85073_Pamlico Plantation_20220210

soto"rk,,fCAMA In DREDGE & FILL 'R145 No 85073 A CZ C D
3 1 GENERAL PERMIT # 700 Previous permit 9 a' 9
Date previous permit issued •a - 3 ,c,).
n New Modification ,E Complete Reissue n 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:
I 5A NCAC C- T H ' f _' �-- n Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name dA�(\1 '(O ''la kii-01-/ 3)/ Authorized Agent
Address ` `"'L-- C/ hj'1 L ' 5 F C, -c. i Project Location(County):
1 t j
City ••- /.A St)LI.7 4 ,k, State t-- ZIP -"'t'f'C'S r!7 9 Street Address/State Road/Lot#(s) r '
Phone# Zjy`'' 442` o�59L. , 2-GNI �'iAa��S 4
Email /4.J/)7 Subdivisio p 64 r'v't1-v- t=C" ..r)r: h 1 r -i �t�t..(
City ',R, S✓
a 111%1 c,L.fr 3 ZIP 3Z 95`7f
Affected CW n EW I I PTA n ES 1 ]PTS Adj.Wtr.Body L-1 LNO o (--C t"P' t� ( an/unk)
AEC(s): ()EA n IHA n UW I I SPIMA n PWS Closest Maj.Wtr.Body p J/C C�. ' V` /-
ORW:yes/no PNA:yes/no `.
1
Type of Project/Activity ��ny}-?p)e t1'P t;�S 1ql �a''! t.0 ;+/--- A �-ti r ;��,;p .ca� \j n-.I.e.
-')<.�--L'- 31 A I ! 1„ <1 ill-)5 A -`Z. -t (Scale:4 )
Shoreline Length ' /1)6 U slips B -s, 8 - /5-' a- $ —33 Q d c <-J
Access Length .f WO cxf y I•"- .( ` ciT . s i Z/2 - 2 Z'-
( ) !n ' �-�" I�. c /4 t) -CSC
Pier dock length /` 7, w t...0 2
Fixed Platform(s) 1 i 1 f
Floating Platform(s) i I j
r .- :v: 1
,Finger pier(s) ,
is
Total Platform area l
Groin length/# \ i
( ( d �
Bulkhead/Riprap length ¢ ;. � ........_ .._�..—..—_— _ �.__
Avg distance offshore I--- �. . _• _ _. ,�� �, -
Breakwater/Sill }_. 1
IllMax distance/length a
p
Basin,channel ; - • 4_ 1 , . il ,_ . •
Cubic yards I , i ( __ � '/--j!
Boat ramp ,,,, �
Boathouse(Boatlifti 2. '..4,1,G'ti`C r 1'S 1-S X i pr i { ,� ►"ir " '
Beach Bulldozing
Other ( i 1 !M ` •.l. ' / AP.
SAV observed: yes no; — _
Moratorium: n/a yes no` �� WM1111
Site Photos: yes no__:, . IHMI - _..__
Riparian Waiver Attached: yes n i • t 11 i /� J al k . x w_f..� i E
A building permit/zoning permit may be required by: r -"Cl� -/ t 1.i:+L-/�"/
,..� ®TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions l 1t Lit"' '•.)E l �'')<' LrL ' +�-4)'/)F)L,(se
t J- �n b'1/94Z t,,^kn I r..- , 1:.t fd-.Y) , ,j . -f. (' -A'S E See note on back regarding River Basin rules
1-1,`:, ,J7P / i r �) LA, I /,__ f.X 1 S t i^ S�;/� -
nSee additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVJJEWEE OMPLIANCE STATEMENT. (Please Initial) '--4
/-i 4/ C^,✓4G7()i
Agent or Applicant PRINTED Name Permit C?`ccer's PRINTED N`mR r_ _____
Si na ure*`Please rep complian statement on baci of permit** Signature
Application Fee(s) 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:
Tar- Pamlico River Basin Buffer Rules 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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext. Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

