Loading...
HomeMy Public PortalAbout07-0039 Dunn • CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 01 -31 -2007 PERMIT #: 070039 WORK DESCRIPTION: RESIDENTIAL DOCK WORK LOCATION: 30 HORSEPEN PT DR OWNER NAME H. M. & J. L. DUNN JR ADDRESS 9 W CHARLTON ST CITY, ST, ZIP SAVANNAH GA 314014303 CONTRACTOR NAME AMC MARINE INC ADDRESS PO BOX 128 CITY STATE ZIP MIDWAY GA 31320 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEE'S CHARGED $ 50.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $130,000.00 TOTAL BALANCE DUE: $ 50.00 It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire, soil and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including all environmental laws and regulations when applicable, subsequent owners should be informed that any alterations to the property must be approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction covered by this permit. This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted work will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided unless work has begun within six months of the date of issuance. Building Inspector or Authorized Agent: , )/ (1/11 a .I Signature of g p g P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -5737 www.cityoftybee.org _. CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT CO ft - L!! c ) 01- Do39 Location: 3d Aim/ f A) , PP , PIN # NAME ADDRESS TELEPHONE Owner A v t►; Ai Architect ` or Engineer Building l ' A Contractor 4/4e. AI r , pi ,e a/a`�p 14l' d it.0 a ‘ .4 :3A a Q /,Z -6 t n f ✓/ (Check all that apply) ❑ epair residential ❑ Footprint Changes Renovation ❑ Single Family ❑ Discovery ❑ M inor Addition ❑ Duplex [ Demolition ❑ S ubstantial Addition ❑ Multi - Family ❑ O ther ❑ Commercial Details of Project: ./Q43.1 a V e,,. ®f cj( -�K # i 'i" Ft /QIN e- !� r 6 1( 14 v r 1e l �K) -- 0? l_ n ,' e ,v Rai bO Estimated Cost of Construction: $ 130 0 3 0 Construction Type (Enter appropriate number) (1) Wood Frame (4) Masonry (6) er (please specify) (2) Wood & Masonry (5) Steel & Masonry (3) Brick Veneer Proposed use: Remarks: N .7 ATTACH A COPY OF THE CERTIFIED E V ON SURVEY OF LOT and complete the following information based on the constructs I. < I awings and site plan: # Units # Brooms # Bathrooms Lot Area iving space (total sq. ` . ) # Off-street parking spaces Trees located & listed o ite plan Access: Driveway / (it) With culvert? With swale? Setback . ront Rear Sides (L) (R) # Stories Height Vertical distance measured from a average adjacent grade of the building to the extreme high point of the building, exclusive • f chimneys, heating units, ventilation ducts, air conditioning units, elevators, and similar appurtances. During construction: On -site restroom facilities will be provided through i 14 On -site waste and debris containers will be provided b ` 'b e_ Construction debris will be disposed by /4/ k2 by means of F/A-1- I understand that I must comply with zoning, flood damage control, building, fire, shore protections and wetlands ordinances, FEMA regulations and all applicable codes and regulations. I understand that the lot must be staked out and that the stakes will be inspected to ensure that the setback requirements are met. I understand also that a certified plot plan showing elevation must be attached to this application and that an as -built elevation certification is due as soon as the habitable floor level is established. Drainage: I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected. I accept responsibility for any corrective action that may be necessary to restore drainage impaired by this permitted construction. Date: / — fir- C? Signature of Applicant: .� ., . . 0 J. Note: A permit normally takes 7 to 10 days to process. The following is to be completed by City personnel: Zoning certification NFIP Flood Zone Approved rezoning/variance? Street address and number: New Existing Is it in compliance with City map? If not, has street name and/or number been reported to MPC? FEMA Certification attached State Energy Code Affidavit attached Utilities and Public Works: Describe any unusual finding(s) Access to building site Distance to water main tap site / ( _ 1 Distance to sewer stub site ( , r I 44 Water meter size l 1 ./ Storm drainage Approvals: Signature Date FEES Zoning Administrator Permit Code Enforcement Officer (,e/e7.4,2.