Olde Town Yacht Club Inc 78379C

LAMA / O DREDGE & FILL
l�p `sr - _a
ENr1 EAL PERMIT � Previous permit # A B D
ew []Modifiication ❑Complete Reissue ❑Partial Reissue Date previous permit issued
.As authorized by the State of North Carolina, Department of Environmw1al Quality
and the Coastal Resources Commission in an ar a of environ ntal co c pursuant to 15A NCAC
—Q4
--
Applicant Nam �� ct Location: County ules hed.
Address_ Address/ State Road/ Lqt #(s) / A
Authorized Agent
Affected ❑ CW `t !"
`� to ❑ ES VO PTS f
AEC(s): ❑ OEA L7 HHF
d Ip ❑ USA ❑ NIA
❑
ORW: yes /=PNAes
En
/ o
Type of ProjeeV Activity
Pier (dock) length** —
Fixed Platform(s)
Floating Platform(s)
Finger pier(a) ,
Groin length
number —
Bulkhead/ Riprap lengt?—
avg distance offshore_^
max distance offshore'—��
Basin, channel'-_^
cubic yards
Boat ramp
Boathous oatlift
Beach Bulldozing----'
Other
J
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes o
Photos: yes
WaiverAttached: yes
u - —
City ZIP
P oh ne # River Basin
Adj. Wtr. Body_
Closest Mal. Wtr. Body
,
WO
Ail
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A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ SpbciqAConditions l
back of permit *-*
P' Check#
ApplitationFee(s) '
See note on back regarding River Basin rules.

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AMA / ❑ DREDGE & FILL} 779 A BD
ENERAL PERMIT Previous permit#
❑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 ar a of environ ntal conc pursuant to 15A NCAC Q#
lules ached.
Applicant Nam I r 'ect Location: County 464
Address �V�e4Address/ State Road/ Lot #(s)1 l 4/1 /1
City State IPA
Phone # -Mai
Authorized Agent �C
Affected ElCW ON LAIR•'rA ❑ ES ❑ PTS
AEC(s): ElOEA HHF IH ElUBA ElN/A
❑ PWS:
ORW: yes / E
2
PNA yes / o
Type of Project/ Activity
Pier (dock) length��
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)500
5
Groin length
number
Bulkhead/ Riprap Iengtft-
avg distance offshore_
max distance offshore�"�'�
Basin, channel
cubic yards
Boat ramp
Boathous ,,..>.
/ oatlift
Beach Bulldozinr
Other
Shoreline Length
SAV: not sure yes no ....-- ._
_ . ___...i-_.._-.'-- -
Moratorium: n/a yes o
Photos: yes �.
i
Waiver Attached: yes
A building permit may be required by: fv<
( Note Local Planning jurisdiction)
Notes/ S11Conditions
or Applicant'Printed Name
Subdivisi
City
Phone #
Adj. Wtr. Body
Closest Mai. Wtr. Body
/_ L��ir��
L M/
Un
A /4i
(Scale: )
❑ See note on back regarding River Basin rules.
read compliance statement,* back of permit'*
Application Fee(s)
ration

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 [)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 complywith 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/ I-888-4RCOAST 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 Requesti n gPermit: Grant Everette
Maili ngAddress:
Phone Number:
Email Address:
1712 Benvenue Forest Rd
Rocky Mount, NC 27804
252-883-5793
ngeverette @embargmail.com
I certify that I have authorized Coastal Boat Lift Repair, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Installation of 4 pilings for boat lift along with dock extension
at my property located at .Olde Town Yacht_Club�l_in A-17 on Morgan Creek
in Carteret 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-0 finer Information:
�nre
or Type Name
Ctm o�E^ '/
Title
Date
This certification is valid through I I

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AUJA .CIV I�KIf AKIAIV t'KVt'tK IT V WIVtK [A 1 CMCIV 1_
I hereby certify that I own property adjacent to
Grant Everette
,S
Ida lown Yacht Club SlipA- 4 of Property Owner)
property located a (Address, Lot, Block, Road, etc.)
on Morgan Creek in !Carteret Co N.C.
(Waterbody) (CityrTown and/or County)
The appli has described to me, as shown below, the development proposed at the above
locati0 .
have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill /n description below or attach a site drawing)
See Attached
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 Owner Information) (Adj=Pro,,�er Information)
��� ✓
ignature Sign¢ture
Grant Everette
Print or Type Name Printer Ty�me
,� G1�, 5� cal/"W&
1712 Benvenue Forest Rd 5
Mailing Address M " " Address
%yam CGS
Rocky Mount NC 27804
Cit lStatelZip u4tyGtate/Zip
252-883-5793 [e-mail] ';-wz --2li z U
Telephone Numberl email address Telephone Numberl email address
1/8121
Date Date*
(Revised Aug. 2014)
Valid for one calendar year after signature"

;V15
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7A, F40

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
Grant Ev Ise tEt
Olde Town Yacht Club Slip A-17
on Morgan Creek
(Waterbody)
of Property Owner)
I
(Address, Lot, Block, Road, etc.)
in Carteret Co N.C.
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locat 1
�_ 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)
See Attached
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 Owner Information)
ignature
Grant Everette
Print or Type Name
1712 Benvenue Forest Rd
Mailing Address
Rocky Mount, NC 27804
City/StatelZip
252-883-5793 [e-mail]
Telephone Number/email address
1 /8/21
Date
(Adjacent Property Owner Information)
Signature"
Print or Type Name
/'0 60X 9 d O 2
Mailing Address
&' - /' /✓ C 2 s you Z
City/StatelZip
_9.-d 74G G�Go Td/✓w.,��, C' w�no2rr.«_
Telephone Number / email address
/'o//Z,
Date'*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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