Pinellas Bay HOA c/o George Keller 77168C

, OREOGE I FILL
ENERAL PERMIT
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\s// DREDGE & FILL
GENERAL PERMIT
Modification Complere Reissue Partial Reissue
As authorized by the State of North Carolina, Department of Environmental euality
N9 77168 AB @ D
Previous permit #
Date previous permit issued_
,r attached
pursuant to l5A NCAC
Project Location: County
Street Address/ Sate Road/Dt.
Subdivision P;a
Lot #(s)
^9
)c
Authorized Agent _
anoa Xo'
AEC(s): -ioEA :.HHF ItH - IUBA -tWA
tr PIYIS:
City
Phone # (
Adi. Wt
Closest
Sa
River B n k
PNA
Type of Proiecg Activity C)
Pier (do<k) lefltth_
Fixed Platform(s)
r (Scale ,(fr )I T_-_]_-_-T----l
FloatinS Platform(s) a
FinSer pier(s) ",-/urorn len8th
J.
gulkhead/ Riprap lenSth /-
avg distanae offshore
-
I wvv
9f^*f g"-4 -,1.-..\
\v
I N
max distance offshore _z-\2
Baln, chann€l ,-/./{/v I Y/
.ubic fards
Eoat ramp
Boathousey' Boatlift
Beach
Other
Bulldozilw /qbqiEl ,i,#
ifldF "
SAV: not sure
Moratorium: n/a
Photos:
yes *'frYil*
A building permit may be required by:N,f o See note on back regarding River gasin rules.
( Note Local PlanningJurisdiction)3Notes/ Special Conditions tec I €S
Permit
read compliance statement on back of permit ++
o t I il,13.t
ion FeeG)Check #
Wii",lr
tr.',/ne olt"F -T;D"t
area of
e.
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@b^t luntt)
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Phone #E-Mail
ORW:
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Wptl
l ]--+--+---+-+-l-+-+-l l
Shoreline LenSrh
L
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil a6ion; and may cause the permit to become
nullandvoid.
This Permit must be on the prolectsite and accessible to the permit officerwhen the project is inspected for compliance. The
applicant cenifies by signinS this permit that l) prior to undertaking any activities authorized by this permit, the applicrnt will
confer with aPProPriate local authorities to confirm that this proiect is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adiacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certirythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Proiect:
-
Tar - Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
I oth.r,
lf indicated on front of permit, your projec is subiect to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington RegionalOffice (910-795-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ r -888-4RCOAST
Fax: [phone]
(Serves: Caneret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griflin St.
Ste. 300
Elizabeth City, NC 27909
252-2&4-390t
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Oare, Gates, Pasquoank and Perquimans
Counti6)
Washingon District
943 Washington Square Mall
Washington, NC 27889
252-946-648t
Fax:252-948-M78
(Sewes: Beaufon, Bertie, Hertford, Hyde.
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-72t5
Fax: 9 l0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
hnp://poral.ncdenr.orglweb/cm/dcm-home
Revised 7/06/ l7
Adjacent Property Owner Statementjilled out
Final Atrdit Repod 2o2o{8-24
C.eabd:
By:
Stghrs:
Tr8lsadan lD:
,s,JJez4
&inc{r(b [e-mail])
Siign€d
C&tCHECMBAAbaogdgrxEO_kGP3oql SVr4ClXdtA{
"Adjacent Property Owner Statement-filled out" History
3 Document created by Brian Can (bandgp€[e-mail])
mm{824 - 1:4L00 PM GMT- lP dress: m7.2't4.85.143
! . Oo€rJment emailed to william Slack ([e-mail]) for signature
202G0&24 - 1:46:14 PM GMT
3 Email viened by William Slack ([e-mail])
mm{&24 - 5:8:U PM GMT- lP dress: 98 .192-2?5.176
,',b Docriment e-signed by William Slack ([e-mail])
Signature Date: 2o2Gog24 ' 6:2i56 PM Gt\tf - Tirne Source: sen'er- lP addr6s: 98 192 235 176
9 Signed doalment emailed to William Slack ([e-mail]) and Brian Can ([e-mail])
202Go&24 - 6:22:56 PM GMT
f,! naoxsien
Mr. Connell,
This is the permission you said I needed to send. I went online and did not see the GeneGl Permit you
mentioned. ldid see the Minor permit and the major permit. ldo not know if you supply the general
permit or if I missed it. Please advise.
