53977D - Fisher

F .CAMA / DREDGE & FILL "=
ENERAL PERMIT Previous permit#
New Modification Complete Reissue ❑Partial Reissue Date previous permit issued
_
orized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC 1H-
nt Name i�� c'S.6, - Project Location: County PC ►J[Rules J �Lattached.
is t\ rl A L-4-A gZ. 1�t4\-1 Street Address/State Road/Lot#(s)
\Pori-,P S e-A D State N L.. ZIP Z-` -1 t 3 l `mod '(l yl t�L q i... y
#MPS) ?° -')(04i Fax#( ) Subdivision
ized Agent City Arc S-1--f.A.) ZIP Z--g L1
,d ❑Cw XEW ArTA Ats Cl PTS Phone# ( ) River Basin L.Ae€
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body U I'ALL'P h G/LE'S. (nat
❑ PWS: ❑FC:
yes /'no PNA yes Crit.Hab. yes / no Closest Maj.Wtr. Body L'N v✓
of Project/Activity g—e= P L-.A L L N,1 1 14-N L t-\e fl L Li t &- IL (".&Y
(Scale: 1 i'
lock)length
1 I l I
I i
pier(s) II 1111 II ;
i
length I1
lumber
g distan eloffghore H IIjHhPIHhIIHhIIHhII
111�111naxnceoffshore !IiifiIIIHiiiiiir'9iIr!iI
chan11 ■
ruse/Boatlift
Bulldozing ■■■■■■■ ■■■ ■■B■■
iiiHhiihiiHH'iiMEMMEMMEMMEM
MiiiiIIMine Length (O h11HhhiHiiIIUh1!LHIIiH
not sure yes 110101111
IIt
In
igs: not sure yes �)rium: n/a yes o jIm
■.■ 1111111.1
•Attached: yesYes ID ■■II
ling permit may be required by: ?C J AE(... CZ,v`v-4 \-) I I See note on back regarding River Basin
cne.;.i[-....di«:...,e t\I c. A ,-- _ 1 i -r . , 1.e_ 0 c _ _— \.

/Mallard Bay Creek
4" MLW N
Existing bulkhead 76
C3
eC
Proposed
bUlkh +
ead 76 �
les penetrating thru
Robert Fisher
1189 Mallard Bay
Hampstead, NC.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 3\11.
(Name of Property Owner)
q
property located at ) l D r ,Y 1 '
(Lot,Block,Road,etc.)in
on " l .4 .
`�`� 4'`�'� IJ 2dL , 41 / 1 (' .C.
(Waterbody) (Town and/or County)
Applicant's phone#: of 511q-74Zi Mailing Address: / 424,
rasa, Apt. P r?3
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
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 (Riparian Property Owner Information)
for Permit) zo c.4- � /l76-Af/4, Q/eyydk. ' 4'0/y
*Ai etwItt ae d l 0,
Mailing Address Signature

.J1 vG/
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLI H FT/POAT OUSE)
I hereby certify that I own property adjacent to b(ja7L'r iieT 's
y�
(Name of Property Owner)
property located at If'! ? f n
(Lot,Block,Road,etc.)on 1tf1 42, CPe TC ,in f►'�$ e-. l✓ P N.C.
(Waterbodt5 (Town and/o ounty)
Applicant's phone#:)1 °14` I ailing 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
I do wish to waive that setback requirement.
• DESCRIPTION AND/OR DRAWING OF PROPOSED DEVFLOPMENT:
(To be filled in by individual proposing development)
_721V
(Information for Property Owner Applying (Riparia Property Owner Formation)
for Permit)
Mailing Address Aci,et,74,7 ignature
City/State/Zip Print or Type Name

- - - - _ �55fh.nE652 F 2 2 00004 513:,
l �/• , fOgf222 :�
(t-a-hcc-at,,Y-
AOk
`a 1/d £ObBb ay'uo�sww i '9093-La Coos)
44
o I 'd+Upaui sat _
se,,,,,' os sAd o uow�lipa>>I�appp uoisuiwpA NW
pad Euo3 �
lw
f 104
(11
ezzzis oe os ZO6E-OLZ-O t 6•Hd
CJ'JC£P E�bBZ ON 'ava
1�3m isdwv
71ea 8 N3OOIH E8
0siaaoW Aol
} _ SIaaoW AQNV