64538_Arthur Reichert_20190718

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authorized by the•Statr,e`Of:NOitth Car7Olina,•DepartMent,Of•EnYironmenital Quality- - •• - - :-.,,.--. ._,..,- If I 4 0 0 .-';„ ,.'.- • -.•."'..'; ''- ':-. :: - :!.,:i
.'anctille't.da4a1 Resources Commission in an•ai-ea'O(erniirOnmenial concern pursuant to'i'5A NCAC_, .:U 1(I-, c, . ,..,, 1, . ;., ,, ,,- ...,,;,,.•, ,-, -,..: :., .,;.
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E Rules attached Applicant Name AefilAlz: oc1xr Project Location County 7")(04106A, 1„•‘ ''-,j.! :--•'l t -': '
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,, ,.• _ .. .. i'n, ,,.:, ,,.DEW " **# I;•I DES - OPTST.II'', - - Phone# (• „--) • - r.. ; River Basin I Agh Alel
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AEc(§)- ' Adj.Wtr. Body Sr C:c Al i(t.. C.i2Ci;k (rinian /unkn) •:',-',,
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Type of Project!Activity AVITA01e1Z ri) g`rVii/ rLAT)7011/1 ( I.)
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Pier(dock)length 3Z;$t/, - . ,
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Groin length — , . . . .... 1
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Shoreline Length
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Moratorium: n/a yes 013. Li rci ei\ .
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Photos: yes iici....1 • ''' 91P)r ,
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- Waiver Attached: .yes; 0 , ir 4 :
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A building permit may be required by:. ,5f•AUF oit; ‹0 b,(.177/ ; , . I I See noteon back regarding River Basin rules. •,•:.
(Note Local Planning Jurisdiction), 6 , ,.....1—
Notes/Special Conditions --Ec 071.),Ii.00 co/oD/7-70.), TO- I . or rtAprgiv - Ain-n-be)aa-b. •.,
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,:,, Agent or Applicant PrintedName , Permit Officer's Printed Name ,
II•I, „ Signature **Please read compliance statement on back of permit" • Signature ''
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200 Bortz Ln. Bath NC 27808 Arthur Reichert 919-270-1027 [e-mail]
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= ; i32 long - 8 x' 61 sections, Pilings cut off 5 - 6 above water surface. ; 8,x12
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0_ (110 . '-:
Water depth 2' 2.5' 3' 4' 4.5'
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Pilings for a future boat lift

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that i-own-property adjacent-to , ? '( "' i ,s
(Name of Property Owner)
property located at 2,190 7 t �Z ���� �G 2 _PP.?
(Address, Lot, Block Roa , etc.) �� �%X"
on ,C'/L -Ge a-/60,6- , in �7* a�i��e N.C.
(Waterbody) (Cit /Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING-OF
_....� i PROPOSED-DEVELOPMENT
SED-DEVELOPMENT
(ith duatW kWideve%p nt msfi� nd scipobejwioatcWsi ga*b)WAIVER SECTION
I understand that a 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. (If you wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property-Owner Information)- (Adjacent-Property-Owner Information)-
Signature Sign lure*
���� ��l ��T �ffow
Print or Type Name Pint ortô/,ei4jadSo
ype Name_
roZV i)O'` -'� / 3)-Mailin ddress ar �-Adre
�G 2 7$2 d, - 7
Citil/State/Zip
---/DZ cilyY4ay 2��3 D
Teellepho e Nu ber/email address Telephone Number/email address
-7//.1-7 >;_,s -19
Date Date*
€t
(Revised Aug.2014)
*Valid for one calendar year after signature*

• Applicant:A R I Vt i`— gCI C u F✓Z
Date: I B t'( 2 v lG
•General Permit#: ?315 , O
Describe below the HABITAT disturbances for the application. All values should match the name,and units of measurement
found in your Habitat code sheet
TOTAL Sq.Ft. FINAL Sq.Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.Habitat Name includes anyanyany
Choose One Excludes totalindudes Excludes
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
OPT �J/\ 4 Dredge❑ Fill❑ Both ElOther % r7 Fi
4 Dredge❑ Fill❑ Both ❑ Other ❑
i •
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ .Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
•
Dredge❑ Fill❑ Both ❑ Other ❑