HarborSide Club at 70 West

CAMA / DREDGE &FILL �
No. 73329
GENERAL PERMIT ` A B c D
Previous permit #
Jrlew ` Modification 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 concern pursuant to 15A NCAC !
Rules attached.
Applicant Name .t(�' �- ,,F, project Location: County
Address I - —• Street Address/ State Road/ Lot #(s) �4
City �!. !� r State � ZIP - > ;
f
Phone # ( -)
Authorized Agent 1
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:_
ORW: yes / no
E-Mail
+
--1 EW
_„ HHF
PNA yes / no
Subdivision ^
i
City + ZIP
❑ ES ❑ PTS
Phone # River Basin
❑ UBA ❑ N/A
Adj. Wtr. Body
Closest Maj. Wtr. Body
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D 1,
AgertC o Applicant,Printed Name
f -
Signatureflease ead compliance
p e statement on back of permit
Application Fee(s) Check #
Permit0 ficer's Printed
Signature
Issuing Da
Name /J
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules 71 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 Cif Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
1� IV(,l o?453- %
Phone Number: Z,'L_ g _ ��� T /Ll,���,t
Email Address:
I certify that I have. authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 4 ,b�
G'!v6 ?a /4)
at my property located at Z/Z.s' /fie//
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
dti i 2
Print or Type Name
Title
Date
This certification is valid through I I
I/ 2.! 3/ s �, /z,�3
i,, 7j j
2-2/231217(2 Z7`28
Z-� 30, 3/� 3 2-
3s 3371 .3F V/I yZ1 413
RECEIVED
DEC 17 2018
DCM-MHD CITY

4
� � 1

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to , / - , , ?d C/esT'
s
property located at (Name of Property Owner)
�. (Address, Lot, Block, Road, e_t .)
on P� 1��;,� C.RI=�'� , in �i , N.C.
(Waterbody) (City/Tow and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatiory.
I have no objection to this proposal.
I have objections to this proposal.
utJC:KIF I IUN AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
d o c-k s o�
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.
I do not wish to waive the 15' setback requirement.
(rroperry uwner Information)
!"t.ure
Print o ype Name
P. otAdresfz
Mailing
City/State2ip
Telephonq Number
/Z/.S//Z
WrA
(Adjacent Property Owner Information)
Signature
Print or Type Nam�ne
4 L( a l f� ll e-
Mailing Address
c NC
City/State2ip ��
sue- —? ,5? 6
Telephone N,ymber
i Z /, //— RECEIVED
rWQ
(Revised 611 p&A 7 2018
DCM-MHD CITY

s

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C/6yo,AD lcig T
s
property located at (Name of Property Owner)
on �ff (Address, Lot, Block, Road, a c.)
i��l� �� EVL— K in &0 �i" 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)
��T C.�� lil? �ii.�7� �✓ f �f � c.K S' � 6,��ry�iGl�� /�G�./ir/�
Lo �+ar p,y l 4-o
WAIVER SECTION
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.
I do not wish to waive the 15' setback requirement.
(Prope.rttyy owner Information) (Adjacent Property Owner Information)
S2a nature Signature
w y 1"/ice - s� -rr, ems
Print or Type Name Print or Type Name
�o. ,B,X -�5 Z - 7 4.A,( Ayr
M� g/A res sC a� / �O, O
City/State/Zip City/State/Zip
ZSZ- 2G9-S.3og 2-52-72G - 7(,
Telephone Nber Telephonq Nt4mber RECEIVED
Date Date
`)Fr 17 2018
(Revised 611812012)
OCM-MHD CITY

•. 1 a

C a r t e r e t
County, N.C.
............ .
i in=too ft
A
i, 1.27A
437
L5
11
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:
GIS Acres: 3.250
Physical Address:
MOREHEAD
Other Value:
Plat Ref: 10140
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 7o
Year Built:
WEST
Fire District:
Bldg Sq Ft: o
Tax District: 1351
The information displayed by this webste is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, and other public records and data. Users of this information are hereby notified that the aforementioned pudic primary information sources shoud be consulted for verification of the information contained on this site. Carteret County
responsibility for the information contained on this slte. Carteret County does not guarantee that the data and map services will be available to users without interruption
modify or remove map services and access methods at will.
assumes no legal
or error. Furthermore, Carteret County may

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