Coral Banks Club

❑LAMA / ❑ DREDGE & FILL flotentf NO. 73122 A B C D
GENERAL PERMIT Previous permit #
❑New .- Modification [-]Complete Reissue El 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 environ ental concern pursuant to 15A NCAC
❑ Res attached.
Project County LiCn r'
Applicant Name 1 ty
,� ( / Street Address/ StatelRoad/ #(s)
Address //V/��� (,\
City % ii i i State ZIP /
Phone # (_) E-Mail
Authorized Agent ✓(rl Cn�i. 1-"
Affected ❑ cw � PTA -� ❑ PT
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
❑ PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) lei
Fixed Platforn
Floating Platfc
Finger pier(s)_
Groin length
number
Bulkhead/ Rip
avg distz
max disc
Basin, channe
cubic ya
Boat ramp _,__
Boathouse/ B
Beach Bulldo:
Other
Shoreline Ler
SAV: r
Moratorium:
Photos:
Waiver Attac
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Subdivision
City I t't / -S ZIP
Phone # (_) River Basin ✓ i
Adj. Wtr. Body C. "� "� - AZ/man unkn
Closest Maj. Wtr. Body
(Scale: )
❑ See note on back regarding River Basin rules.
F
Agent or Applicant Printed Name Permit Off er' P Name
Signat e * Please read compliance stater6kt on back of permit Signature +�
Application Fee(s) Check # Issuing Date Exp ration 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:
`J 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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
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)
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 - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

Dec 11 18, 01:39p
y
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44

Dec 11 18, 01:39p
p.2
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Core Banks Club, LLC
P.O. Box 10351
Mailing Address:
Greensboro, NC 27404-0351
Phone Number: 336-337-1985
Email Address: johnhagan506Cgmail.com
I certify that I have authorized Charles Canaday / Pamlico Sound Construction, Inc.
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Rip Rap Repair from hurricane
and dredging
at my property located at 205 Murphy Rd
in Carteret
County.
& 125 TRipzend Land'n, Davis, NC
l furthermore certify that f 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:
Signaturil
John C. Hagan
Print or Type Name
Manager
Title
12 111 1 2018
Date
RECEIVED
DEC 1 12018
DCM-MHD CITY
This certification is valid through 12 1 11 1 2020

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Core Banks Club, LLC
P.O. Box 10351
Mailing Address:
Greensboro, NC 27404-0351
Phone Number: 336-337-1985
Email Address: [e-mail]
I certify that I have authorized Charles Canaday / Pamlico Sound Construction, Inc.
Agent / Contractor 1
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
and dredging
Rip Rap Repair from hurricane
at my property located at 205 Murphy Rd. & 125 TRipzend Land' n, Davis, NC
in Carteret
County.
1 furthermore certify that 1 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:
Signatur
John C. Hagan
Print or Type Name
Manager
Title
12 1 11 / 2018
Date
RECEIVED
This certification is valid through 12 / 11 1 2020 DEC 17 2018
DCM_MHD CITY

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