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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 $tqc� � 1`2 rth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC ICI /lL —D ❑ Rules attached. to a r'dl Permit Rules available at the following link: w dea nc gov/CAMArules ' City P J c-A Cr k,Y =-- ZIP f 110�0 / Affected KCW Vf W U! f M ❑ ES ❑ pTS Ad). Wir. Body 091 "1 o /�-a.. --/v`d.5 -- [ (na arVunk) AEC(s): 40EA ❑IHA ❑UW ❑$PIMA ❑PWS II Closest Mal. Win Body ,..je o cs-n W Ke_ Stbtond- ORW: yel4to 1 PNA:t Type of Project/ Activity 1-5 r )- so, 4;5� C011W Iivtq '�- Shoreline Length y3O1 Access Length S OI fc (o r Pier (dock) length 'V (9r Fixed Platforms) d IV"Atd� Ot3axG'Pic(a-g'c1 d v A building permit/zoning permit may be required by: c C. u Permit Conditions V— /� G ib¢r�/sr✓ Agent o/r�/pplicant PRINTED Name sl ature "Please read compliance statement on back of permit" r/ r9. c7 0 /2 Application Feels) Check N/Money Order 2f���ssr1 d, r.ICf �1 A A .L- z(.,Scale: nl'TS 1 O /a.j-ra ("M, oK� SI 9f_ .-,",NN �o 6l OPo_74 Q74 1004 c. 19 t t 1 1 1 W l t RO ?ACNNNW:�• ix "6�JN /-t"R P/L-a8X 4triP 0#R-mr -S ❑ TAR/PAWNEUSEfBUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back (Please Initial) Permit Officers PRINTED Name sl Ufe 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 L )nan/unk) AEC(s): 4OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Won Body 4v ci-a0 SOLtd d- /I ORW: ves/ho / PNA: Type of Project/ Activity %L'> A Co laa.. K Wa I ? l2x v' 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 K Y lo`>< 1` Pie.; P/,.,•,lean. �a4-4r-h, , a2f /Y` AI y' flag, 1; (Scale /t/'TS ) All IU 'x• 1 Ell C�/Inc.l 6Q;tb CK SArs oKE S�- 4�-rk P/L-08X 44rJD 0,+9-rAq 5 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/ r42--0 � / 9-- 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) r� 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 �f X 3" \� �� I ` PROPOSED PIER \ 6'%220' \ � I 1 \1, rwxwev e'xaa' 226 LEVEL (NNL) R 5� {6 A' V�Ay ow a nlw \ 1 ` 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 4 L v IL 0 J� .. �Y')r if'ir •..A t•ti' HI+ �'�� �'� y 5 �� ,�ira'�` � ;, ,fit. • , rti I Sv m N y m rn a y U = y m U G c •i F $ m 7 N o J ^ a t l 3 r t.- K 5 6 L 4 J `r I }5 r 5 a F' .. ` 1,. � is {i l I •♦ i �y,, �'. S-. f elf' l 11 �'• f! ! y �f- !M l r v I �• �.' t'0 'r ll�.r'� a o 0 J y Q H y � a W m J F `. ac a 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 fi :•r: �. � ��' __ ':r l ,, L 8, i A �- I f �� -r ��� 1 � :�;. aiti