68529D - Barkley

XCAMA / ❑ DREDGE & FILL
GENERAL PERMIT
XNew JModification ❑Complete Reissue
,114 o
❑ Partial Reissue
No 38529 A
Previous permit #
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 Q 7r1. j �j- Uo
❑ Rules attached.
Applicant Name Project Location: County &n,S.,,Kr—V
Address
City 4*a-- 9;(( State .5C ZIP 2-9432
Phone # ( )
E-Mail
Authorized Agent ft; Q I mA,j f\Q
❑ CW
)(EW
JI(PTA ❑ ES ❑ PTS
Affected
AEC(s):
❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW:
yes /( no)
PNA
yes
Street Address/ State Road/ Lot #(s)
-724 W
B C
Subdivision
City ZIP Z$1f(,L
Phone # ( ) River Basin 9J C F�
Adj. Wtr. Body tY1 p n0 J h nat man /unkn)
Closest Maj. Wtr. Body 4:Tu- t 4.)
Type of Project/ Activity•^-F rUC,-� Od O v� r Q X ; S'i v'�Q t G cr
(Scale: 1
Pier (dock) length
Fixed Platform(s)*
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshon
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
OtherKcko4r
oc,a : j 3(05 f4
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes no
Photos: yes o
Waiver Attached: yes
A building permit may be required by: I a
( Note Local Planning Jurisdiction
Notes/ Special Conditions
r40—PA1 I,y '1,0^\ n'An
Agent or
0
Signature' **Please re compliance statement on back of permit"
0Zo0 55(02
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Permit fficer's Prin d Name
Signature
DI 1
Issuing ate Expiration Date

Phone Number:
Email Address:
I certify that I have authorized /V/11
Agent I Contractor
v
to act on my behalf, for the purpose of applying for and obtaining all C' IAA ;
�soposed development: A 0/,V—
at my property located at _ S 4 h)e-+
in LA4k4iJ County.
, �l; � in `act grant permission
- z�= t ,_ cer and their agents to en
0?4ialitia information related to
permit application.
Property Owner Information:
Signature
Print or Type WameV
Title
This certification is valid through t I '

'WWI
I It- "Ills Items 1, 2, and 3.
Print Xr 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 Dermits.
1. Article Addressed to:
/)ed
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A. Signature
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B. Received by (Printed Name)
D. Is deliv �0Ae
If YE& kn r daIwerveddre:
O L 1 0 4 2017
0 Agent
❑ Addressee
0' Date o Delivery
Q Yes
allo
3. Se ce Ty / ❑ P ' Mal! Express®
(I I IIIIII Iill III I I(N Ill i 11 II 111 I(II I I I (I Ili �t Adu't nature iv Q istered MailTM
( Cl Adult Sig tore Restri a ivery egistered Mail Restricte
9590 9402 3097 7124 9622 19 certified M De 0 Retu�Receiptfor
CI Certified Mail R D
❑ Collect on Delivery Merchandise
2. Article Numhpr (TrarmfPr fmm qPrvirn Iah,-f) 10 Collect on Delivery Restricted Delivery © Signature ConfirmationTm
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7015 3010 0000 7848 8778, 11 Restricted Delivery
�I Restricted DeliverSignature y
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
Complete items 1, 2, and 3.
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
o'& J'�
(�Pct' ,
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A. Signature
X
B.. celved by (Printed Name)
/fa M leelf, t a II s1,/
❑ Agent
❑ Addressee
C. Date of Delivery
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D. Is delivery address different from item 1? 0 Yes
If YES, enter delivery address below: ❑ No
I
3. Service Type
(((((( Ill l (I II I lI l(II (((I (1 I II 11 Adult signature
II I IIII 0 Adult Signature restricted Delivery
9402 3097 7124 9622 02 e,t►tied Mali®
9590 c:rtified Mail Restricted Delivery
2, Article Number (iransfierfrom service /abed
7p15 3010 0000 7848
❑ Collect on Delivery
0 Collect on Delivery Restricted Delivery
8761 Restricted Delivery
Q Priority Mail Express®
0 Registered MailTm
0 Registered Mail Restrctec
Delivery
0 Retum Receipt for
Merchandise
❑ Signature ConfirmationTM
0 Signature Confirmation
Restricted DeUvery
"" "_ QA11 - July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

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VVIRO
Deft RwWvod
Date Dapoakad
Cheek From ama
Name o/PNmk Holder
Vendor
Check Number
Cheek amount
Pennk Nu mbadCommenta
ROC&W or Refund Reallocated
10/18/2017
Lighthouse Marine Const./Darrell Emy
Aaron Kahler
Coastal Bank & Trust
1685
$200.00
GP 6931OD
JD rct. 4745D
10/18/2017
Allied Marine Contractors LLC
Karl Barkley
First Citizens Bank
5962
$200.00
GP 68529D
BS rcL 4924D
10/18/2017
Pacula Bulders LLC
Mose Ramieh
First Citizens Bank
1755
$400.00
GP 68550D
BS rcL 4923D