HomeMy WebLinkAbout86619A - Hamilton, Walterl�OCAMA ❑ DREDGE & FILL
GENERAL PERMIT
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Previous permit
Date previous permit issued
[V�Nevv []Modification ❑ Complete Reissue [:]Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC H z E? O - b ❑ Rules attached. V-6eneral Permit Rules ava able at the followinlink: wvr .deq.nc.golCAMArules
Applicant Name W
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Authorized Agent _ '— Y S M
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Project Location (County): D a-(—,*—
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Street Address/State Road/Lot ##(s)
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ORW: yes/ io
PNA: yesAo
Type of Project/ (Activity _1�" s 11 ! D ;
Shoreline Length �/ O u O
Access Length \
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area —
Groinlength/q
Bulkhead/ Riprap length `
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatiift
Beach BuIldc, ng
Other
SAV observed:
yes no
Moratorium: n/a
yes no
Site Photos:
es no
Riparian Waiver Attached:
yes no
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A building permit/zoning permit may be required by: vJ 1 ci �y4:Q
Permit Conditions
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, SRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initiai)
Agent or Appicant P,AI�Z E8�rte ` LL Permit Officer's PRINTED Name
Signs re —Please read compliance stater?,; t on back of permit" Sign e/
Application Fee(s) Check it/Money Order Issuing Da a Expiration Date
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PUMPOUT 2S0 281 282 283 2g4 285 286
STATION
12 276 277 278 279
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14 319 318 317 316 315 314
313 312
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326 m N
15 N
5K os
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\ P_Cc
y� PROPOSED DeS%yn-COn3frUC!%On
SLIP # 4 MARSHES LIGHT MARINA
Project Manayemenf
O y �N NZ�m Nf~7 113 Ba1/as/Ro(k Or
\ N WALTER HAMILTON 151.491-s6�P�51"f�a56�,,
www.IynsmeR.com M-1-eNo. 19760
Lyn Small Inc, Marine Construction
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Walter Hamilton
Mailing Address: 38 Maple Ave Flemington, lid-08822 - ---- -- ---
Phone Number: 201-410-6290
Email Address: walterhamilton@verizon.net
I certify that I have authorized Lyn Small 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.
at my property located at Slip #4 Marshes Light Marina
in Dare County.
C E d V a V
MAR 3 1 2022
DCM-EC
l 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:
G')aAe� yila'Itl
Signature
Walter Hamilton
Print or Type Name
Owner
Title
02 / 21 / 2022
This certification is valid through 02 / 21 / 2022
Date
This certification is valid through 02 / 21 j2023
'13
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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
e Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
l (AKI N 16, (L-
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9590 9403 0415 5163 4497 60
7020 2450 0000 6216 Ob
PS FIXM 3811. AP1112015 PSN 7530-02-ODO-9053
A. Signature
X "DL Z,
MAR 3 1 2022
Agent
B. Received by (Printed Name) I C. Date of Delivery
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Expresse
❑ Adult Signature
❑ Registered Mail-
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
❑ Certified Mail®
Delivery
❑ Certified Mal Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on DAlivery Restricted Delivery
ID Signature Confirmation^^
L) Insured Mail
Q Signature Confirmation
❑ Insured MaU Restricted Delivery
Restricted Delivery
Domestic Return Receipt
Postal
CERTIFIED MAIL'a RECEIPT
[�-Domestic
Mail • nly
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For delivery Information visit our website at www.usps.com,
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LIMITED LIABILITY COMPANY ANNUAL REPORT
C
116120-12
NAME OF LIMITED LIABILITY COMPANY: ML Marina, LLC
SECRETARY OF STATE ID NUMBER: 1560398 STATE OF FORMATION: NE
REPORT FOR THE CALENDAR YEAR: 2022
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Gupta, Prem
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Report
1560398
CA202208910183
3/30/2022 04:00
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
1314 S. Croatan Hwy., Suite 301
Kill Devil Hills, NC 27948 Dare County
SECTION B: PRINCIPAL OFFICE INFORMATION
1314 S. Croatan Hwy., Suite 301
Kill Devil Hills, NC 27948
1. DESCRIPTION OF NATURE OF BUSINESS: Real Estate Investment
2. PRINCIPAL OFFICE PHONE NUMBER: (252) 441-9003
4. PRINCIPAL OFFICE STREET ADDRESS
1314 S. Croatan Hwy,, Suite 301
Kill Devil Hills, NC 27948
3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
5. PRINCIPAL OFFICE MAILING ADDRESS
•� :. 01
Kill Devil Hills, NC 27948
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: OMMG Holdings, LLC
TITLE: Member
ADDRESS:
P.O. Box 90
Kill Devil Hills, NC 27948
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
OMMG Holdings, LLC, by Prem Gupta CFO 3/30/2022
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
OMMG Holdings, LLC, by Prem Gupta CFO Member
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525. Raleigh. NC 27626-0525
LIMITED LIABILITY COMPANY ANNUAL REPORT
1111120-12
NAME OF LIMITED LIABILITY COMPANY: ML Master, LLC
SECRETARY OF STATE ID NUMBER: 1556557 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 2022
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Gupta, Prem
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Report
1556557
CA202208910380
3/30/2022 04:30
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
1314 S. Croatan Hwy Suite 301
Kill Devil Hills, NC 27948 Dare County
SECTION B: PRINCIPAL OFFICE INFORMATION
1314 S. Croatan Hwy Suite 301
Kill Devil Hills, NC 27948
1. DESCRIPTION OF NATURE OF BUSINESS: Real Estate Investments
2. PRINCIPAL OFFICE PHONE NUMBER: (252) 441-9003 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
1314 S. Croatan Hwy Suite 301
Kill Devil Hills, NC 27948
5. PRINCIPAL OFFICE MAILING ADDRESS
•0 :. •E
Kill Devil Hills, NC 27948
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME:
OMMG Holdings,
LLC
NAME:
TITLE:
Member
TITLE:
ADDRESS: ADDRESS:
P.O. Box 90
Kill Devil Hills, NC 27948
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
OMMG Holdings, LLC, by Prem Gupta CFo
SIGNATURE
Form must be signed by a Company Official listed under Section C of This form
3/30/2022
DATE
OMMG Holdings, LLC, by Prem Gupta CFo Member
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronicallv.
MAIL TO: Secretary of State. Business Registration Division, Post Office Box 29525. Raleigh. NC 27626-0525
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERFn
MAR 3 t 2022
Name of Property Owner Walter Hamilton
Address of Property. 202 C Dartmoor Ave Manteo 27954 Marshes Light Marina Slip #4
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Lyn Small Inc. _ Mailing Address: 113 Ballast Rock Drive
Agent's phone #- 252-491-8562
Powell's Point, NC 27966
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 have no objections to this proposal. _ , T 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 401 S.
Griffin St., Ste 300, 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
I understand that a pier, dock, mooring
pilings,
must be set back a minimum distance ffl5fromomy area of riparian acbcesshouseunl ss'ftwaiv dr by
me. (If you wish to waive the setback, you must sign 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
Walter Hamilton
Print or Type Neme
38 Maple Ave
Marling Address
Flemington NJ 08822
CltylStatelZip
elephone Number/Email Address
Date
*Valid for one calendar year after signature*
(Adjac*nt Property Owner Information)
Signature 4
John Agnew
Print or Type Name
217 Compton St
Mailing Address
_ Manteo: NC 27954
City/state2ip G
j I A C, A-7-
Telephone Number/Email Address
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Revised 2017
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