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Home My WebLink About71162_Igol & Marlee Gladstein_20180919'AMA / El DREDGE &FILL �cN2 71162 B C D GENERAL PERMIT Previous permit# G "ew ❑Modification ❑Complete Reissue El 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 2- les attached. Applicant Nameq q- M a r/ e e G- / a J 5 4-e " rl Address S 7 J 7 + r. Project Location: County ar-- Street Address/ State Road/ Lot #(s) L ca + Z City S Xe s ✓ / / e State %iD ZIP I1 7 8 V 3 C� (" S %n 'I r— 1 s t ) 7 Phone # ( 3) T531-Al - E-Mail t Q )g�-5�9 lQ �'C'�' `Subdivision C c i +� / Sti r s e C r� sS Authorized Agent Affected ❑ CW SEW .PTA ❑ ES ❑ PTs ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA AEC(s): ❑ PWS: ORW: yes /,' no PNA yes /(no, C i tyl d I 1) �!�/ 1 3 zip 7_7 y I V Phone # ( ) River Basin Ak4 u •'� LC Adj. Wtr. Body Co 64tZn at man unkn R Closest Maj. Wtr. 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Habitat Impact Computer Sheet Applicant: Igol & Marlee Gladstein Date: 09/19/18 Permit #: 71162A Describe below 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 Open water Dredge ❑ Fill ❑ Both ❑ Other ® 360 360 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanaaement.net revised:02/03/10 r1N /3"/ { vo+L'I V--a (•-J(. fv iSSo-JD -eS,j✓,.ns 61)vEl Iv"'af$pb 15 t 2 } < � : �. §� < \� � � .&� . � .y \ > . . . r .� \ �\ � &: . � `� . « � .� < �~~� ` . . : � y. . . . w �� \ . . � : ƒ. » � ` � ^ �v ?� \ rw Q� %� �:7 �\- � <«+ . ;»: . �, � .�,. «� ®� � a °� «} � � \; » *}� \ �� \ e\� « . : , .w«, �« > /2 \'\�� - \ � ' )� ^ /� \ \`�. ^`� �� \� 2: / » ` /« . >.: ƒy . %:»� � . � �� - \ :. , . � »««_� \�:y » � �2� � . « ^ ,. e,»� � � � / �� t:�: `^ � �ddd«. v§ >. .� a§� <�:>:/wx ?- «: \ 33 �7�° » . » < °:� + ti http://gis.darecountync.gov/report.html?parid=018782036&lat=36.003 57988778589&ing=-75.696750283... 9/ 17/2018 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 110 l k- Mat 4,ee G-adS A n Mailing Address: Phone Number: 121oi MIID Court .Sykesville, MD 21-794 443--2?9-3832 Email Address: j��adst5`il@grn- Com I certify that I have authorized E man V e Sor► + 1)as 1AC. , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: boat Vl , ek` _ -7011 at my property located at 34(o SUnF,Se `.i 36\A0 Orive , in DA (e, County. I furthermore certify that I 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 with evaluating information related to this permit application. Property Owner Information: Signature kar ee. GWSlv,1) Print or Type Name 0wur- Title , q 1S Date This certification is valid through I I Z Revised Mar. 2016 ■ 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: A. X ❑ Agent C O Addressee B. Receive y (Printed Name) C. Date of Delivery r6 �'Z�ti "lcrv�- V)1 -3 /1671 6 D. Is delivery address different from item 1? '0 Yes If YES, enter delivery address below: D No III III II I I I II I II I I I III I III3. Adult/S ❑ gn turre Restricted Delivery ElRegistered Mail Restricted 9590 9402 3351 7227 1065 91 ertified Mails ❑ Certified Mail Restricted Delivery Delivery El Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service label) - - - --- - - - ❑ Collect on Delivery Restricted Delivery --•jred 0 Signature ConfirmationT" ❑ Signature Confirmation 7 017 2400 0000 0605 9636 Mail Ired Mail Restricted Delivery Restricted Delivery r $500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 701? 2400 0000 0605 9636 F PO Box 448 6705 S. Croatan Highway, Nags Head, NC 27959 Phone: 252-261-2212 Fax: 252-261-1115 email: emanuelson(Wembargmail.com 08/22/2018 Dorothy & Dennis Falzon PO Box 1322, Kill Devil Hills, NC 27948 re: Igol & Marlee Gladstein — 306 Sunrise Crossing Dr, Colington, NC 27948 We have been requested by the above property owners to do the following work: 1) Install 1-80001b boatlift and 4 — 8"x25' poles. 2) Construct a 3' wide wrap around dock with boatlift inside. 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 a XT i/w` y pg40 r- � G E+i96 5090 0000 00h2 z.TOz ■ 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: I / I I'I' I'I IIII III I II I III III 9590 9402 3351 7227 1066 07 2. Article Number (Transfer from service label) 7017 2400 0000 0605 9643 PS Form 3811, July 2015 PSN 7530-02-000-9053 A. Signature - gent X ❑ Addressee B. Received by (Printed Name) C. Dat¢ Of Delivery 1 D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: El No 3. Service Type ❑ Priority Mail Expresso ❑ Adult Signature ❑ Registered MailTm ❑ AdSignature Restricted Delivery ❑ Registered Mail Restricted rtified Mail® Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery El Signature ConfirmationTM r' 1--ured Mail O Signature Confirmation ured Mail Restricted Delivery Restricted Delivery -r $500) Domestic Return Receipt Emanuelson & Dad, Inc. PO Box 448 6705 S. Croatan Highway, Nags Head, NC 27959 Phone: 252-261-2212 Fax: 252-261-1115 email: emanuelson(cDembargmail.com 08/22/2018 Thomas & Dennis Riker PO Box 628, Kill Devil Hills, NC 27948 re: Igol & Marlee Gladstein — 306 Sunrise Crossing Dr, Colington, NC 27948 We have been requested by the above property owners to do the following work: 1) Install 1-80001b boatlift and 4 — 8"x25' poles. 