51971D - Schiele

ICAMA/ ❑DREDGE & FILL d
3EN ERAL PERMIT Previous permit#
LNew ❑Modification ❑Complete Reissue IA Partial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 71-//2&&
[grRtltes attached.
t Name it3 Ge O _C 4 / e l -e Project Location: County ec7 yv/s w/ c ic"
3J ij /2j 7., V r e—✓ el C Street Address/State Road/Lot#(s) /le RE,2`
e' (ea J State A' C ZIP 2 7412 f'
rE( 2 y J` 7 - 2vv Fax#( ) Subdivision
zed Agent aR ty ,7i1 M .9.1. city OCP/,�,✓ sie eggel ZIP[3 2/ U%4
I ❑CW -EW DI PTA ❑ES ❑PTS Phone# ( ) River Basin G444
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (40r14 -f-/l O /Lt/
w (natQ
❑ PWS: ❑FC:
yes I. no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body Wi•-/
,f Project/Activity &,
(Scale:/ _
xk)length/1 x 5 / Q,9", f`i .)c /
/ I i
n(s) i
)ier(s)
sngth
>mber
id/Riprap length I
g distance offshore - r2� "I 8
ax distance offshore
hannel
Ibic yards
mp I i- - i -----
use/Boatlift
�
lulldozing
.r.-..-.. -I-�_._....__. �. .._.,.....-..__._.-_-___ I __._.- 4
I ,
ie Length c if 4
I
lE
-1 - . 1,
not sure yes eFto . 1' �_
bey"` �O k ►�f 7 > l .
s: not sure yes4.,,,, I . ; J 0 . .
rium: n/a yes ( j
yes L _ , I P L.,' I
Attached: yes l=1 ir I I II I j
ing permit may be required by: ( -f P1 - --/ (Z f 46'67,4c h 0 See note on back regarding River Basin r

STEVEN T. FARMER 3501
TRA COM SERVICES 66-112/531
PH.910-754-2725 BRANCH 62401
897 MIDDLEDAM RD SW
SHALLOTTE,NC 28470-5657 /- -UY Date
Pheo0 of 11CP/( 17 I $ 4106," v.v.
up
,`Tf�� Dollars © y.on
B
BRANCH BANKING AND TRUST CO ANY n
5JIT i G �JJ/l IBT BBT.com I Liraf.e"L( .For m
— -- ---------
I:053 LO L L 1:00 05 2 L066 0035O
6P6-1/31 L'P 51 g 4-0

4-COM SERVICES II STrL c--9-i c 1u d v ` r1 ni h 9°(--Z '4
P.a. Box 1365 ®Lf 'X/ o t rrav17-.0 it.)/ z/ ' X 10 ' Pry
allotte. NC 28459 DPI �l 3&} S?p-1-161-, /4:J 5;,, -
- q43_ r)743
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LET�: •

. -o
11
14c®ENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
lel F.Easley,Governor Charles S.Jones,Director William G.Ross Jr.,Secr
Authorized Agent Consent Agreement
F-AczA41.e.,.,,e-d a �� l C____ is hereby authorized to act on my behalf
to 4
obtain any CAMA permit(s) required for the property listed below. The authorization is limited to th
c activities described in the attached sketch.
TION OF PROJECT:
b QC Si iZ i)
•
3 ��wl�L Ge_•
ERTY OWNER MAILING ADDRESS:
eftf& 5ci1
3L/ 1147 Ulm
c_ o23 v
c)._-) PHONE NO. 7 -- ?4 6-- —2 0/0
)RIZED AGENT MAILING ADDRESS:
)fix )3
/t3-17 )(2 e>2,?1-/S-
�-1170 ob I fl}�1:� q� P� PHONE NO. 9/1)- 7 — 3
.
re of Property Owner:
-
-r - ti . .

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: JZA 5c.L r-eh j r.
Address of Property: 1 U-.S?74` ZI) 5—
(Lot or Street #, Street or Road)
'ee,4e-1-1 c_
(City and County)
I hereby certify that I own property adjacent to the above-referenced_.property. The indiv:
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
Al'AI
\, I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Col-
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-:
within 10 days of receipt of this notice. No response is considered the same as no objecti(
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
1%Dec k
Sign Na e Date
IGh AA;iiiirgThro , I A ) lvornul�, ; ;Cr' , _ _

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION:ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature'
item 4 if Restricted Delivery is desired. X i / 0 Agent
• Print your name and address on the reverse 0 Addressee
so that we can return the card to you. Name) C. Date qi Delivery
■ Attach this card to.the back of the mailpiece, Fiffir:Xted
jy D7
or on the front if space.permits.
D. I •elivery address different from item 1? 0 Yes
1. Article Addressed to: f YES,enter delivery address below: 0 No
HAcQ V.,..,J12-Pre___
g?, "Tezrzsv C-f---
115 b v rr_x% /u C 3. Service Type
0 Certified Mail 0 Express Mail
❑Registered 0 Return Receipt for Merchandise
0)--7e')[-2Ceg.
❑Insured Mail 0 C.O.D.
4. Restricted Delivery'?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7005 0390 0000 2577 7509
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540