HomeMy WebLinkAbout71279A_Dennis Hernandez_20181115AMA / - DREDGE & FILL
GENERAL PERMIT
Flew Modification ❑Complete Reissue [-]Partial Reissue
No 71279 Ct>
Previous permit #
Date previous permit issued_
C D
As authorized by the State of North Carolina, Department of Environmental Quality v
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Applicant Name a r S 14 e r 4 oa n c z Project Location: County l� ,-,C R_
Addressn3 y z a, ,, J y �� r + La, n Street Address/ State Road/ Lot #(s) L.o+,5
City Pa c--f a �.�-.� State— ZIP 23 7 l `� S /� f vac b c C I/`r i ✓
Phone#(�s7j(,3(o-Gy� E-Mail o6)(9UVy2-/y299A�� Subdivision C� �;�.y-�,� �' C�iav� S��77
Authorized Agent a~ m aei µ < 13 y � �— D"d , %^ , �/ City/c , 1 ('� v r � 1-6 / j S ZIP 27 J V S�
ElCW � �A ❑ ES ❑ PTS Phone # ( ) River Basin A, S
Affected OEA HHF IH ❑ UBA N/A
AEC(s): ElEl❑ ElAdj. Wtr. Body Al� .., o c j/� .Ta �r.c1iat /man /unkn)
El PWS:
ORW: yes no PNA yes nClosest Maj. Wtr. Body
o
Type of Project/ Activity C J n S 'f - rA- 141 E 2- ' P /g
.L Z, 'a , , / -Z , ,` `1 D / o. r ; S ,o s S (Scale: // _ 20, )
Pier
Fixed
Finge
Groi
Bulk
Basin
Boat
Boat
Beac
Oth
Shor
SAV:
Mor
Phot
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length
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number
avg distance offshore
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max distance offshore
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cubic yards
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ramp
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line Length •
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NONE
MEN
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Wai, _ _ t
A building permit may be required by: C>-- ' C o v .,mot- ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions Ate, 4-t, o C 2 cd � 10,
b - o< c c. C C 41b ( Q- ^-I rX r x r S"
Agent or plicant Printed Name T
Signature Please read compliance statement on back of permit **
4 72/ Y 2�
Application Fee(s) Check #
Vzfi P7 ^ c CAS V c.f--
Pe/mitOfficer's Printed Name
Si ature
T�/ski
Issuing Date Expiration Date
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Dennis Hernandez
Date: 11 /15/18
Permit #: 71279A
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
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 ®
—impact
237
237
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.nccoastaImanagement.net revised:02/03/10
Overlays
AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: �� I JIB+ nC�✓� d-e Z
Mailing Address:A4-
lyk
L� Ua 2 3 70 1
Phone Number:.
Email Address:
I certify that I have authorized
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following pro osed development:
1
r cA
at my property located at
_ I J6
1 c� �l� tub V I �w )Ilr,-j
in _V_-- County.
I furthermore certify that l 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:
1I AA.-, /
(S,*
nature
bQ(�,n, S (d t
Print or Type Name
Title
Date
This certification is valid through I
Revised Mar. 2016
zb1- „rs
CERT#FIED MAIL � RETURN RECEIPT REG2UESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTiFICATIONMIAIVER FORM
Naas of property Owner: fk V1 !, ��e'w-i�G-/�.
P t7cJ
Address of Pro Q
;got or SrrAet . Street or Road. Ci,a/ 8 c aunt
.gene's Name y:�>(��' e.�^ ^ ��� III t Mailing Address.
;"aent's ,h�3n2 # Z� �� �' i Z _ hi
I hereby certify that 1 own ;property adjacent to the above referenced property. The individual
applying for this permit has described tc, me as shown on the attached drawing -the development
they are pr osing. A description ar drawing with dimensions rnvst bP provided with this letter,
T have no) r7kzjoc.tic,ns to this proposal- I have o6iectiocis W this proposal,
f
P you have objections to what is being prouosed, you must notify the Division of Coastal lNlanegemertt
(DCM,) in writing within 10 days of receipt of this notice, Corrnspond2nce should be marled to 1367 Us
f7 soufh, Elizabeth City, NC. 27909. DCM representatives can also be contacted at (252) 264-3901, No
response is considered the same as no obiecUon if you have been notified by Certified Mail,
WAIVER SECTION
i understand that a pier, dock- mooring pilings, breakwater-, boathouse. or lift must be sat back a
minimum distance of Z 5' from my area of riparian access unless bVaived by me. Of you W'sh to
waive the setb `i:. you must initial the appropriate blank below
l do vvisn to \,,ieive the 15` setback requirement.
i do notvAiish to waive the 15' setb2ck reauiremen .
