74206D - Barnhill

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AMA / i= : DREDGE & FILL NO. 74206 A B C
5NERAL PERMIT Previous permit#
❑Modification El Complete Reissue []Partial Reissue Date previous permit issued QX
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 V
❑ Rules attached.
Applicant Name'/;C I S Sh Gt t N IM Project Location: County�--
Address Z `� V ! ✓ IT Street Address/ State Road/ Lot #(s)
City State IP 230 1� Q) do tin �{
Phone # ) ' Z/� "f E-Mail Subdivision pp
Authorized Agent City ZIP
Affected ❑CW -f� PTA DES ❑PTS Phone # River Basin (/1�
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body a �� l
El PWS. na' m unkn
Closest Maj. Wtr. Body
ORW: yes no' PNA yes n�, j
Type of Project/ Activity ►� 1 �q ,
Pier (dock) length
Fixed Platform(s) Z
Floating Platform(s)
Finger pier(s)
Groin length l
Bulkhead/ Riprv4)-Iength
avg distance offs
max distance offsho
Basin, channel
cubic yards
Boat ramp
Boathou�`.Bo 0
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: & no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Name
SigWature p�** Please read compliance statement on back of permit *
Application Fee(s) Check #
(Scale: 1If 2vy )
❑ See note on back regarding River Basin rules.
Name
S-,& e�-6 —/g
Issuing Date Expiration Date

�V
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date (Q a 0)
�C HIVE-0
Name of Property Owner Applying for Permit: APR 0 4 2019
5r� aA �a.. JB
Mailing Address:
�S st. ooq"'
Sf/2eQf
I certify that I have authorized (agent) U L ,k d �IA,�� , , �,,1 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) h ( "h r /Ut ,,n_1,L1 aU b,.,1 ,
at (my property located at) yjG
This certification is valid thru (date) y - a D .I- D
Property Owner Signature
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.necoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper
RECEIVED
APR 0 4 2019
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOU/SE)
I hereby certify that I own property adjacent to 3(off f t15'L ^Nr I I is
(Name of Property Owner)
property located at 6 Win A \I*-
(Lot, Block, Road, etc.)
on C61i10 ( , in D 5e j SQuL � , N.C.
(Waterbody) ( own and/or County)
Applicant's phone #: 9i0���� ISCI Mailing Address: goZ bole Ct
A 8gg3
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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D � ►2x►Z I � IJII
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b� I I�►�('
-----------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying
for Permit)
72 //-A-0V Ct
Mailing Address
City/State/Zi
1 rc .3C, -7 2r.�-1
Telephone Number
Signature
Date
(Riparian Property Owner Information)
Signature
1rdt_ Yin/rnd
Print or Type Name
l Telephone Number
or_G"EIVED
Date
APR 0 4 2019
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Scott Barnhill is
(Name of Property Owner)
property located at Godwin Avenue
(Lot, Block, Road, etc.)
on Southern Canal , in Topsail Beach , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Mailing Address:
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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.)
I do not wish to waive
JFB XX I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
(Riparian Property Owner Information)
.
Signature
J. Frank Braxton
City/State/Zip Print or Type Name
910-520-3347
Telephone Number Telephone 1 D
3/21 /2019
Signature Date 4019
DCM WILMINGTON, NC

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RECEIVED
APR 0 A 2019
DCM WILMINGTON, NC

Date Received
Date De Sited Check From Name
Name of Permit Holder
Vendor
Check Number
Check
mount
P—it NumbenComm-M
Receipt or Refund/Reallocated
Columnl
Column3 Column3
C.1-4
Column5
Column6
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Column9
Column9
5M2019
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