Schmerr, Rebecca 90010C

X\ j COARN LN EICAMA F] DREDGE & FILL N9 90010 A B C D
ffi�Rl\lew RModification F-1 Complete Reissue F] Partial Reissue Previous permit
GENERAL PERMIT Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I I ��
15A NCAC I I , i
r 11 Rules attached. ❑ General Permit Rules available at the following link: www.c1eq.nc.gov/CAMIArules;
Applicant Name
Address
City State A ZIP
Phone #
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected 1-1 cW 11 EW n PTA FIES FIPTS Adj. Wtr. Body (nat/man/unk)
AEC(s): F-] OEA 11 IHA 0uW D SPIMA 11 PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:j"--'3b"
Shoreline Leneh
Access Lenj
Pier (dock)
Fixed Platfc
Floating Pk
Finger pier
A
Total Platform area
Groin length/#
71, T(-�
Bulkhead/ Riprap length
�oq
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
. ..... ......
t
Cubic yards
Boat ramp I7— XT
N
—T-
14,
Boathouse/ Boatlift
7
Beach Bulldozing
Other
. .. ... ... .......
V—
SAV observed: yes no --7
AV.
Moratorium: n/a yes fib-,
Site Photos: yes (no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by " J04f
TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions i7kh f1k 1,V\ A
d,
n See note on back regarding River Basin rules
f r a.❑See additional notes/conditions on back
A'CA
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

yN\jWAS'", ❑CAMA ❑ DREDGE & FILL No 90010 A B C D
2 = GENERAL PERMIT Previous permit
Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City State ZIP
Phone # ( )
Email
Affected ❑ CW ❑ EW 0 PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes/no: PNA: yes/no
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
Type of Project/ Activity r.-,tc E_ I J Y -
(Scale:]"�.'3s' )
Chnrolino I on,.Th
Access Length
— —
—
—
Pier(dock)length '—
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
I
Groin length/#
j
i
i
I
ye
p
<41
1;
e �
4
—':
,.t.
Bulkhead Riprap length
! E
Avg distance offshore
—
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
i
-`
Boat ramp
N
747
V
Boathouse/Boatlifti
I
V x
Beach Bulldozing
Other
t
I
I
a
I
t�
SAV observed: yes no'.
I
'Al
IV—
—
Moratorium: n/a yes nc7
Site Photos: yes
-
}•
Riparian Waiver Attached: yes ' no "
A building permit/zoning permit may be required by:,. +
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditionsi,',! (< 1
❑ See note on back regarding River Basin rules
_I �J
4
❑ See additional notes/conditions on back
I.
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date

Name of Pmperbf Own.-T Requesfing Permit: C- C da S C-
VdIailing Address: -e I -z- C., PS is
R k--LfLl-� GQ
Email Address:
I certify that I have authorized YVI
Agent I Contractor
to act on my behalf, Pgor the purpose of applying for and obtaining all CAMA permits
necessary for the fallowing proposed development: Rc-j , I & CA 6 CL �
jr.11
at my property located at 1%4 �'S
in CA county.
/ Nrffier-nore certify that I am authorized to grant, and do in fact giant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforemenfidned lands in connection tWM evaluating information related to this
permit application.
How Properk, Mini-r WIFbi mat
Signature.
tj 10 C-r- -A-- � C- k , a ,,
Pdnt or Type Name
7-ifle
Date
1-his c-erfill-Rcation is valid through 1 l�
RECEIVED
DEC 15 2022
DCM-MHD 0i--

ADJACENT WARIAN PROPE M OWNER STATE-M. ENT
i hereby certify that I own property adjacent to
}} (f e of P�pperby Owner)
property located at
(Address,
on , in
aterlbody)
Road, etc.)
'own and/or County)
N.C.
The applicant has described to me, as shown bellow, the development proposed at the above
location.
I have no objection to this proposal.
—_-
DESCRIPTION AND/OR DRAWING-
0 PROPOSED DEVELOPMENT
(Indw- ideal proposing development must fill in!description below or attach a site drawing)
c
G
WAIVERS CTION
I understand that a pier, dock, mooring pilings, b eakwater, boathouse, lift, or groin must be set
back a minimum distance of 1 b` 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.
t, I do not wish to waive the 1 b' setback requirement.
(Props r Information)
(Adjacent Property Owner Information)
lknah,we T
Signature
K� t ��► �, ��
C'
Print or Type Name
Print or Type Name
Mail Address
Mom' g Address
,C.
t 5Ca,r
C sta 'Imp
City/StatefZip
',zS :;z - yl
Telephone Number
Telephone Number
_4-D2-7
Date
D"Ao
gpcl, lvp
(Revised 611 &2092)
0EC 15

c�[�k9QC�f�G��( �P��DQC� PG�©P��3 t� (�C^�7G�C�G3 ��'Lai►'C�C���6��
I hereby carte that I own propaity adjacent to
• property 16cated at v G3'f!eaP pm
mv 4^afiec)
QQddvesze L096cu. Wmc1p e6tcej --
�_—
an C in
��er Y) (M ITown mnc/oQ CoanWp
The applicant has described to me, as shorn Wow, the development proposed at the above
location.
I have no objection to this proposal.
i'Bc��T�ac l r (I ProPoarr -q OcRYeng ffnuW NO in Nest dpda n Wavv or �,Whdc © a s �3Mr^sn�vq�
l0 �
9
1 �Z
V
i undeista- d that a Pier, do, mooring pilings, breakwater, boathouse, lift, or groin must lei tet:
backs a minimum distance cf 15` from my are oil riparian acmes unless waKF by ,yIe- (If you
vAsh to waive the setback, You Must unoi?aal the appropriate blarik belmf.)
-- I do vAsh to waive the 15' setbacks regcirement.
1 do not wish to waive the I & setbaoli requirecr ent.
(PW® ( rP �99�oG 1it7��i1®Utl� gQ�1j���n ��0%l�SnC�P �(tlt�®Ca�t`�c�n$
krintpfTyp Name Print or Type Name
-Z t'Z 6 At
Mail(("�� /d o'ress lWaffin Add
C !fit teiZi � --
CitylStat !p
� i : ���
Telephone Number Telephone Number, '
Date Date
{l eidsed 611 XI 2}r
DGM-M

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