Thank You,
Cart
?d $ aoo
ck#/o?o
RECEIVED
sEP 10 2020
DCM.MHD CITY
Locdiry- Permil Number
-
oc.atr Haz.rd
-
Esruarin! Shor.lme- oRw Shorchne
-
Public lrusl Shorclinc- oth.i
-
(lor o ciol $e onlr)
GTIl]R,\L I\f ()RI'ATION
OTHER Pf,RMlTs MAY BE REQUInf,D The rctivity you ar. planninS may rcquirc pcrmits olh.r lhsll lhc CAMA
minor dcv.lopmcnt p€rmii, itrcluding, bul nor limilod lo: frrinking Wat.r Well, Scptic Tsnk (or other saai!8ry wrsle
treabenr rysr.m), Buildlns, Elcc:rric.l, Plullrbrng. H. ir8 aid Ai, Coodrtjonitr8, Inlulatior .Ild Enenry Cons.wdior, fIA
c.nificatioo, sand Dun€, Scdi[|.nr Cofiol. suMivisron Approval, Mobil€ Hom. Pa* Approval, Highway Conn.ctaon, ard
othds Check with your Loc8l Pcrmit ofnc.r for mor. irfotmatioo.
I,A\D OWNER. MAILINC
l;aotl<r
ADDRESSeq *oA
STATEMEIYT OF OWNERSHIPI
I, th€ und,rrsigD€( a applic{ll fot r CAMA mtuor d.vcloprn.nl pcrnil b.ing €ithq thc owncr of pro!.6y in 6r AEC or a
pcrsoi suthori,td lo ad r! ar slr for purpos.s otspplyirg for r CAMAminor dsvllopolc Ftrril. c.niry thsl thc p.fsoo
list d rs lmdown.r on rhir ipplicdior ha! s ritnificant int.rcd h thc r.sl propcrty dca.rib.d thcEin. thb iltcr.n can b.
d.!.rib€d Es: (ch..I ooe)nr df Io-za, Dt {rc6
Emsil
\l t()Rrzi AGf,N'I
otY[ r or ftcord tille, Ti . is v$ted h nsm. of aJ a)
Book )2 q Courty Re8istry of Dccds
an o$ncr by virtuc of iDh.rilance. Applicaai is all bct to th. .ditc of
-
Crty tT4oortv:lle-sta, /C ziplitl7 phone
lit,
1-
___j probdc wl! ia
C,ty c )State Zt w*, ?oY-logf -{t9l
Emall llrz I - ('o
LOCATION oF PROJECI: (Address, slrect name snd/or directions to sit€;
o-f ,de
DESCRIPTION OI PROJECT: (Lisl all proposed .onsruclron aDd laad dislurbattoe )teof f ,er
slzE oF L0TPARCEL:
-
cqual! fcct 2' S *,*
PRoPosf,D UsEr R.3iderti.i E (singl€-frmil] E] Mulli.lsmily E ) conmcrcieylodustrial E oficr E
COMPLf,TE EITHER ( | ) OR (2) BELOW (Cor&.rJp "t LNd Paid! Ofu.t lfyor ar. tut etc ,,htch AEC qPlb
O) OCEAN HAZAID Af,Ct: TOTAL flooR AREA Of PROP(XED STRUCTURET
-
squr. f..t (bchd.s
sir mididoood livinS spicc, pa*ing 6l.v!t.d abovo grouDd IsvEl, ooo{onditionod spac. clcv.l€d abow gound lc}€l bul
.xcludiDS tror-loa&b.rting attjc spa..)
(r) COASTAL SIIOR.ELTNE AECa: SIZE oF BUILDINC FOOT?RINT AND oTHER IMPERVIOUS OR BtnLT
UPON St RIACES:
-
squa.c fca (irEludcs th. 5n-a of lh. found.tio! ol all builditrSs, &iv.e/ivs' 8ov.r.d d.ok.
cotrcrlt q mrsonry palros, clc. lhd arc *rlhin lhc sPplicabl. AEC Anach your cslcrrlatioos wrth $c proj.cl drrwing.)
SIATE SmRMWATER MANAGEMENI PERMIT: I3 thc proj.cl locared in Er rrra tubjcol !o a statc
Sionnr.d.t M.nr8ar.d Pcrmil i$ucd by lh. NC Division of ErcrSy, MiDltd and Lrtrd Rcsourc6 (DEirLR)?
YES_ NO_
If y.!. lisr ii. lotal built upoo arce/rEpervious $rfac. tllowcd for yollI lot or parcll:
-
3qulte fc.l
-if
oth€t inl6cst, 3uch as trritcn conEocl or l.a!€, .xplaio bclow or ue€ a s€porsrc sbcd & snrch to lhis spplicstior.
