77651D - Hurst

0 CAMA / DREDGE & FILL N9 77651 ABCD
GENERAL PERMIT Previous permit#
�— ' __ New Modification ❑Complete Reissue IIIPartial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality ``-�� f� / �+}�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC C/7! i ' l r va
,L{�r- L El Rules attached.
Applicant Name fo �-1- AkS 71.4)/afriVX I ' rl Project Location: County Y { 1 CI 1 C-1�
Address PO &oX II qz Street Address/State Road/Lot#(s)
City j)2} V eX" State NC-ZIP 2 eo 3 7 Ct 101 w ! p'CGt D r
Phone# ( __) E-Mail IN 11 L`' ti 6 1 vbfig� Subdivision
Authorized Agent ,V\VL/ L(/W % Mj iiThiCity 04 k If j ext--' ZIP 2- u S 5
CW HEW ❑PTA ❑ES ❑PTS Phone# ) River Basin L-14 0^G CX
Affected , OEA HHF ❑III ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body 4l Doa 4.9-1 /5;1/man /unkn)
PWS:
Closest Maj.Wtr. Body al'�4i C- d Ce cwi
ORW: yes / no PNA yes / no�
J
Type of Project/Activity 'If !fG /�ro fCc/ �frE'a-
do1rucr'
! ".,,, (Scale: ) )
Pier(dock)length / ,
Fixed Platform(s) ! j r
� '
Floating Platform(s); i j
Finger pier(s)
Groin length I i 1
TL
Bulkheadliprap length 4--...—!
avg distance offshore I / V { 4 ' I I •.. \- — --"
max distance p4shore { 1 I( 2.
Basin,channel / I l
t
, t
cubi ds fts'y...,4 i
' --- ----'\--71 1st f -
!!I.
t
Boat p ,; t # /"1 e -70
Boathouse/Boatlift - --- -- ' L 1--- _ `..-..-
Beach Bulldo ' g 2V
Other f Q) } i 1 t��
"It' x ' Al .7- -+ di - lie- - y
I
Shoreline Length —lil i i ' *IP _
SAV: not sure yes no i i g't 'V
, i
Moratorium: n/a yes no ± 1
Photos: yes no r_ ....,._..._..i ._.._...---.— - _..-...+..._+ ._ _ �
Waiver Attached: yes no I
A building permit may be required by: i)4 k �r/4''�0 . U See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) �/ ���J� 11 A ✓YIA1 "/ , _`
Notes/Special Conditions 1 'tya l n 1 1/1O rl ZL +)Uv rp '-�'reC•lr fpgT rP 'ar k. M a&,, ( �/h .
6,:ace r.o✓ act- 6(e Cures yff3'CE) 7/ _ _5;?-3 -//s/- /
' -17)killik '.'1\4'\W-leVijr Ce71
Agent or Ap t Printed G' . Permit Officer's Ped Name
0 / 6t.-- C /) I.Cr',„:\i-k. ''-- -----)
Signature "Please read compliance statement on back of permit" Signa
I. 110U ov Imp k 6\— �C �� 7)L119�)t) �a �1 7;?-6'? �!
Application Fee(s) Check# • Issuing ate Expiration D to

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648I) or the
Wilmington Regional Office(910-796-7215)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden, Chowan, Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncden r.org/web/cm/dcm-home
Revised 7/06/17