-2e Pons Water /Sewer ` Wat Tap Storm/Drainage Sewer Stub Inspections • Aid to Const. City Manager TOTAL FROM (WED)-JAN 31 200 -aar v••o. ro.....a...+v FOR OIA Coastal Resources Division JUL 2006 Horsepen Properties 1, LLC H. Mitchell Dunn, Jr., Member/Manager 200 E. Saint Julian Street Savannah, GA 31401 RE: Revocable License & Federal Consistency — Construction of a Single- Family Residence, Private Recreational Dock Facility, Tybee Island Creek, Chatham County, Georgia (COE - 200471388) (GPS- 31.595927 0 Nf80.512823 °W) Dear Mr. Dunn: This letter is in reference to your application requesting a State Revocable License and authorization pursuant to the Department of the Army Permit to construct a private recreational dock facility. Staff of the Coastal Management Program reviewed the above referenced application pursu to Section 404 of the Clean Water Act and/or Section 10 of the River and Harbors Act of 1899 for consistency with the Georgia Coastal Management Program (GCMP). The Program concurs with the applicant's consistency certification. This ensures that the proposed project has been designed to comply with the applicable enforceable policies of the GCMP. Please find enclosed a copy of the fiilly executed Revocable License issued to you on January 27, 2005 relative to the Modification and maintenance of a private, single - family residence recreational dock facility. This license serves as authorization to utilize State owned tidal water bottoms for your dock facility as per the location, dimensions, and configuration depicted in your application for such license. Your proposed project will consist of constructing a 6' x 134' walkway, a 24' x 22' covered fixed deck, a ramp to a 10' x 70' floating dock, a 10' x 24' open sun deck, and a 3' x 30' walkway to two (2) 12.6' x 14' boat hoists. The entire project extends approximately 61' into the waterway at a point where the waterway is approximately .899' wide at mean low water. The height of any covered area cannot exceed 12' from the lowest part of the decking on the facility. Any change in the use, location, dimensions, or configuration of the approved facility, without prior notification and approval from this office, could result in the revocation of this license and in required removal ofthe facility. This dock facility must be constructed precisely to the approved location. dimensions, and configuration as depicted in the drawings provided • Georgia Department of Natural Resources ® Coastal Resources Division One Conservation Way ® Brunswick, Georgia 31520 TEL: (912) 264 -72I8 • FAX: (912) 262 -3143 ® WEB: http: //crd.dnrstate.ga.us JAN -31 -2007 12 20 8437845673 96% P P1 FROM (WE ®)JAN 31 2007 . +aray. ...aarr.v .- I er Q� Pi rties I, LLC Page Two If cock corridors exist, please ensure that this dock facility is constructed in such a fashion that the entire structure fits between the extended property lines. The facility, for which these authorizations are issued, shall not be used at any time for business or commercial purposes. Prohibited uses include, but are not limited to, leasing of the permitted dock space; docking a commercial fishing vessel of any type; and utilization of the dock facility in any tour boat or charter fishing boat activities. The use of this facility for other than private, dual family rec re at iona l purposes will re sult in the immediate revocation of the license and in required removal of the entire facility f ro m st ate - owned property, and possible criminal and civil penalties as provided byla T his agreement is not transferable with ownership in te re st in the upland proper Thes auth do not relieve • u from obtaining any othe • ,,t r • •ii t A �` r.n � i 5 � a,� �; :'� ,�y,� �3" t +' � `.�-.a� 5�� �'>~' 1 ?