Olde Towne Yacht Club 84724C

�oQ COAfTA(
o �❑CAMA ❑NDREDGE &FILL y 84724 a e -Cl°
-0,
permPreous
GENERAL PERMIT Date previous (permit issued
[:],New ❑ Modification []Complete Reissue ❑ Partial Reissue
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. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone#(
Email + i Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body . (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no.'
Type of Project/ Activity
(Scale;,-"' )
Shoreline Length f. I
Access Length ( e r_� _L..._ — — --
Pier (dock) length
Fixed Platform(s) I
� .., J,
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no i
Moratorium: n/a yes no
Site Photos: yes no ` —'--
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: _
Permit Conditions
Y 14
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED.Name Permit Officer's PRINTED Name'
Signature "Please read compliance statement on back of permit" w Signotyret
k'
Application Feels) Check #/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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:
1-1 Tar - Pamlico River Basin Buffer Rules F� 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

'oagF(OAS r4l ❑,CAMA ❑ DREDGE & FILL N9 84724 A B �C, D
Previous permit
GENERAL PERMIT
y Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
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. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone #
Email Subdivision
City ZIP
Affected ❑ CW ❑,EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body a (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no,'
Type of Project/ Activity
(Scale,-' )
Shoreline Length,
Access Length
Pier (dock) length
Fixed Platform(s),
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
yes :no
Moratorium: n/a
yes no
Site Photos:
yes no
Riparian Waiver Attached:
yes no
A building permit/zoning permit may be n
Permit Conditions
u IHtt/rHl'1/IVCUJ[/DVrr[rt tar Liu ur ie)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
Agent or Applipcant PRINTED Name t Permit Officer's PRINTED Name'
ee
Signature "Please read compliance statement on back of permit" _ Signature
�i
Application Feels) Check #/Money Order Issuing Date
(Please Initial)
Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

Styron, Heather M.
From: Amanda Banks<[e-mail]>
Sent: Monday, October 18, 2021 11:55 AM
To: Styron, Heather M.
Subject: [External] Olde Towne Yacht Club
Attachments: Graham Clements CAMA.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Good Morning Heather,
Do you still handle the permits for Radio Island area? Specifically Olde Towne Yacht Club. If so, please see attached
documents for an upcoming project. Let me know if you have any questions.
Thanks!
Amanda
Doug & Amanda Banks
Coastal Boat Lift Repair
252.635.8494 Doug
252.671.1196 Amanda
Visit us online www.coastalboatliftrepair.com
qeview gas on
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reply email and delete this message. Thank you for your cooperation.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Graham Clements
Mailing Address:
Phone Number:
IN 0 4 �-
[e-mail]
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 boat lift pilings
and boat lift
at my- property located at Olde Town Yacht Club Slip C-1 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.
ZA>>
Signature
I I ( f) A'� rl 1-6't-s
print or Type Name
Title
Date
This certification is valid through -/-I.

J
I hereby certify that 1 own property adjacent to Graham
property located at 01cle I own vacnz VIup W gllp � i
(Address, Lot, Block,
on Morgan Creek - in.-, Carteret I
(Waterbody) (C
The applicant has described to me, as shown below, the
location.
I have no objection to this proposal.
T.:. I have objections to this proposal.
See Attached
of Property Owner)
etc.)
N.C.
in and/or County)
meat proposed at the above
DEVELOPMENT
w6li/1=R ag9m
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 finless waived by
me, (if you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' Wback requirement.
d not wish to waive the 15' setback requirement.'
(Property �wrnar Information)
Prope Owner Information)
i mature Signature
S
_Graham Clements
,�rint r Type Name
or Ty e Names-~
Malt n address Mailing
Address �
22 aG P�6�. ric- V,'7 ram' _ / ''
GityAtatt"WD, ity�S! to l - -2 e,
7 [e-mail]
_ _ �
Telephone N ber/email address Telephone Numberlerna t address
Date
(Revised Aug. 2014)
-Valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Graham Clements
Name of Property Owner)
property located at Olde Town Yacht Club - Slila C1
(Address, Lot, Block, Road,
on Morgan Creek In Carteret Countti
(Waterbody) (City/To%
The applicant has described to me, as shown below, the
locatlo
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF
See Attached
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, br
must be set back a minimum distance of 15' from my area of
me. (if you wish to waive the setback, you must initial the apt
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(property Owner Information)
S1 nature
it'aham Clements
Print r Typs Hama
Cilylstate21p g [e-mail]
919-610-1766
Te1eph an Nu ber/email address
J611L XI _
R ♦ f
"Valid for one calendar year after signature"
¢.) N.C.
and/or County)
'nt proposed at the above
ater, boathouse, lift, or groin
an access unless waived by
ite blank below.)
(Adjacent Propea
Signature*
Print or Type Marne
® ��a 4
Mailing Address
Cltq/statelzip
Telephone Number
Dale
Owner intormation/
/ eme#
N
(Revised Aug. 2014)

N

Bruce Hoy Graham ClemeOh
Slip )3C-2
C1ip-I
DOA Floating Dock