a..''' `''` fCAMA DREDGE & FILL i No 85073 ABCD
9? '�'
i GENERAL PERMIT ..1'.
7U D(o3 Previous permit
Date previous permit issued
New Modification Complete Reissue n 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:
ISA NCAC Rules attached. I General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City i' ; State ZIP Street Address/State Road/Lot#(s)
Phone#( 'I7?) `r t1
Email Subdivision
City ' -' 4? j:. Yr ZIP .?-7-<.<..`9
Affected I I CW EW ✓PTA n ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): I I OEA IHA I I uw n SPIMA n PWS Closest Maj.Wtr.Body l
ORW:yes/no PNA:yes/no \
Type of Project/Activity ,yy') 7)i'k r -16"ki!G"`'''..I 1,-) >J
'` • t ' 1,-, c t 5 t� (Scale: )
Shoreline Length I /L.O f $) 4 1� 6 -S / B - /5- 4' a -33 C7 r3 J
Access Length ; � - - <?- )I, �^I c-- �'."' !?,i .+ o+'� "Z f 2_Z 7
f'7'n � \ hci _ A6..
Pier(dock)length ^1 I 6f� �<+ / . < L�
- i /Fixed Platform(s)
Floating Platform(s) j"'� ' ' ,2>
tet e! OD k" N e(Cr\.)''‘
Finger pier(s)
/:€1 l SSU4- ra t
Total Platform area i r ,
Groin length/# -- ' ! 1 r v ?a ' _--• ra . I� .J
Bulkhead/Riprap length �
Avg distance offshore 41> .nN \ ..� w {
Breakwater/Sill D I 1 t •' L 'i�!9�
Max distance/length I I
Lil I r' �'3
Basin,channel ! I q
Cubic yards _�.__�_.-__ ��j �.._.__-.Y.. I
Boat ramp
Boathouse/Boatlift ', I )( I,-; l,.{l ) ) ::,✓, .
Beach Bulldozing T I l r
Other !►St W IAe---- c -14r4 S � L
SAV observed: yes no
Moratorium: n/a yes no t I
Site Photos: yes no 4----f- __—j )__ _____ l_
Riparian Waiver Attached: yes no I 1 I '
A building permit/zoning permit may be required by: 1 La T--G=-I l C Cat. ^
I / 7 TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions `�f' +,S h, ' _-i.'-' ../-i 5P
C. ',.; (... t^) , gt S I I See note on back regarding River Basin rules
r • 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)
fq ,/j/ /// ((' r`y%'i'y
Agent or Applicant PRINTED Name Permit Officer's PffINTED Name
Signature"Please read compliance statement on back of permit" Signature
Application Fee(s) 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:
Tar - Pamlico River Basin Buffer Rules 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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St. Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
(Serves: Bertie, Camden,Chowan,Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

