92401C - Harbordside Club at 70

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i 0,coAs„,,..% P1CAMA Ill DREDGE & FILL No 92401 ABC D
yo
GENERAL PERMIT
Previous permit
Date previous permit issued
New El 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 �1 4"t'1 . 7o OG' I I Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name`/i V .ef St((-'02 Ci t,J2 al Well rom4`-^tki/ Authorized Agent {*2 „.>e 1to--�.,-> )
Address � f) CAAlc /C /7 NI,J/i1c,.,y� n vtLLS /1cS0.a
V (.f,.to� ea Project Location(County): (',,1N �;1C1
A / r,
City '" 1 I W1+hc)I v/l State A C. ZIP 2 Street Address/State Road/Lot#(s) 4`I 7 C 4,-i r
Phone#( ( ) 07-72 L1 of ?V-23' 13(c Lt
Email 1.4 e, I e C'c,vhS M y4. <o,vt cr '1/Cae</' ?Ss,5I (w Subdivision _----
City rAe In., c_cl Crt.-ae ZIP 2 V"cc
Affected n CW n EW n PTA ❑ES n PTS Adj.Wtr.Body lare1/ ?tie' ( man/unk)
AEC(s): n OEA ❑IHA UW ❑SPIMA n PWS Closest Maj.Wtr.Body Ro,,t„a StAA._oL
ORW:yes/no PNA:yes/no
Type of Project/Activity ",, oO srr( 1,0 ,n FK,s4. e n,, V cre. Ci•l,
(Scale: )
Shoreline Length
Access Length /'*--- _ ._4 —A_ �;__ __ 4. 7 i._ t.. ' ' j e wft -
7
t
i
Pier(dock)length f` pto WA C',Ivb f� {`
Fixed Platform(s) "
Floating Platform(s) j
Finger pier(s) 4�,
Total Platform area �� _ 1
"
Groin length/0 '`
Bulkhead/Riprap length ' -
Avg distance offshore /� i
i et
Breakwater/Sill - ►44 - `
ei
Max distance/length t ♦ I p _ r a p_ y ) _ c� CIBasin,channel t
Cubic yards
Boat ramp -�- ; I --4
)
Boathouse/Boatlift' )3 )r /3,
a
II
Beach Bulldozing W
'�� j.
Other n.47 ,1Ji.J cI ] t.
SAV observed: yes no 0 1 0. ,t r S tip, I,,,,i tvti�� /�!` 4
Moratorium: n/a yes no } t V , --' { „
Site Photos: yes no e — '
Riparian Waiver Attached: yes no _ _ 3 1 ._ . . ...d ._
A building permit/zoning permit may be required by: T, , 44u4 c,c( e.,
1-1 Permit Conditions ` d'ak• i t i,,.. ,.e ' `(.0 ,*� ( ( "'r', (7:.i,r„1�_.I
TAR/PAM/NEUSE/BUFFER(circle one)
rv1 4 ' S+rj ''P" 'e) n 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) V I v •71
Agent or Applicant PRINTED Name Permit Officer's PAINTED Name
Signature**Please read compliance statement on back of permit** Signature r
Application Fee(s) Check#/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

