88087B - Pamlico Plantation

o cwsr4 n❑LAMA DREDGE & FILL f No 88087 A ' C t. GENERAL PERMIT TO 4 �) C706 Previous permit ,
`�/ Date previous permit issued
n New f !Modification n 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:
I 5A NCAC n Rules attached. n General Permit Rules available at the following link:www.dea.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 rim n EW D PTA ❑ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): n OEA n IHA UW n SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
• A - Z 0 -5 1 ,I ao� (Scale:
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
•
Finger pier(s) • y
•
Total Platform area •
Groin length/if
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length '
Basin,channel
Cubic yards
Boat ramp
Boathouse/Boatlift C2,
Beach Bulldozing
Other
SAV observed: yes no --
Moratorium: n/a yes no
Site Photos: yes no _—T.-..-- ---,. ..
Riparian Waiver Attached: yes no
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
5 64•9. A I E5 f3v ,r-r ILl
5 -- o / v 2vZ2 n 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** Signature
,52 _
Application Fee(s) Check Jt/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

o'''''''' I ICAMA DREDGE & FILL N° 88087 ABC D
i
GENERAL PERMIT Previous permit
Date previous permit issued
New Modification Complete Reissue I 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 I Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArule_s
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP
Affected n cw n EW PTA I 1 ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): I 1 OEA IHA UW SPIMA I 1 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
1
SAV observed: yes no 1
Moratorium: n/a yes no -- • --
Site Photos: yes no ;._« __ _- -_:.__w
Riparian Waiver Attached: yes no I i.
A building permit/zoning permit may be required by:
TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
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** Signature
Application Fee(s) Check ri/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
- _ secretory
CoastalManayement BRAXTON DAVIS
ENVIRGNNmWAt.NUAUT/ C te]or
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 02B.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. •
2. 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. L I /
• Pre-proj�e`9 site conditionss- ( v7 i /��'il��1`al- �-Cl c`"l
ln.i 4 f^ Cf %%Lf21 t //'Icy -� ,g u"l,d-r c c,
By your signature below you agree to be held responsible for meeting all of the conditions listed above a v ify
that all-infoor�rrmation provided is complete and accurate.
Agent or Applicant Printed Name ermit 0 "cer's Signatur
•
AgCt orYApplican gnature Issue Date
CAMA GENERAL PERMIT#: (l�OO 7 3>
State of North Carolina I Environmental Quality I Coastal Management
washing/on Office 1943.Washington Square Mall Washmgton.NC27889 1 2 52-946-6481
• Wihrvngton Office 1127 Cardinal Drive Ext Wilmington,NC28405-3845 1910-796-T215
Morehead City Office i 400 Commerce Avenue Morehead Crty.NC 28552 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
locan.
IBC 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 and Dock B 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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjact Property Owner Information)
AMIN-AV
.Sye"iuiiui c' ti'i,nu1ln'c
Print or Type Name Print or Type Name 1
Mailing Address �p Q Mailing Address
City/StateTZip City/State/Zip
"L5"L £`'J, .1/ 10 919-618-1367 _ _ --
Telephone Number Telephone Number
(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 ands 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 Owner Information)
44.71\1/0/ "°/
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
cIZv 11,v1 Zv
Date Date
(Revised 6/18/2012)

Pamlico Plantation Rules and Regulations Manual Procedure Number: R&R 30.8.4
Title• Boat Lift Application Date of Issue: 18 July 2019
O
Name 1 �( \L[ /; 5La/1 ��6A-u\ (,'� � D- - 0 Z
Address 1 C 44--?C‘c_5\ C � � , �� 7 la2AL k 1c'k
Telephone (H) (C) cklc‘ C•432-1 (W)
Slip Number to be Modified ���TW�� �3( 9 Slip Size
t `
Boat Size (LOA x Beam) 2 0 `� S 0
Contractor Installing Boat Lift: 'Ctlej C°.AC\ Phone Number: Z-52 • 17(00 • 09 3t4
Electrician Installing Boat Lift: V2 C -�«L 0� Phone Number:
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:
1. The property owner, hereafter referred to as the applicant, seeking to place a boat lift in
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.
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&R30.8.4
Title: Boat Lift Application Date of Issue: 18 July 2019
'6. The applicant understands that the boat lift will not be insured by the marina and that
liability for damage caused by the lift or by the boat in the lift is the responsibility of the
lift owner.
7. 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
lot/townhome, (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 lot/townhome 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:
Refer to Directions and Specifications for Applying for a Boat Lift for piling and electrical details.
i 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
pilings 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

1
f`;
Pamlico Plantation Rules and Regulations Manual Procedure Number: R&R 30.8.4
/ 1
Tide: Boat Lift Application Date of 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: çf2N Date: 1-12 3 z
Print Name: \)6 'L� 50Vw\Sor\
Received by the Marina Committee: Date Initials
Approved Disapproved Date Initials
Requests for further information and documentation: Date
Information requested:
Page 3 of 4.

r
Pamlico Plantation Rules and Regulations Manual Procedure Number: R&R30.8.4
Tide: 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 90-N-/Lc\ RCS 1 T t1Pr jcsitkicts6Y\
Address l\`1 .
Telephone Cell Phone 25 Z- `��-1 � . \ 3? \ J ( \ t �\S 21
Slip to be modified cf1D '53C.Q
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
Signature, adjacent slip assignee / )C>-c C _K7�,u,..4,0, Date la/2 /Z'L
Print Name:_ DQ U c_ C _ J o 1 to so n
Page 4 of 4

Caroline Bletner
From: Caroline Bletner <[e-mail]>
Sent: Wednesday,July 6, 2022 10:47 AM
To: '[e-mail]'
Cc: Lehman Woods; '[e-mail]'
Subject: FW: Pamlico Plantation addition to permit
Hello Kelly—Just forwarding this to you after getting your email from Bob Carlyle.
Thank you for concern,
Caroline
From:Caroline Bletner<[e-mail]>
Sent:Wednesday,July 6, 2022 MOO AM
To: [e-mail]
Cc: Lehman Woods<[e-mail]>; '[e-mail]' <[e-mail]>
Subject: Pamlico Plantation addition to permit
Hello Ashley,
I hope your vacation is going well and you enjoyed the holiday.
In accordance with prior discussions with Lehman please issue CAMA permit for slip A-20 as a modification to an existing
open permit#88087 for slip B-36 dated June 27th, 2022.
We appreciate the work on this.
Best,
Caroline
Caroline Bletner
Administrator
Pamlico Plantation POA
252-946-2390
poaofficeApamlicoplantation.com
CONFIDENTIALITY NOTICE:The contents of this email message and any attachments are intended solely for the addressee(s)and may contain
confidential and/or privileged information and may be legally protected from disclosure.If you are not the intended recipient of this message or
their agent,or if this message has been addressed to you in error,please immediately alert the sender by reply email and then delete this message
and any attachments.If you are not the intended recipient,you are hereby notified that any use,dissemination,copying,or storage of this message
or its attachments is strictly prohibited.
1

By completing and signing this application, the undersigned agrees to comply with the Marina r cL' �'L9(
Rules and with the guidelines and specifications for installing a boat lift. L/ ,/ j b1
lki
tzliq C
Signature: Date: T '2a' fr,fw
Print Na e: Ash 004er
lit/Wlif
Lp
,/
Received by the Marina Committee: DateIA �� Initials
/
Approved j Disapproved Date /1). 2-7 z initial��___ -.--)_' 's- Citill I \.I
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Requests for further information and documentation: Date111
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Page 3 of 4