NOTIFICATION OF ADJACf,NT RJPARIAN PROPf,RTY O*'NERSI
I filrihcrmorc ccnify th6l lhc following pcrsoo! ar€ own.rs of propctu.! adjoiniog lhis propcrty. I lmrm fiat I have givcn
ACTUAL NOTICf, lo .sch of ih.m cooceminS ltry intc to dcvelop this propcny iad 10 0pply for. CAMA p.rmit
* tloA ;*aCar tff'"'l,q V,l*eL foj**;l ltc
21*6o
(l)
(2)
(3)
(4)
t,)p ,Oe S17l - tot+
D-. ) 117, -fott.t
ACKNOWLEDGEMENTS:
I, rhc undcBipcd, &loowl€d8. thal thc bld o*!.r is !*arc thal th. propo6.d dcv.lopocn! is plsnn€d for rD uls which
lnry bc $s.cptibl. to .ro3ion ard/or floodin8. I acknowl€dgc dtra thc Lo.rl Pnmil Offccr ht! cxpleincd to mc lh€ p.rtio-
lar hlz'rd problms associstcd with ftir lo1. This lxplsmtion qts accomptni.d by rc{omn.n&lions conc.mirg stabilir!-
tion ! floodDroofDs tcchdqu€!
I fudh.rmorc cstiry thal I am authorizcd lo 8rsnt, snd do in fsct granl, p€rnissioo lo Dvrsion of Co&lul MrnaS.m.nt 3t fr,
lhc Local Pcrmir Ofrc.r md lhcir sg.ors to cnlcr oo thc afdcm€ntioo.d lall(b io cooncction llrth cvaluding idormahoo
rclatcd to this p€rmu applcation
This rhc 3l'f o**MrY;o 2rllbL- *^-r. i?&ta()
suhoriz.d lo ad as hrthcr agc for putpos. of a CAMA p.nnil applicdio.r
fhb or?lLtun tnclud.s: generul tnlornation (thtrlonn), a site bawing as d^cfibed on the back olthir appltcdtu n the
o*ne^hip std,enent, thc Oce HazqdAE( Noticevhe,e necessry, o chectlot 5100.00 nade po.*frle to the locol,tt ard
@t) nlomd on at nay b. pmvtded omll! br he a4lico . lhe &tails ofthe arylication os &sctibcd bt th.!. tanrces oE
incoryouted wtthoy, ftl.ftnce ik arry pernlt nhich noy be istued Devtatlon .frcn thew tbtoils N'ill Lonsltut. o viokltion oI
av penait. Any penon dcwlopuA in d )E( ,'tithou pemtt 6 sabJect to civil, ctl lral anl odDtinistrottuz etid.
-
cou[ty.
SITE DRAWING/APPLICATION CHECKLIST
Pleasc m0ke sur.your sit. draMng includesrhe following informarion rcquir€d for a CAMA minor devclopmenr p€rmit.
The Lolal P€rmit Ofic.r will helplou, if rcqu$red
PHYSICAL DIMENSIONS
__r.Z Label roadr
_ rZ, Lrbel h'8hwars nshr-of.wa)s
-tL L.b€l locai setback lin€s
--4-ab€lany snd all strudures and dn\e$ars cunend! ersun! on prop€N_l: L$cl adjAent war(body
PHYSTCAL yARACTERISTtCS
--la DraN a,d lab.l normal hrsh sar.r Ln. r conraq Ll,o lor assrsrarcc)
-
Draw loc{tlon oI on-slte wasi.water syst.m
ll you rvill bc workin8 in th. oc.rn hazard are.
_ Dra* and lsbel dunc ndses l,nctud. spot elcvaions)
_ DrBw and lab€l ioc ofducs
_ Id.ndry snd local. first lir. of srablc veSetarion (contrct LpO for alsierrnce I_ haw and lab.l crosion sctback luc (crnta.t LpO for ersislanc.)