�d`°"Sr"� 5CAMA ❑.DREDGE & FILL N9 92401 ABC D
ti
4 = GENERAL PERMIT Previous permit .....----
Date previous permit issued /-
K 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:
I SA NCAC n Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent -
Address //' C Project Location(County):
6
City State /L . ZIP Street Address/State Road/Lot#(s)
Phone#( ) -10 _ ' (.L
Email i , ' 4 c'+ , `/ ,. ,Subdivision
City ZIP _
C.r
Affected n cW n EW n PTA n ES n PTS Adj.Wtr.Body Y,- (nat/man/unk)
AEC(s): n OEA ❑IHA ❑UW ❑SPIMA n PWS Closest Maj.Wtr.Body ...t L
ORW:yes/no PNA:yes/no `
Type of Project/Activity
(Scale:) : , )
Shoreline Length
Access Length 1 .._. III 1
Pier(dock)length ��11�11��1 1� •1 �6 ,i)
Fixed Platform(s) !1
1111011 Illin'i "1".
Floating Platform(s) 111/
111MINIIIIES11011M61•111 II
I Cr)L Finger pier(s) r {' _Ag
vion ma
Total Platform area /-- Ir-MIM.sIIWitIa II E....M.,I IIIIBI.I.
Groin length/# / .H4 i.R..IM.IIM.-.'4, ..Si a..lM..la.- n--1.i1i.iii.al i i _iiI Lilt
Bulkhead/Riprap length I-
Avg distance offshore 4._ .. ii
_ _.._
MI El
Breakwater/Sill
Max distance/length _.-' - �
11111111111111111111111 Mill
Basin,channel ■
Cubic yards jilir r 11111111 I '1 ,, I 11,,_ ,:__ la _l_.
��
Boat ramp I ' 1 , Mill , i nom i
Boathouse/Boatlift ''' t , 11111111111111111 1 1111 OMNI TM
Beach Bulldozing -,-- ( 111111111111111111 3
Other
SI III111111111111111.11111 NMI j��jjj [
' 11B1
SAV observed: yes no raiatatifigrA
1
1111111
Moratorium: n/a Yes
no /
ammommainommiammanomma
Site Photos: yes no ■ramaimaraiii - __` �� _ 1
Riparian Waiver Attached: yes no .4111111111111111111111111 IN
A building permit/zoning permit may be required by: ‘if ,<.
Permit Conditions 4 - Aie 0C B
,,t_ fir. a4 .) ElTAR/PAM/NEUSE/BUFFER(circle one)
L'O,, -,,j ❑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) I" I* k-V 1
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
Application Fee(s) Check#/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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Harborside Club at 70 West Community
Name of Property Owner Requesting Permit: Services Association, Inc.
c/o CAMS
Mailing Address: 1612 Military Cutoff Rd., Ste 108
Wilmington, NC 28403
Phone Number: [phone] or [phone]
Email Address: email(a)camsmgt.com or krea©camsmgt.com
I certify that I have authorized EZ Dock 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: 24K boat lift installation in slip #6.
at my property located at 4425 Arendell St., Morehead 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 Information:
tr4ta E. Pea
Signature
Knsta Rea,as agent for Harborside Club at 70 West Community Services Assoc.Inc. O
Print or Type Name 'aeG�``V G
Community Manager Sco c)u,
Title
8 /21 ,2023 ON,_i
Date
This certification is valid through / /

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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 Property Owner; Harborside Club at 70 West Community Services Association, Inc.
Address of Property: 4425 Arendell St., Morehead City, NC 28557; Harborside Marina, Slip#6
Mailing Address of Owner: c/o CAMS; 1612 Military Cutoff Rd., Ste 108, Wilimington, 28403
Owner's email: emaiIi camsmgt.com Owner's Phone#: [phone]
Agent's Name: EZ Dock Solutions Agent Phone#: [phone]
Agents Email: ezdocksolutions(cD,vahoo.com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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 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(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 0
groin must be set back a minimum distance of 15'from my area of riparian access unless waived b •
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, yo.
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property Qwner Q
-OR- 7 MsMN
I do not wish to waive the 15'setback requirement(initial the blank) L'
t �
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: - iC
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#: w � � r,
.7
Date: • .`' :;&7*waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

