54535D - Hester

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
:]New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
prized by the ,State of l',torth Carolina, Department of Environment and Natural Resources ( /�
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
�,/ ules attached.
nt Name h�i(� ��� K Project Location: County � � V
StateNIC, ZIP d
# ( )1 Fax # ( )
t
zed Agent ? i�j /lY k 61 cltmt . _��41At Vt � x ► Ybtf
d ❑ CW 0 EW ❑ PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
yes no P N A ( yes no Crit.Hab. yes / no
of Project/ Activity
ock)length
m(s) 10 )( I IT
length
umber
ad/ Riprap length
vg distance offshore
iax distance offshore
:hannel
ubic yards
imp
wse/ Boatlift
Bulldozing
'ne Length _
not sure yes no
tgs: not sure yes as—_
)rium: ("` ) no
es n
Attached: yes tn0
Street Address/ State Road/Lo)t #(s)
List _ A7 ►u ►I.SW I�G ► r 1+ � Lt
Subdivision NVA
City SU V-� C14AA ZIP
kfne'# ( ) �7'N 'S1r3�j River Basin Paix
Adj. Wtr. Body S'�V Y11�� U► (nay
Closest Maj. Wtr. Body
(Scale: ' //
ling permit may be required by: P �)' ('�, ❑ See note on back regarding River Basin
V. s --n 1 1 t n.r,. I t t . 1 i _ —I ( It f

ANEW
OV-
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date / �:-' U
Name of Property Owner Applying for Permit:
C < Pf r—
Mailing Address:
I certify that I have authorized (agent)' r4A n G ri to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date)
Ad-A46L� �� M
Property Owner Signature Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 'vC� • P"/`— 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on 1010xd Al� , in 4U12 F , N.C.
(Waterbody) (Town and/or Cou ty)
Applicant's phone #: - Mailing Address: lqg&
ti
Fog geffg VI-vE i
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 (I T) from —y 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
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Sdv.
(Information for Property Owner Applying
for Permit)
/S'mX'
Mailing Address
t
to
(Ripari rope ty Owner Information)
Signature

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOA
I hereby certify tW own prooperty adjacent to i 's
(Name f roperty Owner)
property located at
_ (Lot, Block, Road, etc.
on_J in N.C.
(Waterbody) (Town and/or rounty)
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 wish to waive the setback, you must initial the appropriate blank
below.)
`01 I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
4-16 Li
(Information for Property Owner Applying
for Permit)
& �/ AA&41f &I
Mailing Address
qfl
---------------------------
n Property Owner Ini

6ck L llr�l rr--
u
1)
7

Division of Coastal higt. Habitat Impact Computer Sheet
Dlicant: "y- Permit #: 5453S T
re: 5/J3/Ib
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
bitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated fina
disturbance.
Excludes any
restoration andh
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other ❑
ZI LP
Z)
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
In

Pay t0 the
o,fero
B & B MARINE CONSTRUCTION
PH. 910-540-5135
9045 9TH STREET
SURF CITY, NC 28445
/4
I--
103
67-71 W
$ `-/dd. d o
n First Federal
HAMPSTEAD, Nq 28443
FOR
II800 &0 3 LII' 1: 2 5 3 2 7 19 4 5I: 580 600 0 3 611'
0