_ Draw and label topogrnphical f€atur.s (opdon6l)
If vou will bc workin8 u a co.slrl rhorctin€ sr.3:
_ Shor th. roof ovcrhsng a! a dotied lioe aroud rhe sructurc
-
Draw ed labcl landw.rd limit ofAEC
_ Drrw and lab.l rll werland lincs (cortoct LpO for a$rstancc)
-
Dr6w ard label h. -]0-foot butrer linc
DEVIiLOP[IENT PLANS
_L* Drs and lab€l all Drorosed rtrucruesjL Draw snd labcl ff?rs rhrt witl b. disturb.d and/or tsndscap.d
_ Nolc size of piling llld d.pth ro bc plac.d in grourd
_ Dra\ and lsbclall sl.a( ro b€ psved or snleted
/4 Show all &cas ro b. dishlrb.d
_ Show lsn&capinS
I{OTf, TO APPI,ICANT
Hav€ you
. conplacd allblar*s a"d/or Indicsred 'fnor appt,cabt€l
' notifi€d rnd list.d adjaccnt proplny owners?. rncludcd your srt. drawing?. signed rnd dat d rhe applicarron?. enclossd thc $ 100 00 fe€?. complctcd an AEC Hazrrd Notice. ifn€celsary? (Musi bc sigh.d by the prop€ny o*rc.)
FOR SIAFT USE
Sit Notic. Posd _ Finll l paaiio! _ Frt R!c.iv.d
Sit In.pGctins
APPLICATION FOR
CAMA MINOR
DEVELOPMENT
PERMIT
Ir 1974, thefionh Crmlitri C.tr.ntA.!.mbty p.!!.d rh.CorlhtArEl M.n.r.m.rtAct
(CAMA).nd set tb. !t.se forguldln8 d.v.lopm.atln frrsite rrd prcducdv..rt., thrt
bod.r tt. si.tr'! lourdr rnd oc..rtmrr Alorg rirh nqddrt .p..i.t ..rr by tbo.. wbo
build rod d.vclop, the C.D.nl Ass.arbly dircd.d rt. Cor..t R..oun.. ConDrldon
{CRC) ao inplemeftclerr rquhtlon! r[.t l[inimir. rh. burd.r on rh..ppl(rnr.
Tti! rppllcrtiou for. dnordcv.lopn.at p.rmir ![dcrCAMA i! p.ri ofrh.
Coionl.ilor'! clTori to oe.t itr rplrit rad irt ot ofth. c.lenl A$cmbty. la hrs b.€o
d6i8n.d io b. filshtfortl.rd rd.tqoi]! [o mort tille or€trort ahm a!(!$.ry fmn
lhe rppllcrri. Pl..ia !o ov.r tti. folder wilh th. Lool pcrDir Ot0clr (LpO) Ior th.
loc.lity ln wticn yor plrD to build ro b. c€nrir tfirtyou uDdenrrnd wh.r irfordrtton he
or st. re.di b.fon yor rppb.
UDd.rCAIL{ rtrulrtionr, thc [,lDorpermlth to be tllucd wilhh 25 dryi orc..
coDpl.tc rppltc.don b iD t.od. Ott.tr 1.!! ti6. i! n..d.d if r[. pmj.ct i! stnpl.. Th.
pmc.i! 86.rrlly trle! .booi lt dryi. You .rD !p..d rbc rpprovrt p.!{c., by arlirrc. .in ihrt yorr rppli.ttlon I! compl.r. rDd dgD.d, thrt your drrritrS o.€l3 ah.
ip€ci8c.iior. Iiv.. lnrid. .trd ri.t your.ppttcrttor f!. h rttrh.d.
Orbcr p.rrnit! rr! $e.alme! r.quir.d for dcvclopD.rt in tt€ corst t rtti. $ hite th..e
rtr rot CAMA.r.l.l!d, wo uri. you to ctcct rvtrh rl. t crt pemit OfEcer to d.t .oir.
rbich of rh.!. yo! o.y n..d. A &t i! imld.d on pt rlfo of ahh fotd.r.
We rpprlrirt your coop.hdon *trh ih€ Norrt CrmtlD. Corsht M.ot3.m€trt prwrrll
md yorr *itlir:r.3! to bulld h r r.y rhrt pmlcca! th. rtlou]t.. of orr b.rrriftt ..d
Co.lul Rcaounc3 CoEninion
Divilior o,Co$til Mrnrt neni
-
Cz
Coostol Manogenent
EnvrnoN €llrAL ou^LrrY
2_t#a-<o<
u74
-nE5Es
trd?zr)DA€ ofActioii hlll.d
-
Erdnprrd
-
D.ni.d
-
O*..f OGa * t:O drys ftom pcrEir !.tion) _DCM F.m EB 1912-20l t/R!ved
o
=-t
I hereby certify that I own property adjacent to rL 5
(Name Owne
property located at )o J "?15,
t
Bt oc k,, etc.)
on ,tn N.C
(city own or County)
The applicant has described to me, as shown below, the development proposed at the above
I have no objection to this proposal
I have objections to this proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndividual proposing development must fill in description below or altach a site drawing)
!SSac . 's
*nu Aa.r./-/
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property erl rmation)
Print or Type Name
7
M
€
firl'*u19ttot,
r lnformation)
(/t/,/;o
d.cL '* tbq-,* 0r
toA
S,gr si ture
or
?