�'�s. ., r''r�`"` - ��'�" � 4� � � •+ y �`�t, i. o '. a r: 4 -' t 4. A., aq r c • y S 4 S ♦ 31 This license authorizes use of lands assumed to be under the control of the state. You may proceed with construction of this project with the knowledge and understanding that this license agreement could be rendered invalid should another person produce a validated Crown Grant or State Grant. Please contact Brad Crane, Assistant Director, should you require more information. Sincerely, l -..... 1 S an Shipman Director, Coastal Resources Division Enclosure Cc: U.S. Army COE Local County Building Inspector JAN -31 -2007 12:21 B437845673 96% P.02 FROM CWEU)JAN 31 2007 12 : 00, ST. 1 1 :6e.No.7600000077 , GP • fi; • STATE OF GEORGIA REVOCABLE LICENSE REQUEST FOR THE MODIFICATION OF AN EXISTING DOCK APPLICANT: Horsepen Properties L LLC A DDRESS: 200 E. Saint Julian Street Savannah GA 31401 (Street) (City) (State) (Zip) COUNTY: Chatham WATERWAY: Tybee Inlet/Creek DATE: 12/ R 7 /04 For tidal water bottoms contiguous to all that certain lot, tract or parcel of land conveyed by Quitclaim Deed at Book 217 N, Page 624, that is situate lying and being on Tybee Island, 5` GMD, Chatham County, Georgia, shown upon a map a revised or plan (the "Plat ") of Horsepen Point dated January 23, 19843 prepared by Thomas and Hutton Engineering Co., recorded in Map Book 2-S, Page 82 in the Office of the Clerk of the Superior Court of Chatham County, Georgia. Susan Shipman, Director Georgia Department of Natural Resources Coastal Resources Division Ecological Services Section One Conservation Way Brunswick, Georgia 31520-8687 Dear Ms. Shipman: I am making application for a permit with the U.S. Department of the Army, Corps of Engineers, Savannah District. I understand that the issuance of such a permit will not relieve me of the obligation to obtain authorization from the State of Georgia since the proposed project would constitute an encroachment on the beds of tidewaters which are State -owned property. Accordingly, I hereby request that I be granted a revocable li cense from the State of Georgia. Attached hereto and made a part of this request is a copy of the plans and description of the project, which will be the subject of such a license. I understand that if permission from the State is granted, it will be a revocable license and will not constitute a license coupledwithan interest. I further acknowledge that such a license would relate only to the property interests of the State and would not obviate the necessity of obtaining any other State license, permit or authorization required by State law. I recognize that I waive my right of expectation of privacy and I do not have the permission of the State of Georgia to proceed with such project until Commissioner Holcomb has signed a copy of this request. Sincerely, NIORSEPEN PROPERTIES I, LLC H. MITCHELL DUNN, JR., MEMBER/MAFIAGER By: MEMBER/MANAGER Attachment *** R******* * * * ** * * * * * * * * * * * * * * * * * * * * * * * * ** The State of Georgia hereby grants you a revocable license not coupled with an interest as provided in your request. This area may now or in the future be utilized by boats employing power drawn nets under the provisions for commercial or sport bait shrimping. In its occupancy and use of the premises, licensee shall not discriminate against any person on the basis of race, gender, color, national ongin, religion, age, or disability. This covenant by licensee may be enforced by termination of this license, by injunction, and by any other remedy available at law to the Department. The project proposed for this license must be completed within 3 years of the date of issuance of the license. Otherwise, action will be initiated to revoke the license. STATE OF GEORGIA Office of the Governor BY. r'> For: Noel riolcomb J / Commissioner -DNR DATE: 1 ./.R 7) 05 ■ JAN -31 -2007 12:21 8437845673 96% P.03 AMC MARINE, INt,. P.O. BOX 128 MIDWAY, GEORGIA 31320 (912) 884-4171 FAX (912) 884-4258 PEtit AND (211X P L A Yo 0 T 22:1:1722 .3) • ' 4 - I 11111 P.:I - I / m r r : 2 cis 1 / r j3 — I 0 a CO CI 0 , g Y N , C) 0 • I II .- rn 9 I 41 3 = r'117 I A, _ / / / .." \., \ d . ..,...___ KO 1 7, -4 P . I _______ .,. 