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Home My WebLink About54458D - OtterCAMA / ❑ DREDGE & FILL 54 'ENERAL PERMIT Previous permit# New "Modification ❑Complete Reissue El Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources 1 ` :oastal Resource's Commission in an area of environmental concern pursuant to I SA NCACAkL'Iy j ❑ Rul attached. t Namel—I ,1 Qho�ect Location: County '\k w 1 , Q � N-Jn a vckl 0 1Vtt5 aG Street Address/ State Road/ Lot #(s) State ZIP A?Y (1�) # ( ) Subdivision ;ed Agent Za4Rt_U ❑ CW PEW IN(PTA ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: yes / no PNA yes / ro ' Project/ Activity ck)length ngth -nber I/ Riprap length_ distance offshore x distance offshore cannel nc yaras ip illdozing Length xis- --L not sure yes 19 , - not sure yes Jno .....,.... um: n/a yes yes,ttached: yes r ig permit may be required by: ES ❑ PTS 71 UBA ❑ N/A Crit.Hab. yes / City ZIP Phone # ( River Basin Adj. Wtr. Body filat r Closest Maj. Wtr. Body %V4- (Scale: NT Division of Coastal Mgt. Habitat Impact Computer Sheet ;ant: tel WJiAq jatJ4avLPermit #: %45V ibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement I in your Habitat code sheet. at 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/oi temp impact amount 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ acted 2010 February BOAT LIFT SPECIFICATIONS AND CONDITIONS For Sunstream FloatLift - Model FL6012 following are the Specifications and Conditions governing the installation of Sunstream FloatLift —Model 012 in Slip #06 that have been approved by the OCLYC Board of Directors. e BOAT LIFT Must fit within the width and length dimensions of the slip in which it will be installed. • The total combined length of the Boat Lift and the boat on the Boat Lift cannot be longer than the length assigned to the slip. • At no time can the Boat Lift by itself or with the boat on the Boat Lift protrude so as to hinder boat movement in the marina or walking/cart traffic on the dock. Must be set up so no part of the Boat Lift rubs against any part of the dock, finger pier, acid/or pilings. Must be set up so that nothing is placed on the dock and/or finger pier without prior approval from the Board. Can NOT have a top or cover. Must be kept in working order AND the lift and surrounding areas must be kept in a neat and orderly appearance Will be treated as a boat/vessel in times of hurricane threat, and must be removed on the same timetable and rules as boats/vessels. Will be removed by the Member for any dock maintenance activities when requested by the Board of Directors. Can NOT be stored in any Yacht Club trainer or parking lot. INDITIONS APPROVAL PROCESS — (1) The slip Membership Owner must have submitted a written request to the Board Directors to install this Boat Lift. (2) This form with approval signatures and a copy of the permit(s) are requires before the installation process can begin. CAMA - Installation must comply with al! applicable Coastal Area Management Act (LAMA) regulations and permits. PERMITS, FEES, ADDITIONAL EXPENSES —The Membership Owner is responsible for any LAMA and other Permits initial or ongoing that are required for this Boat Lift; and any renewal fees should they occur. INSTALLATION — The Membership Owner shall supervise the installers and/or contractors so that the installation meets the Specifications and Conditions as shown herein. Installation activities must have limited interference with normal access and usage of neighboring slips. ELECTRICAL WORK — Any electrical work must be approved by the Board of Directors. All electrical wort must be done by a licensed electrician or electrical contractor, must comply with local building codes, and must meet UL Marine ratings. ADDITIONAL CLEATS - The location and installation of any additional cleats must first be approved by the Board of Directors. The cost and installation of the cleats are the responsibility of the Membership Owner. DAMAGE — The Membership Owner is responsible for any damage to the pier, pilings, and/or docks resulting from Boat lift installation and use. This includes, but is not limited to, damage due to Boat Lift failure, docking accidents, and improper attachments to dock, finger pier, and pilings. PERMANENT REMOVAL — Upon written notice from the Board of' Directors, the Membership Owner will repair the Boat Lift or remove it if it is deemed to be in an unacceptable state of appearance or operation. Reaso may include, but are not limited to, interference with adjacent slip operations, marine growth, odor, or damage. i - - _L_-I_ L_. a_ V .. .Q :4: r ,,.,o —A rnnrvrnino thfa in¢tA1ntinn and use of the ALTI-K;WA NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management !verly Eaves Perdue James H. Gregson wernor Director Dee Frei Seci AGENT AUTHORIZATION FORM Date: Ci ne of Property Owner Applying for Permit: Name of Authorized Agent for this project: 'C� \7�� L-.�L ^ r,%11 � ^� 7 �lL��` 1y � ��C. i� `ti � / S � / �/ / ��• �/'l g� �4J^%'� � ier's Mailihq Address: 100 • 6oX/3sS ine Number (9 ro) Agent's Mailing Address: Phone Number (70y) 210 if rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying ind obtaining all CAMA Permits necessary to install or construct the following (activity): '��lc�j�I� -I--- —Mb�'t_� li( O C property located) at _ VC.._. ( ; (�) tf-- (. certification is valid thru (date) Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to Qn-C 2 Cg-c--C, LLA-+;Jir-�6-i `f AGE i GL-U3 (Name of Property Owner) operty located at YOU l'tsW t S -C>2 t vty (Lot, Block, Road, etc.) 1 C'VJ UVLa Cr C 4LC U rJ A (Waterbody) i3 (Town and/or ounty) has described to me, as shown below, the development he is proposing at that location, and, I have objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be si ;k a minimum distance of fifteen feet (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 not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ,PSG 0 f formation for Property Owner/Applicant Applying for permit) .fling Address (Riparian Property Owner Information) Signatu y/State/Zip Print or Type Nai 4745 Silabert Ave. �omn9Swo�, Charlotte, N.C. 28205 Roofing Inc. www.hollingsworthroofing.com Ashley Hollingsworth Phone (704) 567.2107 Fax (704) 567-2108 info@hollingsworthroofing.com z DOo 31>� 3MCna -cj MM CIZZON ZJ�WZ = QO� J Z 0 CO aZ RW�m� U=a..m W <cc a- w F0 O c6 J rM M s zo OO 0 rm .:} 0 0 Ir F mk ru ru V e4 0 rm ah Ul n r-. ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ 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. A. Sign u X Agent Addressee g, ceived by (Printed Nof C/C. elivery (' 1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ki-Certified Mail ❑Express Mail L,(�✓UW�/�Q,��"X(k (�Y,._ �''i 'y ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) Yes 2. Article Number — - (Transfer from service label) 7009 0080 0002 0951 4 212 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired, ■ Print your name and address on the reverse ❑ Agentso that we can return the card to you. Addressee■ Attach this card to the back of the mailpiece, (Printed Name) F'delivery C. Date of Deliveryor on the front if space permits. 1. Article Addressed to: elivery address different from item 1? ❑ YesES, enter address below: ❑ No S'k . L.C'k �l. � ✓1�j V!;>'1— �C'a 1.e.1n.. I r.1C, Z� 1 ��7 2. Article Number (Transfer from service label) PS Form 3811, February 2004 o. service Type E Lertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Hestricted Delivery? (Extra Fee) 7009 0080 0002 0951 4359 Domestic Return Receipt ❑ Yes 102595-02-M-1540