Olde Town Yacht Club

1CAMA / 4DREDGE & FILL
GEN RAL PERMIT Previous permit #
New dificatio ' ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the Sta a olina, Department of Environment and Natural Resources 1 , 1,^�
and the Coastal Resources Commission in an area of environ ental co tern ursuant to I SA NCAC 'C 1L � Wt
_ _ # Rules attach d.
Applicant Name Q t �. -` I j i� Project Location: County
Address rr` i ? `ll ? \ +} ! 4l (t-,I Street Address/ State Road/ Lot s) } /
City t'M�! ice;_ I "State- ZIP ^ ) f�.1' �' )
,Phone # ( ) f, 3 '' Fax # (�,) Subdivisio r"
Authorized Agent - r i - City k'",(t .� ZIP
'�. � a ."� River Basin %� I
Affected ❑ CVN � �EW 'PTA ❑ ES ElPTS ' . Phone # ( 3 •,� � � . � •1 � r u, - 1
AEC(s): EloEA ElHHF ❑ IH ❑ UBA ❑ N/A Adj. Win Body �. t. -<- ' -L-+ i l_. i �_ (nat /man /unkn)
❑ PWS: ❑ FQ
r r—Closest Maj. Wtr. Body
ORW: yes / no PNA yes / �io> Crit.Hab. yes / no' i
Type of Project/ Activity C^ `If") ! ;1 4-\.• Q
y
r
Pier (dock) length '' +
Finger pier(s)
�i
(Groin jlength
" 11
number__
Afpprap length
a%vg istance offshore
max distance offshoral
M MMfAMMMM�MIMMW
,. ■■ter, �■■.....�;,;_
Boat ramp
Boathouse/ Boatlift
■ �■ ■■■ �i,j ,All
(Scale:
E
jShoreline Length
SAV: not sure ye no
jSandbags: not sure ye n'
•
�^
1,
,,; ,
;Moratorium: n/a ye
Photos: yes n--
JJ r
KI
1
Waiver Attached: yes r no I
�,..p._
I I I
s
A building permit may be required by:
'\,I`
n {
See note on back egarding River Basin rules.l
Notes/ Spe Conditions , ;- �i , ti
(_1
'�cial
/-1
J, n
Agent or Applicant Printed Name , Permit Officer's Signature
Si nature '�* PI lia ce statement on back of ermit Issuing Date Expiration Date
g ease read comp (p /
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
❑ Other:
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:919r733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

U.Int. Fkibltntllm ct Computer shaot -9
MC Division of Coaztal V
Applicant: A&�'AX?aocu -
Date: D old 7NVYWV"'P"
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbancetotal
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)amount
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
Dredge ❑ Fill, Both ❑ Other ❑
1
rl
p�+
Dredge ❑ Fill ❑ Both ❑ Other
Dredge Fill ❑ Both ❑ Othe
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
232-808-2303 :: 11-8 6-4VICOAST :: 6^JVIi l.na�o 54�Im n�acr r�seia�,rr�Y
revised: 02/03/10

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C A e. ��c-" C tN 's
(Name of Property Owner)
property located at �b0 b1ke _ Tn.A, n �. Lk- Ckub R 8.
(Address, Lot 81ock, Road, etc.)
on �'iec,.���r� �Z�l�.�- ()Ra\k4.. I& , inz,.�r� N.C.
(Waterbody) CLNc w,#-k (City/Town and/or County) C-rie�c,+ (�O",, -1Y
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
E Vi S ff vq . IQ°s'N
EcIvE�
S
RB262013 - --_
DCNI P,IHD CITY
�'�fiSfiNy $4lkkcaa{ — � �oloos�d
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be se 'OLh q�
back a minimum distance of 15' from my area of riparian access unless waived b If qe d«k
wish to waive the setback, you must initial the appropriate blank below.) Y me. ( You °,j?�P�
'4104, lk
do wish to waive the 15' setback requirement. 4' b�Yav�e�r,'Jfi;v�
1=enic�.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) k(Adjacent Ownor ion)
OCe'vv'O.w
T�P/�ol�c
,
Si ture Signat re L
Print or Type Name T Print§rG� Ty e f.
too Ooa---�C)wvw _ Yoe" C V,)
Mec��-E , N C ailing Aid ress. Z43St 6 Ma'�dre `i/c
City/State&* City/State/Zip
i�zszi5 746 - 30G 7X2 -ZY--z
Telephone Number}� Telephone's cej
C) i�J
Date Date
(Revised 611812012)

■ Complete items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the maiipiece,
or on the front if space permits.
1. Article Addressed to:
Nc— Ukomy
ZZo Z %,,rhe ( a\ vA
A. Sign re
X ❑ Agent
❑ Addressee
B. cei a by ( P� n d N ! ate of Delivery
D. Is delivery addr w different fro(ltemll? ❑ Yes
If YES, enter delivery address Iow,j ❑ No
3. Service Type
fr&tffled Mall ❑ Express Mall
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail [7 C.O.D:"
4. Restricted ()silvery? jbcba Fee) ❑ Yes
2. Article Number 7 012 1010 0001 3598 6 314
ransfer from service labb _ _ _
PS Form 3811, February 2004 Domestic Return Receipt t ' 112-M-1540

