71243_Glenn & Treva Barnhart_20181031

Y CAMA / ❑ DREDGE & FILL ✓ No 71243 A B C D
GENERAL PERMIT Previous permit #
14New ❑Modification El Complete Reissue ❑Partial Reissue 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 15A NCAC d SW
Rules attached.
Applicant Name 2 r, n T( Q V4, r n)�c i Project Location: County Dc r f—
Address Ai 1 a 00 Street Address/ State Road/ Lot #(s) 341 U .
City S<U� StateWA ZIP ggIOI
Phone # ( ) E-Mail Subdivision
Authorized Agent c,0 r I-N& (1 n.`
Affected ElCW ktW rXPTA ❑ ES ❑ PTS
ElOEA ❑ HHF ElIH ElUBA ❑ N/A
AEC(s):
❑ PWS:
ORW: yes / f/s PNA yes /�S)
City �Jt%�rr. S►��i<� ZIP 0t_AgL5
Phone # ( ) River Basin )? vo k
Adj. Wtr. Body (� .r f • iC S. -s-1 na /man /unkn)
Closest Maj. Wtr. Body 4."r " • } "` (C SJ . nc1
N
■■■■■■■■■■
0■®1■■■■E■■■■■ NEON
W■■■■■EE■■M■■■■
N■■■
ENINEMININENEINOMMINIMIUMNIFI
N■■E■ErA■■■■
NEON
- - ■CNN■■NN■■E■■■■■■E■■N■■®��■N■E■N■■�■■■■■
■��ENE■E■■E■EM■■■E■■71r"MER
■■E■ EN
MEN
1i■�
■■■��■■t1�!MIN
ME
E■ .9��1! 11ME
■EM■■■MEMSEM
■■■■E■■■■■■s1■■■ri■l■■r twom■
■■O■■■■■■■■■■�■■�1■■■■■N®■■!B!■N■■■■■■■
M.
■�NNNNE=E■O��■/INN■■EEC■■►AEI/EN,■NEE■NN
■■E■^EE
E`�I��fl■l'7ENN■■■�■■Il■►IE�/NEE
No
NE■■■■■N■EE�I�.ter■■■�■■�■�■���r►,��r�E■E■NNEE
.
■BEN■E■■■■■�
!■■■N�■■■'�'i■■■EN//■■■■N■■E■
■®E■■N■!■■NON■■■NN■■■®■E■1�!/■EE■N■■■�
NE■EEO■N■■■E�■N■N■■E�•�■EEI1iri■■■■■NN■N
NEE■■■NEE■■E�■■■■E■■■E�■■E■�■��■�v■■■■
�.■■■•••■EN■M■■■NEE■EEEE■■NI
■ NNE ■■
■EME
■ NEE ■■
Agent or Applicant Printed Name
Signature Please read compliance statement. back of permit
\,.. a , v-, � '---'—_
Application Fee(s) Check #
Permit Officer's P,ti e
ature
IL)604o13 9
Issuing Date Expiration Date

DIVISION OF COASTAL MANAGEMENT
AGENCY FORM FOR PERMIT APPLICATIONS
owner of the property located at:
(proper uwner� 1 ce
I 1 V (proper cation/address)
2_Q q 49
(property location/address)
do hereby authorize MoLrk nie-
(nain of per:Nun or coinpany acting as agent/
to act as my agent for the purpose of obtaining any. needed Coastal Area Management Act and/or
Dredge and Fill Act permits, that may be needed for the proposed development at the above -
indicated property, which entails:
VA * S
10-I I t,, �
a %4 \4- -Zo
(describe proposed developmen; for which permits are being sought)
This agency authorization is limited to the specific activities described above, and will expire on:
(date on which agenc_t authorization expires)
(signature)
(printed name of owner)
,0J V
(dare)
(title. if officer of Corp. owner or trustee for properrr)

LAMA / ❑ DREDGE & FILL w , '
xrenC
GENERAL PERMIT Previous permit#
1,�Nevv ❑M cation ❑Complete Reissue El Partial Reissue Date previous permit 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 I SA NCAC ~oa
Rules attached.
Applicant Name __ _ T Project Location: County
Address _ Street Address/ State Road/ Lot #(s) 3 41
Cm' State ; _ ZIP r��a
Phone # (--�) _.° Fax # O
Authorized Agent — 1Y, €
Affected ElCW _SEW i�PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / PNA yes /Z9 Crit.Hab. yes
Subdivision
City '?&t ZIP 441}
Phone # ( ) River Basin join IC
Adj. Wtr. Body ..r r. 4'X-k '(�-?Vlf j at man /unkn)
Closest Maj. Wtr. Body �' �,�,.�ck - uOWAC-'
• I� - •
■■■w■■■■■■■■■��7■■■■■■■■■■■■1
1
p
�/lam■\■■■■■
M.
ii�:�iiiiiii��iiw��iiiiiii�ii■■�iiiiiiii
■■■■■■■■�■■■i■SIC/■■■■■■■■■w■■■■■■■■■■■�
■■■p■■■■■■■■I■lIllCi■■■iil■�ii■■■■■■■■■■■w■
■■■■■■■■■■■■■
I■11(/
■■■■■■■■■■■■■■■N■■■■■■■
!{gent �pli
Printed
�t
f f a �
Signature *' lease read ompliance statement on back of -permit
IV,N
1
Application Fee(s)
Check #
/ -
e icer's Signature
Issuing Date Expiration Date
"-'j
Local Planning Jurisdiction Rover File Name

. � �fi d
fi � 6�'1SSR.� d.4
d -
i�,
. ,: � j