Olde Town Yacht Club 84707C

�F WAST41& Ida 84747 A B
o� CAMA ❑DREDGE &FILL
Previous permit
ENERAL PERMIT p
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:
r
15A NCAC 1 t \ S0j ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name A
Address (A)
City
Phone # ( i
Email — —
Affected ❑ CW
AEC(s): ❑-10EA
ORW: yes/t ,
State i V� ZIP
PNA:
Authorized Agent Vim'
Project Location (County): --Cc,
Street Address/State Road/Lot #(s)
Subdivision
City
Type of Project/ Activity
IV 1
M V
J
L/
(Scale
Shoreline Length `—�
��
49 r
Access Length �—
Pier (dock) length
Fixed Platform(s) �—
Floating Platform(s)
00
Finger pier(s)
Total Platform area
T
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
10
Breakwater/Sill
AN
Max distance/ length
Basin, channel �-
Cubic yards'-----
Boat ramp '�
1
Boathouse B t1i y
Beach Bulldozing��
Other
:1
SAV observed: yes
Moratorium: n/a yes I
Site Photos: yes
Riparian Waiver Attached: yes
A building permit/zoning permit may
Per n�jt Conditions
t !1 ,
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEVVkD COMPLIANCE STATEMENT. Please Initial)
Agent or Applicant PRINTED Name
Si ature **P,IQase read compliance statement on back of permit**
L 3Sq
Application Fee(s) Check #/Money Order
Permit
Signat re
��oo �a r 1
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-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 Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Olde Town Yacht Club Slip B7
Mailing Address: 100 Olde Town Yacht Club Road
Beaufort, NC 28516
Phone Number:
252-726-3066
Email Address:
I certify that I have authorized Carteret Marine Services
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 30 ft extension of finger pier
at my property located at 100 Olde Town Yacht Club Rd. Slip B7
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.
Prooertv Ownei-Wormation:
eCVt( )IOC,1QIr--
not or Type Name
7DO Q L;yy)C'6 FtJ
Title
` I 3 121
Date
This certification is valid through I I

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to Olde Town Yacht Club
property located at
100 Olde Town Yacht Club Rd. tfda
Slip%elof Property Owner)
I
Taylor's Creek (Address, Lot, Block, Road, etc.)
on , in Beaufort , N.C.
(Waterbody) (City/Town and/or County)
The fr�ant has described to me, as shown below, the development proposed at the above
;vocation. i
have no objection to this proposal.
Cup
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)
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.
r
do not wish to waive the 15' setback requirement.
�1.-,--
-----(Property Own Information)
ffiign re , � In
Print or Type Name
/ email address
*Valid for one calendar year after signature*
JAelkaxMot Property Owner Information)
Si a re
Print or Type Name
iQc5
Failing Addre s
Ci /stat Lip
L
Teleth°j'e l2ber/email address
"1 I I iA') 24
Date* [—r
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to
Olde Town Yacht Club
property located at
100 Olde Town Yacht Club Rd. A4113
a%e of Property Owner)
Taylor's Creek (Address, Lot, Block Road, etc.)
on , in BeaufoR N.C.
(Waterbody) (City/Town 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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 w sh to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Sign9ture 7
Print or pype Nom?
Mailing Address
City/State/Zip r
Telepho e NMberl email address
Date
'Valid for one calendar year after signature"
tAdfa
pwatProperty Owner Information)
Si a 'ire*
C,
Print or Type !Name
loo Qu \6. ,-- 1\I t Cly� t�cJ
pasting Address
c` S aA , 7o� trz 301� t-t
Tele h e tuber/email address
Date* �7�
(Revised Aug. 2014)

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