•
- ROY COOPER
Governor
MICHAEL S. REGAN
. - Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY
Director
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico &
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 026.0233 & .0259.The
Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to $25,000 per day per violation.
i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees) unless otherwise approved by DCM. The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six (6) feet.
4: Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way. This
drawing will be used to aid in compliance and monitoring efforts. /
® Pre-project site conditions: vb/- 1 5 ceU�-1 v�o: W / �, � A 6
ll `
By your signature below
you agree to be held responsible for meeting all of the conditions listed ab ve nd verify
that
all information provided is complete and accurate.
,rtl�ro.a..t "c5k.t M to •
Agent or Applicant Printed Name Permit 0 ce s Signat r
4 •
,Mil4/ ah am k Vc'OUf� 0.141``n fD - _ Z
Agent or Applicant Signature , Issue Date
CAMA GENERAL PERMIT U: SC
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 278891 252-946-6481
• Wilmington Office 1 127 Cardinal Drive Ext.Wilmington,NC 28405-38451 910-796-T215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Pamlico Plantation Property Owners Associations
(Name of Property Owner)
property located at 150 Clubhouse Circle
(Address, Lot, Block, Road, etc.)
on Broad Creek , in Washington , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
X 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)
The installation of boat lifts in existing wet slips on Dock A, Dock B and Dock C of the Marina
owned by Pamlico Plantation Property Owners Association (PPPOA) without any restriction as
to the number, the specific type or the manufacturer of the boat lift as such boat slip lifts are
required, requested and needed, but subject to the approval of the Marina Committee and the
PPPOA Board of Directors, given in accordance with the covenants, By-Laws and rules of the
PPPOA.
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.
X I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property�r � Owner Information)
9
Signature Signature
Pamlico Plantation POA Townhome Owners Association
Print or Type Name Print or Type Name
150 Clubhouse Circle 126 Forecastle Court
Mailing Address Mailing Address
Washington, NC 27889 Washington, NC 27889 _
City/State/Zip City/State/Zip
252-946-2390 252-946-2390
Telephone Number Telephone Number
- i•vo - t-v. 2-co --It
Date Date
(Revised 6/18/2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Pamlico Plantation Property Owners Associations
(Name of Property Owner)
property located at 150 Clubhouse Circle
(Address, Lot, Block, Road, etc.)
on Broad Creek , in Washington , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
X 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)
The installation of boat lifts in existing wet slips on Dock A, Dock B and Dock C of the Marina
owned by Pamlico Plantation Property Owners Association (PPPOA) without any restriction as
to the number, the specific type or the manufacturer of the boat lift as such boat slip lifts are
required, requested and needed, but subject to the approval of the Marina Committee and the
PPPOA Board of Directors, given in accordance with the covenants, By-Laws and rules of the
PPPOA.
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.
X I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent P�rrooperrtyy Owner Information)
Rptektmv i
Signature Signature
Pamlico Plantation POA Townhome Owners Association
Print or Type Name Print or Type Name
150 Clubhouse Circle 126 Forecastle Court
Mailing Address Mailing Address
Washington, NC 27889 Washington, NC 27889
City/State/Zip City/State/Zip
252-946-2390 252-946-2390
Telephone Number Telephone Number
Z•1o, 27i Z-Co Z+.
Date Date
(Revised 6/18/2012)

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- 33
Pamlico Plantation Rules and Regulations Manual Procedure Number: R&R 30.11.4
Title: Boat Lift Application Date of Issue: 16 August 2017
By completing and signing this application, the undersigned agrees to comply with the Marina
Rules and with the guidelines and specifications for installing a boat lift.
Signature: \ Date: • S - \ O
Received by the Marina Committee: Date Initials
Approved 2( Disapproved Date 0 Initials
Requests for further information and documentation: Date
Information requested:
Page 3 of 4

Pamlico Plantation Rules and Regulations Manual Procedure Number: R&R30.8.4
Title: Boat Lift Application Date of Issue: 18 July 2019
By completing and signing this application, the undersigned agrees to comply with the Marina
Rules and with the guidelines and specifications for installing a boat lift.
O
Si ure: Date: Dy/ 18JZ\ Q
A„.
Print Name: ev i n C ;,\e_ e
Received by the arina Committee: Date 12 7 Initials
Approved pp Disapproved Date , /Z
Requests for further information and documentation: Date
Information requested:
Page 3 of 4

