20071357 Ver 3_CAMA Application_20231208

DIVISION OF COASTAL MANAGEMENT
Fnviranmenra! FIELD INVESTIGATION REPORT
QG<)Ilty
1. APPLICANT'S NAME: Andrew Smith
2. LOCATION OF PROJECT SITE: 715 Hughes Road Hampstead, NC 28443
Longitude:-77.7058 Latitude: 34.34011
3. INVESTIGATION TYPE: CAMA + Dredge & Fill
4. INVESTIGATIVE PROCEDURE:
Date of Visit
Purpose of Visit
Applicant Present?
10/25/2023
Site visit
Yes
5. PROCESSING PROCEDURE -
Application Received
Application Complete
I Regional Office
11/27/2023
12/4/2023
1 DCM - Wilmington Regional Office
6. SITE DESCRIPTION:
(A) Local Land Use Plan: Pender County
Land Classification from LUP: Land Classification From LUPs
(B) AEC(s) Involved: Public Trust Areas, Estuarine Waters
(C) Water Dependent: Yes
(D) Intended Use: Private/Community
(E) Wastewater Treatment:
Existing:
Planned:
(F) Type of Structures:
Existing: Boat lift, Floating structure, Pier or dock
Planned: Excavation(dredge), Excavation(maintenance), Boat lift, Finger pier,
Floating platform(not marina), Pier \"L\" head, Covered Platform
(G) Estimated Annual Rate of Erosion: NA
Erosion Information Source: Annual Erosion Source
7. HABITAT DESCRIPTION:
DREDGED (ft)
FILLED (ft)
OTHER ft2
A Open Water
1151
CW's above NHW
C CW's below NHW
Shallow Bottom
1900
High Ground
2640
Non -Coastal WL
(E) Total Area Disturbed: 6286 W
(F) Primary Nursery Area: No
(G) Water Classification: HQW: High Quality Waters
Open to Shellfishing: No
Field Investigation Report: Andrew Smith
DCM Major Permit
Page 11

8. PROJECT SUMMARY:
According to the project narrative, the applicant is requesting authorization to re -develop the
existing docking facility by removing the existing pier, dock and boatlift, and constructing a
new facility in its place
9. NARRATIVE DESCRIPTION:
The project site is located at 715 Hughes Road adjacent to a man-made basin/canal, in
Hampstead, Pender County. Existing man-made features on the property include a single-
family dwelling, uncovered deck and private docking facility (2-slips). The high ground
contains several mature Oaks and the understory is blanketed in ornamental landscaping. A
quick search of DCM's permit database confirms the existing docking facility was permitted in
November 2018 under CAMA general permit No. 70563. The applicant is now proposing to
re -develop the existing docking facility by removing the existing pier, dock and boatlift, and
constructing a new facility in its place. The new proposal would result in the creation of a new
four -slip docking facility. In addition, the applicant is requesting authorization to perform
maintenance dredging within the canal and perform new dredging around the proposed four -
slip docking facility.
The width of the waterbody in the location of the proposed docking facility ranges from
approximately 120'-125' from the edge of marsh on one side to the opposing edge of marsh,
allowing a maximum distance between 30'-31.5' beyond the nearshore edge of marsh. The
marsh area along the applicant's shore is approximately 5'-12' in width and is comprised
mostly of Smooth Marsh Cordgrass (Spartina Alterniflora).
Mill Creek and the finger canals associated with the creek system, have a documented history
of dredging, as authorized under CAMA Major/Dredge and Fill Permit 175-07, which was
issued to Mill Creek Waterway Restoration, Inc., in 2007. According to the permit, the channel
abutting the subject property was dredged to a depth of 4' (@NLW), and a width of
approximately 25', along the centerline. As proposed, new dredging associated with the
application package would be located outside of the existing dredge footprint; therefore, it
would be considered new dredging. CAMA Major permit 175-07 is still active and is
scheduled to expire on December 31, 2025.0
The waters of the AIWW adjacent to the project site are classified as SA-HQW by the North
Carolina Division of Water Resources; however, this particular lot is not located within the
575' AEC. They area is NOT designated as a Primary Nursery Area (PNA) by the North
Carolina Division of Marine Fisheries, and they are CLOSED to the harvest of shellfish.
10. PROJECT DESCRIPTION:
According to the project narrative, the applicant is requesting authorization to re -develop the
existing docking facility by removing the existing pier, dock and boatlift, and constructing a
new facility in its place. The new proposal would result in the creation of a new four -slip
docking facility. In addition, the applicant is requesting authorization to perform maintenance
dredging within the canal and perform new dredging around the proposed four -slip docking
facility. As proposed, the total slip count at the subject property would be expanded from a
Field Investigation Report: Andrew Smith
DCM Major Permit
Page 12

