76558D - Barefoot

aCAMA / DREDGE & FILL N9 76558 A B
"EN ERAL PERMIT Previous permit #
New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
sized by the State of North Carolina, Department of Environmental Quality
Zoastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Q� Q
L Rules a hed.
it Nameizvf4os —f Project Location: County
O Street Address/ State Road/ L t #(s),
I State ZIP
t�) -Mail Subdivisi
:ed Agent City ZIP
❑ CW f PTA ❑ ES ElPTS Phone # ( }� Riv r Basin
ElOEA /❑ HHF IIH ❑ URA ❑ N/A Adj. Wtr. Body
El PWS:
y /�rd? yeses Closest Maj. Wtr. Body <67
es PNA
F Project/ Activity r ( Al IIA,U 1 41— �- 1'r15
Kk) length_
atform(s) _
Platform(s)
mberN
d/ Ripr4ngth
g distance offshore
ax distance o ore
hannel
bic yards
no r
not sure yes
lum: n/a yes no
yes
Attached: yes rno
ng permit may be requ(red by:
nral Plannino hiricrlirtinn)
D
❑ See note on back regarding River Basin r

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Scanned with Carr

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIE"OOIONG PILINGS/BOATLIFTIROATIIOUSE)
I hereby certify that I own ro
p perty adjacent to ,w
-- __'s
Q t (Name of Property Owner)
-Property located at V (a-• g,
(Lot, Block, Road, etc.)
on__ g� �Q
to
(Waterbody) 1 `�t N.C.
(Town and/or County)
Applicant's phone #; 210 a"' 1890 Mailing Address:_ 61S-6
r,3- Al- - .283u (
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 pierfmooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet 05') 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:
(To be filled in by individual proposing development)
5" �
(Information for Property Owner Applying
for Permit)
G 7`
Mailing Address
c/lo 3G2 a-�
Telephone Number
Signature Date
Property Owner Information)
Signature
Print or Type Name
�l R- �3l-dt irk
Telephone Number
�• _ '} ( lot LP
-
Date
Scanned with Carr

property located at I pf fin d ers,-� 6 ty-cO
(Lot, Block, Road, etc.)
on 5a , / ��rc ..f . in Toe -, . ( 13-c" c C- - , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: q10--?)I Mailing Address: 6,5'0 6rjnin;�
E1 i;�2, &C 1z t
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 nunimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you roust initial the appropriate blank
below.)
I do not wish to waive
fbtiilt� — I !moo wish to waive that setback requirement.
----------------- ----- --------- —--------------------- _-------- -------- - -------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
- ----------- - ----- - --------- � rfot�l,
--------------------- ----------- --------------------
(Information for Property Owner Applying (Riparian Property Owns ation)
for Permit) Inform
Mailing Address
Signature
City/State/Zip
QID - ai4- l 9Qo
Teleppone Num r f q g—
Signature
Date
Pr t or Type Name
Telephone Number
Date
Scanned with Carr

Name of Property Owner Requesting Permit: /0 reH, /3a>W-P,f"
Mailing Address. � 4fr40P!2 Kd
i St>•r,, IJC a `�3 �-1
Phone Number: 4ib� r�?l�—r1_--d y b
Email Address: ��// \4lDhQYC'O�Q Cl 171Q1 • !'-OrYI
I certify that I have authorized [tkl l!)le. ", 49fli'X1larnc�
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Q la e e. - 4 �' 't ^p
at my Property located at O /°2
in ee, �e r- County.
I furthermore certify that I am authonzed 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:
A<<jC2S±
Signature
korci� 6. & re4o of
Pnnytt or Type Name
DOAC Y
Trtle
67I 10 1V-19D
Date t :
}
This certification is valid through fZ I 3 l
C
Scanned with Carr

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columns
7/202020 _
7/20/2020
7/20/2020
7/20/2020
7/20/2020
Clements Marine Construction
Allied Marine Contractors LLC
Larry Rice Construction
Richard Penny Construction, LLC
F 8 S Marine Contractors Inc.
Scott, Prevast, Benson
Barefoot
MacLeod
Dunbar Landing POA
Boddie
FCB
FCB
BBBT
N Federal CU
PNC Bank
5471
$ 200.00
GP 075845D
9189
$ 200.00
GP /76558D _
3308
$ 200.00
GP i76583D
1164
$ 400.00
GP f76578D
87
200.00
I GP 976562D