•
•
AMA/ i. REDGE a FILL. N(} 77651 A B C
GEN L PERMIT Previous permit#
i ew GModification i_IComplete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality 7®a
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 7 r(
^r^ J T iL -Rulesattaclyed,-
Applicant Name Je � qy/ AA(2 i _/f.�L(r �� ej(t'f-�
Project Location: County__ 7 rte.,1 C-K .�_.._
Address_VD go( ti-I Z Street Address/State Road/Lot#(s) _ _ ___ _
City •- v e-- t —State NC ZIP 2 e6 37 6f 9°4 IA eta/ "D r • _ —
Phone#(_ ) E-mail t_t �3pjy)
' "• tAfs7I"l- Subdivision ---I-- __ �/ _.
Authorized Agent_ � 1/II.ILQ t/1�Ce'ty 01/C.Tr'Ow{ ZIP 2-0 L 69/S
Affected �`_CW [```.��.E�W�����'��� i PTA ES •PTS Phone# ) — River Basin t-��`'bC1-
AEC(s): r ;,7f*IF IH USA N/A Adj.Wtr.Body-_ cgt'+t►• p4.,e-4-4'1 man./_unkn)
Closest Maj.Wtr.Body7 PANS.
'<�—bc-eG` t
ORW: yes/� PNA yes / c . 1 � /j r_ 1• --
Type of Project/Activity f� ?IG''- c [7.�j c�O la ro �122ct' "'a-t -C�uc-Vt we •
(Scale: )
Pier(dock)length _ _ - - - -- - - - ---- - - - ------ -- - - •--- - -_.,_
Fixed PlatformsV_i-I
1 r .
Floating
] 1 \6\Al\b0 -J v' 7Groin
length --- ---
numbs - _.- •---- --- - --- ° ----- i- 1--— --- ----`A
/VI� --C-4-'
I • -Bulkhead/ PnP length - _ ' -
distance off _ I
max distance .shore. __ -_- — I { i f1 t
Basin.chancre/ -.. .... —_ ii —--'�'
cubs ds �t _— tp i - !
2 } i -O(�tiA
Boat P - - - _-�, �.1-1�r — - .— ._- 7 --;
Boathouse/Boadift_ __ ._-_ 1 -) ' . .
BeachButldo ig _--- _-_
Other
-j1i ��,Fi 11' — � --
Shoreline Length± t —__ 1-
sure _, T'P. -
--
spy: not re yes e$ _
e--7,--1.1
S.
Moratonum: n/a yes no i
Photos: yes no ` i I -
Waiver Attached: yes no = _ _ .. -
�1. .. - — l- —
A building permit may be required by: (/el IC- —YS/ —4 1 . _I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) A rnAq
Notes./Special Conditions trQ.1 a o rl ifl s1,r r 1,/or P to be /i),
C.0441a. 6, Gfc,(JffCE &-). 5; 3-/151,
k Cam_t- 1.12
Si amre " stabmi " 131T
1 -•- - -^ -
Signature
, b- a i
Ippticanon Feels) Check rQ Issuing ate -Expiration D

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Robert W Hurst
Mailing Address: PO Box 492
Denver, NC 28037
Phone Number: 704-763-5665
Email Address: [e-mail]
I certify that I have authorized B&B Marine Construction
Agent/Contractor
To act on my behalf, for the purpose of applying for and obtaining all CAMA permits
Necessary for the following proposed development: Sand Bags
at my property located at 6909 West Beach Dr
in Brunswick County County.
l 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:
mete iv Hu'tft
Robert W.Hurst(Jan 19,2021 I633 EST)
Signature
Robert W. Hurst
Print or Type Name
Mr.
Title
Jan ).9, 20?1
Date
This certification is valid through / /

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Robert W.Hurst 's
(Name of Property Owner)
property located at 6909 West Beach Drive
(Address, Lot, Block, Road, etc.)
on Atlantic Ocean in Oak Island , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
cation.
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)
RO-0\04—
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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) (Adjacent Property Owner Information)
.ee - 2 74/rb at
Signature gnatur
Robert W.Hurst 1 ,
Print or Type Name n or Ty e am
PO Box 492 \ �n(�u� ���
Mailing Address fling ddress
Denver,NC 28037 h'„\\* ,AL *NSA
City/State/Zip C► /State/Zifi
[phone] rhurst957aatt.net Qa%—$Sa- 32
Telephone Number/email address Telephone umber/email address
1/3/2021
Date ate*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

SANDBAG REMOVAL NOTICE
TO WHOM IT MAY CONCERN:
I, Robert W. Hurst , give permission to
B&B Marine Construction to act as
my agent in my behalf in obtaining a CAMA General Permit to place
sandbags as a temporary erosion control structure in front of my
property at 6909 West Beach Drive Oak Island, NC
I, Robert W. Hurst , - have read the
specifications in 15A NCAC 7H-0308(a)(2) and understand that the sand
bags may remain in place for up to 8 years after the date of permit
approval. I understand that I will be responsible for removing the
sandbags within 30 days after that date or at any time that they are
determined by DCM staff or its agent to be unnecessary due to
relocation or removal of the structure. I will also be responsible for
removing any damaged sandbags during the period they are authorized
to be in place.
I also understand that the removal of the sandbags shall not be
required if at the specified date for removal they are determined by
DCM staff to be covered by dunes with vegetation sufficient to be
considered stable and natural.
AUTHORIZED SIGNATURE: 4"6"e-6/). /eb2
DATE: 1/3/2021

