Bogue Sound Yacht Club 78282C

1 /26/2021
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L)CAMA / I IDREDGE i FILL
GENERAL PERMIT
11New , LiModification ClComplete Reissue I Partial ReISSUC
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commif�lon in an arei(iag4e iropv)fy al jopryern pursuant to I SA NCAC.
Applicant1 Named � �W U_14A . "v�r I
'1t�-,—,V}
Address1�C�
t`n
City_V.1r' l� j ... _ State. ZIP
L+) �_
Phone # !. E-Mail _—..._ —_.
Authorized Agent
Affected C Cw W TA LIES C PTS
AEC(s): � OEA Dl HHF _ 1 El URA ❑ N/A
PWS:
ORW: yes /\ J PNA yes /
it or Ap�pk Wit Printed N�� ' �
ire /*! ereaf n liancestatemento ac o ermit s
Location:
A B f C D
Previous permit ff
Lot #(s)
Subdivision,
City__
Phone #
Adj. Wtr. Body,
Closest Maj. Wtr. Body
i 1'41
Is iin Da e
Exr anon Data
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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/ 1-888-4RCOAST
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

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit://�►n
Mailing address: 33a La) t �l f(,t� cT Alto
q
Telephone Number: 360- 7P7-W/7
I certify that I have authorized /1 3 p�j '/,,�C (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of _&'4 - 'SI'04 / I G()P �Yj t�� 4C11T
�'A,C�
at my property located at 3aS
ags7o
This certification is valid through (date).
(Property Owner Information)
Signature
/a/(mom
Print or Type Name
Title, co, owner or trustee for property
Date
3�,/c9-7d 0-/-
Telephone Number /
Email Address

b.GENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit. , �L ►'� �`� r�� '�. ��'°
ailina Address:
Phone NumDer. S 4t> — -7 k(-I
Email Address:
`certifv that I have authorized
cb \ lL - 4 Jl- Dent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permitZ
lecessary for the following proposed development:
at' property iocatea at Z
--
in � —\ Counn
?1;6-'� -7G
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:
Signature `
Print or Type Name
rtd�
DaLe
C. \-�v li�, %AO tt'. .
-,pis (;6Mfir aUon ie vel►d 0 iruUgh

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ADJACSNT RIPARIAN PROPERTY OWNER KATQMIENT '
q, vJ cA v > =.. ; C C, %A b .� l.1xi ' _•,�v ti� ;u ' `t t
lerwy c--mi :oat i own property adjacent to j— V '1 ra ��
f (� a e bTl /` ( (game of Property Owner) s'A �
1ccated at >� 7 r 6,) P4, �;,: t, l �;�\ ram,
(Address, Lot, Block, Road, etc.)
on In LL ' , N.C.
(Waterbody) (CltWowA and/or County)
^,e applicant has described to me, as shown bfl;ow, the development proposed at tie above
ocation.
1 have no objection to this proposa;.
have objections to this proposal.
DESCRIPTION ANUOR DRAWING OF PROPOSED DEVELOPMENT
(�►sr�f _3ropc►sirtgveloprner?t roust ftt! _,,xrription �elorvor attach a site clra}
-!Y61YER SEC 1 iory
:ndaSsund th. z pier, cock, mooring pilings, boat rampa'J D. breakwater. botouse, lift, or uroin
se: oacs a minimum distance of 15' from my area of rinarian acctiss unless waived b„
::lc. klr you vilisi m waive iiie setflaclt, you must tnitlarl the appropriate blank below.)
do :vish to waive the •15' embaolc requirement
C � '. do not v4sh to vralve the 15' setback revuirementi L
;i-roneq Gwner.tnzomaatior.) (Adjacent Propsr.}, dkmer Information)
MelQng Address --
City�ta
Telephone Nu berremail address
/-7
4Valid for cne enlsndar yen, tAor oignatum'
Print or Type [dame
f4gffing Address `
C�jrlStara�Zi,^ � '{
Telephone Number/email address
Dote°
59dAug, 2014)
I of 1

