Bogue Front LLC

CAMA / DREDGE & FILL NO. 74409 A e C D
�. GENERAL PERMIT Previous permit #
New Modification Complete Reissue _-Partial Reissue Date previous permit issued
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.
:_•r ` - L Applicant NamProject Location: County
e �. . t" `,-,,�
Street Address/ State Road/ Lot #(s)
Address .b.
liiiy
State ZI
Cit P
Phone # (_)_ _E-Mail
Authorized Agent
Affected ❑ CW ❑LEW &DPI
El
❑ ES ❑ PTS
AEC(s):
❑ OEA El HHF UBA ❑ N/A
❑ PWS:
nRW vac / 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 offshoo
r
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
j.
Moratorium: n/a yes no
Photos: yes
Waiver Attached: yes rio
A building permit may be required
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed
Signature
"Please read compliance statement on back of permit"
Application Fee(s)
Check #
Subdivision`�-
City---ZIP^
Phone # (_ )
Adj. Wtr. Body4_
Closest Maj. Wtr. Body
C ' . 'K
Inar /Hirn—%iinkn) 4
(Scale: /" )
See note on back regarding River Basin rules.
Permit Officers Printed Name i
Signature _
Issuing Date —� Expiration to

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/ 1-888ARCOAST
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)
http://portal.ncdenr.org/web/cm/dcm-home
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)
Revised 7/06/ 17

Hurricane.Florence and TS Michael
Replacement/Repair Request Form
Date of Request: H I I g I C
Property Owner Name: Pc>�j Je (vim LL �
Address of Property: J j (r o� �� 1y 1"' Alt,
2--Cs 7C)
Telephone Number: 2 2 cl
Type of Work:��-
NOTE:
• The Emergency CAMA General Permit 2500 is for repairs and replacement of water -
dependent structures damaged because of Hurricane Florence and/or TS Michael. The
replacement, reconstruction and maintenance excavation activities shall conform to
current standards and rules. All work under the Emergency CAMA GP 2500 must be
made in the same footprint of the previous structure with no additions, expansions, or
enlargements.
• If any portion of a structure being replaced is within the 15' setback of the riparian line or
access area, signatures of the adjacent riparian property owner(s) must be obtained
acknowledging the notification and waiver of the setback on the forms provided by
DCM.
• Any maintenance excavation or dredging requires signatures of the adjacent riparian
property owner(s) on the notification forms provided by DCM.
Signature:
RECEIVED
APR .12 2019
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to HoHo Boat Basin Assoc. and Breakwater HOA
(Name of Property Owner)
property located at the end of Breakwater Drive Breakwater Subdivision 137 Breakwater Drive
(Address, Lot, Block, Road, etc.)
on Bogue Sound in Newport N.C.
(Waterbody) (City/Town and/or County)
's
The applic nt has described to me, as shown below, the development proposed at the above
locati
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
Attached : No more than 1,000 cubic yards dredging in HoHo boat basin to Bogue Sound intercoastal way
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
roperty Owner Information)
Signature
Bogue Front LLC member Samer Hamad
Print or Type Name
2500 Bridges Street Suite 4
Mailing Address
Morehead City NC 28557
City/StaterZip
252-342-9294
Telephone Number/email address
April 10, 2019
Date
"Valid for one calendar year after signature'
(Adjacent Property Owner Information)
S'glazure
tint o ype Name
Mailing Address
Date
email address
RECEIVED
(Revised Aug. 2014)
APR 12 2019
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to HoHo Boat Basin Assoc. and Breakwater HOA
(Name of Property Owner)
property located at the end of Breakwater Drive Breakwater Subdivision 137 Breakwater Drive
I
(Address, Lot, Block, Road, etc.)
On Bogue Sound in Newport N .C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
X I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Attached : No more than 1,000 cubic yards dredging in HoHo boat basin to Bogue Sound intercoastal way
WAIVER SECTION
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.)
X I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Bogue Front LLC member Samer Hamad
Print or Type Name
2500 Bridges Street Suite 4
Mailing Address
Morehead City NC 28557
City/State/Zip
252-342-9294
Telephone Number/email address
April 10, 2019
Date
*Valid for one calendar year after signature*
(Adjacent P operty Ow er nformation)
Si ature
John T. Hedrick
Print or Type Name
236 Sea Trace Lane
Mailing Address
Newport, NC 28570
City/State/Zip
919-616-5713
Telephone Number / email address
4/11/19
Date* (RECEIVED
(Revised Aug. 2014)
APR 12 2019
DCM-MHD CITY

RECEIVED
APR 12 2019
DCM-MHD CIT'y

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to HoHo Boat Basin Assoc. and Breakwater HOA
(Name of Property Owner)
property located at the end of Breakwater Drive Breakwater Subdivision 137 Breakwater Drive
(Address, Lot, Block, Road, etc.)
on Bogue Sound in Newport 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 development must fill in description below or attach a site drawing)
Attached : No more than 1,000 cubic yards dredging in HoHo boat basin to Bogue Sound intercoastal way
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.)
SWI -I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature
Bogue Front LLC member Samer Hamad
Print or Type Name
2500 Bridges Street Suite 4
Mailing Address
Morehead City NC 28557
City/State/Zip
252-342-9294
Telephone Number/email address
April 10, 2019
Date
*Valid for one calendar year after signature*
Signature
�u.s;� i/t1 1-�enrcq
Print or Type Name
Mailing Address
13') 8 r-e t kWC fW Dy
City/State/Zi
ej
Telephone Number/email address
Z�2-2321- EgE7
Date's L�/j Z j7x i g riECEIVED
(Revised Aug. 2014)
,APR 12 2019