•
Pamlico Plantation Rules and Regulations Manual Procedure Number: R&R 30.8.4
Title: Boat Lift Application Dale or issue: 18 July 2019
Name Ke.vI n L�. CL4\1er Date f -o81 a\
Address I DO \-\a\c1cn Covent >JU---h c om LoWTH _
Telephone (H)r;). .QNO.C. (C),a .ao4.9tda4 (W) a5a.355. 863\
Slip Number to be Modified Ita Slip Size it X 1
Boat Size(LOA x Beam) ay I Lorx B r torn 3earn (0a3 5trneS a '
Contractor Installing Boat Lift: cbjsC'icIDkl s Phone Numioeer a Ja O 4.$35kk
��11 h a5� � •ayab
Electrician Installing Boat Lift: E . C. E\e.cknG Phone Number: I o ht. W rcd
tPePC(4-
Requests for placement of boat lifts in the marina will be considered for permanent lifts requiring
additions or modifications to the marina infrastructure, i.e. pilings and electrical, and for floating
lifts that do not require modifications. Permanent boat lift requests will be considered for docks
B and the inside of A only, located next to existing lifts if at all possible., It is the applicant's
responsibility to obtain a slip assignment before submitting this request.The Marina Committee
will assist the applicant in obtaining a suitable slip assignment. Floating lifts that comply with
boat length requirements and require no permanent modifications are not restricted to Docks A
and B.
The following guidelines must be complied with in order to receive Board of Directors' approval:
X. I he property owner, hereafter referred to as the applicant, seeking to place a boat lift in
g
their assigned slip shall submit all application documents, lift plans, manufacturing
brochures and pertinent information to the Marina Committee before approval will be
considered.
2. The applicant will obtain all required CAMA permits and furnish the Marina Committee
copies of the approved permits prior to any construction.The PPPOA will provide a letter
to the assignee of the slip stating that the assignee is appointed to act as the PPPOA's
agent in requesting the permit.
3. The applicant shall comply with all the rules and regulations of the marina, including the
submission of a Boat Identification Form and a current liability insurance declaration
page with this application.
6 4.Any boat on the installed lift should be totally within the slip so that no part of the boat or
its motor protrudes into the fairway.
5. If the boat lift must be removed to repair or replace the pilings, finger piers, or docks,
removal will be made in a timely manner at the expense of the boat lift owner.
Page 1 of 4

Pamlico Plantation Rules and Regulations Manual Procedure Number: R&R 30.8.4
Title: Boat Lift Application Date or issue: 18 July 2019
.The applicant understands that the boat lift will not be insured by the marina and that 6,6
liability for damage caused by the lift or by the boat in the lift is the responsibility of the
lift owner.
l 4`/!.The lift is the property of the slip assignee and is to be conveyed with all rights and
responsibilities to future owners.The lift can be transferred to(a)a new owner of the
lotitownhome, (b) another PPPOA member and the slip will be reassigned to that
member, or(c)someone else and the lift and its associated pilings must be removed
from the marina. If the slip assignee sells his lotitownhome and is no longer a member of
the PPPOA the disposition of the lift must be settled before the sale is completed. If
required, the responsibility for the cost of removal of the lift lies with the seller of the
property and must be carried out prior to conveyance of ownership.
For lifts requiring pilings and other permanent modification of marina infrastructure:
er to Directions and Specifications for Applying for a Boat Lift for piling and electrical details.
8.All new pilings must be consistent with the piling height of the marina pilings where
possible. Newly installed pilings must be inside the existing pilings of the slip. No existing
ppilings can be cut or modified for any reason.
9. No piling placement is to take place unless a Marina Committee member is present. It is
the responsibility of the applicant to coordinate the work with the Marina Committee
representative who must be given a minimum of notice of 48 hours.
10. Electrical connections for the lift must be made by a licensed electrician according to
specifications provided by the Marina Committee. Electrical work is subject to inspection
and approval.
11.Adjacent slip assignees shall be notified of the proposed boat lift and given an
opportunity to either address the Marina Committee at the next committee meeting or
contact the committee chair if they have questions before the installation is approved.
Copies of the signed attached notification form shall be appended to the application.
The applicant must submit this request to the Marina Committee after ascertaining that the
applicant is able to meet all of the above requirements.The application will be considered by the
Marina Committee at its next regularly scheduled monthly meeting, and the applicant is
welcome to attend the meeting. If the application is approved by the Marina Committee it will be
forwarded to the PPPOA Board of Directors at its next monthly meeting for final approval.
If the Marina Committee does not approve this request, the applicant may appeal the decision to
the PPPOA Board at the next Board meeting.
Any questions concerning these requirements and this procedure should be addressed to the
chair of the Marina Committee.
Page 2 of 4

