89210A - Mariners Pointe Holdings LLC

1*d(Wt" ❑LAMA ❑DREDGE & FILL NO 89210 A B C D
GENERAL PERMIT Previous permit
� Date previous permit issued
EgNew ❑ 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 [) -IA. 1 � ( -) Q ❑ Rules attached. IJ General Permit Rules available at the following link: w Agii.nc goy/CAMArules
Applicant Name M o r I Y: r_ f S Tt K to N2 l yNc- ; Ll C_•
Address 10.2 S<t.t i,.N C. kntirl L
City A 2 e'r X Sate ),A C. ZIP 2,A `52J
Phone#(.910)_.: - 24C) ll
Authorized Agent 1['_1-n c h 0 ., rs n c.l I7,_;_ J
Project Location (County): Drx r eC
Street Address/State Road/Lot #(s) 7 On 1 %' l of A I rs -'-
Email hrt( Wrn 1) C 5ky� Subdivision Mrd.! 1 xy\ hnt ti, + ValiK.1 see— %P.-
City 1<1i'i"vI tACL ui ZIP_2-7949
Affected ❑ eW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body C'i t U:4-v C t re N I� i(Faq"an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body �_) tx. r r ctJ ck_ "_,C u. (.. rA
ORW: yes/no
PN ye3 no
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Type of Project/Activity C'nr,rA 0re-')(t0' jj: W� lk,v.f1_ S V IC)- I r'l(orvn .
(Scale:)"r' 11)
Chnrelinn lenoffi Ilti,r
. (dock) length■N
Fixed Platform(s)■
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pler(s)
Total Platform area 4,
Bulkhead/Finger
• offshore..
Avg distance
Max distance/ lengt
Basin, channell
Cubic yards
then
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A building permit/zoning permit may be required by: ,t% Ci. r F• D i 1 h 4' •/
TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
jZ.F. ;la:_=w e? t' iY� siNcl<y .-u•r nrf `✓ ry F See note on back regarding River Basin rules
A h'1. % P e r m �-Wtry 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) (its'
Agent or Applicant PRINTED Name _ Permit Officer's PRINTED Name
Signature *'Please read compliance statement on back of permit" Signature
I
Application Feels) Check #/Money Order Issuing Date zpi Er HD on atl

DocuSign Envelope ID: 9EB399AE-6D6844A6.9A88.26BAC7FSCiDo
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Mariners Pointe Holdings LLC C/o Michael Molinini
Mailing Address: 1025 Saint Cloud Loop
Apex, NC 27523
Phone Number: 910-477-2401
Email Address: [e-mail]
I certify that I have authorized Emanuelson and Dad
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: resurface existing pier/platform, construct new
wrap around lower platform at end of pier/platform, relocate existing jet ski lift
at my property located at 7001 Martins Point Rd, Martin's Point ,
in Dare
I furthermore certify that I 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:
Uacuftmdby:
sxerAeme- --...
Signature
Michael Molinini
Print or Type Name
Manager Mariners Pointe Holdings
Title
5/22/2014 I
Date
This certification is valid through I I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/ViIAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Mariners Pointe Holdings LLC c/o Michael Molinini
Address of Property: 7001 Martins Point Rd, Martin's Point NC 27949
Mailing Address of Owner: 1026 Saint Cloud Loop, Apex NC 27523
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Emanuelson and Dad
Agent's Email: [e-mail]
Agent Phone#:[phone]
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
description or drawing, with dimensions must be provided with this letter.
initial appropriate blank 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.G. vivision of coastai
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 [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 Sian
the appropriate blank below.)
100 wish to waive some/all of the 15' setback
Iniiial.'sign appropriate blank "`--
Signature of Adjacent Riparian Property Owner
MR
I do not wish to waive the 15' setback requirement
Signature of Adjacent Riparian Property Owner',
TypediPrinted name of ARPO:
Mailing Address of ARPO: %4API h( Lill ll PA
ARPO's email: iAic p�lC P,Ptf ARPO's Phone#:
Date: "waiver is valid for up to one year from ARPO's Signature"
Revised July 2021
Fill out and sign bottom portion

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