Bartley, Stephen 77335C

CAMA / ❑ DREDGE & FILL 9 77335 A B CC, D
GENERAL PERMIT Previous permit#
Jew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
Asa thorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources C tssion i�anarea of a 'ronme t I concern pursuant to 15A NCAC
❑ R es attached.
Applicant Name G� 'e Project Location: County ,y
Address
City <—c l-< t
Phone # (//"J vl (,� /�
Authorized Agent l"-,.,,%
Affected L4112� .--�A ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: _ .`)
ORW: yes h no PNA
r
Type of Project/ Activity
Pier (dock) lengtl(�
Fixed Platform(s) l
Floating Platform )
Finger pier(s) C
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ oatli
yes I no
Beach Bulldozing
Other
Shoreline Length W (./
SAV: not sure yes n ...... ..... ..�
Moratorium: n/a yes n
Photos: yes
Waiver Attached: yes n
A building permit may be required by:
( Note Local Planning Jurisdictip
Notes/ Special Conditions
,0 C-[- c'xl Z
Agent or Applicant Printed Name
tPliati.n
Please read compliance statement on back of permit
Joao
ee(s)Check#
Street Addre / toe Road/ ot (s)
Subdivision
CityZIP -y
Phone # () River Basin
Adj. Wtr. Body Awl� t man unkn
Closest Maj. Wtr. Body 15
1041.
Permit
-13X0
(Scale:
❑ See note on back regar ing River Basin rules.

Name of Prgmrry Owner Requesting Permit:
Mailing Address:
Phone Number: �� c� ` ' 5,r) Iy
Email Address: 1� G? r? ► G� 6P r (Q ��, C' "e-I Gc n-%.
l certify that i have authorized
Agent 1 Contraaor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development:
at my property located at -Z��. kg h1x=�--
in OHS County.
1 furl mxxre certify that I ant authorized to gram 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
pern* application.
Property Owner
Print or Type !Varna
Tide
Date
This certification is valid through — � 1 1 `Z

I herebycertify that I own property adjacent to Property ner)
(Name of Po Q
property located at ..
(Address, Lot, Brrc , Ro,0, etc
�C 1 _ in ..4 �} ' /�t -- .
on _ . _ . ___ . (City/Town and/or County)
{YYaterbody}
e, as shown below, the development proposed 8t the above
The applicant has described to mn.
I have no objection to this proposal,
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
{individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
g pilings, boat ramp, breakwater, boathouse, lift, or groin
I understand that a pier, dock, moorin
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.)
( do wish to waive the 15' setback requirement,
I do not wish to waive the 15' setback requirement.
.nrnnt P r la�n}
Srgndtr�
pr►nr ryPe Name
atdress 7
ryGtreJlrp
Telephone Number/email address
l)u�r
•Value for one calendar year after signature'
print or Type Name
Mail�g Address A
C /Srare/Zp
Tesrre Nurnberf email address
L
t)Ur�
(Revised Aug. 2014)

'�$$-I-= Y'.C11 I lsvV —V'% I ". 0 1V —. —... V c — G --- -1 --- - - - - . •— I —
ADJACENT RIPARIANPRQPER (%1N1d .-UA1 M
t.�°
I hereby oerOy that I own propetty+ adia mnt to
pros" located at
(Ad*oss, trot, Rv , e!C )
on �Z—CW , in . __ ._.._.... .. :.. W*... f.. l/.31,c.7 , N.C.
(Warterbody) (Cft 'own arodkw County)
The ap icaj# has described to me, as shown below, the devetopowm prowled at the above
taCa�+ndt , "'
t r ' I have no (Mection to this proposaL
I have objections to this proposal.
DESCRIPT ON ANMOR DRAWING OF PROPOSED DEVELOPNEW
(ii'i�dtl�t�t-t�y'.t�h±�+,+�1.' t�i�_ 1ri� +rt%rtsit l)l!,)t7cl��f�f�t;t�rt�r`'a►�?I �' t#i�!it
WAM�R SECiiOht
I w WsUM that a pier, docK mooring pilings, boat ramp, breakwater, Wadxxm, lift, or groin
must be set back a ffw*num ftwice of 15 from my area of r0arian access unless waived by
rrre. (It you wish to waive the Setback, you trust initial the appropriate blank below.)
I duo wish to waive the 15, setback requirement.
I do MM wish to waive the 15' sedk-m* requirement+
{AdOaent Property O*Vff
r
Si_ 4v JVW Cr Tgpe _
Maff,' Address e.J
va
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(ROVj d i4tg. 20141
'V;Uid for UMndK year efts► si�ature'

Prepared By: Cody Scott Intracoastal Water Way
Date : 8/21 /2020
Scale: 1 ":20'
( 14a�Elirisl Git,ck
_0ock
i
12'r1r" !
(loal Lift
i
i
185'-0°
Marsh Buffer
O
To Adjacent
PropertyLine
35'-0"
40'_ _ l To Adjacent
110 Leslie Dr Property Line
Hubert, NC 28539 108 Leslie Dr
Hubert, NC 28539
Owner: Stephen Bartley
N
1
106 Leslie Dr
Hubert, NC 28539

GoMaps
September 8, 2020 1:500
0 0.004 0.008 0.016 mi
J 0.005 0.01 0.02 km
U.S. Fish and Wildlife Service, National Standards and Support Team,