•
Pamlico Plantation Rules and Regulations Manual Procedure Number: R&R 30.8.4
title: Boat Lift Application Date of Issue: 18 July 2019
By completing and signing this application, the undersigned agrees to comply with the Marina
Rules and with the guidelines and specifications for installing a boat lift.
Si gaa re: Date: OA/le/21
Print Name: VI
Received by the Marina Committee: Date Initials
Approved Disapproved Date Initials
Requests for further information and documentation: Date
Information requested:
Page 3 of 4

Pamlico Plantation Rules and Regulations Manual Procedure Number: R&R 30.8.4
Title: Boat Lift Application Date of Issue: 18July2019
PAMLICO PLANTATION PROPERTY OWNERS ASSOCIATION
Notification to Slip Assignee(s)Adjacent to Proposed Boat Lift
This form should be provided to the adjacent slip assignees and a signed copy of this form
should be submitted for each adjacent slip with the application to show notification has
occurred. `/
Name of lift applicant )"'1 eJ i n O. C_LA-,eC
Address 100 14Q\C.i(rl Co c.• 1, J ,; , NC aissn
Telephone, 5,;AL40.01Daell Phone d5 .a09.c uy og
Slip to be modified 'Bp
Item 11 of the boat lift application requires the adjacent slip assignee(s)to be notified of the
proposed boat lift, and given an opportunity, if desired,to address the Marina Committee at its
next committee meeting, or to contact the chair of the Marina Committee if he/she has any
questions or concerns before the installation is approved.
As the assignee of a slip adjacent to a slip in which a boat lift is being proposed,you have an
opportunity to address the Marina Committee should you have any concerns regarding the
proposed installation. If you have concerns or not, please so indicate by signing this form so the
applicant can return it to the committee. If you do have concerns and wish to address the
committee in person, please notify the committee chair.The committee normally meets in the
Clubhouse on the first Thursday of each month.
Adjacent slip number Zb I wish to comment:Yes No .A
cli ,c29
Signature, adjacent slip assignee ,cDate '1 \ck 9,'
Print Name:_ ilen ijeea
a5a.g15 . 8110
Page 4 of 4

Pamlico Plantation Rules and Regulations Manual Procedure Number: R&R 30.8.4
ntie: Boat Lift Application Date of Issue: 18 July 2019
PAMLICO PLANTATION PROPERTY OWNERS ASSOCIATION
Notification to Slip Assignee(s)Adjacent to Proposed Boat Lift
This form should be provided to the adjacent slip assignees and a signed copy of this form
should be submitted for each adjacent slip with the application to show notification has
occurred.
Name of lift applicant 1 ` f�1 eV in b. �y�t\e.r pp
Address CO LY1 (nJC. WGS\'1icic om �C a1r3c�
Telephone .03a$ellPhone a$a.aoMAb9i4
Slip to be modified 18
Item 11 of the boat lift application requires the adjacent slip assignee(s)to be notified of the
proposed boat lift, and given an opportunity, if desired,to address the Marina Committee at its
next committee meeting, or to contact the chair of the Marina Committee if he/she has any
questions or concerns before the installation is approved.
As the assignee of a slip adjacent to a slip in which a boat lift is being proposed, you have an
opportunity to address the Marina Committee should you have any concerns regarding the
proposed installation. If you have concerns or not, please so indicate by signing this form so the
applicant can return it to the committee. If you do have concerns and wish to address the
committee in person, please notify the committee chair.The committee normally meets in the
Clubhouse on the first Thursday of each month.
Adjacent slip number v. 10 I wish to comment:Yes No
Signature, adjacent slip assigne . Date y/i q ) I
Print Name:_ f i�arc\/�;m Si -t /
SCA .r14,it, etCOQ
Page 4 of 4