two -slip facility to a four -slip facility. Currently, the applicant maintains a single 6' x 17'
access pier, 12' x 16' floating dock and a 12' x 12' boatlift along the center of his shoreline.
In this location, the applicant proposes to demo all existing water dependent structures and
install a new 6' x 22' access pier, two new floating docks (6' x 21.5' and 6' x 18', "L-head"
shaped), a 14' x 14' covered platform, 4' x 40' fixed finger pier, 4' x 22' fixed finger pier, 4' x
5.5' finger pier and two 14' x 16' boatlifts. These features would be located along the eastern
shoreline and would extend toward the edge of the channel. As proposed, the 6' x 18' and 6' x
21.5' "L-head" shaped floating docks would be located along the terminal end of the pier and
would extend toward the north, just beyond the edge of the proposed 14' x 14' covered
platform, which would abut the 4' x 40' finger pier. The proposed finger pier would span
toward the north, just beyond the near shore edge of Coastal Wetlands, and would provide
access to the 4' x 5.5' finger pier, 4' x 22' finger pier and the two 14' x 16' boatlifts.
The application indicates the entire docking facility would be located just landward of the
width of waterbody limitation. These details can be seen on Page 1 of 3 of the application
package.
In addition to the proposed docking facility, the applicant proposes to perform maintenance
dredging + new dredging around the new facility. The site plan drawings indicate
approximately -1.0' of water (relative to NLW) along the near shore edge of the docking
facility, and approximately -3.5' NLW along the outer edge of the proposed floating docks.
The applicant intends to perform maintenance dredging (16' x 30' or approximately 475 sq. ft.)
around the proposed floating docks (to a depth of approximately-4.0'), and initiate new
dredging around the entire facility, from the northern riparian line to the south riparian line. As
designed, the entire dredge footprint would measure approximately 72' x 26' (or roughly 1,900
sq. ft.), and total volume of dredged material/spoil would be approximately 88 cubic yards. The
site plans show that the proposed dredge footprint would begin approximately 5' from the
waterward edge of marsh and would extend just beyond the'/4 width of waterbody limitation.
The dredge cut would taper approximately 5' from the outer edge of marsh, from a depth of
approximately -2.0' at normal low water to the -4.0' (NLW) contour.
Spoil material resulting from the proposed dredging operations would be handled via a bucket
to barge type operation and would be disposed of on the subject property. The designated
disposal area (33' x 80' or approximately 2,640 sq, ft.) is located along the roadside portion of
the property, well outside of the 30' Coastal Shoreline buffer. Based on a 10/25/23 site visit
(conducted by DCM), there does not appear to be any shellfish resources or SAV within the
project area. Additionally, the disposal area appears to be void of any wetlands. Considering
the main channel of Mill Creek, including the side channel which provides access to the
subject facility, has been previously dredged under CAMA major permit 175-07, the new
proposal does not appear to be inconsistent with current DCM Rules.
Habitat Description — Dredged — 1,900 sq. ft. or 0.04 acres
Open water — incorporated — 1,151 sq. ft.
Platform area proposed — 595 sq. ft. — includes floating dock, finger piers, and covered
platform.
Field Investigation Report: Andrew Smith
DCM Major Permit
Page 13

Platform area allowed (based on 75' of shoreline) — 595 sq. ft.
High Ground — Filled/other — 2,640 sq. ft. or 0.60 acres
11. ANTICIPATED IMPACTS:
As proposed, the docking facility would incorporate approximately 1,151 sq. ft. of open water
area. The proposed dredge activities would disturb approximately 1,900 sq. ft. of previously
dredged and new shallow bottom area, and approximately 2,640 sq. ft. of upland (dredge spoil
placement). The proposed development appears to be consistent with the'/4 width Rule and does
not appear to extend beyond the near shore edge of the channel. Additionally, the proposed
development would be located within the applicant's area of riparian access. The applicant has
received a waiver of encroachment (allowing development within the 15' riparian corridor
setback) from the riparian property owner to the north (Thomas); however, the southern neighbor
did not agree to waive the setback. As proposed, the new docking facility would be located a
distance of at least 15' from the common riparian line shared with the adjoining property owner
to the south.
Name: jason dail Date: 12-04-2023 Office: DCM - Wilmington Regional Office
Field Investigation Report: Andrew Smith
DCM Major Permit
Page 14

Permit Application Report
Application ID
Application Type
Submitted
App Complete
Deadline
Decision
Expiration
PA-1215
DCM Major Permit
11-27-2023
12-04-2023
02-17-2024
Primary Applicant Information
Applicant
Type
Title
Business Name
Name
Email
Business Phone
Mobile
Phone
Individual
Mr.
Andrew Smith
I [e-mail]
9102281841
9102626744
Physical Address
Mailing Address
Street 1
City
State
Zip
Street 1
City
State
Zip
715 Hughes
Road
Hampstead
NC
28443
715 Hughes Road
Hampstead
NC
28443
Registered Agent Information
Agent Type
Title
Business Name
Name
Email
Business Phone
Mobile Phone
Individual
Ms.
JDana Lutheran
[e-mail]
9102281841
9102281841
Physical Address
Mailing Address
Street 1
City
State
Zip
Street 1
City
State
Zip
5315 South College
Road
Wilmington
NC
28412
5315 South College
Road
Wilmington
NC
28412
Project Information
Project Name
Project Type
Disturbed Land Area (Sq Ft/Acres)
715 Hughes Road
Private/Community
4830 Sq. Ft. / 0.11 Acres
Is proposed project located in national registered historic district or national register listed/eligible: False
List of previous state or federal permits for work on project tract: A CAMA General Permit was issued for the existing dock, but
the applicant was not able to produce a copy. A permit was also issued for the Mill Creek Dredging, but SEGi was not furnished
with the project number.
Project Location Information
Address
County
River Basin
Subdivision
County Parcel ID
Latitude
Longitude
715 Hughes Road
Hampstead, NC 28443
Pender
Washington Acres
3291-07-6355-0000
34.34011
-77.7058
Project Discharges to State Waters
Discharge Type
Surface Sanitary
Runoff Wastewater
Industry/Commercial
Effluent
Vessel
Wash Down
Residential
Other
Wastewater/Stormwater Discharged Into Wetland?
Discharge Same Salinity as Receiving Waters
Is There Any Mitigation Proposed
False
False
False
Detailed Description of the Existing Development Located on the Property
Existing Man -Made Features:
Currently there is an existing dwelling, with a docking facility, that provides two boat slips, one of which is a 12' x 12' boat lift. The
structure consists of a 16' x 6' dock, with 11' long gangway down to a 20.5' x 10.4' floating platform. A rip rap embankment protects
the 75' of shoreline, along the water.
Existing Land Uses:
The project is located in a residential subdivision, with the Washington Acres HOA boat ramp situated to the west of and adjacent to
the project property.
Existing Wastewater Treatment/Disposal:
Sanitary wastewater is not required for this project.
Solid Waste/Fish Offal/Trash Disposal:
Solid waste, fish offal and trash disposal is not necessary for this project
Use and Daily Operations of the Project When Complete

