24845_SCHLATTERER, EDWARD_20000404

CAMA and DREDGE AND FILL
G E N E R A L 24845
PERM I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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, imprisonment 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 of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
In issuing this permit the State of North Carolina certifies thatthis project
is consistent with the North Carolina Coastal Management Program.
Phone Number
Zip
issuing date
(SCALE:
applicant's signature
permit officer's signature
expiration date
attachments
application fee

IMPORTANT MESSAGE
FOR Leff
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AREA CODE NUMBER EXTENSION
J FAX
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AREA CODE NUMBER TIME TO CALL.
TELEPHONED
PLEASE CALL
BSc
CAME TO SEE YOU
�/
WILL CALL AGAIN
WANTS TO SEE YOU
RUSH
RETURNED YOUR CALL
SPECIAL ATTENTION
MESSAGE
SIGNED
FORM 3002P
LITHO IN U.S.A.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to
(Name of Property Owner)
Property located at f 7 � ff
(Lot, lock, Road, etc.) '
on'n e Gll r- q inS rPS
(Waterbody) , N.C.
(Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen feet (151) from my area of riparian access unless
waived by me.
I do nod wish to waive the setback requirement.
dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT;
reposing development)
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own Property adjacent to L` �v�; J
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(Name of Property Owner)
Property located atV /
(Lot, Block, Road, etc.) '
on t C / Gl/ r in �, n S- ores
(VYaterbody) , N.C.
(Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen feet (151) from my area of riparian access artless
waived by me.
I dQIM wish to waive the setback requirement.
I dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT;
Imposing development)
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