:Pamlico Plantation Rules and Regulations Manual ProceaureNumber: R&R30.11.8 •
• Title: Boat;Slip:Assignment:Agreement
Date of Issue: 16-August-2017
Note::Part tiis for new;property owners to defer slip:assignment when they do not
require a slip. Part 2 addresses the time when:a property owner has a boat and is
applying'for:a slip assignment that meets the needs.::
PART 1: To be used by a new property owner to defer slip_selection:
WHEREAS,: has/have purchased LotlTownhome# :
Property:owners)
at;Pamlico Plantation; and
WHEREAS, as part'of the consideration for:thepurchase of said Lotlfownhomeis.
entitled to the exclusive use of a boat slip at Pamlico Plantation Marina and above
identified property owner.is not a boat owner at the presenttime.
NOW,THEREFORE, in consideration of the aforesaid, the undersigned agree and
approve that the;assignment of a specific boat`slip maybe deferred to such time the
property owner has.a boat and desires to keep:it in Pamlico Plantation marina. The.
property owner-is guaranteed a boat slip at that time and he/she will be able to select
one that will:fit the requirements of their boat from a list of available slips provided by,
the Administrator.
•
Propertyowner(s). Date
•
•
PART 2: To be used by anew property owner.or existing property owner who owns a
boat: ..
WHEREAS,.. Kevin &Tammy Cutler own Lot/Townhome:#PH-003
Property owner(s).
at Pamlico Plantation; ands
WHEREAS, as part of the consideration for ownership of said LOU Townhome a
. owners are entitled to,the exclusive use of a boat slip atPamlibo Plantation marina and
the above identified property owner desires an assignment of a specific boa_t s_lip that
accommodates the needs of their boat;:and
Page 1of 2.: ` .:

Pamlico:Plantation Rules and Regulations Manual Procedure Number: R&R30.11.8
Title: Boat:Slip.Assignment•Agreement Dateoflssue: :16-August2017
WHEREAS, the property owner has submitted to the Administrator a Boat Identification
Form and current insurance.declaration page as required by the Marina Rules.
NOW, THEREFORE, in consideration:of the aforesaid, the undersigned:agree and
approve that- Kevin & Tammy Cutler shall have the exclusive use of.
Property.owner(s) -
slip.#-B-08 in the Pamlico Plantation marina and:such right to exclusive use shall .
continue so long,as they are the owner of said Lot/Townhome at Pamlico Plantation.
Should the:bwners of said Lot/Townhome sell their boat:and replace it With a different
size boat, they will have the opportunity to request reassignment of a different slip to -
better accommodate their new boat. The use of the:assigned boat:slip does not
automatically carry forward to future purchasers:or subsequent owners of said Lot/
Townhome.A new Marina Boat Slip Assignment Agreement with the new owner and
the Association will be required at the time property ownership changes hands.
;.Any change in the designation of an assigned boat slip must be with prior written
approval of the:undersigned. New slip assignments will be made upon the selection by-
the property owner of:a.slip from a list of available slips provided by_the Administrator. -
Kevin-&Tammy Cutler agree to abide and be bound by the Rules and
Regulations -
- Property owner(e) . -
• promulgated by Pamlico Plantation Property Owners Association and the Marina
Committee as to the use of the marina area and docks.
•
This 08 day of August year 2018
Property Owner POA Administrator stia-taah4
President - - Marina Committee Chair
Page 2of

