51917D - Riemersma

❑CAMA/ ❑DREDGE & FILL -
GENERAL PERMIT Previous permit#
INew ❑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 ISA NCAC 9/7/• /Zap
n ❑Rules attached.
nt Name ��t! R+evh-G.1S•v1G, Project Location: County /JPw Hz:,ioi-0Y
s ZOO 7-7,.,,€i (', '(lk Latin Street Address/State Road/Lot#(s)
/lli//gen State N( ZIP 2S W/ �;el e
# ) 6K,•9S/S Fax#( ) Subdivision %i.-$.7 6/r em/',e'c/Li-
ized Agent 5 repL#'h re-,w,rp City ,s,-,,. ,,, ZIP 541
d o CW (tW [ PTA ❑ES ElPTS Phone# ( ) i.-ii e River Basin •le,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body Fie G t.✓c Cr-cc k nat
❑ PWS: ❑FC: A_' �/ s
es / no PNA6. / no Crit.Hab. yes / no Closest Maj.Wtr. Body ,�J !'�+�i0►�
)f Project/Activity (�rfiw-ftfi%,.. , / ,Cclf S /)/r ' ' 4 7.-/ei si
a J
tV ./ (Scale: /
ock)length/3Q X L J. d '1.-_
ems) 1t k Ff > t► zh e i \ ;l, 11 >/
{ .. 1 t a
pier(s) J i Py �, _-
length — ti- e I ---/
umber �1 j�� i. ( .i -,---\\ M
ad/ , ..1 ,I. V i 4 ,
Riprap length 1 ( j >
vg distance offshore _ )-u r, ♦O. I
iax distance offshore I �, i ;VI
channel I ' I
ubic yards , f®� f J )1/7_ `/f
smp �i j 1 , 0
>use/Boatlift i jY
Bulldozing �� i- I J I i t/
/-1eles5 !.I'll/iai I
( r'X i / 4 I_ 4 � rf J ., j -- P 1
� --
ne Length „>/GAir" - I
not sure yes I'9 — t F
igs: not sure yes I I , t
>rium: n/a yes ® 111 I (tee l� Ore',
yes �, � — _� tl ��►I —COL ! --
'Attached: yes no , . 1 l
ling permit may be required by: /)t .t,' „vlp1/// See note on back regarding River Basin
,.. . . — f) . /__ "?i l ! -._ / Af" ,1 . _ I

LP 4920263 115 4
Novi' 7, Zoo? Date 66-7704/2531
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Alt'-16-2O0T 1e0: 7 From: To:5107S03689 p.3
A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
ivt eii ei F Eas:ey. Governor CPnrlos S Jones,p::.roctcr Wi!Nam G doss Jr,Secrc o
Authorized Agent Consent Agreement
s T' veld co A) 4- ( is hereby authorized to act on my neha'f
(prr,loU iVamno of Agorw,
in order to opta n any CAMA permit(s) reouired for the properly listed below The awtllor':zation is !inited Ic the
specific activities described in :he attached sketch
LOCATION OP PROJECT:
e /'(
C
) 5`L-
PROPERTY OWNER MAILING AI DRESS:
PHONE NO (9/0 C s `" 951
AUTHORIZED AGENT MAILING ADDRESS:
_,28Yo3 PHONE NO
Signature of Property Owner.
Signature ofAurhorizod Agent
©ate //— D7 — D7

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Steve Riemersma
Address of Property: 6200 Timber Creek Lane
(Lot or Street#, Street or Road)
Wilmington, New Hanover
(City and County)
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 or drawing, with dimensions,should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington,,NC 28405 or call 910-796-7215
within 10 days of receipt of this notice. 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,boat house or boat lift must beset
bck 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' setback requirement.
I do not wish to waive the 1 3'setback requirement.
Sign Name
Da to
G /2 r3
Print Name A
•
NCDENR
Telephone Number with Ares rnrie

DMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Steve Riemersma
Address of Property: 6200 Timber Creek Lane
(Lot or Street#, Street or Road) '
Wilmington, New Hanover
(City and County)
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 descri tion or drawing, with dimensions, should be provided with this letter.
1..7p
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 23405 or call 910-796-7215
within 10 days of receipt of this notice. 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,boat house or boat lift must beset
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If you
wish to wa' • the setback,you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
%/ //e
I do not wish to waive the 1 3'setback requirement.
(- :._
(*T‘p /lt/7
/Sign N e a
ci- ,e - /e-ii7 eze/ii
Print Name "

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Profile PARID:R04418-001-006-000
RIEMERSMA JANICE F 6200 TIMBER CREEK LN (-URRENT RECORD
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