Schmitt, Josef

❑CAMA./- ❑ DREDGE & FILL q NO. 73431
GENERAL PERMIT Previous permit# A B C.j D
L7New ❑Modification 1—Complete Reissue ' ❑PartiahReissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality J}
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
4 - _
C Rules art ached.
Applicant NameT' (.1E h j t� ) ` Project Location: County
Address �' Street Address/ State Road/ Lot #(s)
JJ
City I ! t State l ZIP f,
Phone # ( �:%f' ' ` 36 %J E-Mail Subdivision
Authorized Agent I A i I. An 1 �.1 1 � �f. ! /) /l ;>/City f� .I !t I ' ZIP_
Affected ❑ Cw ❑EW ❑ PTA �<Es ❑ PTS Phone # (?I C) �'% `° t x, > River Basin
AEC(s): OOEA ❑HHF ❑IH ❑UBA ❑N/A Adj. Wtr. Body l _ (pat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no" Closest Maj. Wtr. Body - -- -
agem or r�ppucant I'nnma rvanm rermrtuwcer s rrintea Name
S,y"aw" '*Please read compliance statement on back of permit"
Application Fee(s) Check#

Name of Property Owner Requesting Permit; n, e
-fix
Mailing Address; 303 C4e,..0 A o
c:
Phone Number;
Email Address;
i certify that I. have authorized
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the fallowing proposed development, I? f R t,, i Irk. n -
at my property located at n
inri iay. County.
l furthermore certify that 1 am -authorized to grant. and do in fact grant permissionito
Division of Coastal A48nagsment staff, the Local Permit officer and
on the aforementioned lands in connection with evaluating intheir agents to enIto
formation Palates to thls
permit application.
Property Owner Information:
Sl nature
Print or Type Name
RVr1
Title
2 / to i�ot9
Date
This certification is valid through
1

z

Isli,J, +f 'r thy+
J),Oq Ine"w�aoal
ADJACENT RIMftJAN PROPS= OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at JL03 C'e,k d l
(Address
Orr_ Aa. iEvc�, in
(Watorbody)
The applicant has described to me, as shown below„ the development proposed at the
locati_ oil
1 have no objection to this proposal.
1 have objections to this proposal,
In description below or
�i►
a site dra wing}
WAIVER SECTIO�jT
t understand that a pier, dock mooring pilings, breakwater, boathouse, lift, or groin must
back a,minimum distance of 15' from my area of riparian ncxess unless waived by me.
wish to Waive the setback, you mus4 initial the appropriate blank below.)
" n t do wish to waive the 15' setback requirement.
t do not wish to waive the IV setback requirement:
(Propertylwnxrinformation) (AdjaceritPIgp
ui�«u, yre
PdName
�03 "11
A-0aifiogAdaress� � �g5is
crtvrslatarzp Sya Su — a a:3
Telephone NUMbe J`? l t
.Data. l I
1elepgope Number
Dorms ��1 P
(PsVlSed 9162012)
1�

3.1
'71-}c.�<t R
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located
on jio ^�1 rG{vtiN 1„aarearl Lox OfOCK Keno,
in /�p.�..J: = eY
(Waterbody) (City own andlor County)
The appligaht has described to me, as shown below, the development proposed at the
focati
t have no objection to this proposal.
l have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development -must 0In descrlpfion below or attach a site do
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be s t
back a minimum distance of IV from my area of riparian acres unlass waved by me: (If y u
wish to we the setback, you must initial. the appropriate blank below.)
i do wish to waive the IS setback requirement.
I do not wish to waive the 15' setback requirement.

If%�•i�^�-�r thy, n4 "144 iin
pto r,e r✓� �b ito
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to Qa S•-c S E ky a,.l &q.s
(Name of Property Owner)
property located at �3 �`d k..t` 0
on _ NA, I4pp'�
iYt' , in
(Waterbody)
N.i;.
The applicant has described to me, as shown below, the development proposed at the above
locali_ or}
l/ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing}
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be
back a minimum distance of 15, from my area of riparian access unless waived by me. (if
wish to waive the setback, you musi Initial the appropriate blank below.)
n iZ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Propert ner Information)
Sigttah e
Print orTyv9 Name Chi n
MallingAddrresss RX�t gs,t
clly/stete/zip cya 33(.-00�3
Telephone Number
Date
Information)
Print orTypgName,
2sao / ;aeW of Sr
Ma�illpng Address
Menr/G v✓.G Z r/I40
Telephone NNummber
Dates
(Revised WIW012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ^ 4 Llva S >Tuu i 46&,A 's
n (game of Property Owner)
property located at U?k w(K f
nor}t, (Address, Lot, BIoc�Road, at .)
On_ vtV , in Aa :L,' .� 7 f_:6+^Pe y'+.+t' , N.C.
(Waterbody) --- (�Ityfrown and/or County)
The appI' t has described to me, as shown below, the development proposed at the above
locati
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development -must fill In description below or attach a site drawing)
34ee- Cty^ -'P'-5
aA 4
Ow
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be
back a minimum distance of 15' from my area of riparian access unless waived by me. Qf
wish to we' 6 the setback, you must Initial the appropriate Wank below.)
ti I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
formation) (Adj cent Property 0 er Information)
5t`
Dafe
Date
(Revisad 6/111r2012)