Proposed Development Purpose:
The purpose of this development is to provide 2 dry slips and 2 wet slips, with adequate water depths, for the private property
owner's enjoyment.
Build ings/Facilities/U nits/Structu res:
The docking facility is the only structure proposed with this application.
Use & Daily Operations:
Daily operations will be by the owner, his family and friends, and at their leisure.
Construction Methodology & Equipment:
First, the old dock, floating platform and lift will be removed to allow for dredging to take place. Dredging will be conducted by
either with a small excavator or hydraulically, which will be brought to the site by barge. The barge will be moored at the site, when
not in use. Spoil from the dredging will be moved to the front of the property by front end loader or bobcat. Once the dredging is
complete, pilings will be installed by either jetting or vibration. Lastly the fixed dock, finger piers and gazebo will be constructed,
from typical marine construction materials, and then the platforms will be floated into place and attached to their respective pilings.
Development Activities Narrative Specifics:
The applicant intends to perform dredging activities within 1900 SF of Mill Creek, to a max depth of -3.0' below normal low water,
generating approximately 70.4 CY of spoil material (1900 SF x 1.25' (average dredge depth) = 1900 CF/27 = 88 CY). Dredging will not
take place within 5' of the NLW line, to ensure coastal wetlands are not affected. The dredge spoil will be spread out across
approximately 2830 SF of the applicant's front yard. The docking facility will consist of 9 separate components (please site plan and
project narrative and attachments for details).
Application Narrative:
The project area is located within a man made canal, off of Mill Creek, and is
adjacent to the Washington Acres HOA boat ramp. The water is classified as ORW
by the Division of Water Resources (see attached). The Division of Marine
Fisheries has the waterbody classified as Permanent Secondary PNA
but permanently closed to shell fishing (see attached). SEGi measured water
depths within the project area on 8/2/23, at 3:15 pm, and found depths ranged
from -1.0 below normal low water (BNLW) and -3.0' BNLW. Portions of the canal,
including approximately 475 SF of the proposed project area, has received
previous authorization, from the DCM, for dredging (see attached Mill Creek
Dredging Map - SEGi was not furnished with a copy of the permit or the project
number for the Mill Creek Dredging Project). The project site's waterfront has
been stabilized with a living shoreline, and coastal wetlands (i.e., Spartina
alternaflora) has emerged (see attached). Sand makes up the composition of the
proposed dredge area and there are no submerged aquatic vegetation or shellfish
within the project area.
The first part of the proposed project will entail dredging an area measuring
approximately 75' x 25.3' (1900 SF) of sandy substrate to a depth of
approximately -3.0' below normal low water. The need to dredge is a result of
Washington Acres HOA members power loading their boats, which causes sand to be
displaced. When this occurs during an outgoing tide, the sand settles under the
applicant's existing dock (see attached). Prior to commencing with dredging,
silt fence will be installed around the dredge disposal area and then the
existing two -slip docking facility, which is made up of one (1) 12' on center
boat lift and one (1) 20.5' x 10.4' floating dock, will be dismantled. Hydraulic
and/or mechanical dredging will utilized to complete the work. Silt screens will
be used during mechanical dredging, to ensure sediment and fines are contained
within the proposed dredge area. Approximately 88 cubic yards of material is
proposed to be dredged. The spoil will be spread out across the front of the
applicant's property (see attached site plan for details).
The second part entails the proposed construction of a new docking facility that
will provide for four (4) boat slips, two wet and two (2) with conventional
lifts. The docking facility will be for the applicant's personal use and will
consist of one (1) 22' x 6' fixed dock (Component 1- DP-1193), which will

provide access to one (1) 40' x 4' fixed finger pier (Component 2 - DP-1209)
that will provide access to one (1) 16' x 16' covered platform (Component 7 -
DP-1212), one (1) 22' x 4' fixed finger pier (Component 3 - DP-1210) and one (1)
14' x 4' fixed finger pier (Component 6 - DP-1211). Components 3 and 6 will
provide access to two (2) boat lifts, each measuring 14' x 16' (Components 4 &
5 - DP-1215 and Slips 3 & 4). Component 1 will also provide access, via gangway,
to one (1) 21.5' x 6' floating platform (Component 8 - DP-1214), off which one
(1) 18' x 6' floating platform (Component 9 - DP-1213) will be positioned.
Components 8 & 9 have been designated as Slips 1 & 2 Components 8 & 9 will serve
as the other two slip areas. Pilings will be installed using vibration or
jetting. It is anticipated the work will be conducted and completed prior to
April 2024. If it cannot, the contractor will adhere to the US Fish and
Wildlife's GUIDELINES FOR AVOIDING IMPACTS TO THE WEST INDIAN
MANATEE Precautionary Measures for Construction Activities in North Carolina
Waters (see attached).
The project proponent hereby certifies that all information contained herein is
true, accurate, and complete to the best of their knowledge and belief
and hereby requests that the certifying authority review and take action on this
CWA 401 certification request within the applicable reasonable period of time.
Boat Ramp Development Activity Included: False
Shoreline Stabilization Development Activity Included: False
Living Shoreline Development Activity Included: False
Piers & Docking Facilities Development Activity Included: True
Docking Facilities Details
Facility Use
# of Tie Pilings
Existing Slips
New Slips
Private/Community
0
2
2
Piers & Docking Facility Structures
Structure Type
Length
Width
Quantity
Fixed Piers
22
6
1
Fixed Piers
40
4
1
Fixed Finger Piers
22
4
1
Fixed Finger Piers
5.5
4
1
Fixed Platforms
14
14
1
Floating docks
18
6
1
Floating docks
21.5
6
1
Boatlift
14
16
2
Freestanding Moorings & Buoys Associated With This Docking Facility
Structures Consistent With Water Use Plan Existing Freestanding Moorings & Buoys Slips New Freestanding Moorings & Buoys Slips
False
Buoy Details:
Moorings & Buoys Details
Mooring or Buoy Distance From Shoreline I Arc of Swing Water Depth

