South Harbour HOA Inc. 80087C

1CAMA / )('IDREDGE & FILL
GENERAL PERMIT
New ❑Modification ❑Complete Reissue El Partial Reissue
N9 80087 A
Previous permit #
Date previous permit issued
B D
As authorized by the State of North Carolina, Department of Environmental Quality r-7
and the Coastal Resources Commission in an area of environmental concern pursuant
to 15A NCAC�/
Rules aached.
Applicant Name 0 C f
Project Location: County CGtC�-P�,
�
Address
Street Address/ State Road/ Lot #(s) eJ
City{-� C�� StateW ZIP
Phone # (�Q) �^ '� E-Mail
Subdivision
Authorized Agent 7rallG
5
City f
ZIP
Affected ❑ CW .F )Q-Ew -I-PTA 4ES❑ PTS
Phone # ( _) River Basin X _s!e_ _
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA El N/A
Adj. Wtr. Body 1
na /man /unkn
ElPWS:
ORW: yes no PNA yesClosest
no
Maj. Wtr. Body —
Type of Project/ Activity C.l� 1 '���
.. /
t✓ C141 (Scale: I - 0 )
Pier (dock) length -
_ r
Fixed Platform(s) �— - T
Floating Platform(s) l ��
_ —
Finger pier(s) -
-
Groin length I I
niimhar ,! E---. : ...........-1- _ I ...€._ . .__ �.._I. .__---. -......._I—. ,.-....... -. - i -- -
A building permit may be required by:
( Note Local Planning jurisdiction
Notes/ Special Conditions
e,,or Applicant Printed Name
Si nature **.,,Please read compliance statement on back of permit"
e S
Application Fee(s) Check #
See note on back regarding River Basin rules.
BJ (20 ri
I
Permit Officer's Pri ed Name
aw7xl:
Signat kre
lssuyng Date/ E iration ate

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 how to 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 - (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)
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:
South Harbour Homeowners Association, Inc.
Mailing Address: c% Joel Leander
116 Lowes Foods Dr. Unit 200
Lewisville, NG 27023
Phone Number: [phone]
Email Address: leander'oel@ ahoo.c m
L) r
I certify that I have authorized Tom Gurganus, T&L Environmenta Services, 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:
Remove existing wood bulkhead and replace with 100 ft. vinyl wall, backed with fill dirt
at my property located at Big Creek Road, South River ,
in Carteret
County.
1 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:
South Ha rb r H eowners Association, Inc.
By:
Sign e Ll _ I
cc)Joel Leander
Print or Type Name C / / 3
Board Secretary �y
Titie
June 1, g021
Date
REC�El"dED
This certification is valid through �l / i I) JUL 21 Z021
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
on Big Creek
South Harbour Homeowners Ass'n, Inc.
Big Creek Road, South River
(Waterbody)
(Name of Property Owner)
I
(Address, Lot, Block, Road, etc.)
in _ South River Carteret County , N.C.
(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)
Remove existing wooden bulkhead and replace with 100 ft. vinyl wall, backed with fill dirt
t o o a a a A i 2 0 A a
�s V�
e oPF'tr R-v'r.'rly r, w oob wAkl, 4 6A&P-
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 oafish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
fro wn r Information) LAd c nt Pro erty Owner Information)
ut�e M our meowners Ass'n, Inc, Earl �avers,9nc.
B B
sit' an �l llilllli'PT
Joel Lander, Board Secretary f L 7- ; P;-.J
Print or Type Name Print or Type Name
c/o 116 L owes Foods Dr. Unit 200 4371 Po nhantas Tr
MtkM6s, NC 27023 m`'d ib I` iol`VA 23141
CiiYy/Statc2ip
336 971l0144 [e-mail]
Telephone NurTrber / email address
June 1, 2021
Date ��----
Cityistate/Zip
Telephone Number / email address
------RECE VIED
(Re vi4aA2gl 2ZG�)
`Valid for one calendar year, after signature"
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to South Harbour Homeowners Ass'n, Inc. Is
property located at
on Big Creek
Big Creek Road, South River (Name of Property Owner)
(Waterbody)
(Address, Lot, Block, Road, etc.)
in South River, Carteret County N.C.
(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)
Remove existing wooden bulkhead and replace with 100 ft. vinyl wall, backed with fill dirt
�Ivrn0v,6 �.C•rr�ti
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 y 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 wne nformation)
South H our omeowners Association,
By:
Signa t
Joel Leander, Board Secretary
Print or Type Name
c/o 116 Lowes Foods Dr. Unit 200
tWSA 0WsN C 27023
City/State/Zip
[phone] [e-mail]
Telephone Number/email address
June 1, 2021 _.
Date
W(Adjroty Owner Information)
Inc.
Print Off un ington Ridge PI.
Maville, NC 28115
`Valid for one calendar year after signature'
City/State/Zip
Telephone Number / email address
_Jbiz1 z t DECEIVED
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(RevisgtM. fTA
DCM-MHD CITY

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