63187D - Barbour

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CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
XNew —Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
>rized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
nt Name_ _ S Project Location: County
Lf is A L•� Y • Street Address/ State Road/Lot #(s)
-aU StateC, ZIP j :504' Ulf- 5),E& <;7t
V <�'J
}------ Subdivision zed ent A.-{?y I City �7?k) 4F:7 ZIP 7T qL4
i ❑ CW Y❑ EWIPTA ❑ ES ❑ PTS Phone # ( ) ` - River Basin 1—L'
❑ OEA HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body Srty A SO LW i> (nat
❑ PWS: ❑ FC:
yes no PNA yes no Crit.Hab. yes �no� Closest Maj. Wtr. Body �? VIA V
1
if Project/ Activity 4i tt 0 Ctl A 77L t
1:_�
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• ■.. MEMO 2li■ a
(Scale: t N -
❑ See note on back regarding River Basin

DENR CAMA Dailv Check Loa for WIRO
Date
Received
Check From (Name)
Name of Permit Holder
Check
Number
Check
amount Permit
5/23/2014 Overbeck Marine Construction Inc.
Thomas Stoughton - -
4254' $200.001,GP 63914D
5/23/2014 TI Coastal Service, Inc.
Figure 8 Island
446I
$475.00 major permit fee, Figure
5/27/2014 Saltwater Landing, LLC
D.C. Lanier
1833
8102
$200.00 GP
$200.00,GP 1721 Canady Road,
5/27/2014 Adam Brown/Rebecca Brown — Estate of Ruby Spivey
5/27/2014 Ray Martin McGowan _
Pro ress Carolina
5603
$100.00'MP 293 mod. Request_
5/27/2014 B & K Marine Construction
Robert McGirt
1137
$200.00 GP 63289D
5/27/2014 B & K Marine Construction
Priscilla Clark
1135
$200.00 GP 63288D
6/2/2014 Hon Construction & concrete LLC
Jimmy Katopodis
1057
$200.001GP 63290D
6/2/2014 H & H Constructors, Inc._
---
Mike Cook
- —
8052
$100.00 Minor fee, Onslow Co. o
6/2// 2014 F & S Marine Contractors Inc
- - - ---- ------
Robert Peyton
- -
- 3777
—
$250.00 mar permit fee, NH_Co.
6/2/2014 Maritech LLC
Bauer,Beaudoin,Gal lagher,Tomlinson
- -
1819
$400.00 GP 63916D
6/4/2014 Nancy S. and Rober B. Swart
Swart
1145
$100.00 SC 14-07 minor fee
6/4/2014 Chipley Paving Company, Inc.
Roy Chipley
23035
$200.00 GP Ocean Isle Beach
6/5/2014 Sandra Warren Butler
Donovan Butler
2604
$200.00 GP 63186D
6/5/2014 Antinori Construction, Inc
Carolyn Boyd & Diane Barwick
2953
$200.00 GP 63204D
6/5/2014 Allied Marine Contractors, LLC
Peter Caldwell
6607
$400.00 GP 63189D @$200.00
The Andrew C. Edwards Trust _
- -6607
GP 63190D @ $200.00
6/5/2014 Antinori Construction, Inc
J.R.Barbour
2952',
$200.00 GP 63187D

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant:
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurem(
Found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)..
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated f
disturbance.
Excludes any
restoration ar
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
—impact
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 ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
�,)1- 'j�Ckf 1j10 U (L
Mailing Address:
LI C'10 � 161.t[qCVVSf O'CA.s R�
I certify that I have authorized (agent) f�,-v� A , >,i r • to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 5lt-AcA
at (my property located at) '7 / a 7
This certification is valid thru (date)
r
Property Owner Signature

r h`�
"<<►Ll - JVuV_l

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to )V, 1�Q Y b0 u e-- 's
property located at � /�
�y.k � (Name of Property Owner)
� � �
��nA� (Address, Lot, Block, Road, etc.)
on , in 1' , N.C.
(Waterbody) (City/T and/or County)
The app)icant has described to me, as shown below, the development proposed at the above
loti
l-:
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 aive 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 Information) (A 'scent Propeq Owner lnformation)
Signature �kature
J l2- BGt I I'I b U 2 M F-i ZLVAArd
Print or Type Name Print or T pbl ame
r 1 /1 n C/ t ... I .. • %LiXCi%/tL �i 1� / i . i� , _ ,�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to J f2- NA' YWU (Z' 's
property located at
(Name of Property Owner)
� � �� � ��
n n aI (Address, Lot Bloc , Road, etc.)
on l , in N.C.
(Waterbody) (City/Town d/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 rill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
1 do not wish to waive the 15' setback requirement.
(Property Owner Information (Ad'acent Property Owner Information)
rgIV r g A r %U U✓ Si tune
Pint or TCV'pe�lame /� I Print or Type' ame ��—
l1 A �1 __ .r / Inc. r_�.....I r d 1 7 . - . - M _ . -4-1