Palm Suites Owners Assoc. 88637C

a° w AMA-ErDREDGE & MILL N9 88637 A e o Q
PreviomerrWit
GENERAL PERMIT Date preMous
QateprevjO(,s permttissued
'DaKew ❑Modification ❑Complete Reissue 004rtlat Reissue.
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(CEewAMA DREDGE & FILL S�tL N° 88637 A i� D
NELPERMIT Previous permit
Date previous permit issued
❑Modification [:]Complete Reissue ❑ Partial Reissue
As authorized by the StateofNorth C olina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCACOV �I0 , 07 -I—gv' 0A lines attached. General Permit Rules available at the following link: www.dea.nczov/CAMArules
z i
City
Phone #
Email
CU9
Authorized Agent '
Project Location (County):
StreeDts Addres Road/La #(s)
P�
Subdivisi n �
City n J1' C-h ZIP
Affected ❑ �CW P'� tW rrr��A Pis Adj. Wtr. Body (n nk)
❑ C
AEC(s): ❑ ru OEA j IHA UW sPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/Jq PNA: ye, 01—>
of Project/ Activity
Shoreline LengtRl 7 S_ PM7"
Access Length -
31
Pier length
Fixed Platform(s) ip r
f..n.,'
C a
� C pia
Floating Pl mlj)
X ad.
Finger piers) ( ,�' n\�11' 6? � ,�
Itey \�(l,.l ` W J " C' mil.
Total Platform area
s ^j)-"terry
Groin length/M V 6
Riprap length
vg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubicyards
Boat ramp �
Boathouse/ Boatlift
Beach Bull g \v,
Other
kz�' "' V i Lxow
SAV observed: yes
Moratorium: n/a yes lQ(.5P�yJ
Site Photos: yes �^ `
Riparian Waiver Attached: e no ?C , f l SLl l*C/
A building permit/zonin permitma bere uire y: fi/ �r��,�
—Permit Conditions ❑ TAR/PAM/NEUSF/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES D CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED MP IANCE STATEMENT. (Please Initial)
;�K aisfma n lm i t
Agent or pp t PRINTED Name Permit Officer's PRIV_W NarDe /T A
Si ature "Please read compliance statement on back of permit•'
Application Feels) Check #/Money Order

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 1-1 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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-411COAST Fax: [phone]
(Serves: Carteret, Craven -south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven —north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover and Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

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 Ovgner. _?Al..yo\ Sv1T-FS . Ikrl, G
Address of Property: llbup� W f<o:y—C tkkp'r_AN 1Z,-D
Mailing Address of Owner. SS 0a. xi- E0!gy: V`1aC0TJ 12=L
Owner's email t Aft5Tv atgn) Lt & GVTA^%t �wner's Phone*. asp; — 2o5 - Gt % tom'
Agent's Name: Doug Watkins Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adiacent Property Owner)
I hereby certify that) 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.
X I DO NOT have objections to this proposal. 1 DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. D10slon 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 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.) n )
100 wish to waive somelall of the 15' setback ! ,41 1 >
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:
TypedlPrinted name of ARPO:T4 RI�A-E E'DA��J'D%IUO
Mailing Address ofARPO: kk0 1D -v1S 26-12
ARPO's email: ARPO's Phone#: _�1
Date: `d Z a 'waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

A
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWA1VER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. fd I 5 .i, r o t"M eJ' /Q'j-5c_r.viio
Address of Property: (O n . J�^^ - c o KY �+ A:-t j,,, } jg ; „ t, , g S r,2
Mailing Address of Owner, (�o (a �9�1 "�o r.c k<,a ci 4 2 �SS7
Owners email: 1+1 S�wun AG —.Owner's Pnoneo; AS;t-.20S-tt. L7
Agent's Name: -Q1t, u, AgentPhcnah: e92 g - 3 Pa 9 - 77c
Agent's Email: ytdgt
ADJACENT RIPARIAN PROPERTY OWNER'S CERnFICATiON
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby canny that i Ow'nPtoperty adjacent to theabova referenced property. The individual applying for Imp
Permit has described to me. as shown on the attached drawing, the development they are propdsr�. A
descriatio/o drawino wlih dimensions, motet bs mow ggd with this Iatttar_
t DO NOT have objections to this proposal. T 100 have objections to this proposal.
d? .this notice,oPC
In wrRirtg within f0 days of recaipt of this flce. Carrasppndenca shouts 60
�maroeAve., Moreheatl Ciry,; NC 2855T. OCM raPrasentathras cap also be ednrasrotl
No response is considered me same as no obloodo, if you ham been notified by
WAIVER SECTION
I understand that any proposed Per, dock, oaring pilings, teat ramp, breakwater, boathouse, lift, w
groin must be set back a minimum distanoa of SS' from my men of riparian access unless waived by me
(this does riot apply to bulkheads or ripmp revetments). (it you wish to waive the setback, you must Sion
the appropriate blank below.)
100 wish to waive some/all of the t 5' setback
Signafrua afkdi'aeoiti Riparian Rroperty 6ivrar
-OR-
I do not wish to waive Me I & setback requirement {initial the
Signature of Adjacent Riparian Property Owner
TypedtPrintedmmeot ARPO: L—fOVd (fcq-W
MatBng Addreasaf ARPO: V11 hj FrsrF' fnaeor, t t w,1„r.
ARPO's ema8: L ibAt.,) z(2.9 9, " I' n 's.Phpno#:. 9s2 22-9 V ?s
'Waiver is validfor up to one year from ARPO's Signature`
Revised July 2021

Palm Suites I Intel
fiOZ W. Fort Macon Rd.
Atlantic Reach, NC 28512
Floating Dock,Ramp Project Narrative
Palm Suites Hotel is proposing to remove approximately 120* of stationary dock (including 5
finger piers} extending from the cover pavilion and replace it with a floating dock. The floanng
dock will include an Wxff'starjonary access dock, 5'x24' gangway ramp, 6*X56* Coating dock,
8'x 12W floating dock. (3) 4'xl 2' & (1) 4'xS' floating linger pier, and a I"x33' floating dock,
This floating dock system will be used for recreational boating and fishing.
Pall" Suite Hotel is also Proposing to remove the existing boat ramp and rcplacc it with a new
boat ramp in the same location. The stationary and floating dock next to the boat ramp will be
moved from the west side of (lie ramp to the cast side, of the ramp:
I hereby certify dw all information contained herein is true, accurate, and complete to the best of
MY knowldgj and belief.
Thank you for your time and considetation of this project.
ect,
Sincerely,
Rick Mastman
Vice President
Palm Suites UOA and Palm Suites Ilatel, LLC.

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502 W Fort Macon Rd
Atlantic Beach, NC 28512
Existing Floating Proposed Floating --- --'
Launch Access Dock
Launch Access Dock ry
E
v ,
S--
Normal High
Water Level
r � a
IV
471
s
i .w'wre.auaw..L
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Existing Wall to
Remain
Existing Boat Ramp
to be Demoed 8
Replaced
Existing Gravel
Property Line
Driveway to Remain
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