71414A_Charles Hazelwood_20180413

/
COMA / ❑DREDGE &FILL NO % 1454 v
O B C D
VNERAL PERMIT Previous permit#
❑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 r% /'� . Z 0-3 �✓
Filules attached.
ADDIIcant Name C� c, C /• S 141<-. 2 e I �J A o
Address I/�2 10/euSc,,4- po'J_ Rd,
City-Statey,_ZIP 2-38X3
Phone # (( `d f3 /S i E-Mail
Authorized Agent 1�/Yto, n ti e 1S �r- 4
Affected ElCW ' ,EW 'PTA. El ES ❑PTS
Affecte ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PWS:
ORW: yes / ho-� PNA yes / no
Type of Project/ Activity e n u c c{ < K
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) '
Finger pier(s)
Groin length
number
Bulkhead/ Nprap length
avg distance offshore
max distance offshore
Basin, channel
cubic
Boat ramp
Boathouse/
Beach Bulldozing
Other i..`�
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: es no
Project Location: County
Street Address/ State Road/ Lot #(s) L o -S 37
7 b� f /-wih�.. C ✓� s..J �r
Subdivision
Cityr /IJ� ✓ F{, /lS ZIP 275 y
Phone # O River Basin t--14,S
Adj. Wtr. Body - A l �u w N .Se-,,rj qnaNman /unkn)
Closest Maj. Wtr. Body 4 A� ^ ' e je S e tr I
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A building permit may be required by: " ✓ o. < o" n
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or,pplicant Printed Name
Signature -' Please read compliance statement onback ofpermit
4 2oJ 425 2
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
r
P91'mitOJJffcer's Printed Name
Signp/
Issuing Date Expiration Date

AGENT AU I H-ORVAHON FOR CAMA PERMIT APPLICATION
N �IIII >f I'rol,,ey C)�:v� � Rr:ci�E-st�n� f'c�rrlit: C%t ia.rz ��S ��>n2L-"�wao�
I-AUveun VA e)30 87
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(f�ractai el a) y +/va. co&N-
?o 8Ct un my "n 111!LhC' 1?:il ;OE.ii oT d uiyll'.0 CGr £Ill(. tiii ('/4,11A p7 jflar5
I F.CCS ar;r {Oi 1(: COI o� .(I UrOhgSCCf (I� 4:i0:11IlEJ II t: ��--�- (ON, 1(4je
i K:II pe. lf/S cc:unty
furthr;rnuu�; rr'ify flint I rlm �lll/horr Leo to glrml arul rlo in fof; (hill permission to
r)ivision of Consbd rbm"I( enurnt stuff. the 1, me 11 i'cimit Uffia.r enmtl their <oilonts to am(:r
on lhl� aforonler,tionc0 Irinrk; in (: if of liw' .vifh (vmhl 'iny infolm"Ifion rhloh"(! fo :bis
pc:umif opplicltion.
Property Owner Information:
Sk;n�rt:rr, .
his a tlf.:afio !'rtl! 1
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNERNNOTTIIFICAtTION/WAIIVER FORM
Name of Property Owner: C I�//G / I�J �
Address of Property: 160 1 1'l'-t'-��OOc-sr Olt JJr �� t nCl Or 1- LV-
(Lot or Street #, Street or Road, City & County) J'
/y V_j_
Agent's Name / Mailing
Address: � D - J
Agent's phone : ' - �� I -ZZ Z I v t� C- Z %
I hereby certify that I own property adjacent to the above referenced property. The individual
applyin or this permit has described to me as shown on the attached drawing the development
they . e 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. Correspondence should be mailed to 1367 US
17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at [phone]. 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 e setback, you must initial the appropriate blank below.)
CP— I do wish to waive the 15' setback requirement.
I do notwish to waive th2 15'setback requirement.
(Property Owner Information) (Riparian
Signature
Print or Type Name
MailiAddress
UrrI.V�
CltY"State/Zip
Telephone Number
or, Type Name
a33 MCLoti1/L' D/L"
Mailing Address
City/State0 �-
71`2- 'S-V-l7o
Telephone Number /
Date

