Harborside Club 88669C

ACOUXV GENERAL
❑/DREDGE & FILL ICI« ����6(9 APrev
� GENERAL PERM IT D tel previous permit
issued
us
.eNew ❑ Modification []Complete Reissue ❑ Partial Reissue
As authorized by the State of North)ylina. Depa vent of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC (�! A���❑ Rules attached, General Permit Rules available at the following link: www.deq.nc.goy/CAMArule
Applicant Name -K
Address
City ML
Phone # ( 'f;,25-
Email
Authorized Agent kC"✓
Project Location (County):
sy
ZIP _ )��. Street Address/State Road/Lot #(s)
Subdivision _yam
City fv( c- ZIP
Affected ❑ CW FNffA— A!TA ❑ ES ❑ PTS Adj. Wtr. Body C " p an/unk)
AEC(s): ❑, OEA ❑ IHA ❑ uUW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
nRW• vdc7nnl PNA• vpdfnn
Type of Project/ Activity
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(S
Finger pier(s) �
t!r
Total Platform area
Groin length/fl
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel r `
Cubic yards T
Boat ramp
Boathouse Boatl'/✓®
Beach Bulldozing
Other
/ � as�lv�a
SAV observed: yes no
Moratorium: n/a ye no > (> uu
Site Photos: y Riparian Waiver Attached: y n
00
A building permit/zonin p}} -mit be required by: �`
Conditions 1� t OUN, i� `: n Tie —
Permit
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED C
Ag or Applicant PRINTED ame Permit Officer's
SI nature **Pleread co liance statement on back of permit** Signatu
/ 7
Ap�'ication Fee(s) Check ff/Money Order Issui g Date
ame
N W
Cseek-ox,x
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
e--
Initial)
Date

'A' rourN CAMA ❑ DREDGE & FILL � N9 88669 A
! GENERAL PERMIT Previous permit
Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North arolina, Depawnent of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC O o ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address M,
City
Phone #
Email
,-77 f Authorized Agent l f
l- b
Project Location (County):
tare ZIP Street Address/State Road/Lot #(s)
Subdivision
City _ G ZIP C f oJo
Affected ❑ CW _ ❑ ES ❑ PTS Adj. Wtr. Body ' a n/unk)
AEC(s): ❑ OEA ❑ IHA ❑ LIW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body U 2 e
ORW: v s no. PNA: ve�not/
Type of Project/ Activity
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(
1
Finger pier(s)
Total Platform area
Groin length/# Ilk
Bulkhead/ Riprap length
II �
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse Boatl' _
Beach Bulldozing_
Other
SAV observed:
yes
no
Moratorium: n/a
yes
no
Site Photos:
ye
no
Riparian Waiver Attached:
y
n
A building permit/zonin p
mit
be req
Permit Conditions
JOE-
OF
nt PRINTED Name
ired by:
DNS THAT APPLY TO THIS PROJECT AND REVIEWED COM
Permit Officer's
- - - - - - d OiN)
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Initial)
Si nature **Pleas read compliance statement on back of permit**
App ication Fee(s) Check #/Money Order
Date
Date

Styron, Heather M.
From: Kari Taylor <[e-mail]>
Sent: Thursday, July 7, 2022 1:35 PM
To: Styron, Heather M.
Subject: [External] Harbor Side Club Slip 47
Attachments: Bried-AdjacentRiparianForm.pdf; Agent Auth Form.pdf; styers adjacent
RiparianForm.pdf; East View.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Hi Heather,
Please find CAMA document attached for Harbor Side Club Slip 47. Please let me know if you have any questions or
concerns.
Thank you,
Kari Taylor
Executive Vice President
C:252-571-7282
BRIM RRINI

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: VE, I -A Z�UF
Mailing Address: 714
2-76 S�6
Phone Number : 5 a- 788 -,05,0 '1
Email Address: 6- �A xvm
I certify that I have authorized . CAIRTE-.VI CEIT -,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: vcAx cFT- ors go st"Ir> 4-47
A7 cv,)!a - �'M2-5- Aftf,)D&4, Gn "ORrHON-D C'i"TY NC209S*7
at my property located at 442-5 AFEKDC-a ST-'- tie- 2,e-m
County.
I furthermore certify that / 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
or, the aforementioned lands in connection with evaluating information related to this
permit application,
props rtyOvner Infor4ion:
�V&v,qeglo k'CLA-eVt-fUZ-, (D e V Cdq.4 EX
Print or 7ype Name
Title
Da!e
This certification is valid through

N, , DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
F�TEII t��lAl� RETURN �II�T r�t�l.I�Tlwt� cr I°IAI�U i�l�IIVI~R�'
(Tap partite to be completed by owner or their agent)
� rof P, orerty Owner c"rNEX'iis
t iiC,r£t5 t>¢ L>'pry, 'r -I -qf.�a t#' w
f adtf)g Address cf Owner,
Owner r err ll iZ # ( Owner's Phone# 9
Ager`t s Narne Carteret Marine Services Agent I'hone#: 252 631-94 5
Qent Erna=i info a carteretmarine,cortl
Abe ACENT' RIPARIAN PROPERTY OWNER-S CERTIFICATION
i o#tom c�rtlon ttr be cost Feted b the Ad'acen# fro ert Qw�ter
;` that I own property adjacent to the above referenced property The rrsdivid'ual a (,n for thin,
P p y ppY ��
Perm* E =s GescFlbed to me, as shown on the attached drawing the development they are proposing, 8
d�s�rptr,_c.�..�r�4'�,�,�,,�v�t��_d� ensit�ns� mc�� be�rev�tfed �.itti this Fetter_
[ GAO NOT have oblectiOns to this prOposal, _ I DO `rave objections to this proposaf
if YOU hive objecii€�ns rowhat% being proposed, you must notify the N.C. t�iv sitir� �f ���slal Management (t CR ) in writing within 10 days of receipt of this notice. Correspondence should be
rrrailed 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 Maff
WAIVER SECTION
I r rstand that any prop sed pler j zz ck moofing pFEngs, boat ramp, breakwater, boathouse ,.t oy
-,, =n Must be set back a n,rnirnur;t d�Slance of 15' frOrn illy area of riparian access unless wa very by rre
this 'does not apply to bulkheads ,)r r;prap revetrnent�,, (if you w.s'r to waive the setback, you most si n the appropriate blank below,)
I f wlsh to l'c7fi�=e scr fail of the 15 setback
_fie 1 f
+ nalwe of Adjacent Ri a,iao Property Owner
do tea# b,rti the 5' setback re putrerne^ i=nitral the blank)�
`er r;at1Jr'e of Adlacent ?"#Epailan Propeitcy Owner" m
Typed/Printed flame of "�
ARPc�a YA �m� I k <r�
:Mailing Address of ARPO,, _. JI 14 !vt � Vt ti LLe-
ARPO`s email, L s41,&�
ARPi�s � ! G
,.... Phone* IL
...
Date,' w `waiver is valid for up toone year trcrrt faRPi's Signature"

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Properly Owner: �✓0,ra,'X7V ✓C:t/17C Wiz._ 9� V cnatFrre�)ac faPF�erfr s>
Address of Property: &17 51 P _W N7 yr< ti A1?4,y-ie..s7, rfogt,&W) ell V , V& 2 65 S 7
Mailing Address of Owner: 71,V c,eomr,trcc. 7R,-8
T Owner's email: �KUt,(zr�u[z- d! H c cv Owner's Phone#: (52.) -4 7
Agent's Name: Carteret Marine Services Agent Phone#: [phone] ____
Agent's Email: [e-mail]-n
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
1 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
I DO 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 notice, 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 Mafl,
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! _—
Signature ofAdjacen iparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TypedlPrinted name of ARPO: John T. Bried, Jr.
Mailing Address of ARPO: 4401 Arendell St, Morehead City, NC 28557
ARPO's email:
Date:
[e-mail] ARPO's Phone#: [phone]
'waiver Is valid for up to one year from ARPO's Signature'
Revised May 2021

N. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTAFTE-D —t14AflL--R-E1—URN RECEIPT REQUESTED oi HAND DELIVERY
(Top Porlion to be completed by owner or their agent)
Natnt-, If Piowiv Owner trtP
Addr.ess of Property
M&Iw-19 Address of Owner, 7/*/
Owners er-al! �N<T�Aj_ Owner's Phone# �152.) ins?)
Agent sNarre Carteret Marine Services
Agent Phone#; 252 631-9435
Ef-ri3;' alfo@carteretmarine,corn
AWACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
HE! rattea 17117''! nortion to be co
—MW21Rci b the Act'acer#t PropeEly civvner)
hereby cervy that i own Property, adjacent to the above referenced properly. The 311dividusi appiy,ng! . ,x
Pern) ,l has described to me, as shown on the attached drawing, the deve; zt they are pfoposinn A
descri Pik! �n(� r d L opmer
I DO NOT have ob;ectjons to this proposal __ I
DO `~ave objectiors to this proposal
If yiuha tad ft€snsto wha is being proposed, You must notify fy the NC. Divis to I n "I o Coasts
Management (DCMI in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave,, Morehead City, NC 28557, DCtUl representatives can also be contacted
at [phone], No response is considered the same as no objection if you have been notified by
Certified Mail.
1 ',inde,stanj that a-y prcposed pie WARIER SECTION
r Clock Mooring pilings, boatriimp. breakwater, boalnouse, ,:,ft 0-
Itoiri must be se l back, a minimum distancf-, of 15'from my area �of riparian access I uniess waved by me
"this does rof qpr�:y to
r)
I t! bulkheads or riprarevetments). (if you wv'sl1i to waive the setback, you MgtLsiqn
the appropriate " "5ank below i
i 1)0cart SII, to waive SW—,ei8il of the 15' setback
-013.
Signaluip. of Adjacent Riparian Properly Owner
do not %>wa!ve the 15' setbackreQuff(,Ment 01ilial the blank)
Smnature of Ad jacent Rpanan Property Owner
Typed/Printed name ofARPO-, fyqn�,
4-
Mailing Address of ARPO-. I � vt f) LA,?—
ARPO's email: �t.0
62 YV Jl�o
date:._. I 1z, ARPO's Phone#
is valid for up to one year from ARPO's Signature,