69433D - Barbieri

CAMA / DREDGE & FILL
GENERAL_ PERMIT Previous Permit #
_New .__Modification ❑Complete Reissue El Partial Reissue Date previous permit issued -
As authorized by the State of North Carolina, Department of Environment and Natural Resources �j~� �r , >� ` � c)
and the Coastal Resour s Commis ion in an area of environmental concern pursuant to 15A NCAC C
. / j5 les attached.
Applicant Name I lJ y �� Y Project Location: County �� �W
Address 16- % Street Address/ State Road/ of #(s)
City State 11Jt ZIPS `4� f J 6- 111V� Ak�
Phone #q) E-Mail Subdivision I
Authorized Agent ?r) /ll C /(SS/ ' / City 4�;l ZIP
Affected ❑ CW )I�W PTA ❑ ES ❑ PTS Phone # ( "T�River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A C W/ /� nunkna man
AEC(s): Adj. Wtr. Body
ORW: yes / no' PNA " yes no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length (P 6 D
/1
Fixed Platform(s) )
Floating Ptform(s)
Finger pie s)
Groin length
Bulkhead/ Ripl p length_
avg dista a offshore
max distan\e offshore
Basin, channel N
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other ?Tf —
Shoreline Length
SAV: not sure yes dD
W
Moratorium: n/a yes CKOPI
�r
Photos: yes j
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ease read compliance statement on back ofper it**
r `L/
Application Fee(s) Check #
(Scale:
❑ See note on back regarding River Basin rules.
P cer's Printed Name
Sign re
, Z 4� - l • 4f
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
E96 /N K - - t- O R A� 4 V . 56 R ►3 /EZ- I
Mailing Address:
443
q nil A,4 OC k— , W ,
�SAiEat>s
►-Elzley of
Phone Number:
q 1 a
— % 41
-- d
Email Address:
I certify that I have authorized
�0{�
r1
S-s
Age t / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 10a ii a c j o ve-1—
�l♦
nAAM 14 �bsEVI}~n s F c, Atj D -L>2a , p v-COA/ _�Z) `3A�
at my property located at _ I q I F 16 td Pr M6G __P+ . -o'd
in 0PJSi4LY u,a County.
I furthermore certify that / 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:
it A —
Signature c I-DF_N A J , 3A #Z -a I �2 � rya►v� EG A
Print or Type Name
6 101'icks
Title
—/ 2- / 1 -/
Date
This certification is valid through I I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1�- -a-- I_ o i2 N 4 V . -BA 2 31 -ib
f jj (Name of Property Owner)
property located at i't `� 1 b f A M A-[ccEs t . IZ --.)
(Address, Lot, Block, Road, etc.)
on C'A81 bWic. iL_ '6 A , in S/iLA.Ds .r Erle-v , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
I�
i
I
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Informa ' n) (Adjacent Property Owner Information)
Si atur� Signature*
r e a ,✓ f G ►' h � P r �/zNL� (�> eZSI�Q, r i t ;` `� C� C-, r t 1\ �/,(�
l Print or Type Name Print pr T�Qe Name.77
n
i
Mailing ddrass Mailing Address
City/State2ip City/State/Zip
9Ih-7Lll -D4�a 6�r��r. '�il`TT.►�Gt q ,( a-2�- -q-Z/13ftVll�,�.`
Telephone Number/email address Telephone Number/email address
Date Date's
(Revised Aug. 2014)
'Valid for one calendar year after signature`

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to t -i it iv it: - L -o it iJ 4 V . F-�41� 3tL• 14
,II (Name of Property Owner)
property located at J `'t `j t� i c, �f� t`i rLl ti t tc ice. j' �
(Address, Lot, Block, Road, etc.)
on f�Hi�zUtc ie. t`�N�/ ^_ in`"&t 11. �� ;='1=k'k y z-�-'/6 v , N.C.
(Waterbody) (City/ I own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION 1-�— lot
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
.
(Property Owner Inform tion) (Adjacent Property Ow r Information)
Signatts •e Signature*
Print or Type Name t�J. Print or Type,N9me )/ >)
ailing Ad re MailingAddress
IV a cAc reerc, k46Q �ti /3T o _` C,
City/State2ip � � � � G /� � / /
t 0- 7'1 /- 0 Ll 5 2 A a mob; p � o Citr/ tafe2ip-r .
G t' k t�.ATj Net �/ �; _� � 7 _ f j ,-�-
Telephone Number/email address Telep one Number/email address
�- 9- -17 z
Date ---- Date`'` -------
-------
*Valid for one calendar year after signature" (Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 'FI°R / k. V L-C, iz iv i-i y , 6 /A rz 3i € 2 i 's
(Name of Property Owner)
property located at 1 1 17 v— H N K,,t^C' c -k Pf . Z Cl ,
(Address, Lot, Block, Road, etc.)
on L0 Ab c lZ_ 'A in L- "A-bS ►-C RR- N.C.
(Waterbod) (City/Town an/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatioyP
V - "Sl 1 have no objection to this proposal.
I have objections to this proposal. �t" ( L� Y
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION K—' 4#' =�!i
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Informati n) Q
Si tur(7p�;
GM) (l
Print or Type Name
Mailing A d6ke
Eiv eg S C �416 b
City/State2ip �//— 1
910 .'? y /- O'i 5'Z n(,r 1 tvi 6�©A • A,,r
Telephone Number/email address
R- )-- 1-)
Date
(Adjacent Prope O er Information)
Signature*
Q ei94 A-) _ �D/ G� 411n
Print or Type N me
ILIL2 c
Ma ing Addres
J �-Adsy Jc'6 a
City tatelzi T
Telephone Number/email address
z-i/ `/I
Date *
(Revised Aug. 2014)
'Valid for one calendar year after signature'

WIRO
III
Date Rft*hAW
Date
Deposited
Cheek From Name
Nam or Pennff Holder
Vendor
Check Number
Check amount
Permit NumbeNComments
Receipt or Refund'R a/located
12/14/2017
In ram or Erin Walters
same _
same
Wells Fargo Bank
Select Bank & Trust
First Citizens Bank
14933
$200.00
GP 68518D _ SF rct. 5351D _
GP 69447D SF rct. 5349D
GP 69433D JD rct. 5426D
GP 69419D SS rct. 5083D
GP 69466D 'JD rct. 5415D
1 GP 69394D JD rct. 5414D
GP 69451D CS rct. 5458D
GP 69459D SF rct. 53525
GP 69465D JD rct. 5416D
12/14/2017
Robert or Ann Honeycutt
Pilings and More/John Cassidy
Carolina Marine Dredging ,Inc./Mike Cona
Norman or Terripin
Mark Clements Marine Construction Inc _
Adam Knierim/Marltech LLC
1215
8243
$400.00
$200.00
12114/2017
Frank Barbieri
12/15/2017
Kenneth Boras
First Bank
1240
8984
$200.00
$200.00
12/18/2017
12/18/2017
12/18/2017
12/18/2017
12/18/2017
Kristine Moore
Sean Walker
Wells Fargo Bank
First Citizens Bank
B of A
4603
$200.00
_
Michael Stonestreet
2317
$200.00
Carolina Bluewater Construction Inc
Vincent & Karen Barilla
BB&T
Wells Fargo Bank
18773
8983
$200.00
$400.00
Norman or Terri Pippin
_ _
Kent Yarborough