AMVMT-J•&
PO Box 448
6705 S.Croatan Highway
Nags Head, NC 27959
Phone: [phone]
Fax: [phone]
email: emanuelson(Wembarpmail.com
03/14/2018
John & Patricia Saintsing,
233 Melonie Drive
Chesapeake, Va 2332A, '
CERTIFIED
MAIL"
REGFIPT
Domestic
Mail Only
■
at www.usps.com
.
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For delivery
information, visit
our
website
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�Certified
Mall Fee 63.45
0459
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$
07
E,dre ervicea&Fees (cnecxbox, add fee p Me)
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❑'alum RecelPt QiarticoPl1 $--rQly—
❑ Realm Receipt(elecOdnk) $
Postmark
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❑CMIIIeE Mdin OelNe,y $ Q. D
pAasn81enanaeaeau1re $ to—__, 000
Here
❑Mdt Sknatue RaeM1ided DdWW $
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Postage $0.50
03/16/20180
tal postage andibe.70
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C�fY st F 21P n c
re: 2001 Harbour View Drive, Colington Harbor— Charles Hazelwood
We have been requested by the above property owner to do the following work:
1) Remove damaged dock and pier and construct new 6x16' pier from bulkhead to existing undamaged pier.
2) Construct new lower platform in same footprint.
3) Construct 5x16' new landside walkway from bulkhead over rip rap to yard.
In order for us to obtain the Cama permit for this project, Cama requires each adjacent property owner to be
notified. We would ask that you sign the attached form and return 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 mailplece,
or on the front if space permits,
1. Article Addr\seVrtp: ' \
1IIJJGtG���a\�
2-332v
111111III IIII II111111111111111T I111111111111
9590 9402 3351 7227 1074 82
2. Article Number (transfer from service label)
7017 2400 GOOD 0605'9292
PS Form 3811, July 2015 PSN 7530-02-000-9053
❑ Agent
C.
D. Is delivery address different from item 17 a Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mall Esp�sao
❑ Adult Signature
❑ Registered Mall r
❑ Adult Signature Restricted Delivery
eAified
❑ Registered Mall R hicte
Delivery
Mail®
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
0 Signature ConfrmationR
r,,.,_, dMail
OSlgnatureConfirmation
ad Mail Restricted Delivery
Restricted Delivery
Domestic Return Receipt

Emanuelson & Dad, Inc.
PO Box 448
6705 S.Croatan Highway
Nags Head, NC 27959
Phone: [phone]
Fax: [phone]
email: emanuelson(cDembarclmail.com
03/14/2018
George Petro
1704 Maze Hill Mews,
Virginia Beach, Va 23455
Domestic
r.
Certlfied Mal Fee $3.45�I
JQ
m
$ $2.75
07
Fx8ervicae& Fees (checktwx,smke� ate)
p
p
❑Relum HecaiPtPeNcoPN a
❑Realm flecNpt(elecbonic) a $0.00
Postmark
O
❑CenMeE MaIIRmMcted Delhrory a
Here
p
❑naultft ure Re uW a $0 -00
paaurcsienew.Re.mn.d oeMen a
$0.50
C3Postage
-1
(13/16/2018
Total Postage and 919!70
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Sent T c���c
":'Klo:; -Por--Ffo:....................................................
rA(n, ti
re: 2001 Harbour View Drive, Colington Harbor —Charles Hazelwood
We have been requested by the above property owner to do the following work:
1) Remove damaged dock and pier and construct new 6x16' pier from bulkhead to existing undamaged pier.
2) Construct new lower platform in,same footprint.
3) Construct 5x16' new landside walkway from bulkhead over rip r4 to yard.
In order for us to obtain the Cama permit for this project, Cama requires each adjacent property owner to be
notified. We would ask that you sign the attachedform and return 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

INC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Charles Hazelwood
Date: 04/13/18
Permit #: 71454A
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 ®
96
96
High ground
Dredge ❑ Fill ❑ Both ❑ Other ®
80
80
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.nccoastal_ma_nagement_net revised: 02/03/10