56892_BLACKBEARDS SAILING CLUB_20101109

ElCAMA / ❑ DREDGE & FILL
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GENERAL PERMIT f Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name �f'��' ' �`� Project Location: County
Address
City State ZIP
Phone # O Fax # O
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ IDEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
Street Address/ State Road/ Lot #(s)
ZIP P-: `) 1-_ j._
❑ ES ❑ PTS Phone # ( ) RiverJ /Basin Al- �-e 'j n
❑ uBA ❑ N/A Adj. Wtr. Body ;:y . 1 (nat /man /unkn)
Crit.Hab. yes / no Closest Maj. Wtr. Body
City
M.
0
■
■■■■■■■■■
NOW
Nil.
ONE
IN.
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature i
J
Issuing Date Expir4tionDate
Application Fee(s)
Check # Local Planningf urisdiction
Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific 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 [)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 or certified mail return receipt has been obtained from the adjacent riparian
landowner(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 ❑ Other:
❑ 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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

Applicant:
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp im acts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impactamount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
ternim acts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
,u. •. ,3 . as i is tJ ,ir $ ?u. 02 3;',;

N47' 50' 23' u 294. 44'
o,�yS
Px
A„r
Site Plan
For
Blackbeard Sailing Club, LTD

■ Complete items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the m
or on the front if space permits. ailpiece,
1. Article Addressed to:
2. Article Number----
(ifansfer from sen 7 0 0 6 2150
PS Form 3811, February 2004
a
A. Signature
:BR,eceived by (Printed Name) C. Da a of
D. Is delivery address different
If YES, enter deliveryrent from it., 1? Ye:
address below: ❑ No
3- Service Type
0 Certified Mail ❑ Express Mail
❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
Yes
❑003 2226 6338
Domestic Return Receipt
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailplece,
or on the front if space permits.
1. Article Addressed to:
102595-02-M-154o
A Sign4tue
x 0 Agent
❑ Addressee
B. eceived by (Printed Name) Date of Delivery
D. Is delivery address d ffeient from item 1 ? ❑Yes
If YES, enter delivery address below 0 No
3.Sery Type
uid C erted Mall
❑ EVress Mall
❑ Registered
❑ Return Receipt for MemhanCisa
❑ Insured Mail
❑ C.O.D.
4. Restricted nmiv.--q ic,.+.-,
2. Article Ni — — , Li Yes
(transfer ?006 2150 0003 2226 6321
PS Form 3811, February 2004 Domestic Return Receipt
1 102.595-02-M-1540;

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space e
p rmits.
1 • Article Addressed to:
I d 0 0 �'lv� Ct�tv1
0
A. Signature
B. Received by (Printed Name) C. Da a of
D. Idelivery address different from item 1? ye:
Iff YES, enter delivery address below:
❑ No
[03
ervice Type
Certified Mail 17 Express Mail
Registered � Retum Receipt for Merchandise
insured Mail ❑ C,O.D.
2. Article Number----�_.---- - - -. 4. Restricted Delivery? (Extra Fee)
(transfer from sen 7 p p 6 215 0 0 003 ` - --- -- - ❑ yes
PS Form 3811, February 2004 2 2 2 6 6 3 3 8
Domestic Return Receipt
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1..j�Article Addressed
/ to: j
l ass (p0
102595•024M-1540
0
A. Signature
x 0 Agent
❑ Addressee
B. eceived by1():�Ij��!de
Date of Delivery
D. Is delivery address diffefent from item 1? ❑ Yes
if YES, enter delivery address below: O No
3. ,Se Type
trdCertified Mail
❑ Registered
❑ Insured Mail
13 E)Press Mail
❑ Return Receipt for Memhandise
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) O Yes
(transfferer
z. Article 7006 2150 2023 2226 6321 —
PS Form 3811, February 2004 Domestic Return Receipt
102595-024A-1540

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley. Govemor James H. Gregson, Director Mom G. Ross Jr., Secretary
Date ` � /0 -
Applicant Name
PP
Mailing Address
—r
I certify that I have authorized (agent) '"!' I - / 41 (&^-/L-)a/ - to act on my
behalf, for the purpose of applying for and obtaining all CAAIA Permits necessary to
install or construct (activity)
at (location)
G/ltdr0 CAJD OF q )�DCYZ-
, - C& �f}m ►� �tX lL
This certificatio is valid thru (date
Signatur
e ^ C�
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet vwuw.nccoastalmanagemeninet
An Equal opporlu* \ A ftniaWe Action Employer-50% Recycled l i0%Post consrmer Paper
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,4Er'EIVE T -
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
OCT 2 9 2010 Iff
��iaretr .
DIVISION OF COASTAL MANAGEMENT oad Cely-ut;M
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: ' ack h e- gad 5 (A n
Address of property: �� 3ken-�tw1�- ►�r�yer
(Lot or street#, street of road)
awn , N G -;IaszC
(City & county)
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, should be provided with this letter.
I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of the notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags 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
gk,' h�fZ I do not wish to waive the 15' setback requirement
%&I' /U
z �' z 0 / 0 �Lt
Signature Date I01.* 10
"��Lr
Print Name
ZSL -636._ �?37�?
Telephone number with area code

DIVIsion
Z/0© commerce t('A.
lt7ore lvAa Cil h c Z qSS 7

11 1 11
PLACE STICKER AT TOP OF ENVELOPE TO THE RIGHT
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OF THE RETURN ADDRESS, FOLD AT DOTTED LINE
-lovers
_.III1111111111111111_, YN1U
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/ �jf �� III11111111111III❑ L��• ..d;.
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�POSTAL SFRVECF
�iiiuuimuni $5.10
rvJO 00O,11310-11
L 55 I
7010 1870 0001 6940 3289 �

Beverly Eaves Perdue
Governor
1F�;
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
James H. Gregson Dee Freeman
Director Secretary
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 Quality (DWQ) regulations 15A NCAC 02B.0233 & .0259.
The Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of
Water Quality (DWQ) has reviewed your project proposal, determined that the project as proposed complies
with the aforementioned regulations, and made a "no practical alternatives" determination per those
regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer
Authorization as long as the project is constructed in a manner that continues to meet all of the conditions
listed below. Failure to comply with this Buffer Authorization shall subject the property owner & the party
(contractor) performing the construction Wor land clearing to a civil penalty of up to $25,000 per day per
violation.
1. 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.
By your signature below you agree to be held responsible for meeting all of the conditions listed above and
verify that all information provided is complete and accurate.
6-C r�c CrO Ilk-/
Agent or Applicant Printed Name
CY��
Agent idr Applicant Signature
Pe7i(cer's :Lnature
Issue Date
CAMA GENERAL PERMIT #:� Y 01 Z(_
Washington Office
943 Washington Square Mall
Washington, NC 27889
Phone [phone]I
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557
Phone [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
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BOBBY CAHOON
TION AND LAND
MARINE CONSTUCAMOON CONSTRUCTION INC.EN7
DBA BOBBY6003 NEUSE RD.
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