Taberna Masters HOA C/o Arthur Rovins

R
CAMA / ❑ DREDGE & FILL N2 70420 A B C D
GENERAL PERMIT Previous permit #
❑New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental q,oncrn pursuant to 15A NCAC
El Rules attached.
Applicant Name�� ;�,' 1 / Project Location: County
Address
City State ZIP?
Phone # O E-Mail j
Authorized Agenttt,-%
Affected ❑ CW ❑ EW -'Q PTA ❑ ES ❑ PTS
ElOEA [IHHF ❑ IH ElUBA [IN/A
AEC(s):
❑ PWS:
ORW- ves / no PNA Yes / no
Street Address/ State Road/ Lot #(s) ~ . jf ["k" %
Subdivision
City ZIP_ _
Phone # ( )
River Basin
Adj. Wtr. Body (nit /man /unkn)
Closest Maj. Wtr. Body x
r�
■■A■■■■■■■■■■■■■■No
■■■■■�■■■■■�■f!1■
E ■■■ills■■■■■
■■■■■■■ Ell ■■■■■■■MR
Nil
■®■■■■■■■■®■■■fl■■■■
R�■iivir■■■■L
IN
■■
■■■■■■■■■■■/�!i
►il■i�■ill■■�■■■■■��11■
■■■■t!■■■■■■■■■■■■■■■■■■■■■■H■■�■■
■■■■1I■■■■■®■■■H■■■■■■■■■■■■
1■■■�=■�==®■■■■■■■■■
■�■:vim■■■■
■■■!,■.■■■�■■■�
i■
skilwa■■!
■mil
:::
■■■■■■■■■■
M.
�■■
■■■■■■■■■■
■�:W
■■■
■■■:
. .. !�■■U
■1�■■Ii■■■■■■�
.... ...■!ll�i�:■.■..■■....■....
AN
■■■■E�■all �■■■■■■■■■■■■■
!:�■■11■■■■■■®■■�C3�riPii
rr ir :i3i3il'�i:i �'iiluTii%iir■iin
oliil7■
MR an
WOO ME
■■■■N■■■■■■■■■■■!Ii■■■.�■■®
NOVA ■■■■■
-ME ■!.!!�!!!lI a
■■■■1!■
■■■■N■
■M■■N■■
■■■■■■■t�■■■/
'ILMO ■■■■ ■■i'I u■ i1 �1�■ ■■�■�!I■
■N■■■■■■�■■■■■
■■■
. ■�■■i!'J'lilt!■■�■■!!
r
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
x Of/fit
Permit Officer's Printed Name
Signature j
Issuing Date Expiration Date

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 1) 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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules E- Other:
Neuse River Basin Buffer Rules
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 Resources. Contact the Division of Water Resources 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
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888ARCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
Revised 7/06/17

AGENT AUTHOWATION FOR CAUA PERMIT APPLICATION
Name of Property Owner Requesting Permit:%4!S' iv,4 1401MEow^ltws '4Sx0C'A �rwr
Mailing Address: 10 'I- aeAwo
Phone Number: 96-4 •67A• 0,571,3
Email Address: _ ,A#ZV-1QW" & 6!/Ra, L �oM
I certify that I have authorized c`.4-V ),4N7bktcc^f
Agent / Contractor }
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: K 4Y4-i: &A UNC 14-
at my property located at 74-6 e& <a iV4 1 u(Z ��W
in C12AVi�ly County.
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:
Signature
,4W_ iP Kotf,+K�
Print or Type Name
i�ESr r �c�ri r�ERNfd 1464-
Title
q I / 2-0/8
Date
This certification is valid through 1Y

