59255D - Schmidt

J CAMA / ❑ DREDGE & FILL
3ENERAL PERMIT Previous permit#
;New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
;oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
t Name Irk I A� Project Location: County ��t/ t� �yV I L.k'
M&no(Lylyt Street Address/ State Road/ Lot #(s)
State JAN ZIP �21 10 1 A, �i� (n 1 f� e
`)3 Fax # O Subdivi ion (�'
.ed Agent Y Y ity, ` L IN , ZIP
CW EW PTA tES ❑ PTS n (0) 1 River Basin
❑ OEA ❑ HHF El 1H /❑ UBA ❑ N/A ... _ n _ t
Project/ Activity
(scale: 1
ck) length
i(s) V x 1
ier(s) 20�
ngth
mber
d/ Riprap length
distance offshore
x distance offshore
cannel 1
)ic yards/i14136:
1p
U-11
se/ Boatlift
�n�wMn�i
Aldozing
Length
not sure yes no -
not sua_ yes
no
aached: yes no
�VuL�
►iT:
i��
%11!GAITI,"Y
EM
ig permit maybe required by: J)WIl bt flb ICUIn L'YQ tj,-, ❑ Se note on back regarding River Basin rL
III 1�t..A AiAA All �..I.

North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director
Secretary
AGENT AUTHORIZATION t=OIZM
Date: -14) -- U
Name of Property Owner Applying for Permit:
Mailing Address:
16 .. ► _ .LI &• .ice �l /_. N
Phone Number: -
��
I certify that I have authorized (agent) ( r! ��t,�; �,. _ to eat on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to install or
construct (activity) _ 1�s��� /�lC/' �a / l�l�7`lt c; /)n,,.,k
at (my property located at) -YS
This certification is valid thru (date)
/X-3
P4,erty7owner Signature
H - ?t) --- /Z-'—
Date

qA,J,b biu %r4A-
ADJACENT RIPARIAN PROPERTY 0 NER STATEMENT
(FOR A PIERM00MG PLUNG,3'170ATLIFTIBOATHOUSE)
I hereby certify that I own property adiacent to Carolcmidt 's
(Name of Property Owner)
property located at 185 High Point fit,
{Lot, Block, Road, etc.)
ox! caul tin Hol�. en Heur_h , N,C.
(Waterbody) (Town and/or County)
Applicant's phone #:(4, 10i 591-664.1 MaiKng Address:. 6194 Buckinghorn Maniz
alti ol-e__ME). 21.210
He has described to me., as shown below, the development be is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatliil / boathouse
xntrst be set back ,a minimum distatxee,of Afteen feet (15) from my area ofzipatian access unless
waived by me, Of you wish to waive the setback, you must initial the appropriate blank
below.
I do not wish to waive
- LVZ I do wish to waive that setback requirement,
11SCIUPTION AND/OR DOAWING OF PROPOSED DEVE1,6PNVigNT.
(To be frlled in by individ ud pmposi►eg developmen 1
Peplace EvtV*
FX20`
(hi'olrrnatfoxi for Proporty Owner Applying 00parian Property Q*aar Information)
for Permit)
6124 Buckingham Mahar
Mailing, Address
gnature
Boltimore MD,_ 21210
CityJStatellp

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOIR A PIERA roWNG PIUNGSIBOA TUFTIBOA THOUSE)
I horeby certify that I own property adjacent to Carol Scmi dl is
(Name of Property Owner)
property located at 135 High Point I
(Lot, Block, Road, etc.)
on Canal —r in 'Hold Rpach , N.C.
(Wsterbody) (Town andtor County)
ApplicaaVs phone #f:,(410) �91-041 Nafling Addrws_. jJ 4 Rurzkiagham ❑nor
_aaltimqn. Mb. Z1 10
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I Understand that a pier/mooring pilings I boatlift / boathouse
must be set back a minimum distance of fifteen feet (I5D 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 not wish to waive
—I do wish to waive that setback requirement.
------------- ------------- _—___-----__—___ -_ ------------
DESCRIPTION AND/OR DRAWING 6% VROP6SED ))M,W a1VT:
(To be filled in by individual proposing dew1opment)
Replace Exs'tir
t
(Information for Property Owner Applying (Riparian Property Owner Information)
£or Permit)
6124 Buckingham Manor
Mailing Address --/ Signature
Baltimore MD, _21210
City/State/Zip Print or Type Name
B'x20'

ce existing deck
Proposed Floating
Dock 160 sq ft
P L -`
1 0 1

_ .,T v
� f
+tiwrir..w�r.
y
I
Nor-

a
,,,cant: ( �,�1 a�" Permit #: C�l o< SS
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet.
tat 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)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
} L
I ZL
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 ❑