41341_BAREFOOT, RICHARD_20050419

C CAMA / ` DREDGE & FILL /�
GENERAL PERMIT - Previous permit #
DNew Modification LComplete Reissue -]Partial Reissue Date previous pe t issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
_ 7 Rules attached.
Applicant Name_._ Project Location: County_
Address = r' , _ . i L. Street Address/ State Road/ Lot #(s)
City e-t _ 4 State r. C - L'
� ZIP .� 7�:: k. ,: ; -
Phone # 'l `% `, Fax # O Subdivision
Authorized Agent i` r; {, fi , r ,' 'c �y /:• City .� c._ ! -: l . , c ZIP L ' -
Affected i Cw L EW 11; PTA ❑ ES ❑ PTS Phone # ( ) River Basin
-1 OEA 7 HHF El IN ElUBA El N/A AEC(s): Adj. Wtr. Body_ _ nat_/man_/unkn)
Li PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Nab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock).length- - - -----
Platform�s} -+ --
Finger pier(s)_-----— — _
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards _
Boat ramp_ _
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV- not sure yes
no
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required by:
Notes/ Special Conditions
IN
r -f? ore 6
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit **
Application Fee(s) Check #
(Scale:
See note on back regarding River Basin rules.
i
Permit Officer's Signature
Issuing Date Expiration Date
—owr
Local Planning Jurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
_ J Tar -Pamlico River Basin Buffer Rules J'' Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-395-3900) for more information on howto complywith thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:[phone]
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-395-3900
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

• , i .. . � . •— � T`c"i�7I��-4.+ l.i. Iry i�ac.1(
ii; nn
(FOR A PIER/Uh'�O1'ZXE'D .8OAT 4.IF7)
I hereby c. rttFy that I o4.n ro p perry adiacur;z to �jC�—r—,s
(Nd.ume of Property Qwzer)
property lcr2ted ti r S S 1
L� 2 1 7Z Gi 1
n (Lot, Block, Road, —et c.)
OR( C
In Ivc<C
acerbody) (`�'owu and/or•r Coucaty)
He has desc7ioe . to me, as shown the deve,t�grnent he. is propc�suc; at ttat
location, and, T have no oojercions to his propv�. I unde*stan,� that a pieriuncovt:red beat Lip:
must d set back a minimum distance or �il✓<ee:z fG : (15') from rrlyjarea of riparian acc;ss uIII ess
waived by me.
Idariot w
ish to waive the setback re ^airerrtent.
I gdp wish to waive thzt setback ,equirrement
DESCRIPnON A-N-D/OR DRY WT G OF PROPOSE-D D -VEL ,P.N --,FT --- __.
E EI.OP'��, ix':
(T0 be jWed 1n bti' indiyiciva! proposing dev,rl��pmenl)
,
APR 0 5 2005
i Morehead City ACM
------------------------
Si�natu;e I
� t�IN A —
S N ri riis
Print or Typz Iv Me
Tz'lephone Numbq:r
Date: c�G

10
0 ON
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h
APR 0 5 2005
Morehead City pC
M

(FO,,'1 A PLER/UNCA2VERED ,BOAT ZJJFt)
I hereby c--r— ,fy that I oy n property adiac .n4 to >��°►-Ri �sb s
(;�ctme of't apert 5� O s Jre
proper-y loczted at b 11 1"C i n',is U Cl `� 1 �+ 2. ( 72
(Lv[, Bixk, Road etc. R —�•'
on
O C �0��.2
(Tvw and/,111county) C,ct c e z
FEE has des;,tbed tp me, as showl beiQw, the developf-pent he. is proposing at that
Iocadon, and, I have no objc--cions to his proposal_ I unde^scar�ci iihac a pier/uncover-;i boat Iiit
r�usc be se: bacrc a minimum distant., of rifte,tn Feet (;,a') from my+aiea oz ripazian amass unless
waived by me.
I do riot wish to waive the reouirement
z du Dish to waive that Setback rea°1L*erne tt.
_
DF-scx rzo N-D/OR bRAwr; c of pRoposED: T co�� : T:
(To be felled too, id, y=dccal proposing deyel�pmeat)
I
i
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APR 0 5 2005� j4!
Morehead City DCM
. Signature
print or Type Nalirte
Telephone Numb r
Date: I —

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.APR
5 2005
MOreh.o,
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UNITED STATES POSTAL SERV617RP
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Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box-*
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'A,; •IER: COMPLETE THIS SECTION
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. Signature
X �QJA
❑ Agent
❑ Addressee
B. Received by ( Printed Name) C. Date of Delivery
-11 oini�lt{" ti1%1 i ��N/U
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
1 3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
(� `] 4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7 a o 4 1160 0 0 0 5 2179 2791
PS Form 3811, February 2UU4 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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tic

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i ■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004
A. Signature K.tti X Agent
❑ Addressee
B. pRece�ived (P(' ted Name) C. Date of Delivery
t dGf�Gc��i✓✓�� lD �W 0
D. Is delivery address different from item 1? ❑❑ YY
If YES, enter delivery address below: W o i
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7004 1160 0005 2179 2784
Domestic Return Receipt 102595-02-M-1540 ;,

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THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TU LKJm I wI i n uw , .. , � � � • -• ----
NOT VALID OVER $1,000.b ``'? • I' EAD MA? N 61692489
ISSUING BRANCH
93-541/920
DATE
PAY TO THE ::;r. .y.?.;.(;'; r'•; ,'
ORDER OF
f' ��� I "I 1I"h f ,I. DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
AND OTHER TE S ON THE REVERSE SIDE.
DRAWER if;n MINNE EXPRESS COMPANY, INC URCHASER, R DRAWER—
P O f3 X 9476. MINNEAPOLIS. MN 55480 1 `�.�yU{r - - - ©—�'" — q q ss --
C JEE: FIRST INTERSTATE BANK, HELENA. MT
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