HomeMy WebLinkAbout71105_Andrea Facci_20180823X CAMA / DREDGE & FILL N2 71105 (j B C D
GENERAL PERMIT Previous permit #
XINew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC FI .11 00
Rules attached.
Applicant Name A., a e r_ F-rn t_c ,
Address 1'�5 S. ♦J r,y wd Z
City 5State rvL ZIP A-45 SS
Phone # (]-U) 156- (6-}1 E-Mail
Authorized Agent r-I s ,.. ; o. �
Affected ❑ CW ❑ EW ,K PTA ❑ ES K PTS
AEC(s): ❑ OEA ElHHF ❑ IH ElUSA ElN/A
❑ PWS:
ORW: yes /(1S9 PNA (S�/ no
Project Location: County br, ( t
Street Address/ State Road/ Lot #(s) I Sc; S. ►)o!j ,,, d T,( I
Subdivision
City So,,t►.. "r, -silo 14 ZIP 01-1-5 41
Phone # ( ) River Basin a SS vv k
Adj. Wtr. Body CC —0. 1 -W �t c k (nat / /unkn)
Closest Maj. Wtr. Body Corr. c k Sou -,4
Type of Project/ Activity 14 21 e, lr- A- ., 4 o,r• C c , c 1
Pier
Fixed
Float
Finge
Groir
ulkt
Basin
Boat
Boatl
Beac
Othe
Shon
SAV:
Mor,
Phot,
(Scale: 1 = 20
■■■■■■■■■■■■■■�■■■■■■■■■■■■■■■■�■■■■■■i
■■i��■■■■■■■■■■■■■■■■■l�R1■■■■■■■■■■■■�■■■
length
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■L�!!■■■■■
number
!W"Riprap length
avg distance
offshoremax
distance •
■n��■■■■`��iwwi���i■■i���iii■■■■■
channel
cubic yards
■�M��.i
n■i■■i
■■
A■■ENE■■�i■■■■NEWS■ME■ii■i■i
ramp
■�ww►�
�■
w.■■■■■■■■■rr�r�wa�z■■■■■■■.�■■■■
■■r■■■f1
J%■■■■■■■■■■■■■■■■■■■■■■■■■1
1■■■■
r■■■�
�►�
■
rr�.�■■■■■■■■■■■■■■■■■■■■■■■■u��■■■
dine Len
not sure
___
:____■■■■■■■■■■■■■■■■■■■■■■■■■■r�ww■■
■■■PS:'
yes&
,toriLJM: 0 yes no
■■■■■
■■■■I
I■■■■
a 'no�■t1MOEN
■■■�■■
Waiv(21
:
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
V /
Agentor Applican rnt Name
Signature **Plei& read compliance statement on back of permit
'11tiOL) ("L) 6q :3D
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Wn
Permit Of not ame
Signature
5,6f ).3 f.4o► ? 1'9
Issuing Date Expiration Date
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: f--,;, Ut ,
Date:
Permit #:
Describe belo',�t the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
y
Dredge ❑ Fill Both ❑ Other ❑
Ito
C�
�a L
Dredge ❑ Fill ❑ Both ❑ Other M
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10
Aug 01 18,0T56a
p.3
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: AA2LOcm J ' pc-�/
Mailing Address: 63 22-9-6
Phone Number: 2, ; 2 �S'� ' /C
Email Address:
I certify that I have authorized
GQ 4Tacc
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at /
in iiC- County.
jr'72�r
<-- AIL
L
`y2 —7Gqq
1 furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection iivkh evaluating information related to this
permit application.
Property Owner Information:
Signature
Iry r"12e4 � cz r _
Print or Type Name
Title
Gil pr I l�,
Date
This certification is valid through I 1
Revised Mar. 2016
CERYffr-J&D ��MWAIQ-, - RMCUp-w 0
COA.1,4TAL t.JA;qAe- -r
ADjACENT Ru WEN,
FORM
- Adds of �per�;,
Avznt�-, Nam� ii: P orzZlrostA
Asont"s 12—
or
IV,
--- 4 r - t ep-64- Mc 2
t-y--
t, te
.)Vp rsfpxeTlcw-4 ir
prop�-!Y. i)(Oviduai
as
thek ore pmpo:S�T- 6 1 M.,O—m 'I
I ha —re- j it otj "-Qm 0 !bja,
I have ob
tfcct;-" M---, ths
Jett
�WALVER szx-nop
P* W. Or
fffr w ig be sm. b,---4*
"I"', of I, NX-n my 'area to�T *aitan ac'esc.
W, she e L3� vMwd b�yrpe- you W�--n to
fll�,alb. 7*
��M�OLIA the
*S�l toWaA16 LN5
to t
in
A -him
A -
................ ''ll . . . . . . . . . . . .
1--Z - t - t t6
, F trl
Number
S-
U.S. Postal Service'.
CERTIFIED MAi! ®^ECEIPT
Domestic Mail Only
For delivery information _.-.. _ . -
Certlfed Mail Fee
m a n u e l s o n &Dad, Inc .
-0
-110.
