53915D - Schmidt

❑�CAMA / DREDGE & FILL
GENERAL PERMIT
Previous permit#
❑New ❑Modification [-]Complete Reissue [-]Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1 Ft ZL%_
ules attached.
nt Name L �GI-t'M I jai
Project Location: County a ',; t.ISt J i
ss P i t� (r ffO i N T ll -
Street Address/ State Road/ Lot #(s)
C L4 i-h w _ State C ZIP Z-i
Ill l: .
),5O" b950 Fax # ( )
Subdivision
rizedAgent li?J2 '46-n-Fi
City ,,,iPrv— zip 7
�d ❑ CW LAW @PTA ❑ ES ❑ PTS
Phone # ( ) River Basin
I, OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body V/O'% i j C kbVA L_ �_
PWS: ❑ FC:
yes / no PNA yes IZ�q Crit.Hab. yes / no
Closest Maj. Wtr. Body i VJ W
of Project/ Activity V"(1 V j/ii� / aJ C tC, 'dJ t'
�y (Scale:
lock)length IO x 1 t
x��r
rm(s) h" -I I 140 V v i
length
camber
ead/ Riprap length
ivg distance offshore
nax distance offshore
channel
:ubic yards
-amp
ouse/�oatli
Bulldozing
I- L':: ('� rr I Ic'
line Length ��
not sure yes C9
ags: not sure yes
orium: n/a yes
s: yes
r Attached: yes n�
i1
ding permit may be required by: CA1(_ I SLfto ❑ See note on back regarding River Basin
.i P li . I r .. -r1 1 1-7 ­1 M r-n -) r - ,

Division of Coastal Mgt. Habitat impact Computer Sheet
>ficant:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind 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)__amount
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/o
temp impact
Dredge ❑ Fill ❑ Both ❑ Other �R'
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 0 Both ❑ Other ❑

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIII'IOORING PILLVGSIBOATLIFTIBOATHgUSE)
I hereby certify that I own property adjacent to
property located at
i^
(Name of Property Owner)
's
(Lot, Block Road, �jtc.) I / y�
on io,�� S Co;r� o►' ,in i� G �SIa'�'1N/ G J 1J Jb$aN.C.
(Waterbody) (Town and/or County)
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 / boatlift / boathouse must be set
back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
of Cie
J � a► M1 � h �
---------------------------------------------- ----- ------------ ------------------
(Information for Property Owner/Applicant
Applying for permit)
4
l� 2y �7�'ne ���
Mailing Address T
(Riparian Property Owner Information)
City/State/Zip
f Pl - -, 1 - AG i i\
Print or Type Name
r'. , ) '7a /_ 7 -?A 7

AGA.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date 2 / 2 (- //(
Name of Property Owner Applying for Permit:
C i ' Sr �n-1 r
: :),I, -
Mailing Address:
I certify that I have authorized (agent) ? P to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
1
at (my property located at) 10 h S (C, fl L, .
This certification is valid thru (date) ?/ ') o -// o

nain Page 1 of

0-03-11 19:51 _ _ BUT 9104571421 >> P 1/2
(FOR A Px.E,Rl .104RING Pl'LUGS/;1'3OATL,iFTYBOATHOU,SE:)
I hezeby certify that I own property adjacent to , ; (, � e-
(Name of Property
)perty located at --Lo k Tr
(Lot, Block, Road, etc.)
N.C.
(Waterbody) (Town and/or County)
has describcd to me, as shown below, the development he is proposing at that location, and, T have
objections to his proposal. I understand that a pier/mooring pilings / boatlift I boathouse must be set
ek a minimum distance of Fifteen feet (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.)
Z do not Wish to waive
nt.
DESCRIPTION .AND/OR DRAWING OF PROPOSED DEVELOPMENT.
(To be filled in by individual proposing development)
r
RECEIVED
DCM w11 NAINGTON, NC
MAR 1 2 2010
Information for Property Owner/Applicant (Riparian Prope Ow Der Information)
Applying for permit) —eVa &Ct^i k4l R -TV U
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SHORELINE MARINE CONSTRUCTION
PH. 910-367-7731
4744 SEAPINES DRIVE SE
SOUTHPORT, NC 28461
66-7143/2531
DATE _ ,�Z�� ✓
1132
PAY TO THE ) f
ORDER OF�
I r o $Zoo Do
SEc[.I m
SAS BAW
Southport, NC 28461 c1
MEMO 7
pCnn , r
I: 2 5 3 I? It. 301: 1 20 100
3
DOLLARS 8
2 23,14
1 1 -----'