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Home My WebLink AboutBogue Sound Yacht Club, Joe Reece®FTE)CAMA / ❑ DREDGE & FILL No. 73926 A B C D NERAL PERMIT Previous permit# v ❑Modification ❑Complete geissue ❑Partial Reissue Date previous permit issued As autied 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 i j ❑ Rules attached. Applicant Name1 tY - - 1 l ro'ect Location• Coun Address (. Street Address/ State Road/ Lot #(s) City_ i State ZIP Phone # O d_MaiV Subdivision_ Authorized Agent _ Affected Ll CW AEC(s): ❑OEA ❑ PWS: ORW: yes / no IJEW l4l ❑HHF ❑IH PNA yes / Type of Project/ Activity Pier Fixe Float Fing Groff Bulk Basi Boat Boat Beac Otn Sher SAV Mor: Phot Wals i . Cit)f ZIP i S ❑PTS Phone # ( ,�... i River Basin _. _ BA ❑ N/A Adj. Wtr. Body; _... _(nat /man /unkn) Closest Maj. Wtr. Body (Scale: ) �011MME:::I:: EMOMMEMOMMEMEMEC�11MOMMEMM MOENEMMUME MEMEME MEMO ■■■■■■■��r■■■■■■■■■■■■■■w■■■■■■■■ ■w■■■ ■■■ number ■■ ■ ■O■ ■■ O ■■■f■■yy■■■■■■■■■■■■■■■■ w ■■ ■■I■■O■O■■ ■■ MEMIKAFAMN .■■BEEMEN ■■■■■■■■■ ■■■■■■■w■■■■■■■■■■■MEFAMOMEMM■■�■■■■■■■■■ �C00 OEM mm:m :::v::::m::::m:®C:MEN yards_ 0 rampwu■■■■■■■■■cubic ■■■■■■■■■■■a■■■w■w■■■.ri■■■■■■ r u■ ■O■■■■■■■■■■■w ■■■■■■1\�lMIN-03 ■■■I ■ ■■j■■■■■■M/I■%■■■■ ■■■■■ ■■■■■■■w. ■ p ■■■R■ , Nf E EM M ' ■■■■�� ■■■■■ ■w ■■■�� ■■■w■i■EA"■■ 'M ■■■■�■w i Bulldozing ■■■■■■M'11■■■■■■■■�■■■■■■��h�■■■��■■■■■■■ ,"7■■■■� rf G"ti ■■■I 9 RAM OMEN f�■■O■O■1■1\■■■■■■ .-wiiii�0��iwwn�r■ii■�■iiiia�9iiiiiiiii■■ii Are Length ■®■■■ ■■FAREI1■i1■■■■■■■■■■■■■■■MOO■■■■■■ no notsure yes ■■■:®IBC■o■ I IMMEMEME Jim M torium: n a yes no ts: yes no mmm=mlmmmmmmml Is El ON ■ ■ ■■MEMO ■■■■■■■ ■■■■ ON 1 A building permit may be required by: ( Note Local Planning Jurisdiction) - Notes/ Special Conditions Agent or Applicant Printed Name i ❑ See note on back regarding River Basin rules. i 6 '' .._. PermitO ficer's Printed Name Signature" - Issuing Date Expiration Date Signature ** Please read compliance statementon backof permit'r* Application Fee(s) Name of Properly owner Requesting Permit: _ao. A,kac_e Mailing Address: 129 ffr p _,e r- Cr , --74 A4' I-) n r f Jt %C 2- Phone Number: 3.36 177 Email Address: I certify that I have authorized _i�"rG//i s Agent /Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: _1,?5 1k //'.7 6 Sr" J j1 n ? S7' :(:k C44 lnxr/nc�_ at my property located at — in �'a.r ��e�� County. I furthermore certify that I 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: jjN Signature 1 Print or Type Name 1-\b A �Tt2S�Sti`G'C��1 Title Date This certification is valid through / l REGr.IVEp APR p 4 Jos 0GM_MH1D GIV ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ��a t u % Sa J olD ,Y/�/c h Z/gi>E1 (Name of Proper Owner) property located at �� „ e Sa art VPi[ 4e'-j r a -��{ / (Ad ress, Lot, Block, Road, etc.) on Na� At��orvF Sev✓[� _,in 1/� �� 6t/L , N.C. ( aterbody) (C tylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. have no objection to this proposal. _-__---- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) RECEIVED APR 0 4 2019 DCM.MHD CIT`! 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) Signature Print or Type Name r- -f TelephonNu ber e yip /) -T Date T (Adjagent Property 0 er In r ation) Signature ``nn &:[4 rC P^rC Print or Type Name 3 ayro (Revised 611812012) 0 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ,c � cXiv v`tS<1 AL.'1 T Gl-y $ property located at ame 11 of Property Owner) i (Address, Lot; lock, Road, etct on viC.�AQR�.�A� � CvJ in c2Ci=¢.�v l o JNIX9 - N.C. The applicant has described to me, as shown below, the development proposed at the above location. x I have no objection to this proposal DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing' development must fill In description below or attach a site drawing) RECENED APR Q 4 Z019 ®CM-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' setba k requirement. (Property nwner Inf rmation) (Adjacent Property Owner Information) Si ature signa1ur� — oiE 100N r2e�e� uR�S P7rint or type Name 'nnt or Type iv -& -au 17 L1--K- Date (Revised 6/iKY1)