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HomeMy WebLinkAbout68144_Robert F. Harrell_20170620V, rt CAMA 11 DREDGE & FILL r. L�GENERAL PERMIT B C D Previous permit # -]Complete Reissue 0 Partial Reissue LWWNew ElModification r. Date previous permit issued 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 15A NCAC 1711) 1 1111110(l) WJ Rules attached, Applicant Name Project Location: County - - ----------- - - Adclress.­., J City LI IVc State t,,I( ZIP LI Phone # 3 'A R(I -'aw1 Authorized Agent C"'Ve" 4":"" w1 xJj VV­­ ---A` L-cL­­J tic Affected El Cw �] EW N PTA Dvx ES 9 PTS AEC(s): 11 OEA Fli HHF El IH LIIUBA LJN/A 1-1 Pw& ORW: yes na PNA yes 1 16' Street Address/ State Road/ Lot #(s)__ 1, 14, 11"1 `( T Subdivision ... ......... ar . ...... ------------- - - ti City- zip Phone # River Basin Vii,'�"v Adj. Wtr. Body,,,,,,,, an /unkn) Closest Maj. Wtr. Body - - ----- m `01 Type of Project/ Activity V� f (Scale: Pier (dock) length Fixed Platform(s) . ...... Floating Platform(s) Finger pier(s)___ ---------- Groin length 7 number Bulkhead/ Riprap length avg distance offshore max cKstance offshore Basin, channel cubic yards Boat ramp . . . . . . . . . . . . . . .. ........... Boathouse/ Boathft Beach Bulldozing____ Other l" `2 (' ) Shoreline Length.X"v0 T 4. SAV. not sure yes L. Moratorium: yes no Photos: no Waiver Attached; es y no ... ....... A building permit may be required by: See note on back regarding River Basin rules. Note Local Planning jurisdiction) Notes/ Special Conditions 0o, oA AJ k"OC'. Name ................... ------------ -------- .... ... . .. . ....... Permit4ffic Printed Name 7 Signature Please read compliance statement on back of permit ** Signature (3 X C . ......... .�;x c) .. . .... . . - Application Fee(s) Check # Issuing Data; Expiration Date AGENT AUTHpR AT QlV FORM FOR PERMIT APPLICATI NS Name of Property Owner Applying for Permit, Mailing address: Telephone Number- I certify that I have authorized Vlyla'o Q L'J- pv (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all LAMA permits " necessary for the Proposed development of 0 V-0 AA at MY Property located at This certification is valid through. -�'>// r// x> (date), Property Owner Information) 6--- A/ Signature F' Print or Type Name -- Go. owner or trustee for propetty 'TI fd I r� Date '9'35 Z Telephone Number Emanuelson & Dad, Inc. 4717 N. Croatan Hwy. Kitty Hawk, NC 27949 Phone: 252-261-2212 Fax: 252-261-1115 email: ema so �nuiqlV er!Lbar nALi.r-q1H .@_ _ qL i[_ 05/11/2017 Dorothy Hodge PO Box 414 Manteo, NC 27954 re: Robert F Harrell - 1183 Burnside Rd, Manteo, NC 27954 We have been requested by the above property owner to do the following work: 1 ) install 5 - 50' breakwaters to replace storm damaged exisiting. 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 Ernanuelson & Dad Inc • complete items 1 or-, -,,— — • Print your name and address On the reverse so that we can return the card to you. in Attach this card to the back 01 the mMi piece, or on the front it spade p_ -- ;) 9590 9402 2521 6306 6153 68 2, Article $4u' I -- % "—' - 30 12,34 2766 ?016 0340 SF 3811;, JUG �y-26-i5PSN7530-02-000-9053 P 3 ArJUIT DellverY $1, nature Restricted.Delivery lj lieg—'.. — -- .t ert'!i1elimalto L, Certliliod Mall Restricted Delivery n Return Recelpt for Merchandise U Collect on Delivery Restricted collect on 00very loted Delivery Cr3 Sign ature Confirmation 6 signature Confinnation Ej CJ Insured Malt Restricted Delivery Restricted c0l'very :1 insured Mail CE cTIFIED MA11 - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Property Owner. 0 L Address of Property. 0 01 t" 0 (Lot or Street # Street or Road, City & County) Agent's Name #: &%-Ud&.W I— A_L_)_ (F Mailing Address- 4(-717 ell_ 0ML Agent's phone ka 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 drawingthedevelopment they are Proposing. A descri lion -or drawing with dimensions must be Provided with this letter. L&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 CoastalMana9 ement WCM) in writing within 10 says .of receipt of this notice. correspondence should be mailed to 1367 US 17 South, Elizabeth City, NC, 27909. D CM representa I tives can also be contacted at (252) 264-3901. No rem is considered the same as no objection if vou have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mo oring 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 the setback, You !Rust 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 Print Or Type Name 0 Mailing C (? s�Y- Addr&s­s---- Ycc-d CitylState&ip I Wephone Number 6- - / t D'ote (Riparian Property Owner Information) S i atu.e Pdnt or Type Narrre � Mailing Address h, _!!ZzPxw,,J CitylStatelzip q,r)7P",1 'Telephone Number Date 4717 N. Croatan Hwy. Kitty Hawk, NC 27949 Phone: 262-261-2212 Fax: 252-261-1115 email: emantel pon@emba 05/11/2017 Charles and Alice Stewart 507 Archie Clayton Rd Roxboro, NC 27574 MOM, Cortlified Mail Fee El Heturii Receipt (1mrdcopy) ilaturn Recopt ii $ Gertilled Mail ReWicted Delivery — --------- AdO $�qrmlroo Roquived F"l Adult Uipiluve ReStricted Delivery re: Robert F Harrell — 1183 Burnside Rd, Maii NC 27954 We have been requested by the above property owner to do the following work: I ) Install 5 — 50' breakwaters to replace storm damaged exisiting. 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 I i e-, ;' -1 • Print your name and adores#on the reverse so that we can return the, dArd to you. 0 Attach this card to the b , a , cl�M the ma"plece, or on the frontjt sp4 e permi—ts.--7 ,� 2. Article Nul"" 7016 0340 0000 1234 2773 l5sN 7630-02-OQO-9053 PS Form 3811, July 2015 1? U Yes delivery addr-esq different from Item f3 No yES, enter delivery address below'. Mail ExpleSSO & Service Tyke C3 Registered Mall" 0 Adult signature Rgetered Mau Resirli it signature Rost(Ict6d Delivery El i a�0 ADelivery nifimalle Cl Return Receipt for Z Delivery 0 certified Mail Restricted MerohandlsO rI collect on Delivery L-1 signature Conflonation"m collect On Delivery Restricted Delivery [3 signature 00"firmOtlon cured Mail i --ri Mail Restricted "e1: v, , Restricted DellDelivery Lip m u