89758A - OBX Land Partners LLC

` c"Isit MA ❑ DREDGE & FILL � � N9 89758 O s C D
Previous permit
GENERAL PERMIT Date previous permit issued
(9514ew []Modification ❑Complete Reissue ❑Partial Reissue
As authorized by t S e of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC r r ' r / Z � ❑ Rules attached. �mral Permit Rules available at the following link: www.deq.nc.goy1CAMArules
Applicant Name o f-x Loss d- na. f_f . L LC_
Address_/A.is Gre e. A o_4
city C 1. c,,Aa at-� - state n) c ZIP 219 ?-
Phone # (]o), Toy - OXL
Email tLr-+ C P r-r a1sd/ea..dwta; Go n1
12aa iS4-ar I cs a..4-.` A--- C.. -r-
Affected ❑CW V3EW H?TA
AEC(s): ❑OEA ❑IHA ❑UW
ORW: yes no s t PNA: ye
Type of Project/ Activity / 2 0' r< (e y
Shoreline Length
Access Length '— rr- ry
Pier (dock) length O zr (e
Fixed Platform(s) 10 rS /
z,cY! I ee (
Floating Platform(s)
Finger piers)
Total Platform area 'A -0
Groin length/R
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
eoathous Boatlift
Beach Bulldozing
Other _
❑ ES ❑ PTs
❑SPIMA ❑PWS
es ,4AfoKer'
S-cr tl`]
Authorized Agent u a Ca3 ra n
Project Location (County): 17 a�sL
Street Address/State Road/Lot #(a) / _ a+ %
50 A)C 3N5
Subdivision C. o_r-o /1 ti a co- t/S
City WNXCl.tJi f ZIP Z.7gS,/
Adj. Wtr. Body a�IJ0, n O k;.-I/.S ou rs CL a man/unk)
Closest Mal. Wtr. Body A o M o K.4.. To u..
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(Scale: A/7-S 1
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SAV observed: yes no R�Po iC YYI /
Moratorium: n/a yes no A.
•Y
Site Photos: es no
Riparian WalverAttached: Ws 8 t�V
A building permit/zoning permit maybe required by:
Permit Conditions
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❑ 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, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
V Sig tur ase lead compliance statement on back of permit""
Application Feels) Check N/Money Order
PAmlt Officer's PRINTED Name
r
ture
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Issuing Date Expiration Date

�`°""+,�❑CAMA ❑ DREDGE & FILL �n NU 89758 A) B C D
GENERAL PERMIT 1" Previous permit
+ Date previous permit issued
❑New ❑ 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:
15A NCAC ❑ Rules attached, 1 F] -.General Permit Rules available at the following link: www.deo.nc.gov/CAMArules
Applicant Name G r4 A- r-.; 4-
L C
Address
City State ZIP �-
Phone # O V -
Email (J r •st n; A C n
Affected ❑ eW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes(no> PNA: yes/no
Type of Project/ Activity
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Shoreline Length f 1 � 7
Authorized Agent ! ,-,
Project Location (County): "'
Street Address/State Road/Lot #(s)
Subdivision C. c. /
City i•. ZIP
Adj. Wen Body �na�man/unk)
Closest Mal. Wtr. Body
(Scale:
Access Length
Pier (dock) length
Fixed Platform(s)
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Floating Platform(s)
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Finger pier(s)
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Total Platform area 2_.I
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Bulkhead/ Riprap length
Avg distance offshore -----
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Breakwater/Sill
Max distance/ length
Basin, channel
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Cubic yards
Boat ramp
Boathouse/Boatlift r t( Z>
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Beach Bulldozing
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Other --—l-
-�.—
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SAV observed: yes no
—
Moratorium: n/a yes no
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Site Photos: yes no
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Riparian Waiver Attached: yes no
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A building permit/zoning permit may be required by:
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, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature -'Please read compliance statement on back of permit"
Application Fee(s) Check It/Money Order
Signature
Issuing Date
Expiration Date

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AUTHORIZATION TO ACT AS REPRESENTATIVE FORM
Property Legal Description:
DEED BOOK: 2561 PAGE NO: 511
STREET ADRESS: Lot 7 Carolina Cays, 0 NC 345, Wanchese, NC 27981
Please Print:
Property Owner: OBX land Partners LLC
Property Owner:
The undersigned property owners of the above noted property, so hereby authorize
Doug Dorman of Atlantic Environmental Consultants, LLC to,
(Contractor/Agent) (Name of consulting firm)
1. Act on my behalf and take all actions necessary for the processing, issuance and
acceptance of permits and/or certifications and any all standard and special
conditions attached.
2. Enter the property to obtain site information including inspections with regulatory
agencies (Dare County, North Carolina Department of Environmental Quality,
U.S. Army Corps of Engineers, etc.) for the purpose of obtaining permits and/or
certifications.
Property Owners Address (if different than property above):
120 Greenwich Road, Charlotte, NC 28211
Property Owners Telephone Number: 704-904-0861
We hereby certify that the above information submitted in this application is true and
accurate to the best of our knowledge.
Gceo/ 6 e
A:)A?�
Authorized Signature and 7' e /
Date: 6 Oq 20 Z
This certification is valid thru (date)
Authorized Signature and Title
Date:

