80242D - Barth

41 CAMA / _I DREDGE & FILL N° 80242
GENERAL PERMIT Previouspermit# A B C
)C INew __Modification _Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 010 \160
y ules attached.
Applicant Name C�s� 6c,.. \f 7 �'
PP � h �S�� C..Grv'^() Project Location: County /��1S..,. c G
Address 1-7 cJ Y I s(c.,. l.J�.�� j, . Street Address/State Road/Lot#(s) 1 1 16
City `-J ,\\o -- State NC- ZIP 2 8 Li"It) \ S\4.. jc-, )t- i . -..NI
Phone#((l(a ) y"-1-1 2< 0 E-Mail C tO0r-lA i\2ey.Mc..I.(.-- Subdivision
Authorized Agent 9 `,_ , City `�VNA\•\- t- ZIP Z W-1
Affected II CW 14PN IKPTA ❑ES ❑PTS Phone# ( ) River Basin L",..:,h..-f
AEC(s): O oEA ❑HHF ❑IH ❑UBA ❑WA Adj.Wtr. BodygiS G CS e7c11 c,r,z z, '-n an unki
❑ PWS: '
ORW: yes / no, PNA no Closest Maj.Wtr. Body S�� 1l v�'�[ t J 4.1
Type of Project/Activity /Le J a(c4_s s 0 i A_ c-(I. C\Lt ,e(,-‘`t-bpn., L. (II, A 0
,----I,-z, 1. I (S (Scale: ► ) 'C )
Pier(dock)length ifs/0I
Fixed Platform(s) /0 x I Q' j .'" �v �- I µ
Floating Platform(s) !
Finger pier(s)
Groin length 1 i 1 j •�N
4 W ! 1. '
number t IY1L1�__I. k e N�
Bulkhead/Riprap length —.._. �._.._ _.....-0.,--_ _._. T ....._
avg distance offshore IIIINo` tygv4 0: i. ti� O►
max distance offshore k Lv l -
Basin,channel �,� 1- � � •. ,../`�� —
cubic yards •'% r
Boat ramp ("t-3 I v
Boathouse/Boatlift r� ....... _, ..
l.._..... i - ✓ �_—� _._ __... L
I
Y
w
—__.li'_._.._ v y. I N __ , M M lot
.,
Beach Bulldozing i - — • v1 i i T-�
Other V' v '"'�"'{
,
ti q I
Shoreline Length /U i
SAV: not sure yes /tto/ (3 urires, 1 Sc.,, A i Cv 'Oj `..4*r Qtue<.r`.. 1
Moratorium: n/a yes ix-y T 'o
Photos: yes r = ; ' _ ��,q..2_ .
Waiver Attached: yes /n�
A building permit may be required by: cR)I_ . -.r 1•- C, ._ . —I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions ,_ ;, S. k1k., C11.,.,, •-. .-\ - n c,k- "X(.,"-e. ‘/Ck '-.i` k' (*T t,,6•1."- '\3 o kr-
A \ t !^ (... \ ) roc. i.b-21
Agent or Applicant Printed Name Permi Printed Nam
\e 121.21
SiEature **Please read compliance statement on back of permit** Signature

No 80142 A a
c 6-2 I
CAMP I _DREDGE& FILL Previous permit#_____.
ENERAL PERMIT _Partial Reissue Date previous permit issued
NeroModification =Complete Reissue ��` 2by —
As auto+ ed by the State of North Carolina.Department of Environmental Quality V
mutes attached
yid the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �(v
Co ...0 Project Location: County----__-.__ I= "--
•
Applicant Named `'' CAA. V--
9 I Sly�Ll��� O r Street Address/State Road/Lot#(s)
Address �\c,"c, Ljc / ._S`1`f ---__------_
State N(-- ZIP Z�
.-
City__ ---- _ ----
C1L12� i,,,�,,l.c•••. Subdivision_ V
Phone#ma)�('}-1?�4 �E-Mail _�`' �` City S�S`\`V k L' _ ZIP- 2 D�� _
Authorized Agent �_V=��
egiV A ❑ES OPTS Phone# (_) River Basin_w_r --
Affected --
ONAEC(s): P C„�tLce n_/unkn)
OEA ❑HHF IH 0 UBA 0 WA Adj.Wtr.Body �aS.S �`
❑ • ______ -- Closest Maj.Wtr.B
ORW: yes / no PNA t no
t /�c-J CL cC r x./ c.. t'l in.- t-- ��I. e 0
Type of Project)Activity Oil 1.J
T � �
W r,...4.1.-s- S t't f s (Scale: '._
Pier(dock)length r Yvr I O.
... Y• v •iAr
--_.._._----._.--- u ..
Fixed Platform(s) Id Y I Q I -y✓ ; t
Floating Platfa*n(s) 1
Finger Pier( Scv S S -
Groin length
number ,
-fir.
r!\..A v\kk e No., t
Bulkhead/Wprap length '—'—: 11
`{ `�avg distance offshore I 1 0,1., ..v„s,,,�(.max distance offshore • Ji N vJ
''�,z�� ...Basin.dtarr el vV ---`—� �M `o sK..N.L
... ✓--"'
cubic yards \Ot �` �l�
,
Boat ramp - . ( _-- __- _-.- .r
r ,
Boathouse)Boadift ,j .- ; V 1 J r ,t `,
Beach Bulldozing . . . i . . . i . / W
v
Other �—.......„
1
Shoreline Length ^. et U t . + .
SAV: not sure yes no (fur �- { _ ' l �v�',i;�. �� .r-�r Q«�c� \ i
Moratorium: ttla es no ! .! �}C,& \,�\L-. L's3t•\�c.� e"•,•N v L.Y I.. ...JJ i
t� U u
Photos: yes ne `Y �'_ ._ ! . .
Waiver Attached: yes no
1z
A building permit may be required by: i„..5, c`..
11 . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions t ( \ `
�i7„t(' It<< ',... ._..;.\\ n.e1 lkLA41-1� Yak s-..+s A�— 4C 1,,,..\-', JoA}('���
` V
Agent • Printed Name --)j f e^ ', , � !l�t
cJV •
' 1 i )34--- a
Permi Pnnted Namp
Si:f azure ••Please read compliance statement on back of permit••
�1 2 uc*-- Signature
APa`.. • Fee(,) (0\k0 %- P-2 v 1A
check+F Issuing Date \�-k ' v "�
Expiration Date