4,2 Chatham County, I Ped , , , ,f„,. / . ? ge? e ll _c. J , ' s. °i` REVIEW FOR CODE COMPLIANCE '4 P/ at i 4// ti ll , o Rvery effort has been made to identify 'geed, code violations, no oversight by the reviewer shall be construed as authority to violate, cancel, alter or set aside ALL CONSTRUCTION MUST COMPLY WITH THE any applicable codes or ordinances, The review and permit should not be construed SSID to -rt AND THE IRC ONE AND TWO as a warranty or guarantee. FAMILY DWELLING CODE 20 0 a EDITION AND STATE OF GEORGIA AMENDMENTS .S . Reviewed By _ G.N .7___------- Date 2 d7 -.....,,, FEB-01-2007 14:27 97% P.02 AMC MARINE, IN..;• P.O. BOX 128 MIDWAY, GEORGIA 31320 (912) 884-4171 FAX (912) 884-4258 PP/6.4c._ t ecx)F CC 5 (14 ri ,W ROOF FRAMING IRC SECT. 602 AND SSTD 10-99 SECT. 102 AND 307 ALLOWED ROOF SLOPES ARE 2/12 -7/12 FOR WOOD WALL CONSTRUCTION, ALL HOLES IN HOLD DOWNS TO BE FILLED USING MANUFACTURER'S NAILS. )4;(64 HEt-71^16- 2 )q: RA-F S (' e "V"s altel lAurric o eacr I. • gequ am-is 5-ri;bp41.46.5s CL. 14sr qx d ‘-,./ "tot 6-ES> ;44H-5 Ci ANCHOR 130,_ rIteS5 IRC SE' . R403.1 AND SSTD 1049 SECT. SOS -nesArcer BOLTS ' HALL BE 10 INCHES LONG, 518 INCH PosT - IN DIA TER WITH A 3X3 INCH WASHER 1/8 INCH HICK AND REQUIRED NUT LOCATED 2 fr 5 Mr tqC-f t2 WITHIN 1 INCHES OF CORNERS AND 18 TO iLr) c 48 INCHES ON CENTER. pEgi r te'pro.~ ka irk= V . w ._ 5 2 °" 71)1. it 4 IL 2 '? ST4 041-Eit.,5 trrool) - 741 5e "r oh! !V 0.C CAP follf-SS -- DIPAAFret9 &AL-1/4 124 CONUTETE , o( - r em OP6L CA ALL CONSTRUCTION i MUST C E Y V T 1,4 (C)friLieg-rE F AS FTADIL-Y----(CDIIELLINC P C N D D 2rn- E I EDITI AHD `I'Arti OF GEORGIA AMENDMENTS FEB-01-2007 14:27 98% P.03 CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT D V 3 9 ocroe�; 6 Location: 3) `/ i PP1JJ /, J7r , PIN # NAME ADDRESS TELEPHONE Owner ILI • Architect or Engineer Building �� m ��tt �� ®® 3/02 Contractor 4/ 7 2 �' �'7 L !'l�c�(t�1�� ,G 4 . 9z,z-dipg-1/9/ (Check all that apply) ❑ epair Residential ❑ Footprint Changes Renov El Single Family ❑ Discovery ❑ Minor Addition ❑ Duplex ❑ Demolition El Substantial Addition El Multi- Family ❑ Other n Commercial p Details of Project: /��m © o�( �1 t �� _tc I + F' »n e-1.--)4 /, _ ?� ftt R , Estimated Cost of Construction: $ @ 3 0 . 0 3 0 Construction Type (Enter appropriate number) (1) Wood Frame (4) Masonry (6) er (please specify) (2) Wood & Masonry (5) Steel & Masonry (3) Brick Veneer Proposed use: Remarks: ATTACH A COPY OF THE CERTIFIED E , V ON SURVEY OF LOT and complete the following information based on the constructi I • ' , awings and site plan: # Units # : - 'rooms # Bathrooms Lot Area iving space (total sq. ' .) # Off - street parking spaces Trees located & listed o rte plan Access: Driveway (ft.) With culvert? With swale? Setback ront Rear Sides (L) (R) # Stories Height Vertical distance measured from , e average adjacent grade of the building to the extreme high point of the building, exclusive • f chimneys, heating units, ventilation ducts, air conditioning units, elevators, and similar appurtances. During construction: On -site restroom facilities will be provided through it4 , On -site waste and debris containers will be provided by r � f Nom, e_ Construction debris will be disposed by /W. by means of / ',1t 7 I understand that I must comply with zoning, flood damage control, building, fire, shore protections and wetlands ordinances, FEMA regulations and all applicable codes and regulations. I understand that the lot must be staked out and that the stakes will be inspected to ensure that the setback requirements are met. I understand also that a certified plot plan showing elevation must be attached to this application and that an as -built elevation certification is due as soon as the habitable floor level is established. Drainage: I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected. I accept responsibility for any corrective action that may be necessary to restore drainage impaired by this permitted construction. i Date: /"?