68029D - Barney

•� _1DAMA / DREDGE & FILL 1/ 8029. A B C D
GENERAL PERMIT Previouspermit# 5 —
ew OHodification Complete Reissue [-]Partial Reissue Date previous permit issued OI
As aut orized 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 1 SA NCAC O^I S ` z C
F-1 Rules attached.
Applicant Name 96 ham- (4(AO lt_ �1 Project Location: County
Address Or. o . &Y % d,-1
City .h\.&a( k1 —State.SC zIPZ6i —1Z
Phone # ( ) E-Mail ( ,,
Authorized / Agent Al\1C� p,,Y`e t&WMC►W3,,LLC
❑ CW XEW )(ftA ❑ ES ElPTS"V14\1
Affected AEC(s): ElOEA ❑ HHF ElIH ElUBA ❑ N/A
❑ PWS:
Agent or Applicant Printed Name
S e c Sccl"
Signature Please read compliance statement on back of permit*"
2G0, 00 51110
Application Fee(s) Check #
Street Address/ State Road/ Lot #(s)
Subdivision 0 Crz act ✓bow'
o
A iryry ty tMs{ j��11 zip
Phone # (110 )Z51- 7-5"36 River Basin LAIM VXY-
Adj. Wtr. Body Ai WW /man /unkn)
M..: %A/.- O-A., Al IA/iA/
Permit Off er's �dN
Signature
oZ/53 ZoC'7 (,-(, L&? /Z 0 11
Issuing ate xpir tion Date

'*AMA / DREDGE & F9i.E
GENERAL PERMIT Previous permit C D
New Modification Complete Reissue Partial Reissue Date previous permit issued st 1 -7CI 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 C► j 1� . 1
Rules attached.
Applicant Name 0-CVjGt/N- 6,ffy Project Location: County 'L. c"r Jl,\S;,:.t
Address0 - (,) , �3C• � 7 � U 7 � Street Address/ State
nRoad/
/Lot #(s) f
City AN, tMt %x,kLi I State vZIPL�,l- � Z .� � 6 r��1Y'vU©()c�
Phone # ( ) _ E-Mail r Subdivision 61.E l Q
Authorized Agent Ai\�( �1i�Gwt l.h°��YniL�e�; fLL(, City t� rc'6tL I1 ZIP._ z it�ir t7
G/'Ar Cw XEW >&TA ES PTS 7 Phone # {�(tU ) Z;�'L L'i'3C� River Basin _i!�'VVk ► L re r
AffecteAEC(s)d OEA HHF IH _ USA I N/A H�t,SC Adj. Wtr. Body 4V V� /man /unkn)
PWS:_ .
Closest Maj. Wtr. Body vV bA./
ORW: yes / 00� PNA y4s/ / no
Type of Project/ Activity l AGIt i�v 4 i T c L
(Scale: Lit) )
1
Pier docklengthR }
t i Peer7-1Y�v� 1 V
Fixed Platform(s) I ,�. t
Floating Platform(s) r �( L ,'� c; t V w
� Ik
Finger pier(s). {(G
Groin length X 7- 1 fl
(�
number
Bulkhead/ Riprap le th
avgdistance ffshorer\
max distan offshore
Basin, channel
cubic As
Boat ramp
Boithousc/ tliyE �.+ • �� G ` � �^ +' ,
QVBeach Bulldozing _ =�
Other
Shoreline Length t (5c,
.t r
SAV: not sure yeso�
Moratorium: n/a yes Cl! _ —�` �'� Z 71� r�l (��L•v ah�i ! .
-
Photos:
es
y 1'c11', . c` Vt_ 15irv�2 Lit Lc,
Waiver Attached: yes 9) 1-y
A building permit may be required by: U4VV16f S i,Yik t IiC'�C 1 See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) /
Not1�/tlx Special Cgpditions ' -C Zoef 1 �\ (< b r
J-4,J tlet `tL tf �t 0 ZC L N IYtV Vl { t,` Z
&,4�1 e6VI �Gtjl `-etorfLI
Agento•Applicant/r(intedName PermicOff eri ed
Signature •* ase re compliant atetnent on back of permit t v Signature �j
ApprKation fee(s) Check # Issuing Date Expi ylkoin?Date

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Z tlrvcy. Permit #
Date:
62163 /
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Appliedfor.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any .
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
-
-I
fcmn im-nfc\ I
im-4 mmnnnfl I
tcmn imn�r *N
I mmni mf)
Dredge ❑ Fill ❑ Both ❑ Other
(�
Q
Dredge ❑ Fill ❑ Both ❑ Other El
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑. Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑ .
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill [I Both C] Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

Payment Proccessing Confirmation
Date Received 1 1/5/2017
Check From (Name) Allied Marine Contractors LLC
Name of Permit Holder Robert Burney
Vendor First Citizens Bank
Check Number 5140
Check amount $250.00
Multiple Permits No
Major/Minor Major
Permit Number/Comments Maj Fee, 9293 Peakwood Dr, Calabash, Brunswick
Receipt or Refund/Reallocated SF3487D

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:Lob"lA
Mailing Address: y q �4'zed t^ S
Phone Number:
Email Address:
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
f
necessary for the following proposed development:'
JA411` AEI/
at my property located at i1c, S ,/wilt—i'y t)
inCounty.
1 furthermore certify that I 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:
Signature
Print or Type Mame
Title
RECEIVED
Date DCM WILMI'JC `)INI NC
This certification is valid through

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Domestic Vail Only
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Certified Mail Fee
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Extra Services & Fees (check box, add tee a •.'%E
❑ Return Receipt (hardmpy) 1 j
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❑ Return Receipt (electronic) s
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❑ Certified Mail Restricted Delivery S l if i-le`i
❑ Adult Signature Required $
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❑ AcW Signature Restridso 1 y$ ■
Postage
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p" it s & Fees (check box, add fee arel
p Reoew tl� , --
C� Retum p Rew"n sec ev (electronic}
p [3COrtilied Mail Restricted Deihrery $ 44---
MDAdU t Signature Required $4---
oAdult Signature Restricted Delivery $
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