88349C - Bogue Sound Yacht Club

° "❑CAMA DREDGE & FILL N9 88349 A B C D
Previous permit
a GENERAL PERMIT Date previous permit issued —
❑New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
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. [Y General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_)
Affected ❑CW ❑EW ❑PTA
AEC(s): ❑ OEA ❑ IHA ❑ UW
ORIN; yes/no PNA: yes/no
Type of Project/ Activity
ZIP
❑ ES ❑ PTS
❑ SPIMA ❑ PINS
I
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
(Scale: )
........... 6. .
Access Length--
`='
_-
Pier (dock) length
�'
Fixed Platform(s)
r�
•
Floating Platforms)-
( r
Finger pier(s) ---
Total Platform area
I-
-
-
Groin length/q
Bulkhead/Riprap length
Avg distance offshore
---
-�-
-
- -
-
-----
-
—
(--
Breakwater/Sill - -
-
-
-
Maxdistance/length`
Basin, channel
If
Cubic yards �.._..
-
I-
-
_.. __
-t—
��
t
_
—
•
-
t
_1-
._
Boa[ ramp -� t �I
�
1
7�_
i ��'
—
_T�
Boathouse/ Boatlift
- j
'A
Beach Bulldozing
Other
-
_
---
SAVobserved: yes no
-
Moratorium: n/a yes no
Site Photos: yes no
--
-�
-
-
----
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required
Permit Conditions
I AM AWARE OF STATUTES, CRC RULES AND
ILY TO THIS PROJECT AND REVIEWE
Agent or Applicant PRINTED Name
Signature **Please read compliance statement on back of permit**
/�
Application Feels Check tt Money Order
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Permit Officer's PRINTED Name
Signatujb '
Issu�g to Expva 'on Date

a*1ACOUT4,N❑CAMA ElDREDGE & FILL N9 88349 A B C D
a ��/� � ' Previous permit
GENERAL PERMIT Date previous permit issued
-❑ New []Modification ❑ Complete Reissue ❑ Partial Reissue
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. ❑/General Permit Rules available at the following link: www.deq.nagov/CAMArules
Applicant Name
Address
City State ZIP
Phone # (_ )
Email
Affected ❑CW
AEC(s): ❑OEA
ORW: yes/no
❑EW ❑PTA
❑IHA ❑UW
PNA: yes/no
Type of Project/ Activity
cr....er...., i.... k
❑ ES ❑ PTS
❑SPIMA ❑PWS
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
-(nay
inan/unk)
(Scalei )
Pier (dock) length
Platform(s)
■■
�Fixed
:■■
�■
■■■■■■■■:::■■:::■■
ME
M
MON
ME
iii:■MEN
®_
::i■�:■
i
:
M
:::::�
■�
...::::
�..
..:.,�.■■
..
■:::::
■■■..�:.�'�■.:■■■■■��.�■:■■:■E■■■■
ME
on
MOON
V
NOON
INN
II►
1::::�1�®®■
A building permit/zoning permit may be required by:
Permit Conditions
TA72/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)_
Agent or Applicant PRINTED Name i Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit**Signatu"
Application Feels) Check #/Money Order Isgu1 g to Ezp ra or Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Ue Sc�or-j yacht C�u-b , MC
Mailing Address: '21 Lachl C ktb 1
fJC 'ZS`10
Phone Number: T"ir+, t4ornas "9-624- 1 2f�Maitfylttungta �$-
2�aa
Email Address: Lyn
I certify that I have authorized irc aiGS t lr�C�Q i
Agent contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: )0kr T>rp +ft'�j Aka—vrincc
( cts�n 0-4--'8 C,1V)annel +� I C W
at my property located at
in ( a*4T 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:
Signature
Print or Type Name
Title
5 1 J 1 Vi a'
Date
This certification is valid through 4 �C 1

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNYAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner n u 2 Sou r1 cl Vi < t j is k Jnc
Address of Property: 3 S I
Mailing Address of Owner. I M ` i (0 °i Rat _<.Ji�
Owner's email: ameta t
Oa(nctS t30t7'Fti9Aers Phone#: (r~7 N 524 - i -: JL
Agents Name: !�>� n 4 (e.c _&00 S
Agents Email:
Agent Phone#: ar 2 - 0 { 1-70 y
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be compieted by the Adjacent Property Ownerl
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 attached drawing, the development they are proposing. A
100 NOT have objections to this proposal. I DO have objections to this proposal.
if you have objections to what is being proposed, you musr noaiy me n-d, wiviziul, v, v Qa
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection N you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 16 from my area of riparian access unless waived by me (this
does not apply to bulkheads or hprap revetments). (If you wish to waive the setback, you must sign the
appropriate blank below.)
I DO wish to waive somelall of the 15' setback
Signature of Adjacent Riparian Property Owner
mo
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
Typed/Printed name of ARPO: LIA-w e
Mailing Address of ARPO: PC, a x A410f Zel_)tt t pr1 I NC 2-1C <-1 4
ARPO's email: CJ16 a-Se'Ltwe ft.cA-t trmk.°A O's Phone#-. 914 -
Date: l Z%22> -waiver is valid for up to one year from ARPO's Signature'
© Revised May 2021
��tz "�� C �✓\a 7—CA -ZCY-elz Za. c �tiiC� o ti;�ct l`

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner 6 ciy e 5o c J / t & 4 QUID � n� 1
Address of Property: ( Y(J r tnj C (u.�� N aN�i1r 0 - Zc7 7D
Mailing Address of Owner: (iu ;i() M 4f} v w m i t K'i1
2-
Owners email: Owner's Phone#
�fv rc
Agent's Name: �czrhe�Ll_��tSmaS-�'D A/g�en[Phone#:
Agent's Email: -ttA0 YVt6L S 'Goo0 E 3 M r"t� 1Yl
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adlacent Property Owner)
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 attached drawing, the development they are proposing. A
description or drawing with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notrry me iv.(., urvrsron or wnsra,
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
malled to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mali.
WAIVER SECTION
I understand that any proposed 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 (this
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the
appropriate blank below.)
I DO wish to waive somelail of the 15' setback
Signature of Adjacent Riparian Property Owner
No
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner%IAII f/yl�—✓
Typed/Printed name of ARPO: A'T"rr.%'CE- i�—:41 V
Mailing Address of ARPO: V�tnl RGt `JPjQ VtS'`a NC 2 sg4
ARPO's email:
ARPO's Phone#: 94p5-7
Date: 3 Z Z 'waiver is valid for up to one year from ARPO's Signature`
Revised May 2021

EXISTING PROPERTY LINE---
('L.'Pii�S%f
Notes:
Section A 122' x 95' x D' 127 = cu yd
Section B = 287' x 45' x D' / 27 = cu yd
r Section C = 287' x 45' x D' /27 = cu yd
Section D = 78' x 70' x D 127 = cu yd
Secliun E = 229 x 26 x D' /27 = cu yd
&X�rra,r B
YACHT CL.

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cu yd
Notes:
Section F = 570' x 20' x D' / 24 =
Section G=510'x20'xD'/24=
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Notes:
Section F= 570' x 20' x U l 24 =
Section 6=510'x 20'x Ul24=
,3I,42 5OW4
p,05
cu yd
cu yd
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