85801D-FIGURE 8 ISLAND YACHT CLUB,INC

CAMA [ ] DREDGE & FILL / a NE' S58(1) l A B C
J GENERAL PERMIT Previous permit,_
e previous permit issued
New [-]Modification ❑ Complete Reissue ( Partial Reissue C&
As authorized by the Stat of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an tare'raof env iron en concern pursuant to:
15A NCAC - _ __� 1-0 D_..___-� L. J Rules attached. General Permit Rules available at the following link: w v.dea.rxgovCCAMArules
Applicant Name _ Qt PZ 16 JY_f4Q()_JMffT
Address D&67
City, -V1LrA e zip
Phone #
�1 v t 1 ifrj _
_ '/• In►c/• Authorized Agent________?
Project Location (County):
Street AddresslStat oad/Lot #(s)
Email Subdivision -- ---- - - ----
cicy-_V`�wi • 1— --
Affected J CW L EW U PTA ES (� PTS Adj. Wtr. Body I" i ��iy� �J(na n/unk)
AEC(s): DOEA nIHA 0UW ,SPIMA L]PWS Closest Maj. WtcBody _
/no PNA: ye no
l �
2
Type of Project/ Activity [/p�at' l Y/V I K_A-AA- W
..�-�� ' "I
_- (Scale: S )
Shoreline Length �
Pier length
Pla � � M
Fixed Platfo -- - ---- _ �
Floating Platform(s)
Finger pier(s)
Total Platform area
ap length
fshore
Breakwater/Sil _ 1
Max distance/ len h
Basin, channel
Cubic yards
Boat ramp `
Boathouse/ Boatlift
Beach Bulldozing____
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning F
Permit Conditions
V"
yes
yes
yes
yes n
fermi ta ybe req ired by:
�m�
�AA AWAR TAT_ UCES, CRC RULES AND WNDIT70NS THAT APPLY TO_ THIS PROJECT AND
A nt or li t P I! T Name pe
_ fl _l f�
.. -
t
Sign ure "Plea read comolikce statement on back of permit`• Sip
Application Fee(s) Check H/Money Order Iss
0l9�kJ /, h�-
ef4­ 9� 1,5c. YkktT- 6w6lAt'
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initia)
Expiration �e
23

&❑CAMA ❑ DREDGE & FILL
OGENERAL PERMIT
MNew ❑ Modification [:]Complete Reissue ❑ Partial Reissue
No 85801 A B C D
Previous permit
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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name i F (� �" ( r, ivC Authorized Agent 1 �/
l., f
Address Project Location (County): • �- �_ �1::'
City State ZIP ` Street Address/State Road/Lot #(s)
Phone #
Email
Subdivision {
City I I., j'yt ZIP
Affected ❑ CW ❑ EW ❑PTA ❑ ES ❑ PTS Adj. Wt, Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body C` r
ORW: yes/no PNA: yes/no l
Type of Project/ Activity
(Scale: NT � )
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore*;,
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by:
Permit Conditions
❑ TAR/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 A icant PZtaa-14.
�-
Signatur "Please read compliance statement on back of permit"
Permit Officer's PRINTED Name
Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
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 — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

N.C..©IVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM-.

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DgLIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. r I A VF
Address of Property:
Mailing Address of Owner.
I I mingltw� NC mi-I I
Owner's email: Y% ` I lG • &"ees Phone* � i � � ��$�✓U bJ
Agent's Name:. + p f 1 Agent Phone* " l0
Agent's Email: f + 1=,) (A r) I r� n tin I'Yl � I Ce ti,n
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent 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.
XI 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 notilljr the N.C. Division of Coastal
Management (DCM) In writing witdn 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive E)M Wlimingbon, NC 284M DCN nepresentathws can also be contacted at
[phone]. No response is considered the some as no objection ff you have been notified by
Cer~ Mail.
WAIVER SECTION
1 understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, rrft, 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 somelall of the 15' setback
of Adjacent Riparian
-OR-
I do not wish to waive the 15' setback requirement (initial the
Signature of Adjacent Riparian PropeMW Owner.
TypediPrinted name of ARPO:
Malting Address of ARjrO: l3/'1 `004 Q
ARPO's email: ARPO's Phone#: Z6�—D t r0�
Date: l3 "waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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PIP

Date R—Ned
Dete Doa fed
CheckF /Name
Name of Permit Holler
Vendor
Check number
Check
amount
P—NNumber/Comments
1
Reeelnt or Refund/Reallaceled
Cclumnl
Co1umn2
C f mn3
Columnd
Co1umn5
WO 6
Co/umn7
C.1-8
Columns
11/14/2022
McPherson Marine
Benarz
First National Bank
4028
$ 200.00
GP #87558D
PA rct. 17746
11/14/2022
McPherson Marine
Koziak
First Citizens Bank
5609
$ 200.00
GP #87557D
PA rct. 17745
11/17/2022
Bruce Marek, PE
Michaels, Prak, Brooks
Wells Fargo
2307
$ 200.00
GP #87595D
Tmac rct. 17807
11/17/2022
Land to Sea Construction, LLC
Stober
First Citizens Bank
644
$ 200.00
GP #87451 D
KB rct. 17884
11/17/2022
Jason He ge
White
Truist
1006
$ 200.00
GP #87596D
BB rct. 18692
11/17/2022
B & B Marine Construction
Hark The Sound, LLC
Wells Faro
1692
$ 400.00
GP #85804D
JD rct. 17863
11/17/2022
B & B Marine Construction
Van Beuren
Wells Fargo
2004
$ 400.00
GP #85803D
JD rct. 17862
11/17/2022
Pippin Marine Construction LLC
Fig 8 Island Yacht Club
Wells Faro
6138
$ 400.00
GP #85801 D
JD rct. 17860
11/17/2022
Sea Dog Marine Construction, LLC
Smith
First Bank
1958
$ 200.00
GP #87570D
BB rct. 18686
11/17/2022
E Wayne Tew
same
State Em to ees CU
2212
$ 200.00
GP #87572D
BB rct. 18690
11/17/2022
Dianne Williams
same
State Employees CU
1017
$ 200.00
GP #87568D
BB rct. 18683
11/17/2022
Maritime Coastal Construction LLC
Thames
United Bank
3562
$ 200.00
GP #87573D
BB rct. 18688