SANDBAG REMOVAL NOTICE
TO WHOM IT MAY CONCERN:
I, Robert W Hurst , give permission to
B&B Marine Construction to act as
my agent in my behalf in obtaining a CAMA General Permit to place
sandbags as a temporary erosion control structure in front of my
property at 6909 West Beach Dr
I, Robert W Hurst , have read the
specifications in 15A NCAC 7H-0308(a)(2) and understand that the sand
bags may remain in place for up to 8 years after the date of permit
approval. I understand that I will be responsible for removing the
sandbags within 30 days after that date or at any time that they are
determined by DCM staff or its agent to be unnecessary due to
relocation or removal of the structure. I will also be responsible for
removing any damaged sandbags during the period they are authorized
to be in place.
I also understand that the removal of the sandbags shall not be
required if at the specified date for removal they are determined by
DCM staff to be covered by dunes with vegetation sufficient to be
considered stable and natural.
•
AUTHORIZED SIGNATURE: °fie if&rr,s,,
DATE: Jan 19,2021

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/, Jamss 1 Bondy Jr. comaJy tAot thu plat war drown undo,'on.n pwuaow hear -
an actual sumo/ wads %W.wy nywrinaion(derrapaany BookLL_P. I\
.ya w
Rgf 1
tAat U. boundary. not n.r. ara arty andacal.d punt as drawn puntar9bruntton
plaid ca Beak Ref. ilia* tee ratty of'vacuum cis is calculated 1.10,000, Nat esrrssasumo/
Nit plal tom. Pond in =cordon it!`Sac .1600•' as awu.ded Witr.a.a eau
ar$rinal striatum nptstrotu a nursker and awl lass atm day of SspMwasr. A a. 2II0d. _ Clanek_ 7
SURY6YOR_ __ __.- - _ - PIS. N. L-riSd pa f lira e
TH13 PUT 13 NOT FON RECORDATION, L RetiOk�'
CONVEYANCES OR SALES % a= -
ATLANTC OCEAN
Noce Revised oR--2e-o3 to show VICINITY MAP
existing pile foundation O.D. 74 Not to Not,
``.6N CAf1('::y
V.:
,tfiri 11( `1
•
,r....,t,a.aa" Esc-o.r % LIB.
_ ea 1+ 83' 30' N 75.0'
(50) Ie (50) a' (25.) OD)‘ ItiC$ ¢ LOT- �•�e L if of :Z(25.)
� t•`
ta
\ �` M r-e Oc :pt�$l
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`la 10.6 B1k5 ,K143
ir Kings Lynn
to.r tar t Wert Long Bench
-EXISTING i • Mop Ak-27,Pg-367
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u - co. Reg.
; f i g PILE-. a g I a • Brn-est iron pipe
\ I jBaS-iron rod set
FOUNDATION N. EEY
�� �-e�- iron rod
lair lea,' te.44. sr p &. Mai 4-2-91
2l 375354-0001-D
el b b I W fame-1R-111,V -21,1$23
Re
0 . so - Setbacks:
I i 10 25 Front
o s 9 20' Rear
3 z B' Sides
J (May Vary)
O� J----r--- _
ai. -2I
o
I SEPTIC AREA Mill
0 ot 40' Sethaok i
L 7
Lot-4 w As Per WAD
#oa/042574
—0-- — � a(60') a MO.)) (Ee') 4 (25')-- — (50') 0
S 83. 30' E 75.0' 1 gm I
0
-- — . — • — e— —M tar.ur a-ire__ — — - — I-- —
West. Beach Drive
NOTE Also Aateresea Plat a1 Wino,' Subdivision For Robert Hotchkiss. I sdtrisloa 01 --
Western 1/2 0f Lot-3. Lot--4. 5 & !;astern 1/2 Of Lot 6. Block 143. lip Lyon. Satlthalle
Township, Brunswick County. North Caroline. Prepared By YcHeary Surveying. P.O. Boo
FN:Balmy 4,T3, 105 s.L 46th Street, Oak Wand, N.C., Oa Mew, 5. 2003. Job el OR-DO67.
• Boney Land Surveyors. Inc. FOUNDATION SURVEY
4922 E Oak Island Dr —FOR—
. Oak Island, NC 28465 Bumgarner Builders
910-276-9415 6909 W. Beach Dr.
ammo 09-2e-03
mar er L.H. pot 0e-01-03
—OAK ISLAND—
�„ d.H. ..,, i"=30' Smithville Township
Brunswick Co., N.C.

