23868D - Barnett

. CAMA and DREDGE AND FILL >°)
GENERAL , 238' 8 - u
. .
PERMIT
as authorized by the State of North Carolina
> ,:,.,-. Department of Environment and Natural Resources and the Coastal Resources mmission
in an area of environmental concern pursuant to 15 NCAC 7--/• /.1 GO C 7,• //U C/
Applicant Name 1Q;,nr,•,, e -1✓j.Pk RNe 1" Phone Number (91 `f) . ` 3 ? �—
Address .i) v a \ 1n) . - - ( i f's-R\4- R d •
City ((1--eR Jmbo Q. State NC Zip a 7 S D z
Project Location (County, State Road, Water Body, etc.) t u`) ,W - 6 A V'( ,4i—< / 40.3.1 '`�
N -- 10 1Y‹ (Atil ( , 712P54" / Z &-k 4 t0P(t /e 6.0
Type of Project Activity 0-4 ( (At() /0; et 3&t K--mod 10
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PROJECT DESCRIPTION SKETCH (SCALE: / I I_ a U )
Pier(dock)Length t
y( r 31 ii � is iif m_ .uim� ■
Groin Length ���� UUVJ! 1� .�� ��.
number IIII■� �1+ � �� NOM
Bulkhead Length 3Q/ ���
max.distance offshore ■i iii m u. ■ ■ m■■i
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Basin,channel dimensions IR i • i i .
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mmmm m .i, ( i ,. ( iiir
cubic yards iii IN
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Boat ramp dimensions E <
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This permit is subject to compliance with this application, site drawing
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and attached general and specific conditions.Any violation of these terms applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. T..(-E1/2 -1
This permit must be on the project site and accessible to the permit of- permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- _ ._ )1 4—")3- C)(
fies by signing this permit that 1)this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they 7 4 ` P°G 7 - //U
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project s -UVC g- 1 V 3 3
is consistent with the North Carolina Coastal Management Program. application fee

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{ DIVISION OF COASTAL MANAGEMENT
- ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying Fo Permit:
Address Of Property: c
p c
_.014eJ p
(Lot or Stre t #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described. to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be rovided 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 Manaaements 127 Cardinal Drive Extension,
Wilminaton, North Carolina, 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, lift or sandbags 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
below. ) the appropriate blank
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
crVA9.
Si ture Date
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•
Print Name ?/©
Telephone Number With Area Code

•
DIVISION OF COASTAL ?MANAGEMENT
ADJACENT RIPARIAN PROPERTY OW•
NER NOTIFICATION FrAIVgg r^ORM
Name Of Individual Applying For Permit:
Address Of Property: g
• (Lot or reet z, Street or Road,
City & County)
I hereby certify
y that I own property adjacent to the
property. The individual applying it has
described to as shown on the attached g this
they arepermit has
proposing. A description or drawing,drawing the development
should be provided with this letter. with dimensions,
I have no objections to this proposal.
.._14__
. . •
If you have objections to what is being proposed .
Division of Coastal ManCQeme please write i
Divisionon . North Carol; nt. 127 Cardinal Drive the
days of receipt Carolina . 28405 or call 910 395_ 9 Extension .
_Dt of this notice. No response is considered 0 the within 10
as no objection if you have been the same
notified by Certified Mail
FrP_IV SECTION -
I understand that a ;�,-
Iand lift pier,
mustdock,
mooring Pilings, breakwater, boat
house,
h area of riparian et back a minimum .
Da_ian access unless distance of s
to waive the setback, you must initial TnclVed by
below_ me. ( f you wish
the appropriate blank
I do wish to waive the l -r
_� setback requirement.
___________ I do not wish to waive the 15`Setback reaui rement.
Si
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/
Date
A - A
.
G DI-3VWpr,nt Name T
epnone Number With Area Code E R
l

•
_.-,, ._., -.
66-85/531 1833
BARNETTE HI PERFORMANCE 1270004276
t 2021 W.B. CLARK ROAD oC . r0 :)--_
CREEDMOOR, NC 27522 DATE
PAY TO THE
$ Sri bo
ORDER OF n n
6 L� `J DOLLARS 8 w"�.
0r.
Centura Bank® .„�
Creedmoor,NC 27522 .....
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