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to d,46ERI'A ^14-T'uR pwlli ' s
N e of Property Owner
property located at �N J . �r� �c �a� , , [C-K �'
(Address' Lot Bloc Road, etc.
on I tCG=S �i�F �,L , in / 4£v<rY�C,4\46W Ci+rtilli , N.C.
(Waterbody) (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.
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)
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
i do not wish to waive the 15' setback requirement.
(Property O er Information)
Signatut e �
Print or Type Name
Ilq (-U6AAJ0 2't�,
Mailing Ad,press
CitylStatelZip
Z.sl • 671-08r31 ' Koyr^(, 6)
Telephone Nu berl email address
V tom`
Dale _
'Valid for one calendar year after signature*
(Adjacent P rty Owner Information)
, 7 ,7
Signature *
A(7F&4Vt , 2v,
Print or Type Name
/f 9 o u 6*'V o 01
Mailing Address
/Y661e 94<W Me- 2 d%7, Z—
CitylstatelZ'
s.S�s-il,%%• t�'/3 t�A�. ©r�Ns"• G'��r''`
Telephone Nur be�address V
Iiate`
("Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i hereby certify that I own Property adjacent to
Property located at-E—H—HE-m (Name of Property Owner)
CIEEf--i-
on (Address, Lot, Block, Road, etc.)
in
(Wat6rbody) N.C.
(city/Town andlor County)
jocaThe applicant has described to me, as shown below, the development proposed at the above
'Liom
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANtt/C}R DRAWING OF PROPOSED DEVELOPMENT
(ildividualPrOPCIsitlgd,evelopmentm must fill in description below or attach a site drawing)
WAIVER SECTION
i understand that a pier, dock, Mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 16from my area Of ripafi2n access unless waived by
me. (If you wish to waive the setback, You must initial the appropriate blank below.)
do wish to waive the 15'setback requirement -
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
1"he "f
is ]-k (fin J 4. -
Mi
Print or T!lpe Alame
u
fivIaNno Address
CIT "Ist te/Z'p /4 (ov. I I-,<
/ 14wt
I �W . C-6"
Telephone Number email addre-,zs
4 4 - i<;l
re
*Valid for one calendar year after signature*
(Revised Aug 2014)
vyt'
C"IVN

Dock Live Load of 62.5 lbs/sgtl MADE IN
Low Profile [kick Live Load 30 lhslsgft USA
NOTICE! Read EZ Dock Limited Warranty carefully. Among other things, EZ Dock does not warrant damages,
failures or defects caused by unauthorized modification of EZ Dock Product, and/or unauthorized attachintmt tolof
EZ Dock Product.
Project Name:
Kayak Launch
New Bent, NC
Distributor Name:
David Anderson
EZIack Solutions
(252j 773-0793
Drawn by: David Anderson
Datc: 3121.'20 t g
DWG Name: (lW. 43164542371t
EZ Dock, Inc
878 East HiShway 60
Monett, Missouri 65708
Phone: [phone]
Fax: [phone]
General Notes:
1. This drawing does out rennt anchoring. Once sufficient information &
rnntpleled Proposal gcitucil Form concerning water suit blittorn cuaduioos
is received, anchoring may be detailed.
2. Note; it is the dock owncrroperators responsibilIly to ascertain and wmpty
with all applicable Pectoral, State, and local laws, ordinances and
ragnlations, as well as oil inspection, pcnnitliag and licensing requiwm ras
penaining to the installation, application and uac ofEZ Doak products uu
the avow/operator's, promises. EZ Dock, Inc, assumes rat duty or
resptmsiMlily with r apcet to the lagalily or compliancy of the
owncrloperetues chosen inswuntion. application or we of Ez Dark
products.
3. Reference EZ Dock Owner Manual for additional Mails.

4/4/2018
119 Lugano Rd - Google Maps
o . daps 119 Lugano Rd
Imagery 02018 Google, Map data 02018 Google 200 ft
https://www.9oo91e.com/maps/place/119+Lugano+Rd,+New+Bern,+NC+28562/@35.0488719,-77.044456, 717m/data=!3m1 !1 P314m5!3m411 sOx89a8dO7OO98e2e55:Ox48f6520fbe5d86ea!8m2!3d35.053063!4d-77.04