HomeMy WebLinkAboutBogue Sound Yacht Club, Charles Rice®\OCAMA / ❑ DREDGE & FILL No. 73994 A B C D
ewNEERAL PERMIT Previous permit#
f❑Modification ❑Complete Reissue ❑Partial Reissue Date pre ious pe mit issued
As authorized by the State of North Carolina, Department of Environmental Quality i .
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC fff
/' RulOs attached.
Applicant Name } i Project Location: County
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Address _ ! Street Address/ State Road/ Lot #(s)
City State ZIP
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Phone # ( . r% jr ,AfJJ� E-Mail Subdivision
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Authorized Agent City �_ �_.: \ ZIP
Affected ElCw lDew \/y/,pTA -ES ❑PTS Phone# ( d�.., 1/. �t � RrverBasin _
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: - IF
ORW: yes / no PNA yes / no Closest Maj. Wtr. Body .-
Type of Project/ Activity i X ] 1 i 1/./. ..2
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i
Pier
Fixe
Float
Fing
Groff
Bulk
Basi
Boat
Boat
Bear
ah
Shor
SAV:
Me
Phot
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A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed ame
Signature ** Please readcompliance statement on back of permit"
❑ See note on back regarding River Basin rules.
r
Permitofficer's Printed Name
L
Signature
Application Fee(s) Check# Issuing Date I Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: C#*41 Wic e
Mailing Address:
Phone Number: I/ - O 02,02
Email Address: I'� NC 91, op 0 /-Jln
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: Sy 516'
at my property located at
in 0004d County.
sL,,,, -J� ,21
1 furthermore certify that 1 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:
Signature
_ �44*,76 te.ce
Print or Type Name
Title
/ lam_
Date
RECEIVED
This certification is valid through / I 1 2019
APR 0
DCM_MHD CITY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _a" '�?/ C /16LL,I. tz'o 's
(Name of Property Owner)
property located at Ari. ntvnm-t A) [- AS-�0
(Address, Lot, Block, Road, etc.)
on Anaf,eSwk� 4 1 (1.4 /99&i 4 in Ciro-jo&t 0,-,, a,J4 , NgwaA N.C.
( aterbody) (City/Town nd/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio9�
V� I have no objection to this proposal.
__ 1_.haveobjections to_fhis_proposal. -
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
SQe- )}&"/J ftov'
RECEIVED
APR 01 2019
DCM-MHD CITY
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
(Property Owner Information)
Signa�
Mto'( T. Rtce
Print or Type Name
/`/2 .S'/ltn'le7
Mailing Address 7�
ft)e,y prA-) /V C, .? Bs-1 Q
City/sta /Zip
2Q 26 y-2d 94
Telephone Number
Date
(Adjacent Property Owner Information)
Jm11a 4 w c1�
Shenature T—
Telephone Nu be/
r
�Z
Date
(Revised 611812012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to .5/. re t?/ 0/4y&. dZ,-c 's
(dame of Property Owner)
property located at 3_ n y9cl, C(l --41 e wvol ovi} NG. 2g
(Address, Lot, Block, Road, etc.)
on (Sa7ue SQ,)J gcAJ Ml, iYl9iiia.9 in C94e d Coa,ot , eu l f- , N.C.
(Waterbody) (City/Town and/or County)
The applicant 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)
5, x Ate. � A�s
_ WAIVER SECTION
understand that a pier, dock, mooring pilings, 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 wage the setback, you must initial the appropriate blank below.)
0-04;3'fCVl do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
z~'i-76y ;tUiS
Telephone Number
Date
(Adjacent Property Owner Information)
I
2ECEIVED
APR 01 2019
(Revised 611812012)
DCM-MHD CITY
Marina Committee -•Marine Request
Submittal Date: 1 Submltter Signature:_ -�
Slip Assignment.-- Contractor: �djl
owner: (--',
Telephone: 2.ia - 76 `/ :Zu9ci
Type of request: Lift:
Dock Box:
Company:
Telephone: rv/(i
Finger Pier additlon/renovation:
Other requests: e 2- i; &.4,,vy Ovr�
Description (include materials, dimensions, weight) and/or drawing:
see. !��T7x�2c� f'Lctvs /r•� 104,J�
Notlficatlon/signature of neighboring slip owner:
slip#--L2— slip#_��__
RECEIVED
APR 01 2019
I)C,M-MHD CITY
Marina committee remarks:
Slip #: g l
Charli
The Boc�ue Sound Yacht Club Marina Committee and Board
of D'rPctnrS roved your request to add a floating
et Ski dock to slip #21.
Approved: Yes
Disapproved:,
Ken Thomas
Chairmen
Reviewed by committee members (initials)
E. Watkins P. Edwards V. Parrish
03/15/2019
Date
RECEIVED
APR 01 2019
[)CM-MHD CITY
?(iN
two
sblr
p'2U
RECEIVED
APR 01 2019
OCM-MHD CITY
mkId
d
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C.gg\S 's
(Name of Property Owner)
property located at S 52 `�aAc CL�� �yz�v .
(Address, Lot, Block, Road, etc.
onb.S ;C, \�L�tz�.�A� 1C.y-I , in �rrrQcr CZv:SsN , N.C.
(Waterbod) (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.
__---_ _- -J have object o.n-s to.this_pr_oposaL__
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Date
(Adjacent
`IProperty Owner Information)
\�
-%I\')�
Signature
Print or Tye Name
�:5z+A��
Ailing Address
\'\AQ, -ZQ,S'7O
City/state2ipq�q
Telephone Number
Is=Q
(Revised 611812012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
.wc� `f�b� CL-k I
of Property Owner)
property located at Y&oc r bd, ®art- N.&-nti
(Address, Lot, Block, Road, tc.) II
on ,5S`LC%1'P"1PV9 /ICl.J in r )z1-g� C!QU, 4 , N.C.
(Waterbo y) (City/Town and/orCounty)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
__ - l hava objectiona-to-this_pr_oposat.__
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, li
back a minimum distance of 15' from my area of riparian access unless
wish to ive the setback, you must initial the appropriate blank below.)
l/ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
WA
ni t-
23 z- 6V- -o gg
Telephone N
; m er
�y
Date
t, or groin must be set
waived by me. (If you
(P�djacent ProperVwner Information)
TelephQ� der r
Date J /
(Revised 611812012)
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