JuLuo gt CI IVCIUpe IU.UCCOIJOI-ISUOY-YI.JO-DIJCr-CCYV000%.CrYU
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Casey Barth
Name of Property Owner Requesting Permit:
1216 Riverside Dr
Mailing Address:
Sunset Beach. NC 28468
910-471-2030
Phone Number:
ckbarth2@gmail .com
Email Address:
Rick west
I certify that I have authorized
Agent/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
Construct new pier walkway and
necessary for the following proposed development:
platform.
4798 Island walk Dr. Sw, Shallotte NC 28470
at my property located at
Brunswick
in County.
I 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:
DocuSlgned by
Signature
Casey Barth
Print or Type Name
Title
Date
This certification is valid through l l

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SENDER: COMPLETE THIS SECTION `T
COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.
■ Print your name and address on the reverse A Signature
so that we can return the card to you. Q Agent
■ Attach this card to the back of the mail piece, r— i Addresses
or on the_ front if space permits. p B. Received by Printed Name)
_ _ - - --�_, C. Date of De;iv-,
1.1. Article Addressed to: — -- __ ss .
A ,_ ---- , i ; D. Is de'ivery a•r ress d,`ffereni fro item 1? Yes
1f YES,enter delivery address bbto`Ar
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1�I1�I�1�111r�������`� ' i 1 ' Lceiype :i
NIIII�1 1If1 {`1 lI i:7 Adult Signature Priority tAa t press£
O Adult Signature Restricted De'.aver L Registered tdaBT
a 9 9 02 6268 02 74 9877
8 7 7 U Certil;ed W:9 1 C Aag stereo Mad Restricted
83 Q Certified Mail Restricted Deiery ❑Delivery
2. Article Number(Transfer from service label) �'Cwect on De wery _Signature CG,Armaticn*�
rf a�t� a Co''ect on De.very Rest•icted Del. ��Rgnatme C e very c❑
r 1 l t 1 G 0002 4 0940 Val
Restricted De:, e
'3a3 Restricted Ga;;vsry
.. Form 381 Z,July 2020 PSN 753a4p pop-g053
Domestic Return Receipt
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
1r Complete items 1,2,and 3. A. Signature
I Print your name and address on the reverse 0 Agent
so that we can return the card to you. .LfAddressee
• ■ Attach this card to the back of the mailpiece, B. Received by(Panted Name) f .C. Date of/Delivery
or on the front if space permits.
1. Article Addressed to: <` f
D. Is des;very address different from item 1? ❑Yes
ei I' 1 if YES,enter delivery address below: 0 No
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3 Service Type 0 Priority Eta i Express
I!I1�I�1l 1111111111, I IIII I�I' I , 1 i ill D Adut Signature
D Adult Si 0 Registered Nair'
I grta l:9 Restricted Delivery O Registered 14ai!Rsstrk?ed
r r ❑Certified Ma':'? Ge�:very
9590 9402 6268 02,., ,,.-,, r j' Cert fed tvta l Restricted Ge'::;ery u S 3nature Corti;rma.:m "
ICoectcnoe'very S ueCc re.on
2 A'"^''nrirmher transfer from service labefJ t 0 Cc ect on De +ery RestG fe1 De very y _str.ctrd De.c,
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7020 L 0001 5?Li., v, ;I.l it Restricted De'very
PS Form 381 1.July 2020 rite 7Sgn_n9_nnn_ar,..o

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