/— d '9 Signature of Applicant: 4 // (= f` Note: A permit normally takes 7 to 10 days to process. The f following is to be completed by City personnel: Zoning certification NFIP Flood Zone Approved rezoning/variance? Street address and number: New Existing Is it in compliance with City map? If not, has street name and/or number been reported to MPC? FEMA Certification attached State Energy Code Affidavit attached Utilities and Public Works: Describe any unusual finding(s) Access to building site Distance to water main tap site Distance to sewer stub site Water meter size Storm drainage Approvals: Signature Date FEES Zoning Administrator Permit Code Enforcement Officer Inspections Water /Sewer Water Tap Storm/Drainage Sewer Stub Inspections Aid to Const. City Manager TOTAL REQUIRED FOR: Building Permits Relocation Permits Sign Permits Demolition Permits Land Clearing, Disturbance or Excavation Permits Tree Removal Permits Relocation Permits Special Review Permits Site Plan Approval Subdivision of Land Sketch Plan Approval Preliminary Plan Approval Final Plat Approval Minor Subdivision Plat Approval Major Subdivision Plat Approval In addition to specific requirements for the above permits and approvals, applicants must demonstrate that they are in compliance with the City of Tybee Island Storm Water Management requirements as outlined in Chapter 5 -4, Code of Ordinances. Section 5 -4 -9 Prohibition provides, in part, as follows: (4.) It is unlawful for any person to cause or permit any storm water to flow from their property onto the property of another person, unless such storm water naturally flowed thereon prior to any development activity. (5.) It is unlawful for any person to interrupt the flow of any storm water runoff from adjacent property onto their property by any development activity. As part of the City's approval process applicants must illustrate how these storm water management prohibitions will be met, including a showing of how storm water naturally flowed on the affected property (prior to any development activity), and what changes in storm water flow have occurred or are expected to occur, as attachments to this form. The City's approval or permit does not guarantee that the applicant's plans will result in meeting requirements. The final product must actually meet the City Ordinance requirements. Applicant name: Project I.D.: Attachments approved by: Date: FROM (WEO) 31 2007 12: 02/5T. 11:68'No 75000003x7 P 1 A FOR I Coastal Resources Division JUL 3 1 2006 Horsepen Properties I, LLC H. Mitchell Dunn, Jr., Member/Manager 200 E. Saint Julian Street Savannah, GA 31401 RE: Revocable License & Federal Consistency — Construction of a Single - Family Residence, Private Recreational Dock Facility, Tybee Island Creek, Chatham County, Georgia (COE - 200471388) (GPS- 31.595927 °N /80.512823 °W) Dear Mr. Dunn: This letter is in reference to your application requesting a State Revocable License and authorization pursuant to the Department of the Army Permit to construct a private recreational dock facility. Staff of the Coastal Management Program reviewed the above referenced application pursuant to Section 404 of the Clean Water Act and/or Section 10 of the River and Harbors Act of 1899 for consistency with the Georgia Coastal Management Program (GCMP). The Program concurs with the applicant's consistency certification. This ensures that the proposed project has been designed to comply with the applicable enforceable policies of the GCMP. Please find enclosed a copy of the fully executed Revocable License issued to you on January 27, 2005 relative to the modification and maintenance of a private, single - family residence recreational dock facility. This license serves as authorization to utilize State owned tidal water bottoms for your dock facility as per the location, dimensions, and configuration depicted in your application for such license. Your proposed project will consist of constructing a 6' x 134' walkway, a 24' x 22' covered fixed deck, a ramp to a 10' x 70' floating dock, a 10' x 24' open sun deck, and a 3' x 30' walkway to two (2) 12.6' x 14' boat hoists. The entire project extends approximately 61' into the waterway at a point where the waterway is approximately.899' wide at mean low water. The height of any covered area cannot exceed 12' from the lowest part of the decking on the