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Home My WebLink About69198D - HernickINIMMINEMI JNVUU1VCU LC UJILCU 1\nmv rlUIUCr 114UUIUCr iLUIUUIII %-UMMUHLa 5/17/2017 Palmetto Marine Michael Hernick First 3413 $200.00 GP 69198D Construction Inc. Palmetto Savings Bank -51 v � v 0 ai 0 u C v +-• CJ i � C @ _ Q1 0 L n — n_ r� NC Division of Coastal Mgt. Habitat Impact Comp Applicant: kA a, k of q0 Date: p V "1 A 5 ( Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FIN (Applied for. (Anticipated final (Applied for. (Ani DISTURB TYPE Disturbance total disturbance. Disturbance disti Habitat Name Choose One includes any anticipated Excludes any restoration total includes any anticipated Exc rest restoration or and/or temp restoration or tern ternimpacts) impact amount temp impacts) am( 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 ❑ AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Michael S. Hernick Mailing Address: 7750 Hartford Hill Lane Cincinnatti, OH 45242-4346 Phone Number: 513-374-1070 Email Address: I certify that I have authorized Palmetto Marine Construction, Inc. Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Installation of a boat lift at my property located at 27 Dare Street, Ocean Isle Beach in Brunswick County. I 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 with evaluating information related to this permit application. Property Owner Information: ' Signature Michael S. Hernick Print or Type Name Owner Title Name of Property Owner: - U.S. Postal Service" • • • , , CERTIFIED MAIL° RECEIPT -• Domestic Mail Only -. For delivery information, visit our website at www.usp: Ln CertifieF - r$ d Mal Address of Property: 27 Dare Street, Ocean Isle -a Agent's Name #: Michael S. Hernick (Lot or Street #, Street or Roa( in E3 )3 Palmetto Marine Construction, Inc. Mailir o Agent's phone #: 843-855-7646 0 Lit m .n a I hereby certify that I own property adjacent to the abo � applying for this permit has described to me as shown on they are proposing. A description or drawing, with dimenE 1 M $3.35 ❑ Retum Receipt (hardeopy) $ 7!!Ur' (yIV ❑ Rattan Receipt(electronic) $ tl7i nn Pos ❑ Certified Mail Restricted Delivery $—SEIC;CJ H ❑ Adult Signature Required $ ❑ Adult Signature Restricted Delivery $ lostage $0.49 Cl4/1?/ total Postage and Fees $6.59 ----------------------------------- _-r?v.1 1L 7, D'�Z itI 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. Contact information for DCM offices is available at http-//www nccoastalmanagement.netlweb/cm/staff-listin-q or by calling 1-888-4RCOAST. 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, boat ramp, 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 ish to waive the setback, 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) AL6Z/�, �al� Signature Michael S. Hernick Print or Type Name ( iparian Property O ner Information) aJ�� u� j, S ature ne Wilson Print or Type Name 7750 Hartford Hill Lane Mailing Address 123 Berry Mountain Road Mailing Address CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MAN ADJACENT RIPARIAN PROPERTY OWNER N( Ul Name of Property Owner: Michael S. Hernick cc 0 Address of Property: 27 Dare Street, Ocean Isle E � (Lot or Street #, Street or Road, � Agent's Name #: Palmetto Marine Construction, Inc. Mailin( o 0 Agent's phone #: 843-855-7646 Littl o O r%- m I hereby certify that I own property adjacent to the abov -n applying for this permit has described to me as shown on o they are proposing. A description or drawing with dimensi r` /4'� V/ I have no objections to this proposal. I ua P•Service"CERTIFIED oRECEIPT Domestic CORr I , 2 i + t Certified Mail Fee $ S . 35 Extra Services & Fees (check box, add tee ft—j r{y- , ) ❑ Retum Receipt (hard-py) $ 7U l�l� ❑ Return Receipt (electronk) $ R ❑ Certified Mail Restricted Delivery $ tl l_ [I 1 ❑ Adult Signature Required $ k ❑ Adult signature Restricted Delivery $ Postage $0.49 $ 04/12 TOW Postage and ees 59 Sent To K --------------r-/------w---------- ---------------------------------- Str-e-et and tN 6r ryo 1 ` (T 9 ( N 6 v City, -Stet - I + (� ul,�g Z 031 PS Form :rr April 2015,r ,r, - 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. Contact information for DCM offices is available at http://www.nccoastalmanagement.netlweblctn,staff-listin_q or by calling 1-888-4RCOAST. 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, boat ramp, 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 the setback, 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) Signature Michael S. Hernick Print or Type Name (Riparian Property Owner Information) Signature Richard Wilson Print or Type Name 7750 Hartford Hill Lane Mailing Address 22308 Country Club Lane Mailing Address Palmetto Marine Construction, Inc 2678 Mount Zion Road Little River, SC 29566-7412 ySTRuc,�°`� Phone: 843-855-7646 Fax:843-399-1566 Bill To Mike Hernick 7750 Hartford Hill Lane Cincinnatti, OH 45242-4346 Invoice Date Invoice # 4/9/2017 465 jeddie@palmettomarineinc.com Job Site 016 DUE ON RECEIPT Item Description Qty Rate Amount )at Lift 10,000 lb CudaGear 1 5,599.00 5,599 t parts Limit switch 1 309.56 309 eight From Ft. Pierce, FL 350.00 35C t Install Install, spool & calibrate cables 1 2,000.00 2,o0C ing 10" butt x 25' marine grade 4 232.55 93C ing install Labor and equipment 4 289.75 1,159 *$556.13 value �rmitting Plans and Permits 500.00 50C Sales Tax 6.75% 398 Total $11,246 Payments/Credits -$7,157 DRAWING NOT TO SCALE FOR PERMITTING PURPOSES ONLY TOP OF EXISTING SEAWALL 3'x16' 10' Setback Ramp T 8 Floating Dock 16 10' Setback O O -F New 12' 6" Boat Lift O O 12 6 12'6" OUT TO GUT .12'6" CENTER TO CENTER-