Pamlico.Plantation Rules and:Regulations Manual Procedureraumber'r R&R30.11.7 •
; ;Tide: Boat;Slip.:AssjgnmentRelease Date of Issue: 08 August 2017 ; •
At a:February.20;17 Town Hall meeting the Board of,Directors„introduced•a:plan to•change the::
process for:assigningboat slips to property owners. The new procedure would assign slips to
property owners based on the size of their boat's length, beam, draft,;and power requirements. : `. :
To develop a poolof unassigned,slips residents are asked to voluntarily release the slip ::
. ' currently assigned to them. This form has been.developed for that purpose.
• WHEREAS, .Kevin &Tammy Cutler has/have:been assigned Slip:# E�_35: .
' ' Property Owner(s) -
•
in the past.when l/we purchased Lot/ ownhome#PH003 at Pamlico:Plantation;;and •
WHEREAS,;the Board of Directors and the Marina Committee wish to:develop'epool of • •
:
unassigned slips,in. r orde to facilitate a new plan to assign slips based on boat size rather than
the arfiitrary:assignment of slip to loUtownhome number used inahe past; -.•• •
_ . NOW,THEREFORE,!in consideration of the aforesaid,the undersigned agree and:approve that
I/we voluntarily release exclusive use of boat slip#:E-35 . :for the purpose of'populating the ' •
:pool from which future boat`sliii assignments will be made.: :: .. .
I/we:understand we retain the right-to exclusive use of a slip,and will be able to choose an.
appropriate slip in the future that meets the requirements of my;boat. At that time, I/we will:
complete a new:Boat Slip Assignment Agreement.
I/We agree:to abide And be bound by:the Rules and Regulations promulgated by the Pamlico
::Plantation:Property Owners Association and the Marina Committee as to the use of the.marina :: : ;:
;.area and,docks. :.
This .`08 . day of August year 2018 :
Property Owners) POA Administrator
.
•
resi t: ••` : Marina Committee Chair
Page lof 1
.
.

�n . w� �
i

r yil."
eo#000/
Pamlico Plantation Rules and Regulations Manual Procedure Number: R&R 30.8.4
Title: Boat Lift Application Date of issue: 18 July 2019
By completing and signing this application, the undersigned agrees to comply with the Marina
Rules and with the guidelines and specifications for installing a boat lift.
Signature: _ -' - �'= 04/28/2021 O
,_ Date: O
Print Name: Lindsey A. Crisp'
Received by the arina Committee: Date Initials -/
fr
Approved Disapproved Date -"L'6I" `2.- Initial. At
Requests for further information and documentation: Date
Information requested:
Page 3 of 4

Pamlico Plantation Rules and Regulations Manual Procedure Number: R&R 30.8.4
Title: Boat Lift Application Date of Issue: 18 July 2019
PAMLICO PLANTATION PROPERTY OWNERS ASSOCIATION
Notification to Slip Assignee(s) Adjacent to Proposed Boat Lift CO
(C>,
This form should be provided to the adjacent slip assignees and a signed copy of this foe
should be submitted for each adjacent slip with the application to show notification has
occurred.
Name of lift applicant L.krvik S A-
Address l31 12\g•e r"r w W tis1N:v "\ M G Z�61
Telephone 252 • 1K .O LO(eell Phone ),5 2 3 3 .050
Slip to be modified S '15
Item 11 of the boat lift application requires the adjacent slip assignee(s) to be notified of the
proposed boat lift, and given an opportunity, if desired, to address the Marina Committee at its
next committee meeting, or to contact the chair of the Marina Committee if he/she has any
questions or concerns before the installation is approved.
As the assignee of a slip adjacent to a slip in which a boat lift is being proposed, you have an
opportunity to address the Marina Committee should you have any concerns regarding the
proposed installation. If you have concerns or not, please so indicate by signing this form so the
applicant can return it to the committee. If you do have concerns and wish to address the
committee in person, please notify the committee chair. The committee normally meets in the
Clubhouse on the first Thursday of each month.
Adjacent slip number • 1 J I wish to comment: Yes No
Signature, adjacent slip assignee /6-- v Date 27—7 z v
Print Name:_ N 2
Page 4 of 4

