" 9161lL
Telephone Number
-b�e .__
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: August J and Cheryl Plozizka
Address of Property: 118 Westbay Circle, Harkers Island, NC (Lot 8)
(Lot or Street #, Street or Road, City & County)
Applicant phone #: 704-640-4776 Mailing Address: P O Box 1380 Granite Quarry, NC 28072
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, must be provided with this letter.
!/ I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM
offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-
4RCOAST. 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, boathouse, or lift 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.)
I do wish to waive the 15' setback requirement.
_2�\ _ I do not wish to waive the 15' setback requirement.
(Property Owner InfaS ation�
August J and Cheryl Plozizka
Print or Type Name
P O Box 1380
Mailing Address Granite Quarry, NC 2'801 2- 1380
City/State2ip
704-640-4776
Telephone Number
July 20, 2012
Date
(Riparia Pr a Own
Print or Type Name
,),`7I 'F cS anJ R.OA�
Mailing Address
G 444z LD f AiC-
821
City/State2ip O 155- 61
Telephone Number
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ACM•Mt•ID CITY
�T J PLOZIZKA
&ERYL B PLOZIZKA
r 1103 Spring RC 28146 ve
Salisbury, I`i
pa to the � L � ; (J t
order of w
3013
i:053000 2 191: LO 1008
3013
66-21/530
BRANCH 77645
Dollars