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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 z Dare i;. �rip'lVED ja "0 201Z 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