92904C - Morehead Beaufort Yacht Club

�o��`°j CAMA fl DREDGE & FILL No 92904 A B © D
GENERAL PERMIT Previous permit
Date previous permit issued
❑New 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:
15A NCAC n Rules attached. 17 General Permit Rules available at the following link:www.deq.ncyov/CAMArules
Applicant Name Authorized Agent • 4 Ai Y;n ;, SL -y, L
Address 1— I, • ,, Project Location(County): C ✓'4"C�` 1
City ;` ,-j t`"/1l State /V,a ZIP Street Address/State Road/Lot#(s) /1'1 P, /i,4.. /!PA,,,7--t Y;c t.t
Phone#(/) 6 l s - (2 3 .< S S / / 3
Email • , .J e ( �'h fi , c: 47'''1 Subdivision —
y City 6.''.9H-4 ZIP T E 576
Affected n cw n EW n PTA ❑ES ❑PTS Adj.Wtr.Body /1 -,/ --t tR� ✓C I."' ( man/unk)
AEC(s): n OEA n IHA ❑UW n SPIMA PWS Closest Maj.Wtr.Body ,/V ✓lo✓+ A i ✓C
ORW:yes/no PNA:yes/no
Type of Project/Activity 4-,' -i. ,I, , A
(Scale:A TO
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s)
Floating Platform(s) i I
Finger pier(s) i I
Total Platform area
Groin length/# ,
Bulkhead/Riprap length ,
Avg distance offshore - ,
Breakwater/Sill •
Max distance/length '' . f=
Basin,channel 1 i
Cubic yards
Boat ramp
Boathouse/Boatlift `.•
Beach Bulldozing {
Other ,L T`,G✓. 7/'1 \ _
!_ _ ! .
SAV observed: yes no (1.- r. •
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: 6/ no
A building permit/zoning permit may be required by: -
Permit Conditions I I TAR/PAM/NEUSE/BUFFER(circle one)
• I/j A; NI n See note on back regarding River Basin rules
nSee 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
�J { l/ J/cft-I
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

,oso`°"�'^'N CAMA DREDGE & FILL NO 92904 A B ® D
GENERAL PERMIT Previous permit
Date previous permit issued -
n New Modification n Complete Reissue n 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 Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name - _ Authorized Agent -
Address Project Location(County): r
City State ZIP Street Address/State Road/Lot#(s) •
Phone#(_)
Email Subdivision
City ZIP
Affected CW n EW n PTA n ES ❑PTS Adj.Wtr.Body • (nat/man/unk)
AEC(s): n IDEA IHA n uw n SPIMA PWS Closest Maj.Wtr.Body ,
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:n T S)
Shoreline Length
11111 Access Length
E
•
Pier(dock)length �/ III
Ity
4 t
Fixed Platform(s)
Floating Platform(s) 1111111 t f I.
T { i
Finger pier(s) E
Total Platform area
Groin length/# ftflhifl
Bulkhead/Riprap lengthIII 1111101101111110111111111
Avg distance offshore 1111111111111111111111111
Breakwater/Sill in
— t
Max distance/length 11 i Basin,channel _ I
I
1 III
Cubic yards 1
Boat ramp i 1
Boathouse/Boatlift
1111
Beach Bulldozing
w
Other , '.` {...___I,iii 1 _
tu i I ms.:_ 1 -r- 1 1 . 1 ! am, ! im iii
iSAV observed: yes no , j ` i ` 4 I #- +Moratorium: n/a yes no I I ( ?
Site Photos: yes no _IF _ .__-_ _.._...._ i l.__.. r..-_._._
Riparian Waiver Attached: yew no ' i
A building permit/zoning permit may be required by: ' 7L
Permit Conditions piTAR/PAM/NEUSE/BUFFER(circle one)
- ❑ See note on back regarding River Basin rules
nSee 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) r
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: Bettie,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
Name of Property Owner Requesting Permit:
Morehead Beaufort Yacht Club
Mailing Address: 409 Island Drive, Beaufort NC 28516
Phone Number: 919-632-6325
Email Address: [e-mail]
Carteret Marine Services LLC
I certify that I have authorized
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: St \O
install floating dock
at my property located at qe? bAit51-
_k-
in ) 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:
4MI, rile ,t=
Si nature -
i 9
1 .t/- 14--L Y 0C `t
Print or Type Name
(2; vk )7\--c--z(, iZ
Title
Date
This certification is valid through t I

f
2. .
_ r
•

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: Morehead Beaufort Yacht Club
Address of Property: 409 Island Drive, Beaufort NC 28516 Slip#3
Mailing Address of Owner:
Owner's email: mbyc©me.com Owner's Phone#: [phone]
Agent's Name: Carteret Marine Services Agent Phone#:252 631-9435
Agent's Email: [e-mail]
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
descripti n or drawing, with dimensions, must be provided with this letter.
I DO NOT have objections to this proposal.
1 p p 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 w i the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'
Signatu of Adjacent ipa n Property Owner
-OR-
I do not wish to waive the 15' setback requirement(initiaT e blan )
Signature of Adjacent Riparian Property Owner: i — 3—
Typed/Printed name of ARPO: Mark McGowen
Mailing Address of ARPO:� 54 Sweetbrier Trail, Easton, CT 06612
ARPO's a ail: AG l a\V&J01404,Nis/ ARPO's Phone#: �3— . - 3
Date: (� 3v ?�j *waiver is valid for up to one year from ARPO's Signatures
Revised May 2021

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: Lloyd G Carroll, III & Sarah B Carroll
Address of Property: 409 Island Dr Slip 3
Mailing Address of Owner: 268 Shoreline Dr New Bern, NC 28562
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Carteret Marine Services Agent Phone#:252 631-9435
Agent's Email: [e-mail]
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
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: l
Typed/Printed name of ARPO: LEw\S C Cut" AC.Seaeck
Mailing Address of ARPO: 1--k-C1 arey1 -Eden 1/'r, K-A t{,tf'Yk NJC Elkskt
(( L.yyQNcv.icvv.
ARPO's email: �t��Ce r ,p rke- Z� ARPO's Phone#: 610-' O\_`63tip9
Date: Si 3C,) �.3 *waiver is valid for up to one year from ARPO's Signature*
36261 Old -Pi✓si- ��Vti Ifs C— al ke VI- Revised May 2021
V—lO\ CAe_, ttSS �S
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CERTIFIED MAIL® RECEIPT
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The reformation displayed by this webste is prepared for the nventory of real prcperty found within this jurisdiction and is compiled from recorded deeds,plats,and other public records and data Users of the information are hereby notified that the aforementioned public primary
nformalion sources should be consulted for verification of the informatbn contained on this site. Carteret County assumes no gaI resporisiblity for the information contained on this site. Carteret County does not guarantee that the data and map services wil be available to users without
interruption or error.Furthermore,Carteret County may modify or remove map services and access methods at wil.