HomeMy WebLinkAbout89896A - Island OBX, LLC"CAMA ❑DREDGE & FILL N° 89896 ® B C D
Previous permit
GENERAL PERMIT Date previous permit issued
�ew ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the $tqc� � 1`2 rth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ICI /lL —D ❑ Rules attached. to a r'dl Permit Rules available at the following link: w dea nc gov/CAMArules
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AEC(s): 40EA
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ORW: yel4to 1 PNA:t
Type of Project/ Activity 1-5 r )-
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Shoreline Length y3O1
Access Length S OI fc (o r
Pier (dock) length 'V (9r
Fixed Platforms)
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A building permit/zoning permit may be required by: c C. u
Permit Conditions
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Agent o/r�/pplicant PRINTED Name
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Application Feels) Check N/Money Order
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❑ TAR/PAWNEUSEfBUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initial)
Permit Officers PRINTED Name
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Issuing Date Expiration Date
❑DREDGE & FILL N° 89896 B C D
GENERAL PERMIT Previous permit
3 Date previous permit issued
Flew ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the $tat f6rth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
SA I — - f "ll --b ❑ Rules attached. jf G: rZl Permit Rules available at the following link: www.decI.nc.gov/CAMArules
ZIP 7.L/ 7 -) 7
Project Location (County):
Street Address/State Road/Lot
City w 0-A C-kl e-Y� ZIP 10 /
Affected K-CW DqEW U $M ❑ ES ❑ PTS Adj. Wor. Body 9 o c�.n,a /�"`. -//S// � u-ti�IIl (na
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AEC(s): 4OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Won Body 4v ci-a0 SOLtd d-
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ORW: ves/ho / PNA:
Type of Project/ Activity %L'> A Co laa.. K Wa I ?
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Shoreline Length I J6r slfr lr ( eVc`'V&A Scs x- r
Access Length -SJ X (v '� 4 ...(yi
Pier (dock) length 0 'X (c 1
Fixed Platform(s) / `� ' JL / (1 /
3`7c4' r1.` c y'
.15�X-Co'�w,. jjCuay
Finger pier(s)
Total Platform area Z
Groin length/# '
Bulkhead/ Riprap length +'
Avg distance offshore —
Breakwater/Sill
Max distance/length -'
Basin, channel
Cubic yards
Boat ramp
Boathou / Boat Ift / y
Beach Bull g _
Other 3y`f-(e P r 2r 4-
S )t/t, Rlnf Fcfm ,> OartJ
SAV observed: yes no n
Moratorium: n/a yes no
Site Photos: no �Jc
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: _
Permit Conditions
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TARJPAM/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
V14-
Signature "Please read compliance statement on back of permit•• C/
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Application Feels) Check #/Money Order
Permit Officer's PRINTED Name
Issuing Date Expiration Date
❑CAMA ❑ DREDGE & FILL N9 89896 A B C D
Previous permit
G E N E RAL 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:
I SA NCAC ❑ Rules attached. ;[]"General Permit Rules available at the following link: wwwdeq.nc goy/CAMArules
Applicant Name �
Address
City State ZIP /
Phone # ( )
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body ^tt (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/ho PNA: yes/no`.
Type of Project/ Activity
Shoreline Length
Access Length -`>
Pier (dock) length
Fixed Platform(s)
Total Platform area
Groin length/q
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: - yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by
, ri
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)
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Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on backof permit** Signature
Application Feels) Check p/Money Order Issuing Date Expiration Date
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GENERAL PERMIT SITE PLAN
ISLAND OBX, LLC
LOT 17 / CAROLINA CAYS
WANCHESE- DARE COUNTY - NORTH CAROLINA
120' 180'
1 "= 60'
REVISED:
>SED KPYAK
ORM 4X,2
STAIRS
,4TL,4NT/C ENV/RONMENT,4L CONSULT14A
P.O. BOX 92M,, ArTY H,4WK, N.C. 279
(252)261-7707, e-ma// doagdaec®gma//.
FILE: JENKINS 2023 DRAWN BY: D
r�
AUTHORIZATION TO ACT AS REPRESENTATIVE FORM
Property Legal Description:
DEED BOOK: 2561 PAGE NO: 511
STREET ADRESS: Lot 17 Carolina Cays 0 NC 345, Wanchese, NC 27981
Please Print:
Property Owner: Joe Jenkins Island OBX 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):
4303 South Virginia Dare Trail, Nags Head, NC 27959
Property Owners Telephone Number: 252-340-2030
We her ify that the above information submitted in this application is true and
accur to est of our knowledge.
Date:
This certification is valid thru (date)
Date:
Signature and Title
North Carolina Secretary of State Search Results
https://www.sosnc.gov/onl ine_services/search/Bus iness_Registratio...
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online
Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
Island OBX, LLC
Information
SOsld: 2686152
Status: Current -Active O
Date Formed: 8/11/2023
Citizenship: Domestic
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: Powers, David B.
Addresses
Mailing
4303 S. Virginia Dare Trail
Nags Head, NC 27959-9287
Reg Mailing
Post Office Box 405
Kill Devil Hills, NC 27948-0405
Company Officials
Principal Office
4303 S. Virginia Dare Trail
Nags Head, NC 27959-9287
Reg Office
700 Blue Jay Street, Suite 1
Kill Devil Hills, NC 27948
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Joseph T. Jenkins
4303 S. Virginia Dare Trail
Nags Head NC 27959-9287
1 of 1 10/3/2023, 8:59 AM
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: Island OBX, LLC c/o Joe Jenkins
Address of Property: Lot 17, Carolina Cays, 0 NC 345, Wanchese, NC 27981
Mailing Address of Owner: 4303 South Virginia Dare Trail, Nags Head, NC 27959
Owner's email: Joeandlyn@aol.com Owner's Phone#: 252-340-2030
Agent's Name: Doug Dorman Agent Phone#: 252-599-2603
Agent's Email: dougdaec@gmail.com
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
ir?.5 I DO NOT have objections to this proposal. I DO have objections to this proposal.
it 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
malled to 943 Washington Square Mail, Washington, NC 27889. DCM representatives can also be
contacted at (252) 946-6481. 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
0010
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: OBX Land Partners, LLC
Mailing Address of ARPO: 120 Greenwich Road, Charlotte, NC 28211
ARPO's email: art.secor@lwlandmail.comARPO's Phone#: 704-904-0861
Data: 06/23/24 _=waiver is valid for up to one year from ARPO's Signature"
Revised July 2021
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Carver, Yvonne
From:
Sent:
To:
Subject:
Attachments:
Good morning Doug,
Carver, Yvonne
Friday, October 13, 2023 7:43 AM
Doug Dorman
Island OBX LLC GP89896& Receipt
ISLAND OBX LLC GP89896-RECEIPT.pdf
A copy of general permit (GP) number 89896 for Island OBX, LLC's docking facility project is
attached. The pdf also contains a copy of your permit for the permit fee.
To validate this permit, please address the following:
1. print and sign the permit on the bottom left-hand corner below your printed name,
2. 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.
Please let me know if you have any questions.
Yvonne B. Carver
Environmental Specialist II
Division of Coastal Management
INC Department of Environmental Quality
252-264-3901. ext. 237
401 S. Griffin St., Suite 300
Elizabeth City, NC 27909
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