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HomeMy WebLinkAbout50791_O'CONNOR, TOM_20080527❑CAMA / ❑ DREDGE & FILL — GENERAL PERMIT Previous permit # ❑New ❑Modification ❑Complete Reissue ❑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 E Rules attached. Applicant Name '' / , r •-� r" i Project Location: County Address r I �' !�- Street Address/ State Road/ Lot #(s) City State `.i - ZIP _ Phone # O Fax # (� Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ElIH ❑ UBA ❑ N/A AEC(s): ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Type of Project/ Activity Z rtf Fing Groi Bulk Basil Boat Boat Bea( Oth Shor SAV, Sanc Mor Phoi WaiN Subdivision City ZIP t Phone # (�) River Basin Adj. Wtr. Body (na mar /unkn) Closest Maj. Wtr. Body (Scale: , ) ■■■■■■■■■■■■■®M■■I■C�1■■®■■■■li■■�■■■■■■ . ii■■■■■■■■ ■■ ■■■■■■■■■■■■■■■■■■�ur��%■■■■■■■■■■■■ yardscubic -1■■ MIEN OEM ■■■�■■■■■■■i■��■■■■■■i■ca■■■■■■ ramp oil ■■■■■ ■■■■■■■■■�1l1■8�■�'" ■■E!■FU1M Mai�1jj�■■■■■■ MMEMMMM dine Length not sure yes no MagS: not Sure yes no n/a yes no WOUNIMMM NORSEMENtorium: _ .. 0■�■■■■■■■■■■��®■�■■■■■■■■■ A building permit may be required by: 1 �'(� r \ y ►O . Ile, See note on back regarding River Basin rules. Notes/ Special Conditions Agenror Applicant Printed -Name Permit 0 cer'ss SSigt tturee Signature Please read compliance statement on back of permit" Ig Date �Expiration Date Application Fee(s) Check # Local Planningf urisdiction 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (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) Revised 08/09/06 U.S. Postal ServiceTN I CERTIFIED MAIL. RECEIPT'., f, , (Domestic Mail Only; No Insurance Coverage Provided) m OFFICIAL Postage $ fU t] Certified Fee C7 Postmark O Return Receipt Fee Here (Endorsement Required) r-1 Restricted Delivery Fee rU (Endorsement Required) �O Total Postage & Fees $ Lr) O Sent To 17�O Street, Apt. No.; or PO Box No. City, State, ZlP+4 IPS Form L :Li2002 Certified Mail Provides: fa�aa/aooaeverrooaeu„odsd ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Mail® or Priority Mail,& ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. ■ For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restrictedeiivery° ■ If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. U.S. Postal Service,. ' 1 -1. M.7 w 1 M-11 I CERTIFIED MAILT. RECEIPT VW (Domestic mo owy; No Insurance Coverage Provided)j CO 0 F F- I C I A L U S E ml -I' Postage $ ru C3 Certified Fee M Postmark M Return Receipt Fee Here (Endorsement Required) Restricted Delivery Fee FU (Endorsement Required) CO r-9 Total Postage & Fees 1 $ 1 treat Apt No.; or PO Box No. ............................................................... M4'w'Tj1.7 - - Form 3800, June 2 tiq rPSOM0.2 See Reverse for Instructiol Certified Mail Provides: ■ A mailing receipt I (as -ay) ZppZ aunf'OOBE mod sd ■ A unique identifier for your maiipiece • A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Mail® or Priority Mail®.', • Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For, valuables, please consider Insured or Registered Mail. ■ For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse maiipiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the maiipiece with the endorsement Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs, ■ 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. Article Addressed to: 5 . z 1 "[c�.t ✓. ❑ Agent ❑ Addressee C. D. Is delivery address different from item 1? 171 Yes If YES, enter delivery address below: ❑ No 3. rvice Type t�l.1L Certified Mail ❑ Express.Mail �Reglstered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article.Number 7005 1820 0002 4438 6066 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 -005. UNITED STATES POSf-* 1*6ff 9.p e es 1-3 PerTit No. G-10 0 Sender: Please print your name, address, and ZIP+4 in this box 0 f d 6 S 1c) ■ Complete items 1, 2, and 3. Also complete A. i item 4 if Restricted Delivery is desired. X llja�l ❑ Agent ■ Print your name and address on the reverse ❑ Addressee so that we can return the card to you. B. Weceived by (Anted . Date of Delivery j ■ Attach this card to the back of the mailpiece, �, or on the front if space permits. D. Is delivery a i trritefn If YES, en r liv address below':• Yes I'No 1. Article Addressed to: x A MAY 13 2008 3. Service Tye ertified it C1 it tegistered , ❑ f�eceip Merchandise ❑ Insured Mail 4. Restricted Delivery? (E(tra Fee) ❑ Yes 2. Article 7005 (Transfer fromm service label) 1820 0002 4438 2907 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 !; i 1i �i ' '-y �UNITED -CI ss't ,. to a s Pak n Iti -. �rn1tC ftl19: Cum"'` • Sender: Please print your name, address, and ZIP+4 in this box • C J r C�l�c1fL a$5Lj 4 % i r-vr�C-$2 III ltfill If1111t1lil1111111l{il11111111fit tIII t1II##lllttlfI[II r APPLICATION FOR CAMA MINOR DEVELOPMENT PERMIT In 1974, the North Carolina General Assemble passed the Coastal Area Management Act and set the stage for guiding development in fragile and productive areas that border the state's sounds and oceanfront. Along with requiring special care by those who build and deielop, the General As- sembly directed the Coastal Resources Commission (CRC) to implement clear regulations that minimize the burden on the applicant. This application for a minor development permit under CAMA is part of the Commission's effort to meet the spirit and intent of the General As- sembly. It has been designed to be straightforward and require no more time or effort necessary from the applicant. Plece go over this folder with the Local Permit Officer (LPO) for the locality in which you plan to build to be certain that you understand what information he or she needs. Under CAMA regulations, the minor permit is to be issued within 25 days once a complete application is in hand. Often less time is needed if the project is simple. The process generally takes about 18 days. You can speed the approval process by making certain that your application is com- plete and signed, that your drawing meets the specifications given inside and that your application fee is attached. Other permits are sometimes required for &N-elopment in the coastal area. While these are not CAMA-related, we urge you to check with the Local Permit Officer to determine which of these you may need. A listing is in- cluded on page 2 of this folder. We appreciate your cooperation with the North Carolina Coastal Manage- ment Program and your willingness to build in a way that protects the resources of our beautiful and productive coast. Coastal Resources Commission Division of Coastal Management A)C) 3� �s ------------------------ Cr) ^L�L iyL Id"? as Q o � ' Locality Permit Number Ocean Hazard Estuarine Shoreline ORW Shoreline (For official use only) LAND OWNER Name Address ! o ! i v4 �/ City ��`- S State AJ& AUTHORIZED AGENT Name f_ s C k �c x � _C Address City Public Trust Shoreline Other Zip Phone dS- _ ?