MacPherson, Tara
From: Steve Edwards <[e-mail]>
Sent: Friday,January 22, 2021 5:13 PM
To: MacPherson, Tara
Cc: Lisa Samples; David Kelly; pwdirector
Subject: [External] FW: Signature requested on "Hurst003"
Attachments: 6909 West Beach001.pdf
CAUTION:External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Report Spam.
Tara,
The Town of Oak Island has no objections with the sandbag project for 6909 W Beach Dr. as proposed in the attachment
Thanks,
Steven Edwards
Development Services Director
Town of Oak Island
4601 E. Oak Island
Oak Island, NC 28465
Office: [phone]
Fax: [phone]
From: Lisa Samples [mailto:[e-mail]]
Sent:Wednesday,January 20, 2021 4:29 PM
To: Steve Edwards<[e-mail]>
Subject: RE: Signature requested on "Hurst003"
Steve I have attached a modified drawing to show placement of the sandbags, the bags will be placed tight up against
the structural pilings not to exceed beyond 20' past the structural pilings. All work will in accordance with CAMA
guidelines, please let me know if you need anything else or please call Brandon at 910-540-5135
Thanks-
Lisa Brinkley
Guy C Lee Building Materials, LLC
Sneads Ferry, NC
910-327-2388
From: Steve Edwards [mailto:[e-mail]]
Sent: Wednesday,January 20, 2021 4:08 PM
To: Lisa Samples
1

Check
Date Received Data Deposited Clack from(Nerra) Name of Permit Holder Vendor 11/ amount Permit Number/Comments Receipt or Refund/Rwltocated
i
Coimbra Column? Column3 Column4 Cakenn6 Column(' Column, Coltrane Column9
1/292021 Restoration Systems,LLC Howard Melpass Towne Bank _ _ 177330 $ 200.00 GP#777640 _ ,JD rct.13818
_1/29/2021 Restoration Systems,LLC Town of Topsail Beach Towne Bank 17329 $ 200.00 GP#77531D JD rct 13815
1/292021 Chnstopher Reid 1005 Ocean Boulevard LLC The Bank of New York Mellon _ 1038 $ 100.00 minor fee,1005 Ocean Boulevard,Topsail Beach. JD rd.13614 _
1/29/2021 Eddie Wood same BB&T 1819 $ 200.00'GP#77739D .JD rct.12383
1/29/2021 Shelby Lawrence James Lawrence Wells Fargo 6087 $ 200.00 GP#77529D JD rct.13613
1272021 'B and B Construction Money Order Mclendon Beach House LLC Wells Fargo 19-088347331 8 400.00 GP#77658D tmac rct.13587 __
1272021 Della Dock and Boatlift Jason Johnson FCB _ _9015 $ 200.00 GP#73588D JD rct.12378 __
127/2021.,.- Mantime Coastal Construction,LLC Kirk Fox CresCom Bank 3329,$ 200.00 GP#71900D tmac rct.13586 _
127/2021' B and B Construction Money Order .Robed and Julianne Hurst Wells Fargo .19-088347338 $ 400.00 GP#77651D_._ tmac rct.13580 _
1/27/2021 !Backwater Manne of NC LLC David Brady BB&T 1214'$ 200.00 OP#77571D BB rut.13514 _ _ __
1272021 Delta Dock and Boatlift John and Pamela Hultin FCB 9026;$_ _200.00 GP#77736D JD rct.13611 _
1/27/2021 Sound Side Marine Construction LLC Guy&Ann Forrest FCB 'mall 200.00 GP#77753D BB rct.13506
1/27/2021 Steven Michael Greif same Piedmont Advantage CU _ __ 445 $ 200.00 GP#77782D BB rct 13512 _
1272021 I Welbome White&Schmidt Dentistry Partnership Martin and Shannon White FCB 29232;$ 200.00 GP#77760D BB rot.13511
1272021 _ _ J Banks Garrison Jr. Banks and Susan Garrison Wells Fargo 13700 $ 800.00_-GP#77761 D BB rct.13510
1/27/2021 Gregory Gage Greg&Aida Gage Wells Fargo 4262 $ 200.00,GP#77752D BB rct.13513
1/27/2021 Holden Docks and Bulkheads Trade Hams Rice CresCom Bank 1_ 3651 $ 400.001GP#77723D BE rct.13507
1/27/2021 Holden Docks and Bulkheads Gracie and Daniel Hams CresCom Bank I 3649 $ 400.00 GP#77727D BB rct.13504
1/272021 Landon Funsten same Bank of Amenca 1569 $ 200.00 GP#77751D BB rct.13509
1/27/2021 B and B Marine Construction Money Order Sand Dwellers II,UOA Wells Fargo _ 119-088347330 $ 400.00 GP#77750D BB rct.13508
1/27/2021 Bledsoe Enterpnses Inc. Ocean Dunes HOA BB&T . 20023 $ 400.00 GP#761810 PA rct 11577