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Home My WebLink About52153_O'CONNOR, KATRINA_200712200 CAMA / ❑ DREDGE & FILL GENERAL PERMIT [New ❑Modification ❑Complete Reissue El Partial Reissue 4) -a8 Je ? Previous permit #11Y 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 qlgures attached. 1 Applicant Name Address �' ' S^` \ i Q- { City NState V"—ZIP Phone # ( Fax # Authorized Agent Affected El CW C7 EW [t.PTA ❑ ES ❑ PTS AEC(s): O OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ' FQ ORW: yes / no PNA :_, yes kbo Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) -� Subdivision ) r ,� '� i •�� City_ Phone # ( ZIP River Basin 2 1 e5p Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of FrojecT Activil ■■■■■■■■■■■■■■■■■■■■■■■■■ MONOMER ■■ ME MMMMM■■ M■■■■■N M■■MMINEMOM■C ■L:O.01MINAM■Mid!■!fN■N■ ■MOON MM■■■ OM■■■■M ■M'�1/O■■M■M!I'rlM�iMBNM■M■N■MM MMMMMMMMMMMM■■MIN■NOMEM :AIM■■MM■■■MOM OMEN■ MM■MO"!■M ■n■■M■■■■■n■■■MM■■®MM MEN F No■ONNMM/J■®l�M■ONM■OM■ ■ MM ■■■ - - ELI M—EN N MOMMO■M■ MM■ON . IMMMMIM■M■� ■■■�■■■■MOM■■OM■MMN MM■NI■■MM■■f 1i�MF�MNNMNl9sm - MEN M■MMM■M■N■■■■r WWMIW*i■i�■�O .. . MNNE MEMM::M■NIMMENIM:■■■■ Agent or Applicant Printed Name Signature **Please read compliance statement on back of permit" Application Fee(s) Check # PermitOfficer's Signature Issuing Date Expiration Date 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 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, certify that this project is consistent with 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 (910-796-7215) 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. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax: 919-733-1495 Elizabeth CiV 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) Revised 08/09/06 UCAM C7 DREDGE & FILL G ERAL PERMIT ew -'Modification ElComplete Reissue DPartial Reissue 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 . � 1 I _ 'A /1 I/'/A", f-� Applicant Name Address ZIP Phon�# 1) Fax # ( ) Authorized Ages CW CJ A 0ES =' ❑PTS Affected AEC(s): OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: J-FC� ORW: es)/ no PNA Crit.Hab. yes / no Type of Project/ Activity i A� (n 1 Pier (dock) length 14 Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure yes no Sandbags: not sure yes n Moratorium: n/a yes o Photos: yes Waiver Attached: yes no N? 52153 Previous permit # Date previous permit issued Project Location: County Street Address/ State Roa, Subdivision Z City . 1 ZIP Phon ( ) River Basin Q Adj. Wtr. Body nat man unkn Closest Maj. Wtr. Body i (Scale: IV ) r mom MR N=11�1111 i ME 10R11 IN IN MOM I ..MEN ..��.��.ININ�MmmQlI1!�' Ell via A building permit may be requirred�by: jJ� Notes/ Special Conditions l--1 MITI 0--,4 f Agent or Applicant Printed Name Sig ure *%* P read compliance statement on back of pe rmit Application Fee(s) Check # r' s ^ ❑See note on back regarding River 7 .. 1 A t Signature Planning Jurisdiction Rover File Name NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary January 8, 2008 Katrina O'Conner PO Box 151. Gloucester, NC 28528-0151 Dear Ms. O'Conner Attached is General. Permit #52153C to construct pier (dock) 114x6 and a platform 20x15 at 255 Sleepy point Rd. in Gloucester, NC In order to validate this permit, please sign the permit as indicated. Retain the white copy for your files and return the signed yellow and pink copies to us in the enclosed, self-addressed envelope. If the signed permit copies are not returned to this office before the initiation of development, you will be working without authorization and will be subject to a Notice of Violation and subsequent civil penalties. We appreciate your early attention to this matter. Sincerely, Heather M. Styron Coastal Management Representative lsb Enclosures 