68510D - Hall

CAMA / ❑ DREDGE & FILL
ty 851® A B
"EIVERAL PERMIT
Previous permit #
New Modification ❑Complete Reissue !Partial Reissue
Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
N U j ZC1Q
:)astal Resources Commission in an area of environmental concern pursuant to 15A NCAC
V , (��)
�- � ❑ Rules attached.
r
Name J, mn !' 4- Q Project Location: County CI n�l.Jk
!Q 4 nJ tj .S Street Address/
State Road/ Lot #(s)
Ca k f 77s (o iAA State . ZIP 2-8y(45
V13. ya cll+ J�c:
( ) ylq- 841q E-Mail Subdivision
J
:dAgent Kt�-^ kiSe-< City OaI4
ff
ZIP
❑CW
XEW KPTA gES XPTS
❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
'es (:_J
PNA yes / no
Project/ Activity
(k
Phone # ( ) River Basin Crk
Adj. Wtr. Body 41-GJ t (n
Closest Maj. Wtr. Body ; LJ('J
(Scale:
<) length 5 X
.form(s) 16'X fb• Cvo m t•
'latform(s)
gth ME ICI
iber
*'prap length
distance offshore
distance offshore
tnnel ■�i■ter■■■■■1
■r■■■■■■■■■is�l
..MMMMMMOMME■i
c yards ■■■i■■■i■■---
■■■■■■■■■■
sm
■■■■■■■■■■ ■I
■■■■■■■■■■ A ■I
_Wfli:
m on
■M■■■■■■■■■1W ■■I
■■■■■■■■■■■iltw,Now
■
w�iiii■i
Length
not sure yes
yes■■
• -■
[cached: yes no
g permit maybe required by: 0( ttil �.� Z`s (a y� ❑ See note on back regarding River Basin
ocal Planning Jurisdiction)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Jemmy Hall
Mailing Address: 104 NW 18th St
Oak Island, NC 28465
Phone Number: 910-424-8419
Email Address: [e-mail]
I certify that I have authorized Ken Kiser
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
boat dock, walkway, pier, floating dock
at my property located at 2008 W. Yacht Dr.
in Brunswick 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:
Jk
Signature
Jimmy Hall
Print or Type Name
self
Title
8 j 19 1 17

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to vv,!4 C' l I [� 's
(Name of Property Owner)
property located at 2. o 0 8 W - yaa by -
(Lot, Block, Road, etc.)
on UJ , in © a �4- M!SJ , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:
Mailing Address:
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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.)
I do not wish to waive
1� I do wish to waive that setback requirement.
-------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
L/
Mailing Address
----------------------------------------------------
(Riparian Property Owner Information)
Signature

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jimmy Hall is
property located at L-4, 8252, S-17
(Name of Property Owner)
(Lot, Block Road, etc.)
on Intercoastal Waterway in Oak Island N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 910 - 4 2 4 — 8 419 Mailing Address:
104 NW 18th Sty OKI, NC 28465
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DM in writii
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ezt. Wilmington, NC
DCM representatives can also be contacted at [phone],
No response is considered the same as no obfection if you have been notified by Certified Mail
(Property Owner Information)
Signature
Jimmy Hall
Print or Type Name
104 NW 18th St,
(Riparian Property Owner Information)
Signature
Nicholas Scronce
Print or Type Name
230 South
Mailing Address
Goldsboro,
Hillcrest Dr
Mailing Address
Oak Island, NC 28465
NC 27534

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Jimmy Hall
Address ofPro Property: 2008 W. Yacht Dr , OKI, NC 28465
P
(Lot or Street #, Street or Road, City & County)
Agents Name#: Ken Kiser Mailing Address:
Agent's phone#: [phone] NE 37th St, OKI, NC 28465
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, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Division or Coastal Management (pGN) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext,
Wilmington, NC, 28405-3W. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Cardlled AW.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Jimmy Hall
Print or Type Name
104 NW 18th St
Matting Address
(Adjacent Property Owner Information)
Signature
Nicholas Scronce
Print or Type Name
230 South Hillcrest Dr
Mailing Address
Oak Island, NC 28465
Goldsboro, NC 27534

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Jimmy Hall
Address of Property* 2008 W. Yacht Dr, Oak Island, NC 28465
(Lot or Street #, Sheet or Road, City & County)
Agent's Name #: Ken Kiser
Agent's phone #:
910-524-0633
Mailing Address:
137 NE 37th St, OKI, NC 28465
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, must be provided with this letter.
I have no objections to this proposal. t have objections to this proposal.
If you have objections to what is being proposer!, you most notify the Division of Coastal Management (DCN) in
wyNng within 10 days of receipt of this notice. Corrmeapondence should be mailed to 127 Cardinal Drtve Ext,
NFlmington, NC, 28405-3845. DClii representatives can also be contacted at (910) 79&7215. No response is
considered the same as no ob jicdon N Lou have been nodfied by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.)
i do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Jimmy Hall
Print or Type Name
(Adjacent Property Owner Information)
Signature
Lon Maggart
Print or Type Name
104 NW 18th St
Mat7ing Address
r)�L- 1 QI anri Mr 9gAr1r
2006 W. Yacht Dr
Mailing Address
Oak Island. NC 28465