facility. Any change in the use, location, dimensions, or configuration of the approved facility, without prior notification and approval from this office, could result in the revocation of this license and in required removal of:the facility. This dock facility must be constructed precisely to the approved location. dimensions, and configuration as depicted in the drawines provided Georgia Department of Natural Resources • Coastal Resources Division One Conservation Way • Brunswick, Georgia 3152.0 TEL: (912) 264-72.18 • FAX: (912) 262 -3143 • WEB: http: / /crd.dnrstate.ga.us JAN -31 -2007 12 20 8437845673 96% P_711 FROM (WED) JAN 31 2007 12 :03 /ST. 11 :55/NO. 7500000371 P 2 I glsep3 l 1 � I, LLC Page Two � If dock corridors exist, please ensure that this dock facility is constructed in such a fashion that the entire structure fits between the extended property lines. The facility, for which these authorizations are issued, shall not be used at any time for business or commercial purposes. Prohibited uses include, but are not limited to, leasing of the permitted dock space; docking a commercial fishing vessel of any type; and utilization of the dock facility in any tour boat or charter fishing boat activities. The use of this facility for other than private, dual family, recreational purposes will result in the immediate revocation of the license and in required removal of the entire facility from state - owned property, and possible criminal and civil penalties as provided by law. This agreement is not transferable with ownership interest in the upland property. These authorizations do not relieve you front Obtaining any other.r ; • r. ,s . •s• : , .'s 'u'I : ,� �i a lit • r } a b y zRr 3 rr >. F t,t b15:11, a 9q v� wt "ti • z - r ; 6 Ne e � � ���n�s m�� �� � �x > g ay z a� c'" �� ? °�,� ; r � �� s' is f � "' Sn , r. d ; ,t ¢ r . � . `fir:. « A : • This license authorizes use of lands assumed to be under the control of the state. You may proceed with construction of this project with the knowledge and understanding that this license agreement could be rendered invalid should another person produce a validated Crown Grant or State Grant. Please contact Brad Gane, Assistant Director, should you require more information. Sincerely, S an Shipman Director, Coastal Resources Division Enclosure Cc: U.S. Army COE Local County Building Inspector JAN -31 -2007 12:21 8437845673 96. P.02 FROM (WED)JAM 37 2007 72 :O 3, ST. 11:58/No. 7500000377 P 3 iir • STATE OF GEORGIA REVOCABLE LICENSE REQUEST FOR THE MODIFICATION OF AN EXISTING DOCK APPLICANT: Horsenen Pronerties I_ LLC ADDRESS: 200 E. Saint Julian Street Savannah GA 31401 (Stmt) (City) (State) (Zip) COUNTY: Chatham WATERWAY: Tvbee Inlet/Creek DATE: 12/ 2 7 /04 For tidal water bottoms contiguous to all that certain lot, tract or parcel of land conveyed by Quitclaim Deed at Book 217 N, Page 624, that is situate lying and being on Tybee Island, S GMD, Chatham County, Georgia, shown upon a map a revised or plan (the "Plat ") of Horsepen Point dated January 23, 19840 prepared by Thomas and Hutton Engineering Co., recorded in Map Book 2 -S, Page 82 in the Office of the Clerk ofthe Superior Court of Chatham County, Georgia. Susan Shipman, Director Georgia Department of Natural Resources Coastal Resources Division Ecological Services Section One Conservation Way Brunswick, Georgia 31520 -8687 Dear Ms. Shipnnan: I am making application for a permit with the U.S. Department of the Army, Corps of Engineers, Savannah District. I understand that the issuance of such a permit will not relieve me of the obligation to obtain authorization from the State of Georgia since the proposed project would constitute an encroachment on the beds of tidewaters which are State -owned property. Accordingly, I hereby request that I be granted a revocable license from the State of Georgia. Attached hereto and made a part of this request is a copy of the plans and description of the project, which will be the subject of such a license. I understand that if permission from the State is granted, it will be a revocable license and will not constitute a license