Radio Island Yacht & Boating Club - 90068C

❑CAMA ❑ DREDGE & FILL N9 90068 A B C! D
GENERAL PERMIT Previous 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:
ISA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.ncgov/CAMArules
Applicant Name
City
Phone # (
Authorized Agent
Project Location (County):
State ZIP Street Address/State Road/Lot #(s)
Email
Affected ❑ CW ❑ E W
❑ PTA
AEC(s): ❑ OEA ❑ IHA
❑ UW
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length--"""'
Access Length
-�--
i
Pier (dock)length
4 I
Fixed Platform(s) --"`
i
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
❑ ES ❑ PTs
❑SPIMA ❑PWS
SAV observed: es no
v �
Moratorium: n/a yes TJ
Site Photos: yes no
Riparian Waiver Attached: .yes no _
I
A building permit/zoning permit may be required by:
Subdivision
City
Adj. Wtr. Body
Closest Mal. Wtr. Body
(Scale: ) j
❑ 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.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature -*Please read compliance statement on back of permit`•
Application Feels) Check #/Money Order
Signature
Issuing Date
(Please
Expiration Date

A"t°urI, EICAMA ❑ DREDGE & FILL N9 90068 A B C' D
GPrevious permit
GENERAL PERMIT
Date previous permit issued
[]New ❑Modification []Complete Reissue ❑Partial Reissue
As authorized by the StateofNorth Carolina, Department of Environmental Quality and the CC coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC , / / \ ❑ Rules attached. General Permit Rules available at the following link: Nww.deq.nc.gov/CAMArules
Applicant Name Address
City State /J zip
Phone#(_)
Authorized Agent
Project Location (County): _
Street Address/State Road/Lot
Email ! C:� 'l Subdivision
City ZIP
pp J
Affected ❑ CW .HEW .❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body ­ f ;v t-! k V `e"(- t( a(/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body M1— V`t
ORW: yes/no PNA: yes%no
Type of Project/ Activity i 1 „ t. .
(Scale:,!\) t j )
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area -
Groinlength/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
Boat ramp
Beach
Other
SAY observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: 'yes no
A building permit/zoning permit may be required by: 0 + 11)
Permit Conditions
❑ TARJPAM/NEUSE/BUFFER (circle one)
1-1 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
Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Signature -
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Radio Island Yacht & Boating Club
Mailing Address: 156 Radio Island Rd
Beaufort, NC 28516
Phone Number: 252-659-2149
Email Address: [e-mail]
I certify that I have authorized TD Eure Marine Construction LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Installation of (2) Boat Lifts in
Existing slips
at my property located at 108 Old Causeway Rd. Morehead City NC 28557
in Carteret County.
1 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
aiN'rA!j IfIN-urr-er
Print or Type Name
Title
If o�_t D2'?)
Date
This certification is valid through

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