Bogue Front, LLC (Curtis Struyk Jr.)

U
r CAMA / ❑ DREDGE & FILL N2 71301 q g C D
GENERAL PERMIT Previous permit#
New ---:Modification FjComplete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department«Jf Environmental Quality
and the Coastal Resources Commission in an area of environrr�� tal concern pursuant to I SA N6,AC
/� i E�i`Rules attached. _
4
Applicant Name_ '� rojerct Locat n: County
Address Street Address/ State Road/ Lot #(s)
State ZIP
Phone # ( ) E-Mail Subdivision
Authorized Agent ZIP
Affected 1' CW 7 EW ❑ PTA ❑ ES ❑ PTS
AEC(s):
❑ OEA HHF - IH ❑ UBA ❑ N/A
PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) -
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp,
Boathouse/
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes 'n?
Photos: yes no.
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Phone # - er Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
-
(Scale: �. )
t.-` ; (❑ See note on back regarding River Basin rules.
11 " , '
4`iIf
Permit Officer's PrinzedNarr
<l F
Signature t
Issuing Date 9xp1r&iodDate

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 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 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 Resources. Contact the Division of Water Resources 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
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
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 - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

A.
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: C J
Address of Property.
Agent's Name #:
Agent's phone #:
ra,Dl-% W a,+' C.-r T) rr U i -
(Lot or Street #, Street or Road, City & County)
(S11")-I)
Mailing Address: I Z 3 Bm,4v Pr,
—UbWPor+i �L aq �O
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 jhe development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. t have objections to this proposal,
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt .of this notice. Contact information for DCM offices is
available athl(P.11www.nccoastaimanagement net(web/cm/staff listing orby calling 1-888-4RCOAST.
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, boat ramp, breakwater, boathouse, or lift 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 inifial the appropriate blank below.)
I do wish to waive the 15' setback requirement. RECEIVED
I do not wish to waive the 15' setback requirement.
MAY 31 2018
(Property Owner Information) (Riparian Property Owner Informattio M"MHD CITY
Signal acre
Print or Type Name
Mailing Address
City/state/Zip
Telephone Number/ Email Address
mare
Signalacre r-
W, Russe(
Print or Type Name
1 1 S 9se,WA 6 up -
Mailing Address
N Wd , HC AS S `70
City/state/Zip
Telephone Number/Email Address
Dale
s-13c) Ia,)(V
(Revised Aug. 2014)

I hereby certify that I own property adjacent to 1. ul-+15 I2- S�ryK Zt-, Is
(Name of PropertV OW/ ner, A,� 0/ -
property located at �� fie'
(Address, Lot, Blodk, Road, etc,)
on ZC1 LJ in Al e-w piprN.C.
(Waterbody) (City own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatia,p.
V I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing devehWffi6nt must fill In description below or attach a site drawing)
[4DDJ- for "slip
WAI ff=R SECTION
I understand that a 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. (if you wish to waive the setback, you must initial the appropriate blank below )
SO;Ur-
rI II do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
.1rr�trrtttrrc'
Print or Type Name'
Mailin Address
City/5iate/Z
Telephone Number/entail address
t 1rttC
"Valid for one calendar year after, signature*
(Adjacent Property Owner Information)
i
.Si,>,>ttuttrrc�
Print or Tvne Name
Mailing Address
Telephone Number / entail address
jj� l_ ` _.. - _--
Dale
{Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to t __.s , � ! `-,k,4k-- 's
(Name of Property O, ner)
property located at
(Address, Lot, Block, Road, etc.)
on , in N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
✓ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing dev jelo/pment fm^ust fill in description
{below or attach a site drawing)
11 ji jj
��e �rPwl<4�a�C1" �v.�d si�lc�t1.
DECEIVED
, . 12018
ti ivy-MHD CITY
WAIVER SECTION
I understand that a 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. (if you wish to waive the setback, you must initial the appropriate blank below.)
1-99 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/statelzip
Telephone Number/email address
Date
(Adjacent Property Owner Information)
C� -Q
SIgnAtlure* qQ
Id. K-1-J( Us erAtwN �ri�,d�.k et'� (cwo tv
Print or Type Narge
11 SS &4Jz6+-v
Mailing Apdress
Neu ,3r Nc �`b57J
City/S ate2ip
S2- 209- f Itoto
Telephone mber/email address
Dare
(Revised Aug. 2014)
"Valid for one calendar year after signature`
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