t o Iyta,.L.:
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to
property located at L-4, B-252, S-17
Jimmy Hall
(Name of Property Owner)
on Intercoastal waterway t (Lot, BIock, Road, etc.)
Oak Island ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 910 - 4 2 4 - 8 419 Mailing Address:
104 NW 18th St. OKI, NC 28465
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division orcoastai Management (DM in writ
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, N(
DCM representatives can also be contacted at [phone].
No response is considered the same as no oblecdon if you have been notified by Certified Mail
(Property Owner Information)
Signature
Jimmy Hall
Print or Type Name
(Riparian Property Owner Information)
Signature
Lon Maggart
Print or Type Name
104 NW 18th St,
Mailing Address
2006 W. Yacht Dt
Mailing Address

ALL DMAN= 3HDO N AQ
HCA WTAL QmlAIC DIM
I MT "W SLRITYD orAl�
DO-47 IC PAO= Olt
MIKas Of LAW. l
A" w. rna+rMW
CAKa(AWAC 20465
LOTARL417,5190.. +A
J.04 Yt tr
r±d ��►�
- r
Propose making floating
Jock 8x18 and moving
ramp to edge away from
stationary dock
EI
Lztlov� z.J
� - Blo�rnnG �eoa rrr -
lew- RX.71T cr �r
OL-colm rsr.
9W-AM5rAWRXW
/
AV- MN WD srr
/
SURVtYID BY.' l
I
DRAWN BY- JRO
/
CNCGKCD BY.' IJRB
DATE.• OV I G" 17
l
5C.ALC: 1 90'
//
I
/ "
l
I I
ornmm
I �T J�
SIDE A DeW V NRWL
Sor a
h
/
/ I
/ Ird1 tJtJd&�UMI1 UG7 /
ll .)
/MMACOA5TAL WAT l AY �
exrz
I
G!
/
/
/
a e Or6 /
/
a,e /
/ I
, OR.RIl�Ral♦Iele�
, R1�aCYISIef•O.I,JV a' �
/ aY1e�•Awl
lass. �eRlm�mo�w
o rover
9ra
1 W. r�
W. CA* 1��
IWOr rO.. CAL4
s tt
OWNBZS
RRYJIMMY
M
HA LL
LOT 4, tlLOl'7C 252, SWT. l7
OK I&AHD,N.G
PLIT� PG. 141
RAN
•a'::..,- * l
Gootechr rsl (Ilter /7brwc
on mdea,�e/ and bottttan.
�"� ,nNrp JQe
ZLgC � _ u�
aiab
(OYmti1D M, aC b/Y.-w.
O
m�
l 11 l l
/2c • i
/
>'4—
4r7/201
R
IMP6eM 5
ADD® DOCKLAND WALK-'IVAY
lI
_
/
�esoor
/
��
UWY
R 1.4'-
i8
/ r
/Bottom of trmrh /57
/
/
5 4OW ad °a°8be
e� warerno
/
4
s r
fawa
NON LOW fV4OMG
/� rrmlb.ra.rr
- 1203 H EVIDW DeW
__- 2C4VWm3.53d/
{OrACI, 17.5/95r+f
n7rM AfEM01e A WA, S.&M 5r
3.0" 'A717.5/5V - 239
ArOW" CMC-D*nLAW
1 - MISFX l.W2- 110.00073.53-35Ir
2- 44/ 5rX 1.SI2- 55.Q7a)3.53-201!
3- Wl/W'X 1.5112- /10.00 L7A.53-3-W
4 - 441 3rX I.5112- 55.00 =53-2 if
!0/37 atuv PROPC5WCOW RXX AR[A COW-DNW-D*fUAG
tr.c� 5 xv9v voAewneudal, 929s(x 1.5Y/2r /25- 1-S223rX I..Y/2-44LCSGTR2.1-2.I2-211
1 lQl' or eWar}a aroud pool COW P=-92JxX.12511t-11G0
N seI •4Ox 2.OWx.405 ewt-1. 12 df R7rAL KXlAe TO W3TRW-454.i3 LT
5.9 / 037 rtuW Respa d Treww* Lmo - l I G dY.12 cW - l04N
L..d A.— Lbw One (1) 104N - 2.0 W x 1.4d iornd artwd of

NC Division of Coastal Mgt. Habitat Impact Coml
Applicant: I'"" +(gI I
Date: 9 / j -/1
Describe below the HABITAT disturbances for the application.
685(0�
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FII
(Applied for.
(Anticipated final
(Applied for.
(Ar
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dis
Habitat Name
Choose One
includes any
Excludes any
total includes
Exi
anticipated
restoration
any anticipated
res
restoration or
and/or temp
restoration or
ten
temp impacts)
impact amount)
temp impacts
am
6
Dredge ❑ Fill ❑ Both ❑ Other
8 Z�
8 Zy
Dredge ❑ Fill ❑ Both ❑ Other I,
1 3 2-6
J[—®
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