Excavation Development Activity Included: True
Excavation Details
Amount & Type of Material to be Excavated From Below NHW or NWL
Volume (Cu Yds)
Area (Scl Ft)
Type of Material
"Other" Material Description
88
1,900.00
Sand
Will Material Be Excavated From Any Of The Following Areas
Area
Sq. Ft. Affected
Purpose of Fill in This Area
Coastal Wetland/Marsh (CW)
Submerged Aquatic Vegetation (SAV)
Shell Bottom (SB)
Other Non -Coastal Wetlands (WL)
Wetlands Crossed Transporting Equipment to Site
Steps Taken to Avoid/Minimize Environmental Impact
False
Excavation Purposes
Purpose
Length
Width
Avg Existing Depth
Final Project Depth
Access Channel (NWL or
NLW)
75.00
27.00
1.50
3.00
Excavation Disposal Area Details
Disposal Area Name
Available for Maintenance
Location of Disposal Area
Do You Claim Title
715 Hughes Rd.
I Yes
715 Hughes Rd., Hampstead, NC
Yes
Is Disposal Area Within Area of Environmental Concern
Disposal Area Length
Disposal Area Width
Yes
34.00
90.00
Does Disposal Area Include Any Of The Following Areas
Area
Sq. Ft. Affected
Purpose of Fill in This Area
Coastal Wetland/Marsh (CW)
Submerged Aquatic Vegetation (SAV)
Shell Bottom (SB)
Other Non -Coastal Wetlands (WL)
Open Water (OW)
How Will Excavated or Fill Material at the Disposal Area be Kept on Site and Erosion Controlled
Silt fence will be installed along the disposal area limits. The measure will be inspected regularly to ensure it is operating as
intended and will be replaced or repaired when needed.
Bridges & Culverts Development Activity Included: False
Oceanfront Erosion Control Development Activity Included: False
Temporary Structures Development Activity Included: False
Utility Crossings Development Activity Included: False

Freestanding Moorings, Buoys & Bird Nesting Poles Development Activity Included: False
Log Removal/Marine Debris Development Activity Included: Yes/No
Navigational Aids Development Activity Included: False
Other Fill Below Water Level Development Activity Included: False
Stormwater Structures Development Activity Included: False
"Upland Development" Development Activity Included: False
Energy Facilities Development Activity Included: False
Aquaculture Development Activity Included: False
Submerged Lands Mining Development Activity Included: False
General Development Activity Details Required
General Development Activity Questions
These questions are applicable if 1 of the following development activities are included in the project
(Boat Ramps, Freestanding Moorings, Buoys & Bird Nesting Poles, Piers & Docking Facilities, Temporary Structures, Living Shorelines,
Shoreline Stabilization Submerged Lands Mining)

Boat Type(s)
Typical Boat Length
Other Boat Type (Describe)
Open runabout
1 25
Adj Riparian Property Line #1 (Proximity of
Structure Nearest to Property Line)
Adj Riparian Property Line #2 (Proximity of
Structure Nearest to Property Line)
Adj Riparian Property Line #3 (Proximity of
Structure Nearest to Property Line)
15
15
Width of Water Body
Water Depth @ Waterward End of
Structure (NLW or NWL)
Water Depth @ Most Landward
Boat Slip (NLW or NWL)
Water Depth @ Most Waterward
Boat Slip (NLW or NWL)
122
3
1 1
3.5
Navigational
Aids Required
Number of
Buoys
Number of Day
Markers
Min Distance of Each Aid Placed
Beyond Shoreline
Max Distance of Each Aid Placed
Beyond Shoreline
False
Marina Development Activity Details Required

