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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 ■■r1■!■■%II/Liilfif�itGL•�:■iiii�111Gii!■■■■!■■■■■IiJG� ■ii��!■ilY.!■■!■■_■■■�■■■■!■■■■■■■■■■■■■■ length ■■■!■!■■■■■■■■■■■■■■!■■■■■■■■!®w■■■■■! number avg distance offshore ■■■■■■■■■■!■■!n■�■�i■■�■�rr►�rl�■■■■■■■ max distance offshore ■■■■■■■■■■!■■■■�w•_�■�■��■■�■■■■■■!■!■■■■! ■■■■■■■■■■■■■■■�■!■■■/i■�i!■■■■■!■■�■■■■ ■■■■■!■■■■■■■a..l.li�■�!�l��■■■��ME■■!■■■■ cubic yards ■■■■■!■!!■■■■w ■1 �!■�■■■■■!■■■■!!■■■■■■! ramp ■■■■■!■M■■■■11 ■� 1■■■�■■■■■■!■■■■■■■■■■■■! ■■■■■■■�I■■!■Y ■11■■■1■■■■■■■■■■■�■�■ww■■ -i ■■■■■!■■w1�■■e■■■■ i■���■!■►.�■■■!!■■■■■■■ Bulldozing !■■■■■■�isi3�i���liZ'!7�!'�13ia3��:� �$'1��1■!!!■■■■■■■ line Length • not sure ■■■■�■�r�■■c=■■■■awl■■■■■■■■-�■��w■■!■■■■■■■ yes Clio !MEMMEMMEMOMMEM �.!!!!!■■!■!!! :Chili! NONE MEN :!! 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 �/� `', C J 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