HomeMy WebLinkAboutBogue Sound Yacht Club 77034Ca
CAMA / ❑ DREDGE & FILL N9 77034 A B D
ENERAl,. P`�RMIT Previous permit#ew ❑Modification L)(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 o�yirpnmental tooter. pu�I SA NCAC
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Phone # (
E-Mail
Authorized Agent
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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 I) 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/ 1-888-411COAST
Fax: 252-247-3330
(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:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http:Hportal.ncdenr.orgtweb/cm/dcm-home
Revised 7/06117
Name of Proparfy Owner Requesting Permit
Maifina Address:
Phone Number. 25Z-•I-(,ZN-
Emall Address:
I certify that I We authorized
to act on my.kehalf, for the purpose ofapplyllrg for and
necessafy fat the folfowtng Proposed development:
aLrmy property tocated.at .&Main 9"
In Ck4rPo T County
f f ffft iore caftffy Met l am authorised to grant; and do
I)mdo►f of Coatstaf Management'eteff, the Local Penw oft
-an.fha.eforemenUaned lands In oannectfoh wa ewka&v
parnrff appftcatlom
Propetty Owner InfotmaHon:
- S/grratore .
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PltntorType Name '
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Tuts oedification Is valid
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fir,: (•Co„� ..
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ng aA CANIA pertn�s
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fact
soon to
> enter
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1 hereby M tty that I own PmPorIyacdacsnt tom
Property located at Uw f.CAs 1) r m
on _ erwp— Sca,,,•D (Address, Lot, Wool
(WataWod in
Y)
The applicant has described to me, as shown below, the
location.
I have no objection to this proposal.
N.C.
proposed at the above
DESCRIPTION AND/OR DRAWING or PROPOSEE DEVE O MgNT
UndlvldUal proposingdevetopmemmratfl!!In descrtpEon Mow orattech a site orn wing)
S S:>W-U,s+rt -44TJa CH40 -Cc r4-PM44-t-fZ� y
- W�IIVER SEC710N _
i understand that a Plar, dock, mooring pill gs, breakwater, boaih use, ji _ or groin must be act
back a minimum distance of 16' from my area of riparian access mess waived by me. (If you
wish to waive the selbadc, you must Inleatihe opproprlate him* Ij edow.)
I do wish to waive the 15- setback ngluirernent
1 do not wish to waive the IS- setba* roquhemanL
(Pro r Infonnatlon) (Adjacent Pro r Informotion)
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTI1FICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
Agent's Name #:
Agent's phone #:
,h� C IJo 0,( , Nt w pA , is C u(;1z , carwei (&mly
(Lot or Street #, Street or Road, 00 & County)
Mailing
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the ttached drawing the development
they are proposing. A description or drawing, with dimensions must be provided with this letter.
4/ 1 have no objections to this proposal. I ha a objections to this proposal.
If you have objections to what is being proposed, you must not! the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Con act information for DCM offices Is
available at http://www.nccoastaimanaaement.neUweb/cm/staff- Istina or by calling 1-888-4RCOA ST.
No response is considered the same as nn nhiertinn if ,„ hn,, hnnn nnsls3n I h- r-. Je,.a Ai..;,
WAIVER SECTION j
I understand that a pier, dock, mooring pilings, boat ramp, bre kwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of ripariah 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
I do not wish to waive the 15' setback
(Property Owner Information) (Ripariar Property Owner Information)
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Signature Signature
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Print or Type Name Print or Typo Name
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Mailing Address Mailing Adc ress
vzwgm , NC, -? M-70 �SbJ� by n/C Z�s�i
City/Stet ip City/State p
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Telephone Number/Email Address Telephone umber/Email Address
Date Date If
(Revised Aug. 2014)
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