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HomeMy WebLinkAbout76988A_Schmieler, Albert_20200730{ Y' CAMA / R DREDGE h FILL 4 ��ggg GENERAL PERMIT ® 8 C D Previous permit # ANew nModification OComplete Reissue OPartlal Reissue Date previous permit issued As authorized by the Sate of North Carolina, Department of Environmental Quality artd the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ,7 ® Rules attaChed. Applicant Name Q lb? r�- c , �r (� Project Location: County ilto,r Address_ _ ?!1 E . ( ,�- S e Street Address/ State Road/ Lot #(s) Lai it I (o CiState NC ZIP _ a 3 $ �' av Ede i �nu se 14d, Phone # CULq 321 ' * 1 ri E-Mail dlu X �@q,'I Aivision�(ci('�C. Authorized Agent_ (xettn d ��t ee�CS j3, frt� l( » City ZIP 27 a 577 Affected D CW R Ew IN PTA 8 ES tR PTS Phone # (=) River Basin CKC w*j 1 AEC(S): OOEA O HHF ❑ IH ❑ UBA El WA ❑ Pws: Adj,Wtr. Body CkUA.).n ��vf'✓ /man lunlar) ORW: yes ! no PNA yes ! Closest Maj. Wtr. Bodz iiKn 1Z i W, t�- - - s '� Floating Platform(s) Finger piers) Groin length ., number r Ikhea Nprap length 7.'30 an timunce offshore V mart distance offsh, Z � Hasin, channel ■■ ■�■■■■■■■■■ ■■■■■ im NNES �■■■ 1110M ■■■�■■■ 1■litu Email .� ■■..■1■■■■.■EN ■■■i■■ IF _!ra!!►�!!wllr.l�all,rinf:,!!lst,�i .l....l ■■■■■■■■■■■■■■■■■■■■■a■■�n■■■■■■ c ■■ ■■■■■ ■N�■�■■®■■■■■ n■ ■ ■■■=■■iii■�■i� ■■■now ®n■�; , �" ■ ■�■■■■■■ ■■■N■■■ ON Agent or Applicant Printed Name U S+ re Please ompliance statement on back of permits+► Application Fee(s) Check # 6 . i~;re Permit &'s Printed Name e Signatu 1/ 3 d /Zoe -_ _ ............_. Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: I ' C-- S`�M' Q_ Mailing Address: 4V E�� n- N I�ovs�- � Phone Number. Z4 Email Address: Gh��1c..•`��-�^ e. tom. I certify that I have authorizedCrravL!¢�j� Agent /Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 2- -3 o /"O� pe Zzgv,"t at my property located at in ?),Il& County. l furthermore certify that i am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Signature Print or Type Name Title 4� 12 ��- 12a2y Date This certification is valid through ) 0 1 a 0 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to A IQ i C 's N me of Prope O rngr 21 Property located at ® C-rf�fr�%Eav 0. I� 1 g�ji (Address, L� Block, Road, etc.) onj41 in !F—(L- � % /r, Nt N.C. (Wate body) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above to 'on. 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill In description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back 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.) XI do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement. 4 (Property ign 11 �ture �C� � iin— Print or TypeG'V N In ailing Adc�r�sfr tit j� ll v ci /star r T,olephone Number/email address Date "Valid for one calendar year after signature' (Adjacent Property Owner Information) Sr ature * ? J � r�Cj � 'de, lJ� Print or Type Na" Q 74Z 6--V Marling Addre$ t � t ` Nc ,Z� a1c�7-1 M'z,►z�L ��;�r-"a-2•�3go� hone Tel pne um er/email address - --2-a2-Q Date* (Revised Aug. 2014) y ADJACENT RIPARIAN PROPERTY OWNER STATEMENT nn I hereby certify that I own property adjacent to t ullo tt C , sd A) s (Name of Pronertv Owner) --- property located at a yy /} (Address, L Block, Road on t IOW , in Oc:. _, N.C. (Waterbody) (city/Town ao4or County) The applicant has described to me, as shown below, the development proposed at the above loca_t(on. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT a 3o LF t b0010k WAIVER SECTI 1 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back 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.) XI do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner I formatio) (Adjacent Property Owne71nf�qrfnat* n) Sr afore S gnature* Li #- C. Schrn;eler Mll-1Ui�-L 1))t D�9/h'S Print or Type Name Print or Type Name a39 EAgn Fz 0 U c--ttv ems. n Mailing Ad ss M it ng Address (1 x1 C o`A5-1 AX ZZll •y ,C�t/ LL C ty/S te2,�p „ —� CityaG 2 -7 felephone Number / email address Telephone Number / email address 2.S 2r i 2-- -4V 7 2--- Date ""} -�� _ Date • '—T ' ZU (Revised Aug. 2014) 'Valid for one calendar year after signature" -- txr. T h `psi, ar,• ,. - - ' ., ,��e� z 3 7 Y 1 y , ��,� � Y � .', *, �,� 7'•�7 �tN � ..: h ,,ors-A}� :..! ConnectGIS Feature Report gp Iacc � xt- P► o 1 ttps://bertiecounty.connectgis.com/DownloadFile.ashx?i=--49s... L44 -4-..s 2 (� WCONNECTIGIS a38 Goy 64-Qr) HO� Printed July 13Pd. Bert13,2020 0 0 20 WEB HOST140 ` t 11 e T57 ETJ of rVisc Parcel Lines COUNTY-BNDRY HOOK LEADER UNES ` LOT -LINES NEW -WATER RAIL CENTER SUBDIV BLOCK SUBDIV BNDRY .. TOWN BNDRY i Streets <all othervalues> 3 COLnty 31 U5 Highvsay 315 a 32 NC Highway 325 Municipal ; 35 ,.y Parcels Pords and Lakes River La E S 4lb2rt �.. J�,rti a'19S2 59 Feet Caur^ Bourdary 1 of 1 7/13/2020, 2:09 PM your map. �,( �, , `� U f a�0 � ���`� /