HomeMy WebLinkAbout88325C - Harborside Club at 70 W.our ) t' `
❑CAMA ❑ DREDGE & FILL T'44 . �� A B C D
$3� Previous permit
3 G E N E RAL 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:
ISA NCAC ❑ Rules attached. \I General Permit Rules available at the following link: w ..deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
ZIP
Authorized Agent
Project Location (County):
Street j ddrr,�IState Road/Lot #(s)
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Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nattman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/po -----
Type of Project/ Activity
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A building permit/zoning permit may be required by:
Permit Conditions
❑ 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
Signature '*Please read compliance statement on back of permit"
Me
Application Feels) Check k/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date
Expiration Date
+0toW4,&❑CAMA ❑ DREDGE & FILL N9 88325 A B C D
' I Previous permit
3 G E N E RAL 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: wwwdecitic gov/CAMArules
Applicant Name
Address
City State
Phone # (_ )
Email
Affected ❑cW
AEC(s): ❑ OEA
ORW: yes/no
❑EW ❑PTA
❑IHA ❑UW
PNA: yes/no
Type of Project/ Activity
❑ ES ❑ PTs
❑SPIMA ❑PWS
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
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A building permit/zoning permit maybe required by:
Permit Conditions
❑ 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'* Sig atu a ..1,. r
Application Fee(s) Check R/Money Order Issuing Date Expiration Date
Styron, Heather M.
From: David Anderson <ezdocksolutions@yahoo.com>
Sent: Friday, February 11, 2022 4:36 PM
To: Styron, Heather M.
Subject: [External] Harborside Marina
Attachments: 2022-02-11 _162506.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 afternoon, Heather.
Attached is the paperwork for the blanket permit application for boat lifts at Harborside.
Please let us know if you need anything further. I will be out for a while, so Becky will be
your contact here at the office.
Have a great weekend!
- Ashley
David Anderson
President
EZDock Solutions / Nauti Metal
5568 US-70, Suite C
Newport, NC 28570
Office: 252-773-0793
Cell: 252-764-1234
Fax: 252-648-8026
www.ezdocksolutions.com
www.nautimetal.com
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Harborside Club at 70 West Community Services Assoc, Inc.
Mailing Address: clo CAMS
1612 Military Cutoff Rd, Suite 108, Wilmington, NC 28403
Phone Number: 910-239-1364
Email Address: kelliott@camsmgt.com
I certify that I have authorized EZDocks solutions
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Harborside Club at 70 West -
boat lifts
at my property located at 4425 Arendell Street, Moreheac City, NC 28557
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 Owner Informatiow.
_9 PVT —
Signature
Krista Elliott, as agent for Harborside Club at 70 West Community Services, Inc.
Print or Type Name
Communitv Manaaer
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIVIAIVER FORM
CERTIFIED MAIL RETt tau °FrE1PT REQUESTED or HAND DELIVERY
(fop portion to be completed by owner or their agent)
Name of Property Owner;
Address of Property: &142!r Fyn.. 4A 44w (- IMoAl toA 2-vo
Mailing Address of Owner. Ibf1 thlit . l A (i'd t![tr� (�81 a�t1„i�A•�,tyt /YG2dT�3
Owner's email: Owner's Phone#:
Agents Name:i�`D6_ /(�R,Z.. o Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(aOttom Portion to be completed by the Adlacent Property owns
I hereby certify that i own property adjacent to the above referenced property. The Individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
decrt salton or drawlas with dimenslon m t be provided with this letter,
100 NOT have objections to this proposal. I DO have objections to this proposal.
-- ••�•� �_ •.�..> .� nnar re using PropoaeP, you must notify the N.C. Division of Coastal
Management (DCM) In writing within 10 days of fecelpt of this notice. Correspondence should be
moiled to 400 Com narceAve., Mombeed City, NC 28557. DCMrepresentatives can also be contacted
at (252) 808.2801 No response Is considered the same as no objection If you have been noti#ed by
Certllled Mau,
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
i DO wish to waive some/all of the 1& setback
-OR- Slgneturs of Adlacent Riparfen Property Owner
I do do not wish to waive the IV setback requirement (Initial the blank)
1�' a
Signature of Adjacent Riparian Property
Typed/Printed name of ARPO: eQ a+ E t►�l L�iiti 4 %b W FSTI`b 4 N4--
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Ahk6
Address of Property: qq?!r
Mailing Address of Owner: 11112
Owner's email:
Agent's Name: _Tiw(�5 C;b6bLO
Agent's Email:
C
Owner's Phone#:
Agent Phone#: Z5z' #7tj ' 1734
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom oortion to be completed by the Adjacent Pro
pertv Owner)
kfa—rh&,-
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing with dimensions must be provided with this letter.
I UU NU I- have objections to this proposal. I DO have objections to this proposal.
It you have objections to what is be/ng proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at (252) 808-2808. No response Is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
(i/i f�G 5
Signature of Adjacent Riparian Property Owner: vYr/[-
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