North Carolina Secretary of State Search Results
https://www.sosnc.gov/onl ine_services/search/B usiness_Registratio...
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online
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an Amended a Annual Report form
Limited Liability Company
Legal Name
OBX Land Partners, LLC
Information
Sosld: 2260997
Status: Current -Active O
Date Formed: 9/1/2021
Citizenship: Domestic
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: Secor, Art
Addresses
Mailing Principal Office Reg Office
120 Greenwich Road 120 Greenwich Road 120 Greenwich Road
Charlotte, NC 28211 Charlotte, NC 28211 Charlotte, NC 28211
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
OBX Land Partners, LLC
120 Greenwich Road
Charlotte NC 28211
Reg Mailing
120 Greenwich Road
Charlotte, NC 28211
1 of 1 6/23/2023, 10:40 AM

UocuSign Envelope IU: 92BC7200-10E0-487F-8757.17400E096EA7
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: OBX Land Partners, LLC
Address of Property: Lot 7, Carolina Cays, 0 NC 345, Wanchese, NC 27981
Mailing Address of Owner: 120 Greenwich Road, Charlotte, NC 28211
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Doug Dorman Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
(m
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: KMK Outer
Mailing Address of ARPO: 5 McPherson Lane, Bell Mead, NJ 08502-4321
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: 06/12/24 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
L.of Z

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: OBX Land Partners, LLC
Address of Property: Lot 7, Carolina Cays, 0 NC 345, Wanchese, NC 27981
Mailing Address of Owner: 120 Greenwich Road, Charlotte, NC 28211
Owner's email: [e-mail]
Owner's Phone#: [phone]
Agent's Name: Doug Dorman Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
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.
G 1 DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
'o``� Signature of Adjacent Riparian Property Owner: �' me In er of (aillespie Group LLC
Typed/Printed name of ARPO: Gillespie Group LLC
Mailing Address of ARPO: 168 W. Main Street Unit 563, New Market, MD 21774
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: 06/02/24 *waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
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AMA ❑DREDGE & FILL N9 89758 A B C D
ENERAL PERMIT Previous permit
Date previous permit issued
ew ❑Modification ❑ Complete Reissue []Partial Reissue
As authorized by the S�tp{je of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ` r ' r Z S "S ❑ Rules attached. eneral Permit Rules available at the following link: www.deq.ncgov/CAMArules
Applicant Name 6X Lcsc ct }Da-CTn r1 L L.C,
i
Address ai. f) Cs r-e c A ,1 ) r-k /LO a clf
City CState fJ ZIP ZgZ /
Phone fl Icy)
Email arf, t2. Go t-o�%d /anCl xrl0.i� Ga M
Authorized Agent Z c U n /) 5 (-M a n
Project Location (County):
Street Address/State Road/Lot #(s) L � T %
Subdivision C-0-ra /; ^ 0. C 0_ t/S'
City W0.,a gist- ' ZIP Z-793'/
Affected ❑ CW ©EW ®'PTA ❑ ES ❑ PTS Adj. Wtr. Body .r�a n o k, /�-S a u n J r (nna man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PINS Closest Maj. Wtr. Body /C o 0.n o k_ —
ORIN: yes(o PNA: yes no
Type of Project/ Activity / 2 O r / r p �,c G / 2' >G y a a.e PIa4
,Z s 4-a i rS 3 Se Y s 1, c ..cL�) n e / `i / >c Z (Scale: /,/TS )
Shoreline Length = —sFt)r IVIFEDFRAt CHAn1NEL St TZ0VCK
Access Length F I„ I'1 TiSp
Pier (dock) length /-ZJ K (o IN
Fixed Platform(s) / o ec / (o h1 l I vq .� L J-m
�L a
Floating Platform(s) g-
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore -
Breakwater/Sill
Max distance/ length I \
Basin, channel ^V
Cubic yards _ \
Boat ramp n"k �y QV
8oathous Boatlift f vS 5
P
Beach Bulldozing / q
Other
O,t/G S
SAV observed: yes no
Moratorium: n/a yes no \ s/ 40 Site Photos: es no
Riparian Waiver Attached: s CFib I,w
A building permit/zoning permit may be required by: 4-4
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, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)<
Agent or Applicant PRINTED Name
Signature *'Please read compliance statement on back of permit"
-2_Zp �.r /---�3
Application Feels) Check #/Money Order
P&mit Officer's PRINTED Name
ture
/sAi3/Z3
Issuing Date Expiration Date

Carver, Yvonne
From:
Sent:
To:
Subject:
Attachments:
Good afternoon Doug.
Carver, Yvonne
Friday, June 23, 2023 12:41 PM
Doug Dorman
OBX Land GP/Receipt
OBX LAND GP89758-RECEIPT-06232023122912.pdf
A copy of general permit (GP) number 89758 issued for the pier project at Lot 7 Carolina Cays Island
is attached for your review and signature. A copy of your receipt for the associated permit fee is
included in the attachment.
To validate this permit, please address the following:
1. print and sign the permit on the bottom left-hand corner below your printed name,
L initial where indicated on the bottom right of the permit, and
3. scan and send a signed copy of the GP back to me.
No work can be initiated until after we receive the signed copy. If you have any questions regarding
this correspondence, please don't hesitate to contact me.
Thank you.
4Oaute
Yvonne B. Carver
Environmental Specialist II
Division of Coastal Management
NC Department of Environmental Quality
252-264-3901, ext. 237
Please note that my email address has changed to: vvonne.carver(a)deg.nc.gov
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
M EQ
!3 , mn Ghnirontrom8l �UUG,Y
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.