67931D - Schoch

MA J DREDGE & FILL
.,.iL A B C
ENERAL PERMIT Previous permit #
New _.;Modification Complete Reissue Partial Reissue Date previous permit issued
tut8orzed by the State of North Carolina. Department of Environment and Natural Resources i
the Coasta; Resources Commission in an area of environmental concern pursuant to I SA NCAC ,1 C3 y j t
_ Rules attached.
dicant Name t�Wxl 4d c C, Project Location: County
1
Iress �� (� Lj _Cc�� ..........G�z_._�. r. Street Address/ State Road/ Lot #(s)
State �j._�.__ ZIP Z `t 57t,, '�.._.. Zt
ne # (!�13 - D'�E-Malt _. Subdivision
harized Agent City __....
j�1..i�,�7�{rti� S _. .... ZIP 7 qq tt
cted CW EW - PTA ES PTS Phone # ( ; River Basin
:(s): OEA HHF !H _ USA iVtA Ad'. Wtr. Bod --_
PWS: ! Yirii'Z Cma
N: yes J '1 )i PNA yes /r Closest Maj. Wtr. Body ..t.P-vL ZL _Ccize�'tl
se of Project/ Activity
N
cr (dock) length
ced Platform(s) -_
sating Platform(s)
iger pier(s)_
-oin length
number
ilkhead(Riprap
avg distance off ore�v
max distance o .shore
ain, channel
tea �,
cubic yards.i __ ! 'L fi t ntt
Iat` ramp
sathousei Boilift
each Buildozin
orelineLength_..__e�_j�+
✓><4 dcZt^
W: not sure yes t
oratorium: n/a yes &I `'i � t• }
'aiver Attached: yes
building permit may be required by: ' ) %,Zcm.' �liVi
Vote Local Planning jurisdiction) ((�; +
otes( Special Conditions i Ll r-7 F� 7 t1 ft h ei6A /:7 L 1 , Ir, r
i
(Scale: '` L
t
See note on back regarding River Basin rule
C.

NC Division of Coastal Mgt. Habitat impact computer Sheet
Applicant: SGk-0VV l Permit #:
Date: y` /l-1 / -O LL,
C-?3/-j
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied -for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Antidpatedfinal
disturbance.
Excludes any
restoration
and(or temp
impact amount)
TOTAL Feet FINAL Feet
(Applied for. (Anticipatedfinal
Disturbance disturbance.
total includes Excludes any
any anticipated restoration and/or
restoration or temp impad
I temp impacts.) I amount
Dredge ❑ Fill ❑ Both ❑ Other'V
J Co
7 , j Q0
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge.❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other 171
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑. Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑: Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑ .
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both .❑ Other ❑

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to.
property located at 4k4&
(Namepf Property Owner) T
(Address, Lot, Block, Road, etc.).---,,
on ff��GiillT�cC�l/ in N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
t� I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION_AND/OR,ARAVWIK,OFrPROPOSED DEVELOPMENT
(Individual proposing liffidLe below or attach a site drawing)
DESCRIPTION OF PROJECT REQUEST
Official request for permits allowing emergency sand push with bulldozer,
according to CAMA restrictions, to push beach sand to replace destroyed sand
dunes and protect exposed sand bags done by Hurricane Matthew on the South
elevation of the structure.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
(P
or
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
failing Address_
(Adjacent Prope Owner Information)!�`P_, ! `
Si a re
I` In{ I l l i'O,rn 5 ?)n
Print &r Type Name
Mailing Address r A , �,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to -- � 5o'
_ (Name of Property Owner)
property located at 2i' i 4( Ste- o d --s Ld Y--K
(Address, Lot, Bloc , Road, etc.)
on - I in QCc-u li �< 1 t Y� e �� G _, N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loca 'on
—X— 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)
DESCRIPTION OF PROJECT REQUEST
Officizil request for permits allowing emergency sand push with bulldozer,
according to LAMA restrictions, to push beach sand to replace destroyed sand
dunes and protect exposed sand bags done by Hurricane Matthew on theSouth
elevation of the structure.
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.)
U, I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
e Owner fo ation)
t re
L .' d W ✓1
Print or Type Name
Mniiino Address
(Adjacent Property Owner Information)
Signature*
�e. 07 \-S� c
Print or TypetName J/
33 In cn//;,gS ('vyAerlC dr.
Mailin_q Addre$s _ , ,