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Home My WebLink About68520D - Barefoot�CAMAr / DREDGE & FILL GENERAL PERMIT New Modification -Complete Reissue 1 ❑ Partial Reissue i, A Previous permit # Date previous permit issued B C 0 As authorized by the State of North Carolina, Department of Environment and Natural Resources '' jj and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 01 f� • `� D U L❑ Rules attached. Applicant Name \ &A t' P � (74 r Project Location: County (Z�/Vf\w Address 11 � 0 Li ' b m G(CC Vl.e Street Address/ State Road/ Lot #(s) City State ZlP o�Q1�3 " i [ (AI( (Y\0 {�1 } S Phone # �da_ SWE-Mail Subdivision Authorized Agent i City n(Q kV\ _1 C (�o i ZIP 1940 c Affected ElCW A ❑ ES ❑ PTS Phone # (�� a) �L�U " Jr River Basin Leu►M kir�_ AEC(s): El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body iii Q% man unkn ❑ PWS: ORW: yes / no PNA es / no Closest Maj. Wtr. Body • I �� • • MA VI 181 �_ • _ Irk �_ ,1�lI?fImo/ ■■I�■■■■■mom t 1 ■■■■■■■■■■■■■■■■■■■.► M. ■®�■1■ME■■■■■■■I■M■■■■:. Rom. �..,1!! �!1�■■■■■■■■Ir1�rJ■�1.i■■■■■/.il�la..��!.■�1�1 r��re�r`■�FroIsm ■■■■■�■■■■■w.■■■�W1/�iiiY�ili1C■■ ILI ■®■IG�■■■■■■■■■t>IIi�illLsrrli �'�■ ICI■■■■■iil■: �!■Y■�■�■■■■■■■■■■■`:�■■ M. _, w■■gin■■■w,;_��•.. �r��■r�:::■■■■��.■■■■■■■ ■Rii■lYlYii�ifi■■r■I■� ■bile!■ ■Z"!l�I1■•■■■■7,.TIIIJIWIN= MUNNSWE" ��■■■MMUM"�i'�i�■I■1i■■■ Walk no �� IIJ��■!!■I1(■■�i��■■�!■■■1■ I■`lij.11 PEEN Will! MINE", 'WIN r AWQMJWI Mum � ■ ■■■■■■■■■■■■■■ice■■■■■�■■®■■■■■■■ J a • .JM MW ffll I /r or App t Pri tell Name ignature '! ' Please read compliance statement on back of permit *� 1.60- 00 2J3 Application Fee(s) Check # 5—cCk Tti� rCI� Permit Officer's Printed e Signaitie 1� Zclg Issuing Oate Ex ration Date J awpopmewoommuft Iv / _ wwsfry'6Rl�j r-r—�. XWNM ":hamm IR HAND DELIVER ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOAfHOUSE) I hereby certify that I own property adjacent to /2 //� era d / 's �( (Name of Property Owner) property located at 9n (Lot, Block, Road, etc.) - on S/A/ Axr y#W , in UC/�J��J LS/f l �F�I'r!// , N.C. (Waterbody) (Town and/or County) /' Applicant's phone #:%N- yWd -- 655 Mailing Address: 7yd y /D/17 f f /t u uv9X gym a C 2 3 He has described to me, as shown below, the development he is proposing at that location, and,1 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: ul.47 0>hil V (To be filled in by individual Drovosink development) . Lt)271� Z ' (V)qj t pfblh 51ZF11F /7'0dq1'1Vs ;)m) R�a S 1i/R1D �x eeor 07- y ffi41'd0 f% 6. I y'-1 5', y/' DC Ad1J ..�s/� .1�rflil it%' 2 g Applying for Permit) Mailing Address Wyly 19A) N( 25193 City/State/Lip _.)oy-Y0 --�'s8 T e hone Nftim er Signature Date AY > -4 ,)Vpy A1li;,9� 90 fig/R 994)7' S imilh ail ,0117 (Riparian Property ONYTer Information) Signature v4- r-) P int or Type Name Telephone Number Date HAND DELIVER 4-� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PIIINGSIBOATLIFTBOATHOUSE) I hereby certify that 1 own property adjacent to )70;D 29iQ,f ,., l 's (Name -of Property Owner) property located at R AII;R/ 441 f St (Lot, Block, Road, etc.) / on %lll�.PAlO/1S�f1� lU/l�iEP/U, in �lfAlU �5/G`/'"fiYl/1 > N.C. (Waterbody) (Town and/or County) / Applicant's phone It:7ay WQ ,5967 Mailing Address: WdY rM A0100,6 �P J BX M 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./ V I do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOS91) D9M it 41 �/l9(To be filled in by individual roposing develo went U...13.; .....to .;. ItT, ... . 807- fit I S/�OF- r�goq�sr i0 2 cAAy?t &kxoye 9& FitiW01V t Property Owner Applying (Riparian Property Owner Information) for Permit) yyDy 70w N Mailing Address U)Wgay Nc z9)?3 City/State/Zip 7d V - 940 , 589!5' Tel%hone Number Signature / Date Signature Print or or Ty�pMI ►e►e 914) 6 a8 -.6R5 9 Telephone Number Date I/ 4%7 1 r 8� of , F b 4 4 A03r- Uw ors Olr � o WIRO Date Received Date Deposited Cheek From Name Name of Perr Holder Vendor Check Number Check amount Permit Number/Comments Receipt or Refund/Rsalloeatad 9/19/2017 Holden Docks & Bulkheads David Barefoot CresCo_m_ Bank 2735 $200.00 GP 68520D SF rct. 5033D 9/19/2017 Backwater Marine Construction Gerald Terwee BBU - 3040 $600.00 GP 68519D SF rCt. 5MD 9/19/2017 Backwater Marine Construction Ronnie Holden BUT 3037 $600.00 GP 68516D - -- SF Met. 5030D