(Property Owner Information)
`.
r
Frig: nr Type
m� 7
e,ep! one Pdum4�er
(Riparian Pro Owner Information)
,�i,;?iQburP
UZAILP
�Or;nf or Type Name
7
U
lvfaifirg Address 1
F
f
i elephone NUM
P
t�aFe
1P(
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
10/22/18
Lina Ward
907 Harbourview Drive
Kill Devil Hills, NC 27948
re: Dennis Hernandez — 905 Harbour View Drive
We have been requested by the above property owner to do the following work:
1) Construct new 5x8' pier to new 12x12' end platform with a 4x12' lower platform on south side.
2) Install 2 — mooring piles
3) Install rip rap.
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,
J 6QJL ,..
Jackie Lewis
Emanuelson & Dad Inc
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAIVER FORM
PJame of Property Ov�.ner. �'� V1 l `S �f /��-�--
,,,ago r PCPt,
L3 4--e-1 04-,s!- V,
y-
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 must be provided with this letter.
i/ 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
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 M. (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 notwish to waive the 15'setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
Sigrtaure
Pr in or yype- Nai re
3 � a ;..�\N�
v2ii�6ress
,h�-
� �o,K _Vc-- Z 37a
Cif h'State2ip
Telephone Plumber
Date
Signature
; •y)
Print or Type Name
View Dl -
Mailing Address
V-1 u, Dy) L `�l BLS NC B
City/State/Zip
Ssos�3k—Left
Telephone Number
//- 8 /f?
Date
■ 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.
I 1. Article Addressed to: r )
li �1 r IM�(� I
1
-OrwA INC-
7 ���s
IIIIII111111 III I III IIIIIIIII
9590 9402 3351 7227 1067 20
A. Signature
X �� El Agent
❑ Addressee
B.eived by (Printed ame) C. D to of elivery
X, 'Ba e-', I I 911 '?
D. Is de very address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type ❑ Priority Mail Express@
❑ Adult Signature ❑ Registered Mail—
CJ Adult Signature Restricted Delivery ❑ Registered Mail Restricted
$Certified Mail® Delivery
❑ Certified Mail Restricted Delivery ❑ Return Receipt for
❑ Collect on Delivery Merchandise
iM
P. Article Number (Transfer from service label) I rJ Collect on Delivery Restricted Delivery Signature Confirmation
."' „-d Mail O Signature Confirmation
71117 2400 0000 0605 9742 i Mail Restricted Delivery Restricted Delivery
— 500)
PS Form 3811, July 2015 PSN 7530-02-000-9053 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(a)-embargmail.com
10/22/18
Mr. and Mrs. G. Bagent
903 Harbourview Drive
Kill Devil Hills, NC 27948
re
Postal
CERTIFIED MAILoRECEIPT
nJ
s
Domestic Mail Only
r`
Er
•M
to
,
C3
Gerfified Mail Fee .-.. J
)i4. 9
o
$
$2.75
07
Extra Services & Fees (check bon, add lee
919M)
WeF
o
❑ Retum Receipt (hardcopy) $ —�-
Jor—
O
❑ Return Receipt (electronic) $
Postmark
0
❑ Certitled Mail Restricted Delivery $
Here
0
❑AduttsignatureRequired $
$0.00
❑ Adutt Signature Restricted Deevery $
Postage $0.50
0
-I-
$
10/25/2018
Total Postage and. 70
rU
f`
r-q
Sent To �/�
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C
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rz C
- ,J--fir`'-------_--
�
Sii-WW Apt No.,,p,
Box N
Dennis Hernandez — 905 Harbour View Drive
We have been requested by the above property owner to do the following work:
1) Construct new 5x8' pier to new 12x12' end platform with a 4x12' lower platform on south side.
2) Install 2 — mooring piles
3) Install rip rap.
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
ILI
2018-10-19
2018-10-19
MID
• 1
2018-10-19
Fi t f
r\ CERTIFICATION OF EXEMPTION
Y
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
! Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K
Applicant Name Phone Number
Address
City State Zip' r
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project T'
N �.
42
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid fo(*days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
The applicant certifies by signing this exemption that (1) the ap-
plicant has read and will abide by the conditions of this exemp-
tion. {
Applicant's signature
CAMA Official's signature
Issuing date
Expiration date
Attachmont: 15 North Carolina Administrative Code 7K .0203