� � � � I State Zip Phone d5_d - -7o) - - 7 ;11 J LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront. wh t is the name of the adjacent waterbody.) 1;.. � 'k" 611 Sit -r) 6eyr. ( • 1h;i a )c. 1 L /',/ , DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) o!t J tri SIZE OF LOT/PARCEL: square feet acres PROPOSED USE: Residential Single-family Multi -family ) Commercial/Industrial Other TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON- MENTAL CONCERN (AEC): square feet (includes all floors and roof covered decks) SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC)- square feet (Calculations includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios, etc., that are within the applicable AEC. Attach your calculations with the project drawing.) Choose the AEC area that applies to your property: (1)within 75 feet of Normal High Water for the Estuarine Shoreline AEC (2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters (3)within 30 feet of the Public Trust Shoreline AEC (Contact your Local Permit Officer if you are not sure which AEC applies to your property.) STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater Management Permit issuo by the NC Division of Water Quality? YES NO lel- If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet. OTHER PERMITS MAYBE REQUIRED: The activity you areplanning may require permits other than the CAMA minor development permit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list with your LPO to determine if any of these apply to your project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste treat- ment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others. STATEMENT OF OWNERSHIP: I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person listed as landowner on this application has a significant interest in the real property described therein. This interest can �be described as: (check one) .� n an owner or record title Title is vested in /�-� y^�y��-�-, see Deed Book 13� page !L' in the 41--4a L- County Registry of Deeds. an owner by virtue of inheritance. Applicant is an heir to the estate of probate was in County. if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application. NOTIFICATION OF ADJACENT PROPERTY OWNERS: I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. (Address) (1) (2) r " f 31 & bl ell J A 0 K3 Ax— d 85-J.1 (3) (4) FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS: I acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing techniques. PERMISSION TO ENTER ON LAND: I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. This application includes: general information (this form), a site drawing as described on the back of this application, the ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any information as may be provided orally by the applicant. The details of the application as described by these sources are incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action. L This the day of , 20 6 3 Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application. SITE DRAWING/APPLICATION CHECKLIST Please make sure your site drawing includes the following information required for a CAMA minor development permit. The drawing may be simple and not necessarily to scale_ The Local Permit Officer will help you, if requested. PHYSICAL DIMENSIONS Label roads Label highways right-of-ways Label local setback lines Label any and all structures and driveways currently existing on property PHYSICAL CHARACTERISTICS Draw and label mean high water mark Draw location of on -site wastewater system If you will be working in the ocean hazard area: Draw and label dune ridges (note height) Draw and label toe of dune Identify and locate first line of stable vegetation Draw and label setback line under CAMA Draw and label topographical features (optional) If you will be working in an estuarine shoreline area: Draw and label landward limit of AEC Describe terrain (slope) DEVELOPMENT PLANS Draw and label areas that will be disturbed If a house is to be placed on lot, describe location of house Note size of piling and depth to be placed in ground Draw and label all areas to be paved or graveled Describe composition of surface Note and list fully all trees and vegetation to be removed or relocated Show landscaping NOTE TO APPLICANT Have you: • completed all blanks and/or indicated if not applicable? • notified and listed adjacent property owners? • included your site drawing? • signed both application and statement of ownership? • enclosed the $100.00 fee? • completed an AEC Hazard Notice, if necessary? FOR STAFF USE Site Notice Posted Final Inspection Fee Received Site Inspections Date of Action: Issued Exempted Denied Appeal Deadline (20 days) 19�z A�l w) ✓ '�' ' CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Individual applying for Permit: 6, �- ,address of Property: 4 h /� /U& (Lot df 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, boathouse, boatlift 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Applicant information) Mailing Address City/State/-ip Telephone Number S A Xtc-q Date Owner information) Print or Type Name 9/ % 5�,cc- 62-/ Telephone Number Date J/i -5/v S, CL) 50 to x t� a� N THOMAS F OCONOR KATRINA OCONOR 135 Loblolly Drive Pine Knoll Shores, NC 28512 THE OF 1875 66-21/530 J� BRANCH 77615 S' DATE $ 200 ` 0 DOLLARS WACHOVIA Wachovia Bank, JN.A. FOR wechovleT;k, I:0530002191:101OL22406665ii' 1875 7�� k.