74877D - Schroeder

'l CAMA / M DREDGE & FILL NO. 74877 A B C
GENERAL PERMIT Previous permit#
New' ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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 15A NCAC V j�
r I /� ❑ Ru s attache j
Applicant Name t, ► w Vl UC-V Project Location: County
Address �( b3 w+ Street Address/ State ad/ Lot #(s)
City >V r 'F State ZIP
Phone # "I — _-Mail Subdivision
Authorized Agent �7 0 0t7ff- l� � City, 2 v l ZIP Z-34-&O
Affected El CW W )<PTA KES ❑ PTS Phone # River Basin Vy. . o .
AEC(s): ❑ OEA a HHF El El ❑ N/A Adj. Wtr. Body G.t N A �S 6� 5 at ma Junkn
❑ PWS:
ORW: yes / rrra. PNA yes / no Closest Maj. Wtr. Body v ^ v u
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MEN
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MEN
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✓r, S f ,
or Applicant Printed
Sfgnature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Issuing Date Expiration Date

Name of Property Owner Requesting Permit: John Lbr�eoer
Mailing Address:
+h
Phone Number:
Email Address: uirlinanchaulerE bAwall, cal)
I certify that I have authorized
Agent / Contractor
rEs 10 2029
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: I X u' Ld Uc-k 5 x51
pier, ouered raf (11(-) -/)(-(] uJall
at my property located at b e �yh
in Ores � W County.
I furthermore certify that I 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
pennit application.
Owner Information:
S�nV6t'-J'
Print or Type Name
� wne r
Title
Date
This certification Is valid through I 1,

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PR
OPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: (� h rl J J) %� c � _-
Address of Property: % a 2l �fh S eel" I�brf _ *�— QW 6
(Lot or Street #, Street or Road, City & County)
Agent's Name #: EnneAa ri n e Con , Mailing Address: o�J�o� F/m elf one
Agent's phone #: 9 t o-, oC7" t %J` N� Ayd
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
1 they are proposing. A description or drawing, with dimensions, must be provided with this letter.
•�4
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athttp://www.nccoastaimangggmert.netlweb/cm/staff-listing orbycalling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
C�\ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Print or Type Name
&6,1 & &-M Sir- . ft
Mailing Address
.5i) r_2 LI U , N If
City/State/Zip I ,
qio-41f-1AVI
Telephone Number/Email Address
Date
(Ri rian Property O ner Information)
Si ature
Print or Type N e r
SI9r)
ggql .`r%ricklan�s �oss ro s Rd
Mailing Address
heh5a), tic A7504
City/State2ip T
Telephone Number/ Email Address
I Jo
Date
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM
Name of Property Own
Address of Property:
Agent's Name* E
h4&� oari e C&M� Mailing Address:
Agent's phone #: T116 5 cr o�
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 description or drawing with dimensions must be provided with this letter.
�• a
r�
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is beingproposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www. nccoastaimanagement netlweb/cm/staff-lis ting or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
a� I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
Signature Signature
J alp n 5GhY0
Print or Type Name Print or Type Name
f, d 3 &yh S
Mailing Address Mailing Address
Surf C'-¢� KC �84 5
City/State/Zip t City/State2ip
1110 - g119- Ugg`1
Telephone Number / Email Address Telephone Number / Email Address
I-66—,b
Date Date
(Revised Aug. 2014)
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Certified Mall Fee
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Postage
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Total Postage and Fees
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sent To
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70150640000466083756
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DATE
TIME
LOCATION
STATUS
Jan 24
10:OOAM
Gamer, NC, United States
Notice left (no authorized recipient available)
Jan 24
9:54 AM
Gamer, NC, United States
Delivery attempted - no access to delivery
location
Jan 24
9:06AM
Gamer, NC, United States
Out for delivery
Jan 24
8:55 AM
Gamer, NC, United States
Arrived at unit
Jan 23
10:00 PM
Raleigh Nc Distribution Center
Departed USPS regional facility
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Daft R-1—drC-01-2
Check From
Name of Parmd Holder
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Chaek Number
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Parmlt Number/Commanft
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Coku l
col-3
Colu-4
Cakmm6
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ColumMZ/17/2020CLTMC,
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