coupled with an interest 1 further acknowledge that such a license would relate only to the property interests of the State and would not obviate the necessity of obtaining any other State license, permit or authorization required by State law. I recognize that I waive my right of expectation of privacy and I do not have the permission of the State of Georgia to proceed with such project until Conunissioner Holcomb has signed a copy of this request. Sincerely, HORSEPEN PROPERTIES I, LLC H. MITCHELL DUNN, JR., MEMBER/MANAGER By: MEMBER/MANAGER Attachment The State of Georgia hereby grants you a revocable license not coupled with an interest as provided in your request. This area may now or in the future be utilized by boats employing power drawn nets under the provisions for commercial or sport bait shrimping. In its occupancy and use of the premises, licensee shall not discriminate against any person on the basis of race, gender, color, national origin, religion, age, or disability. This covenant by licensee may be enforced by termination of this license, by injunction, and by any other remedy available at law to the Department. The project proposed for this license must be completed within 3 years of the date of issuance of the license. Otherwise, action will be initiated to revoke the license. STATE OF GEORGIA Office of the Governor r - 1 For: Noel olcomb / Commissioner -DNR DATE: la i ) O S , JAN -31 -2807 12:21 8437845673 96: P.03 Jan. ji, luur- :11TH SHLKKILL & UUMPAINY .No. 0205 F. 1/2 At:ORD CERTIFICI - E OF LIABILITY INSURAK E CSR Ls DATE(MMlDDlYYYY) ,AMC M A -1 01/31/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Sherrill & Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 15445 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Savannah GA 31416 Phone: 912 - 353 -7200 Fax:912 -353 -7559 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: Essex Insurance Company INSURER B: AMC Marine Inc INSURER O.: PO Box 128 I INSURER 0: Midway GA 31320 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR. OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'f -AUL PULII:Y EH- BEIIVE � I.II;tl PIHAIIVPI LTR NERD TYPE OF INSURANCE POLICY NUMBER DATE (MWDDr'Y) ; DPUATE ( M DIVV LIMITS GENERAL LIABILITY EACH OCCURRENCE I S 1,000, 000 A X CDMMERCIAL GENERAL LIABILITY 1 6630005 -1091 01/31/07 01/31/08 PR.EMI$E$(Ea cuca„ec1 '950,000 CLAIMS MADE X OCCUR MED EXP (Any one demon) I S excluded A X Vessel P &I 6630005 -1091 01/31/07 01/31/08 PERSONAL6ADVIMJURY 191,000,000 �,,J _ GENERAL AGGREGATE I s 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMDIOP AGG I S included I POLICY I I VT- n 1-DC • AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 8 7 ANY AUTO (Ea accident) I ALL OWNED AUTOS BODILY INJURY s SCHEDULED AUTOS (Pet person) HIRED AUTOS NON -OWNED AUTOS (Frr cel ent)RY 3 PROPERTY DAMAGE S (Per aec1Gent) GARAGE LIABILITY I AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER 'THAN EA ACC $ AUTO ONLY: AGG S EXCESS /UMBRELLA LIABILITY I EACH OCCURRENCE S — I OCCUR CLAIMS MADE AGGREGATE 9 S DEOUCT)BLE S RETENTION 9 is $ WORKERS COMPENSATION AND ° WI.S)AIU• IH- EMPLOYERS' LIABILITY (TORY LIMITS I Ek AMY PROPRIETORMARTNER/EXECUTIVE E.L. EACH ACCIDENT S OFFICER/MEMBEREXCLUDED? E.L. DISEASE - EA EMPLOYEE S II vs, describe under SPECIAL PROVISIONS below El. DISEASE - POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I Local EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Dock Builder - Residentiall CERTIFICATE HOLDER CANCELLATION • CIT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSWNG INSURER WILL ENDEAVOR To MAIL 10 DAYS WRITTEN ��. t O£ Z'yb6® Bland NOTICE TO THE CERTIFICATE HOLDER NAMEP TO THE LEFT, BUT FAILURE TO DO SO SHALL C Xtt 7o6 -9539 IM SE NO BLIGATION OR LIABILlfY OF ANY THE INSURER, ITS AGENTS OR Att: Clyde Bergeron RE P*SE T '° .. ```1 t . AUT QED E R a = Iv ACORD 25 (2001/08) Sh I r31A � , • ..- - Au. Pak u \ir 1 (a AC61 D CORPORATION 1988 JAN -31 -2007 12 :16 97% P.01 Jan. 31. NU— 1:12PM SHLKK1 LL & UUMFANV to ULU7 r LIZ IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. • ACORD 25 (2001!05) JAN -31 -2007 12:16 96% P.02