1111111111111111111.111.1111.11rtc_01111.1111111.1111111111VIANAC
EMENT
Af1JACENT RIPARIAN PECIPFRTY OWNER 1140TIFICATION/WAIVER FORM
CERTIFIED MAIL 14.7,T,JRN REIPT RECAJESTED,D0-161S"/„'")F1 typtav
(-op part on to be Complete:I by owier or their agent)
nfl‘mporly riwitor.i-ierhorelde pike 70 Weq.Cotereuhity;serviste Arisuchelert Inc.
Adams of Propirrty- 4426ACINellakMorpbeggl.c11y,NC 28047 Herhorsicitaihavo
Aticfriervs of°limp) Id r cAMLIOrkfrAilltlAy etylerisl bip to,wponatou,7840?
OvertteS oia1, fflttalitONIMMIsgm, , f turixect Ph50011
Apeit's hinrne: EiypigoOtippita. Atjont Mom*__WL754 1234
Auent's Fniati fiAcicknOlult01134baLV't
areaueouneemonsmommwasumeoromeessmairammosammommusionsubiamasmimssaimsemousausumw
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Mottyrn DarRoo to to comakttitirtt,e Adiseint Property OWaffrri
lierebycortity that I own property n444nd-natu$as uboverefarence0 propetty. no indivaivat applyetg for fil3
f3elThit tvis destAled tr me, as shomt on the&Whoa&awing.,the deve4iii irriy inuposIng.
tons.with flimelsiong rgantheznyttitsfjviiiktmv tenor,
jec...1110 NOT have**tons to this poposal. I DO nave objections to thiS 13171X1Wit
it,Yeti--have oticirts to twilit ib Amin);proposed you must nod&the N.C. Division of Coastal
litonsoomont(flCA in writing within 10 days of receipt of Cotrespendahmt MOW*al
meted to 400 Commone Am.Morehead City.hlt!20567.CCM reprettantativas ovaat hisetbnnoestitstkal
(252)003-29618.No response Is considered theism.sane abjection if you have Anon nettled by
Certified Mart
WAIVER 3ECIION
t Lodue-and tat yey promised nips 'irk.mooring Mingo,bout ramp. reakwatet 'Alihuuse.at,Or
WWI nxst be set bask a In nirnurn distance of 16 from my arm at rbanan asits t.nleue waived by me
Inas does not appty h bilk:108dB or riprap revetments).(If jot.wish to waive tea nettwir,you miLysite
the upproprate blank WM.)
1 00 irskth l vsiw riroe/E41 or tha 15'utittloct. a° a rLa'N
SInalute of AdiatOn Ronan n%pen),Owner
01'1
do not tv40.11 to wow.the 15 settaok tittukurteart(Mal the blank)
VG*
Siguit.me of Actavent Riberitn Property Omer: - arbor Master, Inc.
"'ypeidwrinted(lama of ARPO: - 42:
171,,
Addreee of ARPO.
.o gCs-
ARPO's kill 7104101 ibe;hunt* 79'.3--
n .
Oat*: 33_2V/eh/a Is valid for up to mayor,Ivens ARPOe•Illenittene •
Retdsad May 2021

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 Property Owner: Harborside Club at 70 West Community Services Association, Inc.
Address of Property: 4425 Arendell St., Morehead City, NC 28557; Harborside Marina, Slip#6
Mailing Address of Owner: c/o CAMS; 1612 Military Cutoff Rd., Ste 108, Wilimington, 28403
Owner's email: emaiI(a)camsmgt.com Owner's Phone#: [phone]
Agent's Name: EZ Dock Solutions Agent Phone#: [phone]
Agent's Email: ezdocksolutions(a�yahoo.corn
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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 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(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' djacent Riparian Pr petty Owner
I do not wish to waive the 15'setback requirement(initial the blank) TG G`��O
�eGti3
Signature of Adjacent Riparian Property Owner: ;'OV 'v�F �Q ti�
(-A
Typed/Printed name of ARPO: -f?a 4 �5 M�® `J
Mailing Address of ARPO: /( ��, /1'� I J� OCM�
ARPO's email: \j2151 Z�c M411.co ARPO's Phone#: CtI DffiJOCI
Date: VI 6 I 2-7j
`waiver is valid for up to one year from ARPO's Signature*
Revised May 2021