HomeMy WebLinkAboutDockside Yacht Club Inc®❑CAMA/ El DREDGE & FILL ? ,', No. 75273 A B C D
GENERAL PERMIT Previous permit#
p`Vew ❑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 I SA NCAC
-? ❑ Rules attached.
Applicant Name Project Location: County
Address - J Street Address/ State Road/ Lot #(s)
City _ State_ ZIP-J--
Phone # (j' Subdivision
Authorized Agent
Affected ❑ Cw
AEC(s): ❑OEA
❑ PWS
ORW: yes / no
pW L PTA
HHF LL IH
PNA yes / no
Type of Project/ Activity
Bulk
Basi
Boat
Boat
Beac
Oth
Shor
SAV
Mor
Phot
Wai
A bu
❑ ES ❑ PTS
❑ UBA ❑ N/A
1
City ZIP__
Phone #. ( ) River Basin
Adj. Wtr. Body__
Closest Maj. Wtr. Body
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MINDEE
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
-'jl( i ) -'i /i
Signature "Please read compliance statement on back of permik** Signat re
Appllcatlion Fee(s) Check# Issuing Date Expiration'bate
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Dockside Yacht Club Inc
Mailing Address:
Phone Number:
Email Address:
rr W-r7TZAeT:t
Morehead City, NC 28557
252-646-6231
gstumpe@mac.com
I certify that I have authorized TD Eure Marine Construction, LLC
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Replace the marina due to
hurricane damage
at my property located at 311 Arendell St
in Carteret County.
I 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:
Signitture
Cuviv1u2 �tK"-I>C_
Print or TypeName
w<uU�-
Title
J I / I q
Date
This certification is valid through / 1 -7 1 2.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Dockside Varht Club InC 's
(Name of Property Owner)
property located at 301 Arendell St
(Address, Lot, Block, Road, etc.)
on Harbor Channel in Morehead City N.C.
(Waterbody) (City/Town and/or County)
The applica as 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 till in description below or attach a site drawing)
*ATTACHED
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.
v �
I do not wish to waive the 15' setback requirement.
(Property Owner I formation)
lAaJagentTropertY�I G, 1111J3,4,..
Si lure
Si l,Tl( 11
Jessica Dowty
Print or Type Name
Print or T pe N me
' 'e U
PO Box 650
(tl fa E'
Ma1l(rjq Addre$s gs,
Mailing Address
Morehead City NC28557
CitylstatelLip
252-728d191
Cityls t ipQ 010tt+n�✓�
�- C,'- ' d
Telep o a Nur/email address
Telephone m erl email address G rJ
Date
Date
(Revised Aug. 2014)
*Valid for one calendar year after signature*
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to rlocksjis Yacht Club IDQ ,s(Name of Property Owner)
property located at 301 Arendell St
(Address, Lot, Block, Road, etc.)
on Harbor Channel in Morehead Cites N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loca
have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROP051=O utvtLurmcry 1
(individual proposing development must fill in description below or attach a site drawing)
*ATTACHED
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.
(Property Owner Information) (Adjacent Pi
S07luir,
Jessica Dowtyrw�.r
Print or Type Name Print or Type,
PO Box 650 &Z
Mailing Address Man �Add�
Morehead City, NC 28557� LL
City/State2ip
CLn—e o252-728-4i97
Telepon Numberl email address
T2
/q%
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*
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