28167_BOGUE SOUND YACHT CLUB_20010717

CAMA and DREDGE AND FILL
AV
G E N E R A L
PERM I T
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 15 NCAC -
Applicant Name Phone Number 1
Address r
City
State Ir'. zip �� c
Project Location (County, State Road, Water Body, etc.) ' IV, k 1 %6;
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Type of Project Activity J r,, t, , _} L ;1. 1 i ; 4) ,� I„ • t. , ! fop c t' r. ,�
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PROJECT DESCRIPTION SKETCH
FT.
(SCALE:
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)
Pier (dock) Length
P %r
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Groin Length
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number
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Bulkhead Length
max. distance offshore
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Basin, channel dimensions
cubic yards
Boat ramp dimensions
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other
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7.
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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, imprisonment 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 of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
In issuing this permit the State of North Carolina certifies that this project 44
is consistent with the North Carolina Coastal Management Program. application fee

SHORELINE MARINE CONST 28010595
ASHLEY BROOKS NCDL-7666496
PH (252)-646-3212 ']66-152/531
PO BOX 5173 DATE 1 b-db 1
/
EMERALD ISLE, NC 28594
PAY
TO THE —h r� �%
ORDER OF I/D f� I De
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DOLLARS �Deiel�oe Oa'ke
_ ACHOWA
Wachovia Bank, N.A.
Pi- Knoll Shom, NC 28557
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FOR
►ll2801059:0531015291: 5467 CD2S 7n'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER / UNCOVERED BOAT LIFT) -
I hereby certify that I own property adjacent to's
(Name of Proper Owner)
property located at
l�G �oy�✓Jj VA&lam due
(Lot, Block, Road, etc.)
one�rc���Ls a.� , in �� r�?v e�. , N.C.
(Waterbody) (Town and/or County)
He/She has described to me, as shown below, the development he/she is proposing at
that location and I have no objections to his/her proposal.
---------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
�G� S�� (To be filled i by individual proposing development)
�� G1� ) St,c 3
6� � �
JUL 1 7 20u
Signature r
Print or Type Name
Telephone Number
Date: / 7 O /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER / UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to /C / r-�u,�c �� l��o �� 's
(Name of Property Owner)
property located at `^ - �X
1 (Idt, Block, Road, etc.)
on--�'"7r�� , in �arfr� , N.C.
(Waterbody) (Town and/or County)
He/She has described to me, as shown below, the development he/she is proposing at
that location and I have no objections to his/her proposal.
----------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled* by individual proposing development)
M S1 4 (A 3
�Q2o{JDS 69
froprL'� FT'
.�MI-Mll TS;IA�.
Print or Type Name
.343 -- /0? /y
Telephone Number
Date: a6w

ADJACEINT RIPARL-kN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 06,QE sDuoz VAC4T +W 's
(Name of Property Owner)
property located at MAITiWA
(Lot, Block, Road, etc.)
on 13B&QE SDU►�D , in C�} (2T Fes". �' ?c,d NT , N. C .
(Waterbodv) (Town and/or Countv)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
piling s/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.,--
✓ I do not wish to waive the setback requirement.
I J_Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWr G OF PROPOSED DEVELOPtifENT:
(To be filled in by individual proposing development)
M��p, ,
RAmP .4Lt P PAoPOSED
i FOR 73oAT 1-1-Pr
I
Signature
?i ('tNa-- 0- -;3ecl,Ta�q)
Print or Type Name
Telephone Number
Date:
Signature
?i ('tNa-- 0- -;3ecl,Ta�q)
Print or Type Name
Telephone Number
Date:

• ADJACENT RIPARViN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 3" Crtol C- \//"e F+T 041L�8
(Name of Property Owner)
property located at CMG! E \14Cr�r CLvt Q MAI?I N4
(Lot, Block, Road, etc.)
on Rowe e S wr- , in C rf2T�,� COWN , N.C.
(Waterbody) (Town and/or County)
He has describers to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boadift/boathouse must be se, back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
✓ I do not wish to waive the setback requirement.
JUL
�, 7 2001
I da wish to waive that setback requirement. r
np.cscRT''?'ION A,VD/OR T)P A WL'�iG OF PROPOSED DEVELOPyIE\-I :
(To be filled in by individual proposing development)
AAKIP h
x
5 L" V P P(-O"C-v
f�o0- (;O)k"L't rr
Signature
Print or Type Name
Telephone Number
Date: 7 —
L-YA/N
3 '�3 2. 734