Pamlico Plantation Rules and Regulations Manual Procedure Number: R&R 30.8.4
Title: Boat Lift Application Date of Issue. 18 July 2019
PAMLICO PLANTATION PROPERTY OWNERS ASSOC9N
JO
Notification to Slip Assignee(s) Adjacent to Proposed Boat Lift 0
This form should be provided to the adjacent slip assignees and a signed copy of this form
should be submitted for each adjacent slip with the application to show notification has
occurred.
Name of lift applicant Lo"c�s - �'r``?
Address \3\ qQ✓ • , W ^ / �- 2 °�
Telephone 257--• 1 1 01006 Cell Phone 2-5)-• 1C32,.DDI
Slip to be modified .% ``5
Item 11 of the boat lift application requires the adjacent slip assignee(s) to be notified of the
proposed boat lift, and given an opportunity, if desired, to address the Marina Committee at its
next committee meeting, or to contact the chair of the Marina Committee if he/she has any
questions or concerns before the installation is approved.
As the assignee of a slip adjacent to a slip in which a boat lift is being proposed, you have an
opportunity to address the Marina Committee should you have any concerns regarding the
proposed installation. If you have concerns or not, please so indicate by signing this form so the
applicant can return it to the committee. If you do have concerns and wish to address the
committee in person, please notify the committee chair. The committee normally meets in the
Clubhouse on the first Thursday of each month.
Adjacent slip number I wish to comment: Yes No TY
Wiav_eti
Signature, adjacent slip assignee
Date / ?4
g 1
Print Name:_ �,�s` / '� I W4"e-(er
S s
Page,4'of A'

Pamlico.Plantation Rules and Regulations Manual _
Procedure Number:MR 30:1L4
time: Boat Lift Application Date of•ss-e: 16 August 2017
PAMLICO PLANTATION PROPERTY OWNERS ASSOCIATION
Notification to Slip Assignee(s)Adjacent to Proposed Boat Lift
This firm should be provided to the adjacent slip crrsignees and a signed copy of this tom'
should be submitted for each adjacent slip with the application to show notification has
t..ctzurred.
Name of hit applicant 1 F i-r
Adores$ 1I c"-'- .q-ttit*Lc. `r I
Telephone Cell Phone(''i`cI
Slip to be modified `^•
Item 11 of the boat lift application requires the adjacent Shp assignee(s)to be notified of Inc
proposed ooat lift, and given an opportunity, if desired. to address the Marina Committee at its
next committee meeting, or to contact the chair of the Marina Committee if halshe has any
questions or concerns before the installation is approved.
As the assignee of a slip adjacent to a slip in which a boat lift is being proposed, you have an
opportunity to address the Marina Committee snou!o you have any concerns regarding the
proposed installation. If you have concerns or not, please so indicate by sinning this form so the
applicant can return it to the committee. If you do have concerns and wish to address the
committee in person. please notify the committee chair. The committee normally meets in the
Clubhouse on the first Thursday of each month.
Adjacent slip number 3 S- I wish to comment: Yes No V
Signature, adjacent slip assignee _ _,_Date yf -S.91
J 3, -u G.- Ma L 1it N�
Page 401 4

Pamlico Plantation Rules and Regulations Manual Procedure Number:R&R.30.11A
rite: Boat Lift Application Date of Issue: 16 August 2017
PAMLICO PLANTATION PROPERTY OWNERS ASSOCIATION
Notification to Slip Assignee(s)Adjacent to Proposed Boat Lift
This form should be provided to the adjacent slip assignees and a signed copy of this form
should be submitted for each adjacent slip with the application to show notification has
occurred.
Name of lift applicant v Q\ 4\fl
Address 1'D a- 441-1,Gyn r CV Wa4c)1 t i t\Wr0-?\\ N L .27gSq
Telephone Cell Phone(t 1.1'1).(91$ — 1367-
Slip to be modified 13, 33
Item 11 of the boat lift application requires the adjacent slip assignee(s) to be notified of the
proposed boat li t, and given an opportunity, if desired,to address the Marina Committee at its
next committee meeting,or to contact the chair of the Marina Committee if he/she has any
questions or concerns before the installation is approved.
As the assignee of a slip adjacent to'a slip in which a boat lift is being proposed,you have an
opportunity to address the Marina Committee should you have any concerns regarding the
proposed installation. If you have concerns or not, please so indicate by signing this form so the
applicant can return it to the committee. If you do have concerns and wish to address the
committee in person, please notify the committee chair.The committee normally meets in the
Clubhouse on the first Thursday of each month.
Adjacent slip number I wish to comment:Yes No
Signature, adjacent slip assignee iur /r0"{Date 7' to gal"
Page 4 of 4