Permit Application Report
Application ID
Application Type
Submitted
App Complete
Deadline
Decision
Expiration
PA-1215
DCM Major Permit
10-13-2023
Primary Applicant Information
Applicant
Type
Title
Business Name
Name
Email
Business Phone
Mobile
Phone
Individual
Mr.
Andrew Smith
I [e-mail]
9102281841
9102626744
Physical Address
Mailing Address
Street 1
City
State
Zip
Street 1
City
State
Zip
715 Hughes
Road
Hampstead
NC
28443
715 Hughes Road
Hampstead
NC
28443
Registered Agent Information
Agent Type
Title
Business Name
Name
Email
Business Phone
Mobile Phone
Individual
Ms.
JDana Lutheran
[e-mail]
9102281841
9102281841
Physical Address
Mailing Address
Street 1
City
State
Zip
Street 1
City
State
Zip
5315 South College
Road
Wilmington
NC
28412
5315 South College
Road
Wilmington
NC
28412
Project Information
Project Name
Project Type
Disturbed Land Area (Sq Ft/Acres)
715 Hughes Road
Private/Community
4830 Sq. Ft. / 0.11 Acres
Is proposed project located in national registered historic district or national register listed/eligible: False
List of previous state or federal permits for work on project tract: A CAMA General Permit was issued for the existing dock, but
the applicant was not able to produce a copy. A permit was also issued for the Mill Creek Dredging, but SEGi was not furnished
with the project number.
Project Location Information
Address
County
River Basin
Subdivision
County Parcel ID
Latitude
Longitude
715 Hughes Road
Hampstead, NC 28443
Pender
Washington Acres
3291-07-6355-0000
34.34011
-77.7058
Project Discharges to State Waters
Discharge Type
Surface Sanitary
Runoff Wastewater
Industry/Commercial
Effluent
Vessel
Wash Down
Residential
Other
Wastewater/Stormwater Discharged Into Wetland?
Discharge Same Salinity as Receiving Waters
Is There Any Mitigation Proposed
False
False
False
Detailed Description of the Existing Development Located on the Property
Existing Man -Made Features:
Currently there is an existing dwelling, with a docking facility, that provides two boat slips, one of which is a 12' x 12' boat lift. The
structure consists of a 16' x 6' dock, with 11' long gangway down to a 20.5' x 10.4' floating platform. A rip rap embankment protects
the 75' of shoreline, along the water.
Existing Land Uses:
The project is located in a residential subdivision, with the Washington Acres HOA boat ramp situated to the west of and adjacent to
the project property.
Existing Wastewater Treatment/Disposal:
Sanitary wastewater is not required for this project.
Solid Waste/Fish Offal/Trash Disposal:
Solid waste, fish offal and trash disposal is not necessary for this project
Use and Daily Operations of the Project When Complete

Proposed Development Purpose:
The purpose of this development is to provide 2 dry slips and 2 wet slips, with adequate water depths, for the private property
owner's enjoyment.
Build ings/Facilities/U nits/Structu res:
The docking facility is the only structure proposed with this application.
Use & Daily Operations:
Daily operations will be by the owner, his family and friends, and at their leisure.
Construction Methodology & Equipment:
First, the old dock, floating platform and lift will be removed to allow for dredging to take place. Dredging will be conducted by
either with a small excavator or hydraulically, which will be brought to the site by barge. The barge will be moored at the site, when
not in use. Spoil from the dredging will be moved to the front of the property by front end loader or bobcat. Once the dredging is
complete, pilings will be installed by either jetting or vibration. Lastly the fixed dock, finger piers and gazebo will be constructed,
from typical marine construction materials, and then the platforms will be floated into place and attached to their respective pilings.
Development Activities Narrative Specifics:
The applicant intends to perform dredging activities within 1900 SF of Mill Creek, to a max depth of -3.0' below normal low water,
generating approximately 70.4 CY of spoil material (1900 SF x 1.25' (average dredge depth) = 1900 CF/27 = 88 CY). Dredging will not
take place within 5' of the NLW line, to ensure coastal wetlands are not affected. The dredge spoil will be spread out across
approximately 2830 SF of the applicant's front yard. The docking facility will consist of 9 separate components (please site plan and
project narrative and attachments for details).
Application Narrative:
The project area is located within a man made canal, off of Mill Creek, and is
adjacent to the Washington Acres HOA boat ramp. The water is classified as ORW
by the Division of Water Resources (see attached). The Division of Marine
Fisheries has the waterbody classified as Permanent Secondary PNA
but permanently closed to shell fishing (see attached). SEGi measured water
depths within the project area on 8/2/23, at 3:15 pm, and found depths ranged
from -1.0 below normal low water (BNLW) and -3.0' BNLW. Portions of the canal,
including approximately 475 SF of the proposed project area, has received
previous authorization, from the DCM, for dredging (see attached Mill Creek
Dredging Map - SEGi was not furnished with a copy of the permit or the project
number for the Mill Creek Dredging Project). The project site's waterfront has
been stabilized with a living shoreline, and coastal wetlands (i.e., Spartina
alternaflora) has emerged (see attached). Sand makes up the composition of the
proposed dredge area and there are no submerged aquatic vegetation or shellfish
within the project area.
The first part of the proposed project will entail dredging an area measuring
approximately 75' x 25.3' (1900 SF) of sandy substrate to a depth of
approximately -3.0' below normal low water. The need to dredge is a result of
Washington Acres HOA members power loading their boats, which causes sand to be
displaced. When this occurs during an outgoing tide, the sand settles under the
applicant's existing dock (see attached). Prior to commencing with dredging,
silt fence will be installed around the dredge disposal area and then the
existing two -slip docking facility, which is made up of one (1) 12' on center
boat lift and one (1) 20.5' x 10.4' floating dock, will be dismantled. Hydraulic
and/or mechanical dredging will utilized to complete the work. Silt screens will
be used during mechanical dredging, to ensure sediment and fines are contained
within the proposed dredge area. Approximately 88 cubic yards of material is
proposed to be dredged. The spoil will be spread out across the front of the
applicant's property (see attached site plan for details).
The second part entails the proposed construction of a new docking facility that
will provide for four (4) boat slips, two wet and two (2) with conventional
lifts. The docking facility will be for the applicant's personal use and will
consist of one (1) 22' x 6' fixed dock (Component 1- DP-1193), which will