ADJACENT RIPARIAN PROPERTY OWNER STAIL99
I hereby cefiiy that I own property adjacent to i �� I I' �� LLLU 's
1 (Name of roperty Owner) p 1
property located at U-
(Address, Lot, Bock, R , etc.) .-r-
on ��CLJ in P1�J PO0- -1e I N.C.
(waterbody) (Crty/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
Io,catio �.
'
Al I have no objection to this proposal. i ��+ L
I have objections to this proposal.
�
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(bmftk Wal propwi tg, development must 0 In description below or attach a site drawino
see �-rC-jgj �,7e&-
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.)
w— I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
S'ure
;nrype►a
M il�'Address
I1'1 11, D Ia,
City e%IJ
3�e) - 7 -
Telephone JVumberlemail address
/-141
Date
cent Property Infomnation)
,gr Type Nam L
�'7r—.
�a 2
c L-:S 7 d'
idly/JTalwLIP Q S
2 S i �-
Telephone Number / email address
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER TATEMENT
I hereby certify that I own property adjacent to % Q,t4 s
rr P I (Name of property Owner)
property located at �py11_L vNAIy1AC;,1 . ,,'3p �f��i�.1,
(Address, Lot, Block, Road, etc.)
on l L' �,) i��5A AM7� , in t� (�(A t,T N,C.
(Waterbody) (ity/Tow and/or County)
The applicant has described to me, as shown below, the development proposed at the above
lo�10
I have no objection to this proposal. °z411 PAI
I have objections to this proposal. y�
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must flit in description below or attach a site drawing)
Cj��
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 to waive the setback, you must initial the appropriate blank below.)
t ►- 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property,Owper Informatio,
Si to e
.,TOil C�k/,rc'►
Pr' t or Type�lla e
733a ►� r
Mailjng Address ©;z
CitySt te/Zip
7,1,ar - — y ll9
Telephone Number/email address
Date
Print or Type Name
`Y
Mail' g Address
tit C
City/Stater
Telephone Numb e / email address
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 �A �', II : s'kM V004MA4 1 is
(Nam© of Property Owner)
property located at
IQ-4#II
., ' (Address, LZA
Block,Road, a c.)
on :1 � � Ac1�(ACpa4-- , in bA � , N.C.
(Waterbody) (CityRown andlor County)
CThe applicant has described to me, as shown below, the development proposed at the above
to
I have no objection to this proposal.
I have objections to this proposal.
1 P P
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
��c1t 'P,
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. Ow er Information)-,,
Sippt,e
Print or Type �N e
��� UJ�'�lJ4�Ltl/i�l` V�•
Mailyng Address,
6t M 0
City 570e'I
Telephone Number/email address
Date
on)
ure
%.
M i g Address /
Cityi/S(at /Zip
—Teel-e�p-hone Number / email address
Date*
`Valid for one calendar year after signature`
(Revised Aug. 2014)

refox
about:blan
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1/5/2021 12.44 PM

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about:blanh
Bogue Sound Yacht Club, Inc.
1612 Military Cutoff Rd Ste 108
Wilmington, NC 28403
William Volkman & Elizabeth Breaux
2332 Windjammer ct NW
Olympia, WA 98502
ARC APPROVAL
Reference: 234 Yacht Club Drive, Newport, NC 28570 1 Request #: XN13906527
December 31, 2020
Dear William Volkman,
Your Request for an Architectural Modification on your property at 234 Yacht Club Drive has been approved by the
Architectural Review Committee (ARC) of Bogue Sound Yacht Club, Inc.. Specifically, you have approval to proceed with
the following request as submitted:
Boat Lift - To whom it may concern, We are looking to gain approval from the marina committee of Bogue Sound Yacht
Club in regards to installation of a boat lift and dock modification to our boat slip (11). Please review attached
document for our proposed plan. We will be acquiring the required Cama Permit, Building Permit, and Electrical
Permit at the start of this project. Regards, William Volkman (Mike)1360-789.4119 Elizabeth Breaux/360-789-2216
Please note that the ARC reserves the right to make a final inspection to ensure that your project is compliant with all
CC&R's and the Architectural Design Standards applicable to your neighborhood.
This approval is granted on the aesthetics of your project. The ARC does not take responsibility for, or infer by its
approval, the project's structural soundness or that it meets any restricting state or local codes. Where applicable, all
local building codes and setback requirements must be followed. If a building permit is required, applications must be
submitted to your local planning and inspections department.
Thank you for adhering to the architectural guidelines of the community.
Sincerely,
Bogue Sound Yacht Club, Inc.
This Community is Professionally Managed By: CAMS 1 [phone] www.ramsmgt.com
1/5/2021, 12:46 PM

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