Harborside Club @ 70 West 73329

❑CAMA / IDREDGE&FILL No. 73329 A B C D
GENERAL PERMIT Previous permit #
lNew '—Modification El Complete Reissue El Partial Reissue Date previous permit issued
As authokzed by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuaht to I SA NCAC
Rules attached.
Applicant Name ` . Project Location: County
Address 1' _ I-�` Street Address/ State Road/ Lot #(s) /
City ------State --ZIP j - +_'t
Phone #_ E-MaiSubdivio-�n
a i '
Authorized Agent _ f City .! + ZIP_ i t
ElCW W PTA ❑ ES ❑ PTS Phone # RJ er Basin_
Affected ElEl❑ QEA ❑ WHF I UBA N/A y
AEC(s): Adj. Wtr. Body j nat an Junkn
❑ PWS: x
ORW: yes / no PNA yes / ho Closest Maj. Wtr. Body
cubic yards
Boat ramp
Beach Bulldozing M
i �.Imin
Shoreline Length
,•vim f .. ,., _... ,
SAV: not sure yesno -- a --
Moratorium: n/a yes no
Photos: yes no__._..-
t 1
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
o Applicant,Prin ame
Si nature lease read compliance statement on back of permit
k ApplicationFee(s) 1, Check#
is
❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name
Signature
Issuing 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 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 howto 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 -
North of New River Inlet- and Pamlico
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)
(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 - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 1� lde
Mailing Address: A&27)
Al
Phone Number: Z.fL- Z6,g —y ,-0 7f` /�1'l���f
Email Address: Se�sMe h04 i Tv OAJ ✓_ e9Am.4,/. coT,�
I certify that I have authorized ,
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:�w,Q ,b i
i.
1d Wes T ,
at my property located at 412-5— 1OW0611 W
in County.
I furthermore, certify that l 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
Print or Type Name
Title
Date
This certification is valid through
. .Sl , ,o _0 s \
i 4 / 7� / f� ��� 20 2i
It
2 231 2y 21p� 271 Z 8
271 30J 311
3s, 3(oi 37� i yZ� y3
RECEIVED
DEC 17 2018
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ,a� d v` (g?D G/esT 's
(Name of Property Owner)
property located at �vZ� /,�wo�"/l �T��'T
� (Address, Lot, Block, Road, et .)
on P� 1�"L�� CR1- , in Cr_N.C.
(Waterbody) (City/Tow and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatiory.
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)
c\o c-�L, S o � (4*,Lb o.2.v ! CLL A 1,0
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.)
AA- I 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)
-JZ, Knn� 4OA- P4-510G IT
Print or' Type Name
Mailing A dyes �C
City/State2ip
2-41- ZCo 9 -
Telepho9neg/ Number
/ 2AO::8
Date
Signature
It,,� t
Print or Type Na e
�r t-I o r ,,�t�i s
Mailing Address
City/State2ip
Telephone N rnb r
�� RECEIVED
rI=
(Revised 611 7 2018
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to,��6o��s.�/� G%6���� wes�� I
(Name of Property Owner)
property located at Yyz - / && /) �T
(Address, Lot, Block, Road, a c.)
on it E�Z— �K in U �+ , N.C.
(Waterbody) (City/Tow 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, 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.
PLk--- I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
rdn
Print "or Type Name
Mailing AAOdress
City/State/Zip
ZSz - ZG g - Sao
Telephone Nu ber
z�s�'-'
Date
Signature
Print or Type Name
l 1 7 4&&Maifin
g dres Gi T y /V c2f5Y 7
City/State/Zi
Z SZ —7 2G — 7G SS
Telephon N mber
/2 y,�
Date
DEC 17 2018
(Revised 611812012)
DCM-MHD CITY
RECEIVED

Carteret
County, N.C.
0049 1.22A
i087
0 1p
4 1.27A
39)"
p
7303
- -
?737
3722
k v
r`C n
Wt ti
2.1A)
<in=ioo ft 749$
Printed December i8, 2oi8
Tax Parcel Information:
Prior PIN: Land Value:
Deed Date: 20o6o8O2
Owner:
Deeded Acres:
HRBRSDE CLB@70W COM SVRASSINC
Roll Type: R Bldg Value:
0
Current PIN: 636615734918000
Township:
Other Value:
GIS Acres: 3.250
Plat Ref: 10140
Physical Address:
MOREHEAD
0
Neighborhood: Total Value:
Deed Ref: 1183/175
900152
Bedrooms:
Mailing Address:
City Limits: Sale Price:
Bathrooms:
4690 YADKINVILLE ROAD
MOREHEAD CITY
Use:
PFAFFTOWN NC 27040
AICUZ Zone: Rescue District:
COMMON AREA
Legal Desc:
Noise Level:
COMMON AREA HARBORSIDE CLUB AT 70
Year Built: Fire District:
WEST
Bldg Sq Ft: o
Tax District: 1351
The information displayed by this web site is prepared for the inventory of real property fourd within this jurisdiction and is compiled from recorded deeds, plats, and other public records and data. Users of this
information are hereby ratified that the aforementioned public primary information sources should be consulted for verification of the information contained on this site. Carteret County assumes no legal
responsibility for the information contained on this site. Carteret County does not guarantee that the data and map services will be available to users without interruption or error. Furthermore, Carteret County may
modify or remove map services and access methods at will.