36857D - Bartsch

(;ARIA/ DREDGE & FILL
IENERAL PERMIT Previous permit#
New C'Modification Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
Dastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC —1 H Vico
Rules attached.
Name , P-iay" c .4. Project Location: County }JEv�1 (-1-*k (,
j a (1 04G Street Address/State Road/ Lot#(s)
+ c
State N C ZIP 20 `'
(9j)p) - .`7Fax # (_--)-- Subdivision 3/4- _
:d Agent .J ne. City (,"-),I Lyy‘t tia -, ZIP {3
CW i EW `PTA _ ES PTS Phone# (q.U) "]2Z, River Basin cA-K
_ OEA PI HHF ❑IH I_ UBA N/A
Pws: ❑FC: Adj.Wtr. Body Y fA�( c QiL �/rr
Closest Maj.Wtr. Body S-
es / no PNA yes / no Crit. Hab. yes / no
t�c-rr—•Q.
Project/Activity Pr L U L±Q pip ram_
(Scale:
()length
s) k
ir(s) 4/
�h •
\fr �'
fiber � 4/ L'
Riprap length `L �L
distance offshore `j V \ /
distance offshore _ IT
nnel
C kE C-
Y 4
c yards
a/Boatlift `-
(dozing 0 x''T
Pie(?.
Length 1 t 0 ' 4
not sure yes
not sure yes no
m: n/a yes no I
•
_Y,ew�s. no
Cached: /'§s) no _-._—
permit may be required by: IV C 0 , 1.4..)s9 ec ii See note on back regarding River Basin rul

DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER 14OTIFICATION/WAIVER FORM
•Name of Individual Applying For Permit: yPtA/ 13ARSSCJ.1
Address of Property: (0 I H 00 K L R_ _ T)
(Lot or Street#, Street or Road)
14/ ► pti N67D0f N C 2 g - 3T. _
(City and County)
I hereby certify that I own property adjacent to the abpve-referenced.property. The indivic
applying for this permit has described to me as shown on he attached drawing the development t
are proposing. A descri tion or drawing, with dimensions, should be provided with this letter
I have no objections to this ,roposal.
If you have objections to what is being proposed` please write the Division of Coa
Management, 127 Cardinal Drive Extension, Wilm ngton, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response s considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTON
I understand that a pier, dock, mooring pilings, bre,kwater, 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 uirement.
I do not wish to waive the 15' setbck requirement.
i
� 0 d3 - 3/-0
Si Name Date
j/4-/(2iat atii?/1 P 1 Alai
Print Name � �..

DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: A N i 4RTSCA
Address of Property: t o y H 00(K IE fZ
(Lot or Street#, Street or Road)
14i )LiwN (7TOrJ , NC z - o3.
(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 lett4
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co
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 mu:
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.)
QJ4‘ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Ca - 530 - o
Sign Name
Date
c� .,, 10\ A - wssP / A 'A

.,.....„., __, . I)ank qr.-I/I/erica.-Irlyawage
AN M. BARTSCH 12-99
3022
,
)1_3177298
HOOKER RD.
68-19/530 NC
41NGTON, NC 28403
aitcle. 3/ 20 0 411
Or(er o
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