Ribert and Lisa Hester 71743D

172k Ho t2, ICA"it_
►1 i DREDGE & FILL N_ / 1 743
41111 LAMA/ F,.oa ,.lc>. A B‘10GENERAL PERMIT Previous permit#
)G yNew Modification liComplete Reissue EPartial 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 I5A NCAC O% 1.4 . S c:_'
❑Rules attached.
Applicant Name goPE RT gt L1.<A M 5-r t I, Project Location: County 3R l tNS L,r is is
Address )O s o t< <18 Street Address/State Road/Lot#(s) 2 U 26
City BtAPeweoRa State /1/C ZIP 2832o (.. A(AELL-1 DR‘vE SW
Phone# (I1o) '72 -3285 E-Mail Iles-er-I-rockiHgE jr-1,6j•c,;r. Subdivision N/A
Authorized Agent -ZILE I11-1n)n115 City OCTA$ J.-see. 1 rAct•1 ZIP 2g46,9
CW XEW XPTA ❑ES ❑PTS ,Ar-,rA/-' Phone# (`ti. ) ?So- t921 River Basin /....LtKgCR
Affected _.°EA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body A W w at /m /unkn)
_ PWS:
Closest Maj.Wtr. Body A I W
ORW: yes / no PNAe / no
Type of Project/Activity kV-PA1FZ / REI'LAct- LJ`ck. In/L.-, rAc►LTy "r * 1 , 'r ,
FooTPIZINT P1ei- i R12R.,cAAm_ FLoPCNCE_ (Scale: I = 301)
Pier(do length (, +( I 50,idPlo ) ICc x30 illLA 1 _AAA,:C pA.� !!!!UUU
CdL--��■
Floating Platform(s) nh.iiir.
Fing pier(s) ----......-.-. i1 ! !UIIJ'
Groi ngthnuber
■■■11■■■■■
Bulkhead/Riprap length ■■u■■■■■■11■■■■■■■■ fl■■■■■■■
avg distance offshore a■■■■■11■■■MP11P■■■■■
max distan e offshore ■■11��■� � �'' •.rtu�■■■■■■■
Basin,channel Ill„�•■��IflHHHIHIg..iaaaia
` ■■■
■■■■■
■ ■■■■■■■■■■■■■i1■�,■�■■■■■■■■■■■■■■■■■■
cubic yards iiiwhitiii=-�, ■■■■ ' liilli11„■■■■■�■■■■■■
Boat ramp .
Boathouse/Boatlift 1-9111111111111111111112g 'l
■� 1►. IBeach BulldozingA■■■■ra■■■��� ■mIIIlIIIIHhiIIIIIUIPI.pIIp,.MIiH" ■
Other 0 W = 11176 .14 2
C W = 210 44 2 ■r■■■■■■lh■■■■■■1l■■■■
k PLATFoRN' 480 f+z ■ ■■ ■■■ ■■■■■!'•3■ ! [ �■if�iifriYWii�i111iI�1■■■■■
,
11111
Shoreline Length S Z '
i,
no
SAV: not sure yes 111111111111.111
1ili
1/1
Moratorium: n/a yes no 1111911.111111r. �i ��,`�1� �i ��� �11
Photos: yes no ■ _1 omm. a■■■ ■���` aim m ,. ■■■■ m iiirmam0
■■a "�.o .rii,.il1�I➢3�ril�illt
Waiver Attached: es no Pi- •L
A building permit may be required by:Or rAAI =51..E. EEAc L I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions O'i Fk . 2 S O O AND ALL OT NE R. t_o C A L , ` 1 A
Fr DE PAL- RE C,vALAT1 uNs APPL"/.
/ 1 ,// /),dncrS ' 'IL_F R. �L MC (•�Iizr-
Agent dr Applicant Printed Name Permit Officer's Printed N e 4714 e /94 X o
-* _ .�
Please read'com liance statement on back of permit** Signature
Signatrn2 p P
il/A n0 II bit 8 9 ft0-/19
Application Fee(s) Check# Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 4‘e4.1--Atic
Mailing Address: /°(1 )
&X S7
e/ackit,60--?-,0 Ajc_
Phone Number: 7/O >7o2 -30 U
Email Address: /esfrictii e)1/276W0 ci.m
V/ Z I certify that I have authorized 1d777a'
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: J76:7/J /)/ cir/Cak e
/2r
at my property located at daaK C iel0 br, Ocean ZeS/Uk
in 6'CAJ%. CJICk County.
I furthermore certify that l 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:
Si,a,444
ature
Print or Type Name
Title
J/ I /46
Date
This certification is valid through f/ t G I ��

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 4,6e..774 f i�5 �f' 's
/ (Name of Property Owner)
f., property located at 9 0. 0l 'Yrl e/O i 0 f,, .c L.'V -
(Address, Lot, Block, Road,etc.)� zy .
1 on � Gt/4/ /
, in �-e rc.t �.- t t UliC , N.C.
{e ,L (Waterbody) (City/Town and/or County)
keite.. The applicant has described to me, as shown below, the development proposed at the above
location. .;
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
A l I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
!j' must be set back a minimum distance of 15' from my area of riparian access unless waived by
t me. (If you wish to waive the setback,you must initial the appropriate blank below.)
s: ,.... . fk:02.
'),-, re / per.,. I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement. he/Li
(Property Owner Information) (Adjacent Property Owner Information)
Signal re Sig Lure*
ill/i;h 04 f 7 °S-71e {' t'4-i- ,S y E cL.So v
Print or Type Name Print or Type Marrl,e
.1)", l3�x 5 49 41 R-tA \-k. \\ C1 1
Mailing Address Mailing Address ,
13iad en b PC, . it- - Zi- 3,2 � - ;; -e v't l t 0 S 1v
City/State/Zip City/State/Zip
Q/p- , -3.f.-'- of l o -- 3 '4 -1 1 i '
Telephone Number/email address Telephone Number/email address
I0- 3o -AOt4
Date Dare*
. (Revised Aug. 2014)
*Valid for one calendar year after signature*

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