24360_BAREFOOT, BILLY_19991129

CAMA and DREDGE AND FILL©�
G E N E R A L f 241030
PERM I T
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 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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, imprisonment 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 of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
Phone Number
Zip
(SCALE:
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

BAREFOOT PROPERTIES
1877 MATTHEWS RD. PH. 919-934-0785
CLAYTON, NC 27520
PAY TO THE
ORDER OF_
66-505/531 1030
0804697206
DATE " )"-
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POBUX 776 - PAMLICO (AUNTY BUILDING 1NSPEC1lUNS BAYBOKO, N.C. 28515
[phone]
(After this form is completed by the landowner proposing the project,
a copy is given to his/her adjacent landowners for their consent and
signatures. The forms are then returned, along with a building plan
and other applicable required information, to the Building Inspections'
office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPNit'
pp 1 hereby certify that 1 own property adjacent to
/J L-Lv &qkC-F00T ,s on 6AY R1\1F-R
Name of landowner proposing development body of water
in/near t' 491 e, C L Lot# of 14�r° Ayep, E5 j f}rE5
community Subdivision, if applicable
Tax Parcel 0,042 _ 27" off SR ill $
locate this property: l.5Fi 0 F F
L v r �WkO ly n IZ,. OT 7 f
Complete description of how tc)
# �C.. Y1V C N' S 6jF1K l RD).
1J�5
060� HOV5E 15 ON CC T.
The proposed project, a p1 (5p, , and the location has been
described to me as shown in the drawing below and I have no objections
to the proposal.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I wish to waive the 15, minimum setback from my riparian access.
V I DO NOT wish to waive the 15' minimum setback requirement.
Draw the proposed structure in the space provided below. List the size
of the structure and measured distances from the adjacent property
l;nac. nthpr structures on the property, and the road, water, etc.
i
)N oV rf Date Signature_-

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REALTY,.INC.
i Broad Street
ll P.O. Box 130
Oriental, N.C. 28siilf
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MAIL
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PAID
ORIE2857.NC
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POSTAL SERVICE
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$3.20
0000
27284
00055257-01
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REALTY, INC. 7,-
Post Office Box 130� 12 5rt s
Oriental, N.C. 28571
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SENDER:
■Complete items 1 and/or 2 for additional services.
I also wish to receive the
■Complete items 3, 4a, and 4b.
following services (for an
■ Print your name and address on the reverse of this form so that we can return
this
extra fee):
card to you.
°Attach this form to the front of the mailpiece, or on the back if space does not
1. ❑ Addressee's Address
permit.
■Write'Return Receipt Requested' on the mailpiece below the article number.
2. ❑ Restricted Delivery
■The Return Receipt will show to whom the article was delivered and the date
delivered.
Consult postmaster for fee.
3. Article Addressed to:
4a. Article Number
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PL g�� 545
5. Received By: (Print Name)
6. Signature: (Addressee or Agent)
X
PS Form 3811, December 1994
' [I Registered Certified
❑ Express Mail ❑ Insured
❑ Return Receipt for Merchandise ❑ COD
7. Date of Delivery
8. Addressee's Address (Only if requested
and fee is paid)
102595-97-B-0179 Domestic Return Receipt

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
usPS
Permit No. G-10
• Print your name, address, and ZIP Code in this box •
�t-1 15 Mf c4t-✓
Pa IS0X 833
0R1IS14TOL � N C 2�5

Chris Machle
Broker -Realtor
Broad Street REALTORR
P.O. Box 130
Oriental, NC 28571
Office - [phone]
Home - [phone]
Fax - [phone]
Toll Free - [phone]
email - [e-mail]
0
Sai /INOC
REALT,
Chris Machle
Broker -Realtor
Broad Street REALTOR,
P.O. Box 130
Oriental, NC 28571
Office - [phone]
Home - [phone]
Fax - [phone]
Toll Free - [phone]
email - [e-mail]

FOBOX 776 •PAMLICO COUNTY BUILDING INSPECIIONS BAYBORO, N.C. 2851
[phone]
(After this form is completed by the landowner proposing the project,
a copy is given to his/her adjacent landowners for their consent and
signatures. The forms are then returned, along with a building plan
and other applicable required information, to the Building Inspections'
Office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby certify that 1 own property adjacent to
8l L.Lv" Q14kc-F007 's on 6AY RI\1F_P,
Name of landowner proposing development /� body of water
in/near1'Y _ 49-t )F_L Lot4Fq of 9A Jyep, ES-14reS
community Subdivision, if applicable
Tax Parcel # 3'042 - 'ZI'Lqoff SRComplete description of how to
locate this property: �LYNCN' S f E/7C# ROD)
NJ ALVE )+&-k0N VQ,_� PtT „Tr, IS ©N L5l�T.
1'he proposed project, a _+__. P1 5 , and the location has been
described to me as shown in the drawing below and I have no objections
to the proposal.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
1 wish to waive the 15' minimum setback from my riparian access.
V I DO NOT wish to waive the 15' minimum setback requirement.
Draw the proposed structure in the space provided below. List the size
of the structure and measured distances from the adjacent property
l;nPc. other structures on the property, and the road, water, etc.
I
Dates �,� Sj-Triati,r€ ,

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POBOX 776 -PAMLICO (AUNTY BUILDING INSFEG11ONS BAYBORO, N.C. 28515
[phone]
(After this form is completed by the landowner proposing the project,
a copy is given to his/her adjacent landowners for their consent and
signatures. The forms are then returned, along with a building plan
and other applicable required information, to the Building Inspections'
office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
p 1 hereby certify that. I own property adjacent to
CFO0T ,s on &Iy RIyEP,
Name of landowner proposing development body of water
in/near / /I�}R� ��� 1- Lot# -I± of RAY Riyep, Es 1 f}rEs
community Subdivision, if applicable
Tax Parcel # 3042_ 2I off SR(2I$ Complete description of how to
locate this property: LEFT o r F SR # Zl $ 1 c elyc i S 9EN# Ir;D)
L }� t
AA/ ALVE f+EROty Vk _ AT -F N R0,4D, liov5e 15 oN LEE TT
The proposed project, a Pi E R , and the location has been
described to me as shown in the drawing below and 1 have no objections
to the proposal.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I wish to waive the 15, minimum setback from my riparian access.
V i DO NOT wish to waive the 15' minimum setback requirement.
Draw the proposed structure in the space provided below. List the size
of the structure and measured distances from the adjacent property
1 nrhA,- ct,-„rtures on the property, and the road, water, etc.
L
Date Signature ---

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