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity, Affirmative Action Employer— 50% Recycled \ 10% Post Consumer Paper KAMiNA A. 09CONNOIJ 10-ss P.O. Box 151 GLOUCESTER, NC 2852U151 Pay to the Order of_ Bankoffteri %a ACH R/i 053000, 96 Gml 66-19/530 NC 2002 cs-22�, Dollars 8 EEM , °�. Ey wr Fo_ t 5 ' Bank Of America Advantage® 000 68 3 3 1 7 3 i �■ � � 408 3 ra ,rD CERTIFIED MAIL • RET UR- N RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENTT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Individual applying for Permit: kLN� Address of. Property: /.Of 9 lr"�" /e e,p �f. f�oac�, love es (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 have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (252) 808-2808 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 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Signature Date Print Name Telephone Number With Area Code ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (I, OR A PIE-R11IO ORIt\, G PILINGSIB 0A TLIFTIB 0.4 THO USE) 1� % . �! cczl,f,' that - o�i isp,lt. O,U property located at// 1-%Arn%Ile iy (Lot, Block, Road, etc.) on EEfX�j C.69E,4- , in X). C . , N.C. (Waterbody) . (Town and/or County) Ile has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) �I i� Date: Signature Print or Type Name Telephone Number zev 7005 3110 0004 0572 6001 wF Vq fo ( Mf �fA+ Mp��TNUgE jN jl� jj SCE-�01�1?�,p NO ED /eGT /f �W tlYrW�Y •A�AL.A A A A g A A A Ott A AA. �A USX 41� -Z r, J 41 `A CERT)FIED MAIL,. REC (Domestic Mail Only, No Insurance C ru E uLr) L Postage $ C3 Certified Fee O Return Receipt Fee (Endorsement Required) C3 Restricted Delivery Fee r1 a (Endorsement Required) Postmark NG��! 2"� 2C�1 m Total Postage & Fees $ V Ln Sent To/ _ o V'P `dean M. ' ------ ------------ - r- Street, Apt. No.; -�orPOBoxNo. ---------- E.............. City, Stae, ZP+4. - /:)v C'," kin "xpsy ■ Complete items 1, 2, and 3. Also complete A. Signature item 4 if Restricted Delivery is desired. X ❑ Agent ■ Print your name and address on the reverse ❑ Addressee so that we can return the card to you. B. Received by (Printed Name) C. Date of Delivery ■ Attach this card to the back of the maitpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES, enter delivery address below: ❑ No /-?)S '- ct /J / / / . �D ' D ^n S y 3. ervice Type X /CGf / / ► / Certified Mail ❑ Express Mail Registered ❑ Return Receipt for Merchandise ......❑ Insured Mail ❑ C.O.D. ....... 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7005 3110 0004 0572 6001 (Transfer from se PS Form 3811, February 2004 Domestic Return Receipt 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 • ' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIA10 ORIA G PILINGS/B OA TL.(FT/B OATIIO USE) I lie eny certify that 1 ow i property ad acent, i e Gib E�•p,-.,., c_, „..,;•) — property located at t d-1 jy i /O JZ• 13�.57 , (Lot, Block, Road, etc.) on ��P,E C,�°eE.� , in A/ C . , 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. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15') from my area of e waived by me. (If you wish to waive the setback, you must initial the k below.) X I do not wish to waive DEG I I Z007 I do wish to waive that setback requirement. orp.head City DCM ------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: ` (To be filled in by individual proposing development) ------------------------------------------------------------------------------------------------------------------- Signature lV, Co Los 141C sC-41 E-N ed Print or Type Name Telephone Number Date: e" l % O KATnINA A. O'CONNOR 10-99 P.O. BOX 151 GLOUCESTER,NC 28528-0151 Date I' 4083 66-19/530 NC 2002 $ fin. Dollars ACH R/T 053000196 Bank of America Advantage® t - 1:0 5 3000 L 9 6I: 000 68 3 3 L 7 3 L i' 408 3 ®Clarke Nmei