provide access to one (1) 40' x 4' fixed finger pier (Component 2 - DP-1209)
that will provide access to one (1) 16' x 16' covered platform (Component 7 -
DP-1212), one (1) 22' x 4' fixed finger pier (Component 3 - DP-1210) and one (1)
14' x 4' fixed finger pier (Component 6 - DP-1211). Components 3 and 6 will
provide access to two (2) boat lifts, each measuring 14' x 16' (Components 4 &
5 - DP-1215 and Slips 3 & 4). Component 1 will also provide access, via gangway,
to one (1) 21.5' x 6' floating platform (Component 8 - DP-1214), off which one
(1) 18' x 6' floating platform (Component 9 - DP-1213) will be positioned.
Components 8 & 9 have been designated as Slips 1 & 2 Components 8 & 9 will serve
as the other two slip areas. Pilings will be installed using vibration or
jetting. It is anticipated the work will be conducted and completed prior to
April 2024. If it cannot, the contractor will adhere to the US Fish and
Wildlife's GUIDELINES FOR AVOIDING IMPACTS TO THE WEST INDIAN
MANATEE Precautionary Measures for Construction Activities in North Carolina
Waters (see attached).
The project proponent hereby certifies that all information contained herein is
true, accurate, and complete to the best of their knowledge and belief
and hereby requests that the certifying authority review and take action on this
CWA 401 certification request within the applicable reasonable period of time.
Boat Ramp Development Activity Included: False
Shoreline Stabilization Development Activity Included: False
Living Shoreline Development Activity Included: False
Piers & Docking Facilities Development Activity Included: True
Docking Facilities Details
Facility Use
# of Tie Pilings
Existing Slips
New Slips
Private/Community
0
2
2
Piers & Docking Facility Structures
Structure Type
Length
Width
Quantity
Fixed Piers
22
6
1
Fixed Piers
40
4
1
Fixed Finger Piers
22
4
1
Fixed Finger Piers
5.5
4
1
Fixed Platforms
14
14
1
Floating docks
18
6
1
Floating docks
21.5
6
1
Boatlift
14
16
2
Freestanding Moorings & Buoys Associated With This Docking Facility
Structures Consistent With Water Use Plan Existing Freestanding Moorings & Buoys Slips New Freestanding Moorings & Buoys Slips
False
Buoy Details:
Moorings & Buoys Details
Mooring or Buoy Distance From Shoreline I Arc of Swing Water Depth

Excavation Development Activity Included: True
Excavation Details
Amount & Type of Material to be Excavated From Below NHW or NWL
Volume (Cu Yds)
Area (Scl Ft)
Type of Material
"Other" Material Description
88
1,900.00
Sand
Will Material Be Excavated From Any Of The Following Areas
Area
Sq. Ft. Affected
Purpose of Fill in This Area
Coastal Wetland/Marsh (CW)
Submerged Aquatic Vegetation (SAV)
Shell Bottom (SB)
Other Non -Coastal Wetlands (WL)
Wetlands Crossed Transporting Equipment to Site
Steps Taken to Avoid/Minimize Environmental Impact
False
Excavation Purposes
Purpose
Length
Width
Avg Existing Depth
Final Project Depth
Access Channel (NWL or
NLW)
75.00
27.00
1.50
3.00
Excavation Disposal Area Details
Disposal Area Name
Available for Maintenance
Location of Disposal Area
Do You Claim Title
715 Hughes Rd.
I Yes
715 Hughes Rd., Hampstead, NC
Yes
Is Disposal Area Within Area of Environmental Concern
Disposal Area Length
Disposal Area Width
Yes
34.00
90.00
Does Disposal Area Include Any Of The Following Areas
Area
Sq. Ft. Affected
Purpose of Fill in This Area
Coastal Wetland/Marsh (CW)
Submerged Aquatic Vegetation (SAV)
Shell Bottom (SB)
Other Non -Coastal Wetlands (WL)
Open Water (OW)
How Will Excavated or Fill Material at the Disposal Area be Kept on Site and Erosion Controlled
Silt fence will be installed along the disposal area limits. The measure will be inspected regularly to ensure it is operating as
intended and will be replaced or repaired when needed.
Bridges & Culverts Development Activity Included: False
Oceanfront Erosion Control Development Activity Included: False
Temporary Structures Development Activity Included: False
Utility Crossings Development Activity Included: False

Freestanding Moorings, Buoys & Bird Nesting Poles Development Activity Included: False
Log Removal/Marine Debris Development Activity Included: Yes/No
Navigational Aids Development Activity Included: False
Other Fill Below Water Level Development Activity Included: False
Stormwater Structures Development Activity Included: False
"Upland Development" Development Activity Included: False
Energy Facilities Development Activity Included: False
Aquaculture Development Activity Included: False
Submerged Lands Mining Development Activity Included: False
General Development Activity Details Required
General Development Activity Questions
These questions are applicable if 1 of the following development activities are included in the project
(Boat Ramps, Freestanding Moorings, Buoys & Bird Nesting Poles, Piers & Docking Facilities, Temporary Structures, Living Shorelines,
Shoreline Stabilization Submerged Lands Mining)

Boat Type(s)
Typical Boat Length
Other Boat Type (Describe)
Open runabout
1 25
Adj Riparian Property Line #1 (Proximity of
Structure Nearest to Property Line)
Adj Riparian Property Line #2 (Proximity of
Structure Nearest to Property Line)
Adj Riparian Property Line #3 (Proximity of
Structure Nearest to Property Line)
15
15
Width of Water Body
Water Depth @ Waterward End of
Structure (NLW or NWL)
Water Depth @ Most Landward
Boat Slip (NLW or NWL)
Water Depth @ Most Waterward
Boat Slip (NLW or NWL)
122
3
1 1
3.5
Navigational
Aids Required
Number of
Buoys
Number of Day
Markers
Min Distance of Each Aid Placed
Beyond Shoreline
Max Distance of Each Aid Placed
Beyond Shoreline
False
Marina Development Activity Details Required

SOUTHERN ENVIRONMENTAL OROUP
715 Hughes Road
Hampstead, NC 28443
CAMA Major Permit Application
Attachments
Prepared for:
Mr. Andrew Smith
715 Hughes Road
Hampstead, NC 28443
Prepared by:
Dana Lutheran
Southern Environmental Group, Inc.
5315 South College Road, Suite E
Wilmington, NC 28412
Date:
27 November 2023
1 of 25 11 /27/2023

