35144D - Barnes

CA`1/IA / L DREDGE & FILL 40A -, 3 144b -,
GENERAL PERMIT Previous permit#
New [-Modification Complete Reissue ❑Partial Reissue 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 5A NCAC ')N f 2-01) .
L)Rules attached.
Applicant Name .5iic./p/ pi .fa r1ej Project Location: County tr (nci ttJ1 r K.
Address 64O 7c.ee i ) 51Yd Itx s 74. Street Address/State Road/ Lot#(s) /b 6
City _iii-P-ecicn 5ca C6 State NG ZIP Ayt16 oZ l Sand 1 o i/Q r
Phone#(9/0)3'I . _3`/09Fax# ( ) Subdivision -j�le r IT a j C (6(.bu
Authorized Agent Ca,-f;.c, Z ,,,c5 City '{uCdrn 'Btoch ZIP / 8�4,2..
;7 CW F
EW 9TA ❑ES ❑PTS Phone# ( ) River Basin -G<of bel-
Affected 1 OEA C HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body Ca rl6t_4 (nat /®/unkn)
7 PWS: ❑FC:
ORW: yes / no PNA yes /6 Crit.Hab. yes / no Closest Maj.Wtr. Body - I
Type of Project/Activity /f?J? l/C. ,J Gc�/- '�0' / /c 74 . 9 b6, / —
C/ (Scale: /'lam Z& )
Pier(dock)length 3 i/.S
Platform(s) /O X/2—
Finger pier(s) B?'/iv
Groin length .1 Ca i /CA �`
number -- '
Bulkhead/Riprap length
avg distance offshore /OZ) /Z.
max distance offshore
Basin,channel (c)/C/y�1) GI
cubic yards i () 1:0 bo 1 t.
u!r e ��
Boat ramp g - 8/( 61.
Boathouse/Boatlift I :
Beach Bulldozing -
'Other _
ob I
/U • i
Nti
Shoreline Length LIt �l
San g not sure yes P� ` K i c p�
Sandbags: not sure yes
J4-,r1rcLt inc___
Moratorium: nla yes
Photos: yes ell
Waiver Attached: / Os (i ) —
A building permit may be required by: 70-41.--0-7 G� V11,1 C�Fi-) 2GC£ I I See note on back regarding River Basin rules.
Notes/Special Conditions ( e 0-77 cit 62,/„$ o2/ 7k/�-l22)
/ /
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fill—WI r; "i hca d a - any -tide- le ve
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Age to Applicant Printed Name Permit Officer's Signature ' 8/G
,,,,
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DlNy—�----� /6-V 3 ' ‘
Signature ' Please read compliance statement on back of permit'*' Issuing Date Expiration Date
,$/OU °`1 i j n aeoc i /UQVI'/X
/',pplicationFee(s) Check# Local Planning Jurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules I I Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-6481)or the Wilmington
Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-648 I
Location: Fax: [phone] Fax: [phone]
(Serves: Camden,Chowan,Currituck, (Serves: Beaufort,Bertie, Hertford, Hyde,
Parker Lincoln Building
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
919-733-2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 9I0-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised 10/05/01

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: She, )
ADDITIONAL NAMES:
AEC DESIG: P% DEVELOP AREA:_ .G Y, PROJ DESC:
P _ /.�
(Will only take 6) — (Will only take 1)
WORK: '3d? /S"x 3 PR It X/2
(Will only take 4)
3-X/6
MAINT:
(Will only take 4)
IMP: MO #38
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: i o/e/o SIP/otf
CAMA MAJOR DEVEL REQUIRED: t 0!8/0 3 1/4/0 tf

•ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2,and 3.Also complete A. Signatur-
item 4 if Restricted Delivery is desired. x (d l e j j��� nt
• Print your name and address on the reverse `-e)?' ❑Addresse
so that we can return the card to you. R. R> e' ed by(Printed -•e) C. 1]at:of D ver
• Attach this card to the back of the mailpiece, / C
or on the front if space permits. ,/ - �-
D. Is de very address different from item 1? ■ Yes
1. Article Addressed to:
dotIf YES,enter delivery address below: El
Ra id k r
5 4-61 060 d J 1 e VJ`fie
��----co, rLfte Y �1 I � , � 3. Sefvice Type
1 X Certified Mail ❑ Express Mail
._g 3 / 4 ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Numbr 7003 0500 0000 8894 5508
(Transfer from service label)
S Form 3811,August 2001 Domestic Return Receipt 102595-02-M-15,

UNITED STATES POSTAL SERVICE First Class Maif •
Postage&Fees Paid
USPS•
-
Permit No.G-10
• Sender: Please print yob me, address, and ZIP+4.in_this box • ._..
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of ,,,
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•ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2,and 3.Also complete . ign lure
item 4 if Restricted Delivery is desired. / ❑Agent
• Print your name and address on the reverse y El Addresse
so that we can return the card to you. B. Received by rinted Name) C. Date of Deliver
■ Attach this card to the back of the mailpiece,
or on the front if space permits. /�
D. Is deliv ry address different from item 1? in Yes
1. 'A,rtilcle////A��dd��rejjssed to: If YES,enter delivery address below: CI No
�l/L,C. 0%
`7 7 4- 43 ;
t/64.0&&-' yy. 3. Service Type
7/0 r/ �� Certified Mail ❑ Express Mail
O Registered 0 Return Receipt for Merchandis
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
?. Article Number 7003 0500 0000 8894 5515
(Transfer from service lab .
DS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-15,

UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage&Fees Paid
USPS -
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
� Rlo
Name of Individual Applying For Permit: 54t.. .e '7. CB ctv r`tS & 3
Address of Property: 1 p kg w o.,n oL o I 1 eh„ ►�,i
(Lot or Street#, Street or Road)
(. Stephen and carmen Barnes
610 Ocean Blvd W. 1 A)1CkR.v. -Oke /l V ,IN S W•-C1C
Holden Beach,New (City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit ha described to me as shown on the attached drawing the development they
are proposing. A desc:'__tion_or drawing,with dimensions,_should be provided with_this-letter. -
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
•
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set
bck a minimu distance of 15'from my area of riparian access-unless waived by me. (If you
wish to wa' a the setback,you must initial:the appropriate blank below.)
- I do wish to-waive the 15' setback requirement.
low; ;c..1L d` ` vvo e.
I do not wish to waive the 15' setback requirement. �
PI 13
Sign Name DateA:17A
A1/1-4kU___
�.\ ArOmminswilk
Print ame NCDENR
• NORri CARouNA DEPARTMENT OF
Ce ?7 ENVIRONMENT AND NATURAL RESOURCES
.elephone Number with Area Code S:\cama\shells\riparianproperty.friu

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AnAM
STEPHEN P.BARNES
CARMEN S. BARNES 4358
� FA� 910-842-3409
640 OCEAN BLVD W J '¢ 66-770412531
HOLDEN BEACH,NC 24462
p GS 0 DATE
PAY TO THE OE p
ORDER OF ) $ f V rJ
N4
Ir�c 8 :r;x
O � tT �"V DOLLARS ;,•«"'°"
State Employees' Credit Union
Shallotte,North Carolina
Sl
FOR Pc t PQryvt,- 1-6? 351 N
': 2 5 3 1 7 70491:086 24774844118 4358