Hideaway Shores HOA 72787D

XCAMA/ ❑DREDGE & FILL 4 .HLERR i cAAle F�.oar_AKE_ ) No. 72787 A B c OD
GENERAL PERMIT(;] 11111�1 .
� Previous permit#
Y� Jlew ❑Modification III Complete Reissue ❑ artial 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 I 5A NCAC O?M, 2 50 0
❑Rules attached.
�s
Applicant Name 14IDEAWAy JHORES" NOA x ,c Project Location: County PAIIvETZ
Addressy cCOURT
6A1PCA bJrt sNug�s TPA T A) ��Box ,2'4- treet Address/State Road/Lot#(s).�- NLET
City NAMPSTEAo State WC ZIP ,28443 HIUIEAWAy $S'HORES I RAcr A
Phone# ( ) N/A E-Mail A/ I A Subdivision N I D E,A IV,hi1 y 1-1 oars W O A j
Authorized Agent —DAV i p W ATE1 S City N AMP ST CAD ZIP 2.2 44-3
ES PTS Phone# Tog) (p40- 052L River Basin WHITE. OAK
❑CW ,,mo�w ,�A ❑ ❑ � � ( )
Affected ❑OEA ❑�HHF ❑H, ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body A l W W \p unkn)
( ❑ PWS:
ORW: yes / 0 PNA yes / oO Closest Maj.Wtr. Body A I W W
Type of Project/Activity RV-AACE DOCKING E ciL.1Tv lAMA6EP FROM I4LA R/CA/{/E
�Lo721+/c� i'N G-X/STING F0o (Scale: 1,/i = 30')
•ier(dock ength (p' X - 34-0' ,
• ed Platform 10' X 2 3' -
oating Platfor 8 1 X jrp'(x 1 i
anger piers 8' x 9 '
W 1© H o WA ir4a e o .— -F
•in length ��,, I 1��I ^-•--• { •
umber RI- {
Bulkhe.• Riprap length
•avg• tance offshore . I ( I I
max dis• ce offshore
.I S_ I l I
Basin,channel
cubic yards
Boat ramp 1 I to ' I j
Boathouse/Boatlift 1 12 to O '
a. I
C �'
Beach Bulldozing I ' 1— kilt t"+' '
( RAMP 3' x a,' I _
�' II l
I ' I 4- ( I f I �
Shoreline Length ± Co 5 STove:1Ns I I ' '$. I
SAV: not sure yes ©o �DO.-._�S.4�T CT I , gsa./44-a5
Moratorium: Q yes no .0,, I �/'N I.1rN I
Photos: es no F
u lb.�ww.4y aMVRst N Aids, L.11,101,vs:Car
Waiver Attached: yes °O
i PL END or =NLET Cr Pt.
A building permit may be required by: �NDEiL C Ou N?y. 1 I See note on back regarding River Basin rules.
k (Note Local Planning Jurisdiction)
Notes/Special Conditions 0714 . 2-500 AND AL-L 0T+IE.t LOCAL , STATE
AND FEUFyAL REGui_Al-ioals f1 PpLy_
DAO► D M , 1 JAT T .S IYt -lz Mc61.411Zr-
IAgent or Applicant P 'nted Name 1 Permit Officer's Print Name ji
/ GU P- C.A,
I Signature ��Please read compliance statement on back of permit Signature
I 40 Al/A 2/I' /zo19 9 /20/20m
IApplication Fee(s) Check# Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPIJCATION
Name of Property Owner Requesting Permit 1 0 fffl- tit,)RTi"E-2.S
Mailing Address: 1QZ Sf D DO1-4, ` 12 L-A1•..11
Mix-inP$rE 4 C Z. 443
Phone Number: ?O3 (b'}O Qti
Email Address: rv+t r b 1 u e h ZO a- Gvrr7
I milky that I have authorized t) t 0 ill, t,+)411TT '(-5
‘)I Mrs151 Derr- AMy S Hra( E HO A Shi 574-fu 2O D
to act on my gaff,for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development pi Et , R at Z
DUE ' Ni ola-P-4 cra 3 !~c;r2 1C( 7r)
at my property located at HI DEAPJf}` S+k -ES TR•cicT A"
n f t)+ R. County,
r furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff the Local Permit 011Cer, and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit app&ation,
Property Owner Infamabon:
rratrrx>;
S, klialofr 0 h Fiwst erJT NroEAL ra-//SF+ofLES i-w
Print or Type Maw 50414 Zv r q -. wr ad 20
ck‘640 aT t't o A'4 544-02e5
Tare
02, I /I 1 20)
D
E
This certification is valid through 0 f J 45- 124?f1
Weft-Ace-Ai sJ r it DPrrn►4Ce 0 P1 e-12 (Fw1-PziAnT)
f iD&-t'l-rf'+\-t st-tot S -friAcr "A"

Dave "Mike" Watters
102 Sand Dollar Lane
Gaaga Maps Hampstead, NC 28443 - 2114/10.7:S6 AM
[phone] Bayfront Hilo Hawaii
Go Cale Maps [e-mail]
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Dave"Mike"Watters
102,Sand OoBar Lane '
Hampstead,NC 28443
4808 40-052r F»y-,�t .. 1-tage,
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