54537D - Schlosnagle

CQMA / DREDGE & FILL r
ILA% t.
.mENERAL PERMIT Previous permit#
�I+Iew 'Modifivation -!Complete Reissue ❑Partial Reissue Date previous permit issued
i'
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 1 . I I bG 5 4� N tac1,2
1 Rules athed.
itName ; Project Location: County P�►
C Street Address/ State Road/ Lot #(s)
anyo,-A&iJ StateKC zip 21443 1-4 5 Kmus i,.0 iidh ►-in ��ld
�) 3 Fax # (
Agent y1 �1CR11161jJt(OlV
❑ CW XEW ❑ PTA '❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA l N/A
'WS: _❑ FC:
no PNA ( yes�,O no Crit.Hab. yes / no
Project/ Activity
/Gat"(,t i-t•
k) length
pier(s) W ,%t 3 Z /
length
ead/�Elength (n'i
avg distance offshorere��'"`—""777 ---
max distance offshore__
channel
cubic yards
amp
ouse/ Boatlift Z /'� 1 Z
Bulldozing
ine Length
not sure yes no
ags: not sur yes no
�rium: n/a es no
yes
Attached: yes no
Subdivision
City H(IiMS-�wL zip Q94'
Phone # (1 IC )[� ' �S� River Basin LGtYJ!
Adj. Wtr. Body d j((lL (nai
Closest Maj. Wtr. Body Al WW
rGla `�'G �X1S�li1C{ �tn� It'iS�Q�.��
('
Scale:
Jing permit may be required by: ❑ See note on back regar ing River Basin
116L AYIA W. Mln AoA AIf Iff. IhnftI <�L� A A tA, _i

A TER WA Y
;TqL RIGHT OF WAY LINE— _ _ _�. —
— — -- ,A
TOPSAIL SOUND
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MEAN ► rm *AT£R LINE A5 5PlO"'
U J A MAP PR[PA B" JOHNIE
C.AkRA—" ANC RtC(--WMi) IN
MAP HR 46. PG t 7 Or '-n`
rtuor✓F COUNTY Rfv15Tr%y
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RIPAkiAN ��e
_c�Rk1.7crZ_f TOPSAIL SOU)
NORMAL f H& f ca
WATMONf
,Lq,NIA P£R`IONNE.'
CALL TABLE FOR
T' NORMAL HtrN WA TEA
Course Bserinq
\ I L1 S 70`41'48' W
l3 L2 S 62`20'32' w
1 L3 S e0"0528 N
L4 S 89'35'12' W
LS S 88'42'41' N
H.'l FrILAO�` Lg N 7.01 ' 08_YI
Q .;r`

CCUNR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Dee
James H. Gregson Fre
Beverly Eaves Perdue Sec
Governor Director
AGENT At FORM
Date:
Name of Property owner Applying for Permit: Name of Authorized Agent for this project:
Owner's Mailing Address:
Phone Number (F/o)
Agent's Mailing Address:
Phone Number
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
(my property located) at
This certification is valid thru (date)
ik�j, $- -ZOID

Q ` 7� "v "5 1 y/7/7 4p Z. .7 f 1 - / - - -/ i U c; I \ i ii I i /
I M,
AA M 7,#

09C, h vG•/
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on7.. �t'r`.+) , in /•,, ,� 4 " . , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:'%, 538`Mailing Address:
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 vot l' k#,t -to -t
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
•
--r-r------J------------------------------------------------------------------------------
(Information for Property Owner Applying
for Permit)
(Riparian Property Owner Information)
J -�, 6 5 121 w'
Mailing Address
Signature

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIAWOR[NG PILINGS/BOATLIFIIBOATH'OUSE)
I hereby certify that I own property adjacent to 5eriF kX a e- is
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on in •�r 4,V, , N.C_
(Waterbody) (Town aced/or County)
Applicant's phone #: f/lp 519-T1W Mailing Address:
I; AA -
He has described to me, as shown below, the development he is proposing at that locaiion, and, l
have no objections to his proposal_ I understand that a pier/mooring pilings / boatiift / 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.)
? do not wish to waive
!do wish to waive that setback requirement.
DESCRIPTION AND/OR DR LAVING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
14o ; k.1 N'r7 S L+1","� 12-D
Mailing Address
(Riparian Property Owner Information)
� � % ,�h 1 .►.ate

)Wision of Coastal Mgt. Habitat Impact Computer Sleet
ant:, Permit #: Sal
5%apt f f�
ibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
in your Habitat code sheet.
9t 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)
SDredge
❑ Fill, Both ElOther ❑
1 a U
` p1)g
Dredge ❑ Fill ❑ Both ❑ OtherA
3
33
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 ❑
(qn

TOTAL
LESS_ %DISCOUNT
LESS
TOTAL DEDUCTIONS
AMOUNT OF CHECK
3�i"rIcsdIq � 0 &' /'
uonn r� i 7
CONNAWAY MARINE CONSTRUCTION, INC.
910-794-8500
61T
P.O. BOX 775 66-19/530
HAMPSTEAD, NC 28443 DATE Z4% 18,
PAY �,��/l
TO THE OFi-
ORDER
'st `
Bank ofAmerica
ACH RR 053000196
30 1:0 5 3000 L 9 6': 0
1
00688 179 LnIII
DOLLARS 8