CAMA Major Permit Application Attachments
Number
Description
Page
1
Pender County GIS Aerial Photo, Parcel Information and Deeds
3
2
Vicinity Map
4
3
CAMA Major Site Plan
5
4
Mill Creek Dredging Site Plan
6
5
Adjacent Riparian Property Owner Notifications and Certified Mail Receipts
7
6
DWR Pre -Filing Request
8
7
Agent Authorization
9
8
Existing Conditions Photos
10
2 of 25 11 /27/2023

Attachment I
Pender County GIS
Aerial Photo, Parcel Information & Deed
3 of 25 11 /27/2023

10/11/23, 6:32 PM
PARI D: 32910763550000
SMITH, ANDREW
Parcel
ParlD / PIN:
Tax Yea r:
Township:
Neighborhood:
ESN:
Owner
Account Number:
Current Book/Page:
Name:
Name 2:
Mailing Address:
Physical Address:
Legal Description:
Sub Code:
Plat:
Tax Districts/
Charge Codes:
Tax District Setup
Tax Dist 1:
Tax Dist 2:
Tax Dist 3:
Tax Dist 4:
Tax Dist 5:
Recorded Transaction
Date
18-JUL-19
20-APR-15
03-SEP-13
Description
NBHD Code / Name:
Class:
Land Use:
Appraisal Territory:
Zoning:
Living Units:
Topography:
Pander County NC Property Information
32910763550000 / 3291-07-6355-0000
2022
102: TOPSAIL
R2077:
1002850
4689/882
SMITH,ANDREW
ANDANT,VALENTINA
715 HUGHES RD
HAM PSTEAD NC 28443
715 HUGHES RD
LTS1,2,3 PB 6/39 WASHINGTON ACRES
00060039
G01100% -PENDER COUNTY
F29100%- HAM PSTEAD FIRE
R40100%- PEN DER EMS
S641- SW FULL SERVICE
G01100% -PENDER COUNTY
F29100%- HAM PSTEAD FIRE
R40100%- PEN DER EMS
S641- SW FULL SERVICE
Book
Page
Instrument
4689
882
WD - WARRANTY DEED
4567
174
WD - WARRANTY DEED
4316
087
WD - WARRANTY DEED
R2077:
R : RESIDENTIAL
101: Single Family Residence
0
RP
1
B:ROLLING
Sale Price Validity Code
667,500
ROLL: REAL
715 HUGHES RD
Location:
CF : CHNL FRT
Road Type:
1:PAVED
Traffic:
Utilities:
01: ELECTRICITY
05:SPTCTANK
https://tax. pendercountync.gov/Datalets/PrintDatalet.aspx?pin=32910763550000&gsp=PROFILEALL&taxyear-2022NL fn&owns" ]&rol.
1/2

10/11/23, 6:32 PM
Pander County NC Property Information
08: WELL
Restrictions:
Calculated Acres:
VC Notice / VC Date:
Appraised Land:
Appraised Building:
Appraised Total:
Deferred:
Exempts/Excluded:
Assessed Real:
Personal:
Total Assessed:
.61
Y:12/4/2020
278,644
285,139
563,783
0
0
563,783
563,783
Item Area
Main Building 1156
WD-31:WOOD DECK 100
3291-07-6355-0a00 10126f2017
https://tax. pendercountync.gov/Datalets/PrintDatalet.aspx?pin=32910763550000&gsp=PROFILEALL&taxyear-2022t L fQZJ&owns" ]&rol... 2/2

BK 4689 PG 882 - 883 (2) DOC# 20051640
This Document eRecorded: 07/18/2019 04:14:29 PM
Fee: $26.00 DocType: DEED Tax: $1,335.00
Pender County, North Carolina
Sharon Lear Willoughby, Register of Deeds
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $1,335.00
Parcel Identifier No. 3291-07-6355-0000
Property Address: 715 Hughes Road, Hampstead, NC 28443-2101
Prepared By. Colby & Mincey, PLLC
Return to: 1001 Military Cutoff Rd., Suite 204
Wilmington, NC 28405
Brief Description for the Index: Lts 1, 2 & 3 Washington Acres
THIS DEED made this day of July, 2019, by and between
GRANTOR I GRANTEE
Robin Rotiroti, Trustee of The William A Turner Andrew Smith and wife,
IrrevocableTrust II Dated April 17, 2015 Valentina Andant
Mailing Address: 102 Tiercel Ct.
Cary, NC 27518
Mailing Address: 715 Hughes Road
Hampstead, NC 28443-2101
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and
shall include singular, plural, masculine, feminine or neuter as required by context
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that
certain lot or parcel of land situated in Pender County, North Carolina and more particularly described as follows:
Being all of Lots 4 2, and 3, Washington Acres, as shown and recorded in Plat Book 6, Page 39, Pender
County Registry, reference to which is hereby made for a more particular description.
The property hereinabove described was acquired by Grantor by instrument recorded in Book page.
A map showing the above described property is recorded in Plat Book 6 page 39.
submitted electronically by "Colby & Mincey, PLLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Pender County Register of Deeds.
6 of 25 11 /27/2023
....... ........................... ... ......... .......