$
PO Box 448
o
C3
Fxtra Services $ Fees (check box add the ' c
❑Retu"IReceipt(hardcopy) $ ,
ii�5g
(1 6
6
6705 S. Croatan Highway,
o
o „aReturn dM l�`(ei
■dDeli $ 1�.111`
POStMark
Nags Head, NC 27959
O
❑ Adult Signature Required "�' $ '—�'-t11i_ $
OAdun Signature Restricted 'tom^•='-" _
Here
Phone: 252-261-2212
o
Postage "�" $�
tl Si i
Fax: 252-261-1115
-r
$ •
email: emanuelson(cDembargmail.com
ru
ToIPostage and Faea
6.70
!i8!►:l;/2ii18
$
Sent To
AptN, ord o.o
----- - - - ---
-------------
08/01/2018
�mi s ai'aZ7 — ----`' _
—ram S�C�IP
>1�CZ7S �
Roseanne Kristof
157 S. Dogwood Trail
Southern Shores, NC 27949
re: Andrea Facci —159 S. Dogwood Trail, Southern Shores, NC 27949
We have been requested by the above property owner to do the following work:
1) Remove existing rotten boat ramp and dock.
2) Install 4' tall x 110 Wood Bulkhead with one 6' return at each end of property.
In order for us to obtain the Cama (Coastal Area Management) permit for this project, Cama requires each
adjacent property owner to be notified. We would ask that you sign the attached form and return it to us as soon
as you can. You may fax it to us at 252-261-1115 or scan and email or simply mail. We are also attaching a sketch
of the proposed area. If you have any questions please do not hesitate to contact us. If you do have any objections
to this proposed work, you can contact Cama (Coastal Area Management) at 252-264-3901.
We thank you for your cooperation in this matter.
Sincerely,
Jackie Lewis
Emanuelson & Dad Inc
■ Complete items 1, 2, and 3.
■ 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:
'� OS2�c.V`►J� \` � t �
AiX.
Signatdsre
❑ ❑ Agent
Addressee
6) Received b (Pnnt Name C. Date of Delivery
JO
D. is delivery address different frpm+ltdm t? 0 Yes
If YES, enter delivery a to 3 No
p�
ice e
Mail PMss®
II
I'IIIII
IIII
I'I
I II
I III
I ( III
I
I I
I I III
II
I I I
I3.
❑ Adult Signature
❑ Registered M
A�It Signature Restricted Delivery
❑ Registered Mail Restricte
9590 9402 3351 7227 1071 30
�❑
Certified Mail®
0 Certified Mail Restricted Delivery
Delivery
❑Return Receipt for
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
Merchandise
❑ Signature GonfMatlon'"
2. Article Number (Transfer from service label)
-
ad Mall
❑ etgnabua conf—Mon
7 017 2400 0000 0605 9582
ad Mail Restricted Delivery
Restricted Delivery
$500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
-x�
Aft- t
—IL3
�,d 911INS7, Av Puv 15ullOOH.L 0400 e,,-:OL 9L LL Bnv
C�
Eman iugellso & Dad, I ric.
PO Box 448
6705 S. Croatan Highway,
Nags Head, NC 27959
Phone: 252-261-2212
Fax: 252-261-1115
email: emanuelson(&-embarcamail.com
08/01/2018
Edwin & Camille Miller
162 Yaupon Trail
Southern Shores, NC 27949
o-. 11111. Y-
r- Domestic mail, ECEIPT
ly
For deliver
Irinfor
Ln
Certified Mail Fee $ 3. 4
-00
o $
r3 Extra ervices t: Fees (cp» bcjyaddlee atej
❑ Retum Receipt (hardco
1:14;g
I.I fl
$
0
ElRetum ReceiptS (electronic) $ Imo_ Q ❑Certified Mail ResWcted Delivery $ I I 111 I
Postmark
[3 ❑Adult Signature Requlred
Rests credo
Here
aSignature
Postage
C3 $Cl. 50
S $
nJ Total Postage and
70
CIS 11:
�/.3/201
$
M1 Sent T
�ln
Street - -- - -- tv or fiD Q . I (�
f� 90 lyo: �-------
_
( Q�
cros-sYa------ --- 0. --- I r'40
r\ --- -'j
. . � �� e77Q� i
re: Andrea Facci —159 S. Dogwood Trail, Southern Shores, NC 27949
We have been requested by the above property owner to do the following work:
1) Remove existing rotten boat ramp and dock.
2) Install 4' tall x 110 Wood Bulkhead with one 6' return at each end of property.
In order for us to obtain the Cama (Coastal Area Management) permit for this project, Cama requires each
adjacent property owner to be notified. We would ask that you sign the attached form and return it to us as soon
as you can- You may fax it to us at 252-261-1115 or scan and email or simply mail. We are also attaching a sketch
of the proposed area. If you have any questions please do not hesitate to contact us. If you do have any objections
to this proposed work, you can contact Cama (Coastal Area Management) at 252-264-3901.
We thank you for your cooperation in this matter.
Sincerely,
Jackie Lewis
Emanuelson & Dad Inc
■ Complete items 1, 2, and 3.
■ 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 , :
�,l�l�'ll��
SoS1-&/u . NL
?-75L(-�5
II I IIIIII III ICI I I I III I I III I III IT I I I
9590 9402 3351 7227 1071 47
2. Article Number (Transfer from service label)
7017 2400 0000 0605 9599
PS Form 3811, July 2015 PSN 7530-02-000-9053
A.
Agent
13
❑ Addressee
Eby/(P_rir}te�l/Vpm� C. Date of Delivery
/�� /[/��
D. Is delivery address different from item 1? ❑ Ye;
If YES, enter delivery address below ❑ No
3. Service Type {� Mail��®
❑ Adult Signature
❑ egistered MailTu
❑ Adult Signature Restricted Delivery
Mail®
❑ Registered Mail Restrictedwed
❑ Certified Mail Restricted Delivery
Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfinnationTM
^ '-...^^d Mail
❑ Signature Confirmation
d Mail RestrictedDelivery
Restricted Delivery
0500)
Domestic Return Receipt
G
';ING