2) Construct a 3' wide wrap around dock with boatlift inside. 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 CERTIFIED MAIL . RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIIONIWAIVER FORM Name of Property Owner: Mai Izo,- �Ikcht !1 Address of Property. JUnr � (Lot or Street #, Street or Road, City un Agent's Name t EK&Aon, t� Nd Mailing Address: D Agent's phone #: P'�Z' 2 i ' 2 2-12- 1 ��is � Dl - /QC Z / J J 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. proposing_ A description or drawing, with dimensions, must be provided with this letter. (L 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. Correspondence should be mailed to 1367 US 17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. 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 di nce of 15' from my area of riparian access unless waived by me. (If you wish to waive ack, 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. (Property Owner Information) (Riparia pe Owner Information) egtuc r Signature r �ti k R� Mint or Type Name Pfihf or Type Name (Z:1O (� tie ---�e-�- �Ci �� Mailing Address Mailing Address I S'�eSV'Ile .N-6o,�� City/State/Zip Telephone Number> 9 `- -2 _ / Dote City/Stat6mp Te/eph a Npmbef Dare N MR-1 =4 0 C TI M CATS E EMPTION Irf n., FROM REQUIRING A LAMA PERMIT 07` 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 15 NCAC Subchapter 7K______. Applicant Name f � �i ` Phone Number 5 `1 1 �3 Address -, City I State � I Zip — Project Location (County, State R d, Water Body, etc.) '` L t ,')a r T r r c r . , u t i ,rlre i Type and Dimensions of Project i The proposed project to be located and constructed as described above is hereby certified as exempt from the CAMA permit requirement pursuant to 15 NCAC 7K . This exemption to CAMA permit requirements does not alleviate the necessity of your obtaining other State, Federal or Local authorization. This certification of exemption from requiring a CAMA permit is valid for 90 days from the date of issuance. Following expiration, a re-examination of the project and project site may be necessary to continue this certification. SKETCH / ( t (SCALE: ) NA li S 3 I .w 1_ i f _ e t � p pi Any person who proceeds with a development without the con- r i A &/ � `�� sent of a CAMA official under the mistaken assumption that the Ap 71inf'stignatue development is exempted, will be in violation of the CAMA if there _ is a subsequent determination that a permit was required for the ' development. CA 164d, Sig ature The applicant certifies by signing this exemption that (1) the ap- plicant has read and will abide by the conditions of this exemp- tion, and (2) a written statement has been obtained from adjacent ' landowners certifying that they have no objections to the Expira ion d e proposed work. Attachment: 15 North Carolina Administrative Code 7K il• Sunrise Crossing Dr X• � , S try � `�,� �t t l" r ��✓': Z' 4 t � F� IF X. ,�+: t � •� A., a�+t 4��:� ^'M°�,� �/�i't fit' 4C �.R ..�•y� �. . 1w 's•�♦ ~j�d v,..�".+e+_�S" CERTIFIED MAIL - RETURN RECEIPT REQUESTED ' 2-y r DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM f � ! Name of Property Owner. ` ^ (� bee- �—IeAtei n Address of Property:17 lo b v n -� O't A �•'� �C 1-(Lot or Street #, Street or Road. City PO r Agent's Name #: EMALJP-��Ul Mailing Address: c Agent's phone #: d rZ Z ' 2 Z i 2 1 C Z_ I hereby certify that t own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawirg ;he development they are proposing. A description or drawinv with dimensions must be Provided with this letfer. —f4l I have no objections to this proposal. I have objections to this proposal. � F F 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 or this notice. Correspondence should be mailed to 1367 US 17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION 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. (N you wish to waive the setback, you nwst initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature 1 MaI :rtizA' � Pant or Type Name Ml Marling Address SLID-ew"lle . N~�a City'State Zip Telephone Number Date — (Ri ian perty Owner Information) Signature Print or Type r-Jame Mailing Address 1WR tiC Cty/State,2ip Telephone Number