Dockside Yacht Club Inc. 87355C

"`r" . L AMA ❑DREDGE &FILL N9 87355 A B (OD
>' Previous permit
ENERAL PERMIT
Date previous permit Issued
]New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorizeby\th(�$1tat of or(t�h(��a(�hfga, Department of Environmental Quality and the Coastal Resources Commission In an area of environmental concern pursuant to:
I SA NCAC J� v Rules attached. n General Permit Rules available at the following link:wwwft.nc,&MK6t1A—WIes
Shoreline Length -J /U /1 _
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform( a
Finger piers),
Total Platform area
Groin length/g
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ lengdr"::
Basin, channel --—"'"—'"
Cubic yards
Boat ramp c
Boathouse Boa _ 13t Y8
Beach Bulldozing/�
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
A building permit/zonl ennl
Permit Conditlons
C
Agent or Ap Ilcant PRINTEDNa e / (' A wl�U��N �t W EL_
S to atV. read mpian statement on back of permit`
1)
TAIVPAWNEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
11 See additional notes/conditions on back

o1+0 Court, AMA ❑ DREDGE & FILL N° 87355 A B roo
Previous permit
ENERAL PERMIT
Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorize by th(�$ltaat.�(o( ordhh�CaapaNa, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
SA "CAC _ JJ� � `r 0 ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules
Type of Project/ Activity
Shoreline Length
Access Length _
Pier (dock)length
Fixed Platform(s)
Floating Platform(*
Finger piers)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill ------
Max distance/ lenggr-
Basin, channel—"
Cubic yards
Boat ramp a
Boathouse Boa _ 16,
AJ ✓'
Beach Bulldozing
Other W ,."MA i
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
A building permit/zoningfpermitf
e
Agent or Applicant PRINTED Name
S ture ** a read compliance statement on back of permit**
i k bw
Application Fee(s) Check #/Money Order
Permit
Issuing
❑ TAR/PAM/NEUSE/BUFFER (circle one)
ElSee note on back regarding River Basin rules
See additional notes/conditions on back
Date

Styron, Heather M.
From:
David Anderson <[e-mail]>
Sent:
Tuesday, May 3, 2022 2:23 PM
To:
Styron, Heather M.
Subject:
[External] Dockside, Slip #52
Attachments:
2022-05-03_141418.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Hi, Heather.
Signed documents and drawing is attached.
Thanks!
- 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: [phone]
www.ezdocksolutions.com
www.nautimetal.com

L4Name of Property Owner Requesting Permit 'Y
Mailing Address 'EYU t1, 11 t
Phone Number: --
Email Address: xx t
I certify that t have authorized GC k =, Agent t Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development �4.�'T —1/1' -7Atw�t 7 `1I
at my property located at
in C7 county
t furthermore codify that t am authorized to grant, and do in fact grant porntission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection I evaluating information related to this
permit application.
Property Owner tnfomtatiow
`osJ
Dale
This certification is valid through -A

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN ECEIPT REQUESTED or NAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Dockside Yacht Club
Address of Property: 301 Arendell St., Morehead City, NC 28557
Mailing Address of Owner: 311 Arendell St. Morehead City. NO 28557
Owner's email: _docksidavc�gmail.c Owner's Phone#: j252) 247 4890
Agent's Name; EZ Dock Solutions _ Agent Phone#: [phone]
Agent's Email: eadocksolutionsQyahoo.com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property gyryner)
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
NOT have objections to this proposal I DO have objections to this proposal,
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notke. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. 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 $at 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,)
100 wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR- _
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner —. -�
Typed7Printod name of ARPO:j
Mailing Address of ARPO:t t ✓,i..-_.�_s� C=W._��1 rV
ARPO's Phone*
onqe-#
q:.g -&
Date; _ _i ° _� _..:... ver is valid for up to on dAr from ARPO's Signature*
Revised May 2021

a complete itema 1, 2, and 3.
at Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the maHplaca,
1. ArHnfe Addreaeed to:
Cto Wl\\ W-Nk t(
Wi�tvi�rr�k�nN'Nc, a4�H01,.
9590 9402 6783 1074 5863 45
0 Agent
o.ie ellveryaddressdlHererdfmm Henl? Wye`
If YES, enter delivery arklmm belw. 0 No
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7021 0350 0001 4904 1166 aNdaaaoa"�
f39 Form 3811, Ju{y 2020 P5N 7530.02-00a-9053 DomesOd Return Receipt

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