5
ilq
Mailin Address
*flt+'! oaE -srT+
:l
tpqto't-
Telephone Number
7'3f'7n2a
Telephone Number
8-st- zoto
Ddte
g
Dute
c
(Revised 18/2012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
location.
-Je-
2.^lL-
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15'from my area of riparian access unless waived by me. (lf you
wish to waive the setback, you must inltlal the appropriate blank below.)
Ci.dfulr\n
Channelf-.
ili
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CodJV4A*qt lj'.
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AN.IAEF RIPARIAN P RTY OWN ER STATEMETIT
lhor€by c€rtlfy thet lown property
gopcrty looatcd at 2O3,2OE,2OZ,Z
adjac€nt to Phollas Bey Home OwflerB Aseoclation's
(Neme ol Proporty Owner)
09,21 1,21 3,21 5,217,219 and 22 1 Pinneilag Bav Dr _(Addregr, Lot, 81ock, Rord, erc.)
' ln -il. Topsdl Beach__, N,C.
(Clty/Town andlor County)
on Pinellas Bey
(Watcrbody)
The epplleant h€s descrtb€d to me, as shown below, th€ clsvelopm€nt prcpoeod at the abovelocatlon.
I have no obl€ctlon to thb prcposal,
I have obJectlona b file propoeal.
OESCRIPTION ANO'OR DRAWNG OF PROPOSEO DEVELOPMENT
(lndtvldual prcporlng dewlopmenl must f,ll ln descrlptlon balow or .tLch a zlte dnwlng)
tuot pler exlendlng to lho tldal pool, See Atlrcr,€d.
I
".t
L
WAIVER SECTION
I underctand thet a pler, dodq moortng plllngs, bG.kweter, boathouso, lllt, or grcln mult bo let
back a mlnlmum distance of 15' from my 6rea of dparian aceeas unlees waived by me. (lf you
wlsh to walvo th€ B€tback, you muat lnltlrl tho approprlato blank below.)
I do wlsh to wElva hc 15' letback rlqulrlmenL
X- I do not wlsh lo walve tho 15' setback requirement.
(Prop.rty Owner lnformrtlon)(AdJecent Property Owner lnformatlon)
(l;L, -(.a,,,4,,r^\!trL
william sr..t laug 24, ?020 la:21 coT)
alut'c Signanuu
Witttam SledtwrA
Pdflfl/l{ffiHffic"*,Pd or fypa Name
A Rlvors End Dr
Melllnd Addt"ss
ctf,awfietd, vA 29Bt B
Matling Addnss
SoalbrdDE t0073
cMs:tatelzlP
(8U) 638-5134
Cftyfina//'zlp/904eu7,c
TcloDhonc Num,Et
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Toloplnno Numbtr
6:2tl"ZeAo
Irde
(Rcviead A/1W2012)
,
Pinellas Bay HOA 77168C 9-16-20
Final Audit Report 2020-09-19
Creded:
By:
Stat s:
Trarrsadioll lD:
2020"osr9
&arlc r {bandgpei!@maf .qr)
Signed
CBJCHBCMSAAe'IA V-nXOqiOoHquEv,WOtLII'lo-W8PS.r
"Pinellas Bay HOA 77168C 9-16-20" History
': Document created by Brian Can (bandgp€[e-mail])
202Go919 - 3:9:54 PM GMT- lP address: 75.138.218.'169
'1- Email viewed by George Keller ([e-mail])
2O2GO$19 - 4:23:35 PM GMT- lP addrEss: 69.147.90'126
Jto Doo,iment esigned by George Keller (kellerl3george@yahoo-com)
S(rrEtureDale:20204919-424i44PMGn'iT-TimeSource:se,er-lPad&ess:2o2.3.24s.139
g Agreement comdeted.
202G0+19 - 4:2,1:,14 PM GMT
RECEIVED
sEP 2 3 2020
DCM-MHD CITY
I mox si6n
a Doqrment emailed to George Keller ([e-mail]) for signature
202GO9'19 - 3:56:,10 PM GMT