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
, 0\%V\, �Or.t 0-
100 O\dam
GaAMMU
. r t
�Y��1

■ Complete items 1, 2, and 3. Aiso complete
item 4 if Restricted Delivery Is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
-2jpZ S
Y
N C zmG
2. Article Number•
(rransfer from service label)
PS Form 3811, February 200
U
V'l Addressee
C. Date of Delivery
D. Is delivery addrWdi{ferentitonrftem 1? El Yes
If YES, enter delivery address below: El No
3. Se Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
-- — -- - 4. Restricted Delivery? (Extra Fee) ❑ Yes �p
7012 1010 01 3598 L321
4 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
First -Class Mail
Postag
USPSe 8 Fees Paid
Permit No. G-10
• Sender. Please print your name, address, and ZIP+4 in this box •
`D0 ` 'T1'rldl��Wi/�C�
\ z/ � C

70 C.r4f 1 C•A 6 LOW, (bff IBC / ) & � � A,-tr, > r+
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
(`Jame of Property Owner:
Address of Property: —LaQ__Q��--
(Lot or Street 9, Street or Road, City & County) Lar �,e f�.Iz mow"
Agent's Name #:
Agent's phone #:
Mailing Address:
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. Aw'descriptwn"or drawmg with dimensions must be provided with this'letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) iti writing within 10 days of receipt of this notice. Correspondence should be mailed to 400
Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be contacted at (252) 808-
2808 No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I. understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
RECEIVED
do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement. i FEB 2 2013
DCM-!` IM CITY
(Property Owner Information) (Adjacent Property Owner Information)
Sigka'ture C/"�,i✓�Z r61r�4
Print or Type Name
JC)0 d ak-,, T©W AA-
Mailing Address
City/State/Zip
(Zs21 -1ZG-306
Telephone Number
redo. S ��` Z0k3
Date
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number
Date
Revised 611812012

Board of Commissioners
John Gregory Lewis, Chair
Robin V. Comer, Vice -Chair
Elaine O. Crittenton
Jimmy Farrington
Terry Frank
Jonathan Robinson
Bill Smith
lUyIIlk[e '7• 81aI
TO: John Rominger
FROM: Russell Overman, County Manager_
DATE: February 14, 2013
SUBJECT: CAMA Notification
County Manager
W. Russell Overman
Office: [phone]
Fax: [phone]
[e-mail]
www.carteretcountygov.org
Clerk to the Board
Jeanette S. Deese, MMC, NCCCC
I have received the enclosed notification/waiver form regarding your dock proposals. Carteret
County does not own the property adjacent to your property. It is owned by the NC Ports
Authority and leased by the County for the water access site. Based on this information I do not
believe that it is necessary for me to sign. If state officials tell you otherwise please feel free to
call me and let me know and I will have you provide me a little further explanation on the
proposed project.
Thank you and please feel free to call me if you have any questions.
REUENETD
FED 29 6 2913
Carteret County Courthouse • 302 Courthouse Square • Beaufort, NC 28516-1898

* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 0 -VdwVNP- VA Cty 's
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on p_� .s.�or`4 1,n �- �C3�.lklti�t� , in R . 'r, , N.C.
(Waterbody) C,Iw.,A�l .(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT.
(individual proposing development must fill in description below or attach a sife drawing)s��.,i9
X%s1rM� S I; �Os t>< ,
� / Ito°�,e•
�as�N
GroiN
� v _
WAIVER SECTION ALP 4u+us�p
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set � �o-1 r1
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you;&jt&,a
wish to waive the setback, you must initial the appropriate blank below.) zo NoN�h 4' be yoA-(
F,ri's f-iiv I do wish to waive the 15' setback requirement. HeNCC.
I do not wish to waive the 15' setback requirement.
�..iTJ�TJ
(Property Owner Information) (Adjacent Property Owner Information) y
0.11,E I O 1 6 201'3
Signature Q - Signature
7S'c_5 K VL �lV"t� V�Q �-% VOC.� As
JCu�
Print or Type Name Print or Type Name
—Ido Otbe. TOvJdl.2, C �•b
Mailing Add ess Mailing Address
City/StatelZip City/State/Zip
(Z� 7'LG - 3o6G
Telephone Number Telephone Number
Feb, S 0 Zro1-5
Date Date
(Revised 611812012)

.&/24/2013 10:31 9198479487 ADI PAGE 02/02
06/24/2018 23: 22,F A%-
Alan G. SaileY
PO Box 93, Morehead City, NC 2B557
WATER 504-0737. 726-5443
CO Ana tpe��� f'a' 1ko,r dA Aw
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bw, /d 4/ ' 4,14e CAO t-k oar :o Op A, �, I ':1
`1 �.,Iso 64ik� y wid�G o�oe,�c /�l�N� cK��t;�vq ballk�4Q J�f� 4*
S) /j.�e ���A. yo' �Q�� k 40 ,�,'of� y G e��p �� a�c►sfi'Ny
�"�� � p�N+eJ' O,l- ��°'�e aWN,�ra 6'�'°'soci�•,f''°N
L
O� X�p' Gill�iGL �/r�f�9z�
pya�e 71Z a "2
A� �0 w�
RECEIVED
FEB 6 2013