L -/( L(7'D
RECEIVED
APR 12 2019
DCM-MHD CITY

RECEIVED
APR 12 2019
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to HoHo Boat Basin Assoc. and Breakwater HOA
's
(Name of Property Owner)
property located at the end of Breakwater Drive Breakwater Subdivision 137 Breakwater Drive
On Bogue Sound
(Address, Lot, Block, Road, etc.)
in Newport
Waterbod N.C.
( Y) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location
✓' 1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Attached : No more than 1,000 cubic yards dredging in HoHo boat basin to Bogue Sound intercoastal way
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 youyvish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Bogue Front LLC member Samer Hamad
Print or Type Name
2500 Bridges Street Suite 4
Mailing Address
Morehead City NC 28557
252-342-9294
t elephone Number / email address
April 10, 2019
`Valid for one calendar year after signature'
(Adjacent Property Owner Information)
t'
�2l?n 4 5f�r�
Print or Type Name
o4(o k")n5ale Mai It ddress
e 75'i 17
City/Stat /Zip
Z )rlhe site 02 j nal ear,
Telephone Number/ em it address
za—r9
Date*
(Revised A%Q)VEQ
APR 12 2019
0CM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent.to HoHo Boat Basin Assoc. and Breakwater HOA
(Name of Property Owner)
property located at the end of Breakwater Drive Breakwater Subdivision 137 Breakwater Drive
(Address, Lot, Block, Road, etc.)
on Bogue Sound in Newport
(Waterbody) (City/Town and/or County)
I s
The applicant has described to me, as shown below, the development proposed at the above
location.
A I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
Attached : No more than 1,000 cubic yards dredging in HoHo boat basin to Bogue Sound interooastal way
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Owner I
Bogue Front LLC member Samer Hamad
Print or Type Name
2500 Bridges Street Suite 4
Mailing Address
Morehead City NC 28557
CitylStatelZip
252-342-9294
Telephone Number/ email address
April 10, 2019
Doti,
(Adjacent Property Owner Information)
ShTnature *
6V 1 R.331d,
Print or Type Name
i i 5" fire L.; 0-+ V
Mailing Address
J'14wo�,rt, S -7 0
CitylStatelZip
25-2 -Z�;3 -' tu(p rtkis 40 V'Prm cv, 'C utk
Telephone Numberl email address
'H RECEIVED
Date*
(Revised Au6.%44 2019
*Valid for one calendar year after signature* DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to HoHo Boat Basin Assoc. and Breakwater HOA
(Name of Property Owner)
property located at the end of Breakwater Drive Breakwater Subdivision 137 Breakwater Drive
on Bogue sound
(Waterbody)
(Address, Lot, Block, Road, etc.)
. in Newport
(City/Town and/or County)
I
N.C.
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 development must rill in description below or attach a site drawing)
Attached : No more than 1,000 cubic yards dredging in HoHo boat basin to Bogue Sound intercoastal way
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.) uw
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Owner
Signature il
Bogue Front LLC member Samer Hamad
Print or Type Name
2500 Bridges Street Suite 4
Mailing Address
Morehead City NC 28557
City/State/Zip
252-342-9294
Telephone Number/email address
April 10, 2019
Date
*Valid for one calendar year after signature`
(Adjacent Property Owner Information)
Signature*
W11-Z/,444 .4. Z A?15r&7Z
Print or Type Name
/ 3.5 -3QFAk "IATE'7Z ZR .
MAddress
Zit-V97- A/C 296742
City/State/Zip 252 tie/ 6730 01�risf-w £G. rr. oom
Telephone Number/email address
,-'/-/o
Dale*
(Revised Aug, DIVED
APR 12 2019

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to HoHo Boat Basin Assoc. and Breakwater HOA Is
property located at
on Bogue Sound
(Name of Property Owner)
the end of Breakwater Drive Breakwater Subdivision 137 Breakwater Drive
(Waterbody)
(Address, Lot, Block, Road, etc.)
in Newport
(City/Town and/or County)
, N.C.
The applicant has described to me, as shown below, the development proposed at the above
locRti?n.
_ 1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Attached : No more than 1,000 cubic yards dredging in HoHo boat basin to Bogue Sound intercoastal way
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 ish to waive the setback, you must initial the appropriate blank below.)
wl do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
of
Front LLC member Samer Hamad
Print or Type Name
2500 Bridges Street Suite 4
Mailing Address
Morehead City NC 28557
City/State/Zip
252-342-9294
Telephone Number/email address
April 10, 2019
Date
*Valid for one calendar year after signature`
(Adjacent Prop rty 0?wner Information)
Sig�jat
W I LC.
Print or Type N me Z—A",
Maly f COIL X_) C
city1W,
Telephong�urpber / era,l address
Date*RECEIVED
(Revised Aug. 2014)
APR 12 2019
OCM-MHD CITY

RECEIVED
APR 12 Z019
DCM-MHD CITY

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