89014A - Bordeauz, John

Q��`°"'❑CAMA El DREDGE & FILL N° 89014 A' C D
G Previous permit
E N E RAL PERMIT Date previous permit issued
3
❑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 nc gov/CAMArules
Applicant Name -(' Authorized Agent "-
Address o"�� Project Location (County):
City State ZIP Y Street Address/State Road/Lot #(s)
Phone I )
Email ] "' P1 :a d rr ( I '-
z.
Subdivision
r
City ZIP
Affected ❑ CW ❑ EW ❑ PTA
❑ ES
❑ PTS
Ad!. Wtr. Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW
❑SPIMA
❑PWS
Closest Maj. Wtr. Body
ORW: yes/no- PNA: yes/no
Type of Project/ Activity
/T
'j S
c� J7 ' `n /;2 < j 1-,`, .V j
Shoreline Length -f
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/N
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 no
Moratorium: - n/a .yes no
Site Photos: yes no,
Riparian Waiver Attached: yes ( no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: N) )
❑ 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 Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit'* Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: John Bordeaux
Mailing Address: 100 Sunset Court, Manteo, INC 27954
Phone Number: 540-379-8478
Email Address: [e-mail]
I certify that I have authorized Matthew Sherman Y35- %3Y ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 12k Boat Lift
at my property located at 100 Sunset Ct., Manteo, NC 27954 ,
in Dare 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 I
John Bordeaux
Print or Type Name
Owner
Title
4 / 02 / 2024
Date
This certification is valid through
Revised Mar. 2016

Currituck Boat Lift & Marine Services LLC
Canal
r
k
�M r
P d pd 42k HI -Tide GemOeive Boat UR
\ 48' Mmine Grade RIW,e foe 8om Oulee P.J:"p 1
Jpo T 14'MmMUmEmbedment >L
r4 -� tb
Dock
100 Sunset Court
Manteo, NC
27954

---14' Minimum Embedment

N TT
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTEprHANO DELIVERY
(Top portion to be completed by owner or their agent)
Name of Pmpetty Owner. ;�' r
r -" i; %'
2 m �O/G/G'Gic/fC
Address of Property: My .5rf.✓eel
C' vRi
� A.V7Nl1. r✓C...�...----------
Mailing Address of Owmart. 3, Cl
1 mJ Jr /Av)d
At
Owners Met:/✓,o`�iiT.. lAOi`C�EAUX�Veti Owner's Phonefk✓`?�.g�8y7'�
Agent's Name: ),'ye 17Ll�i
.JiICY//9(�
Phone#:625�1
Agent's Email: 1&r. rrnlJ_ r,�
�c W in ,/Wild
/Agent
coon
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bolcom Portion to
be completed
by the Adjacent Prgperty Owners
1 hereby certify thati awn 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
Ills
tton nr "n w' d' ins mu videtl wdh i letter.
00 NOT have objections to this proposal _ 100 have objections to this proposal.
B you have objections to what /s being proposed, Yon most notify the N.C. Division of Coastal
6fanagament (DC6) In wr&ng wftirrn 10 days Of me 117f of this not" Correspondence should be
mailed to 40 S. GrWfi St,. Ste. 300, Elizabeth City, NC, 27909. DCM representathres Can also be
contacted at [phone]. No response is considered the same as no objection if you have been
natiged by Cer4Wed Nail.
WAIVER SECTION
lunderatand 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 di) arian access unless waived by me
(this does not apply to bulkheads or ripmp revetments)_ (if you wish to waive the setback, you CHUM Sio n
Me appropriate blank below.)
I DO wish to waive some/aG of the 16 Setback
OR Signature OfAdjacon I Riparian Prope �._�
I do not wish to waive the 15' setback requirement (initial the blank) y.---
Signature of Adjacent Riparian Property; Owner. r
TypedtPdMod name of ARPO
,.. Malting Address of ARPO: nuhb1'JCnILj.�,,^41+�1 �4 Y
hg
Po a all: let e z({e n ll!rn m 7�S
�"+'i" hvaner _ m.is valtl, ,fmq: (
_ ARPO's signature.
Revised July 2D21
J,

ADJACENT
CE i IEI
n
Name of Prop Own
Addisas0 roperty:
Mailing rase of Ow��l
Owner' email: Aux
....AgenPsNa
DIVISION OF COASTAL MANAGEMENT
%N PROPERTY OWNER NOTIFICATIONIWAIVER FORM
RETURN ft[;q IpT REn1IFS1ED 01 tiAII
06 —be wmpietLed by
,owner or their agent)
L,h `" xsbt7TiAC k. "
Ictiv1�- Gt,S a�pJe--y
Qd • c� ivner's Phone#
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adiaca t 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
d or drawin wi di n ' n mos be Iovlded wit this letter.
1 ib NOT have objections to this proposal. _ I DO have objections to this proposal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondance should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NO, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no ob(ectlon if you have base
notified by Certified Mail.
I understand that
groin must be set
(this does not apt
the aooroodate bl
WAIVERSE TION
proposed pier, dock, moorm p�li s, boat ramp, bre at, boathouse, lift, or
(a minimum distance of 15' my area of riparian a ss unless wa"ved by me
=I bulkheads or riprap revetmen If you wish to wai t setback, you must also
he
-OR- J
1,/1 do not wish to waive the 15'setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
Y-'
Typed/Printed name of ARPOn: :
Mailing Address of ARPO:o v.
arh'
Date: `waiver is valid
from ARPO's

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