59294D - Schrum

CAMA / ❑ DREDGE & FILL ".
GENERAL PERMIT Previous permit#
New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC {
' ) Rules attached.
nt Name i Project Location: County-'WUY15U(16C.
Y1 & Street Address/ State Road/ Lot #(s)
p % State C ZI P 2.'-1TJ1J 0`1'
0 r; 1 [.Ilr?�G " �p�� Fax # () Subdivision (u
zed Agent
❑ CW
5�EW
)(PTA
OEA
❑ HHF
❑ IH
PWS:
❑ FQ
yes /.'no
PNA
yes no
)f Project/ Activity
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / o
City ZIP -A i i
Phone # ��) River Basin L. u nA
Adj. Wtr. Body nat
Closest Maj. Wtr. Body AA ww
._aJ■■FAFNV N ■■W' ■ ■M
ength ®■■■`it iir�l■� ■■■1►.■ WHumberEN�►'i■■�W%■■■■■ ■■■■■ ■■EN
ad/ Riprap length- on NEW MOME
■■■ ■■ME
1iax distance offsh re ■■■ ■■■ ■!�I► MIU ■■W;
■■■■■■■■■■�/:� 0E=M1■ ■1VNt
.,�M&UM =�M ISM DWI.®
ubic yards
imp
.use/ Boatlift
B Idozing
MP Liviko
ne Length
not sure yes no
gs: not su �'' yes no
wium: /n/a ) VPS n
(Scale: I
Attached:
ling permit maybe required by: l owi1
❑ See note on back regarding River Basin i

r 1 �/
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Air
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��e+'�"',�'►''� III � + + � S� � . %�.al� #� . • , � � �1
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4,

US MAIL
CERTIFIED MAIL - RETURN RECEIPT UQUESTED
DIVISION OF COASTAL, ML ANAGEMENT
ADJACLNT RIPARIAN PROPERTY OWNER STATUL IEIVT
Name of Property Owncr: Qr e/Z zz ,
Address of Property: idZ —L d�r72G4 � y 4110
(tot or Street #, Street or Road, City & Comity) �J
Applicant's phone ,�%Mailing Address: (kA ICJ
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 of drawl
with dimeasiops, must 0 provid dJih this letter.
✓ 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 (DCiVD
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. 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, breakwater, boathouse, or lift must be set back a minimum distatice of
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
appropriat k below.)
o wish to waive the 15' set back requirement.
I do not wish to waive the 15' set hack requirement.
(PrOlnerty Owner Information)
Signature
JDa/ , S,-
Print or Type Name /
,Vwd ' .61c.,�. ri�l
(Ri lan Propertyher ormati n)
,U4
Signature
Print or Type 14ame

US MAIL
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEINIEi iT
Name of Property Owner: �J g i.4i
Address of Property:
or Street #, Street or Road, City &
Applicant's phone #: (� ' % 5�_ Mailing Address: 1pos 451'aL 11l'G! &AI—
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 of drawine•
with dimensions. must be provided with this letter.
V 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. Correspondence should be mailed to 127 Cardinal Drive Ext.
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no obiection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, (lock, mooring pilings, 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.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the IS set back requirement.
(Prope ty Owner �;`�
ation)
Signature
L74vI%), �C — —
Print or Type ame
(Ripa ' n Property Owner Information)
gna ure
�LKsj
Print or Type Namb �, -� 60 (-(-L

4CcN�i% t�/Td

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II
IRD STREET
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Brunswick County, NC
243 1) le211 4 r01203
243MA01202
243MAG1201
D101302

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:)plicant: �� i Permit
ate:
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ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
bitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
j FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
l
Sv v
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