DOC# 20051640
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging
to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, bas the right to
convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will
wazrtant and defend the title against the lawful claims of all persons whomsoever, other than the following; exceptions:
Subject to ad valorem taxes; all applicable zoning and land use ordinances, statutes and regulations, and
to the provisions of all applicable restrictive covenants and utility easements of record.
IN WITNESS WREREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
(Entity Name)
13T
Title:
By:
Title:
By:
Title:
county
pq (SEAT,)
ZRobin Rotiroti, Trustee
W This property is _ isno4 my primary residence
a
ca (SEAL)
x
O This property is _ is not— my pnmary residence
U
(SEAS..)
NF T
State of
JEANINE Y'PUBLIC CQNDON
NOTARY I certify that the following persoa(s) personally appeared before me this day, each
Wake County Acknowledging to me that he or she voluntarily signed the foregoing document for the
North CarolintW4.1;a
My Commission Expires e stated therein and in the capacity in "cared Rabin RotirotiT Trustee
Dated 7&4 1 /,� ��
F f l
My commission exUires
SEAL -STAMP county State of
Notary Public
I certify that the following petson(s) personally appeared before me this day, each
aclmowledgmg to me that he or she voluntarily signed the foregoing document for the
purpose stated therein and in the capacity indicated:
Dated:
My commission ices: Printed Name , Nv Public
The foregoing Cerdficate(s) of is/are certified
to be correct This instrument and this certificate are duly registered at the date and time and in the Book and Page
shown on the first page hereof.
LEI
Register of Deeds for
Deputy/Assistant
County
— Register of Deeds
7 of 25 11 /27/2023

Attachment 2
Vicinity Map
Beach
Rocky'Palnt
5
r.
�%, V.Ilmfngton
Wrlghts 1€e
Beat
J
Topsail Beach
Surf Clty
404
P t� I RCL
51
P 'i �UR-8AT7ErtY-LN
-
G c
90l l i 4, ��� �°;
Spring lakes �� ` d of -
f
qlq
AALI1 yr
MfiCq. G� tiV� �� 9< htiA�f
ID
Q.
It d
ft
8 of 25 11 /27/2023

Attachment 3
715 Hughes Road CAMA Major Permit Site Plan
9 of 25 11 /27/2023

CAMA Major Permit Drawings
Proposed Site Plan
715 Hughes Road
Hampstead, NC 28443
11/27/23 v2 Page 1 of 3
Entire lot within the 575' ORW AEC
SUBJECT PROPERTY
SMITH, ANDREW
3291-07-6355-0000
Maintained Grass Yard I
Component 2
Component 1
Appox. 30'
Vegetated Buffer t
ARPO1 Al -
WASHINGTON ACRE
HOMEOWNERS ASSN INC
3291-07-5289-0000
Appox. Property Line
Co ✓
(2
Legend 90
Rip -rap Embankment/Coastal Wetlands
15' 0
Slip #O Be'
Proposed Dredge Area (-1900 SF / —88 CY)
Normal High Water Line (NHW Verified by Jason Dail 10/25/23) —
Approx. Edge of Marsh (EOM) Line —
1/4 Width of the Waterbody Line — — —
30' Vegetated Buffer - - - - -
Proposed Temp Spoil Disposal Location (-2830 SF shown on Page 2)1
Water Depth Measurement Location
Approx. previously approved dredge limit (-475 SF)
List of Components
Component 1 (DP-1193) - 22' x 6' (132 SF) Fixed Dock (not included in platform area)
Component 2 (DP-1209) - 40' x 4' (160 SF) Fixed Finger Pier
Component 3 (DP-1210) - 22' x 4' (88 SF) Fixed Finger Pier
Component 4 (DP-1215) - 14' x 16' (224 SF) Boat Lift (not included in platform area)
Component 5 (DP-1215) - 14' x 16' (224 SF) Boat Lift (not included in platform area)
Component 6 (DP-1211) - 5.5' x 4' (22 SF) Fixed Finger Pier
Component 7 (DP-1212) - 14' x 14' (196 SF) Fixed Covered Platform (measured from the drip line)
Component 8 (DP-1214) - 21.5' x 6' (129 SF) Floating Platform
Component 9 (DP-1213) - 18' x 6' (108 SF) Floating Platform (not included in platform area)
Total Proposed Platform Area = 595 SF
Available Platform Area = 75' (length of shoreline) x 8 = 600 SF
ARPO 2
CLANCY, THOMAS V
3291-07-6492-0000
y
15'
8
9
7
Water Depths taken by SEGi 812/23 at 3:15 pm:
A -1.0'
B -2.0'
C -3.5'
D -2.5'
E -1.0'
F -3.0'
G -1.0'
H -1.0'
(measured below normal low water (BN LW)
1/4 Width Line
Approx. Edge
,A ---of Channel (EOC) Line
nt 3
a4&5
ent 6
7115.5' (Per Jason Dail on 10/25/23)
1"=30'
Al A2
Dredge Limit A rox EOC
Component 1 APPROX. NHW Ap rox. EOM 1/4 Width p'p /
Component 9 t �(
Maintained and
Approz. NLW Line
-3.0' -2. ' :-3.0'
Existin Grade
0 Dred eArea \\— —-—--
9 Proposed Grade —
NOT TO SCALE
LINE B PROFILE
B1
B2
Approx. EOM 1/4 Width Approx. EOC
Approx. NHW Component 2 Component 3 Dredge Limit
I Z
Maintained yard
=Dredge Area
NMI. . . 7/20
3

CAMA Major Permit Drawings
Spoil Disposal Location Map
715 Hughes Road
Hampstead, NC 28443
11/27/23 Page 2 of 3
CLANCY, THOMAS V
�`. 3291-07-6492-0000
PROPOSED SPOIL
DISPOSAL AREA
-2830 SF
APPDX. 30' VEG BUFFER LINE
WASHINGTON ACRES �� ♦; ♦ HOME OF
HOMEOWNERS ASSN INC SMITH, ANDREW
3291-07-5289-0000 3291-07-6355-0000
I
APPDX. NHW LINE
30'
i
k / .
11 of 25 11 /27/2023

APPROX. PROP. BOUNDARY
WASHINGTON ACRES
HOMEOWNERS ASSN INC
3291-07-5289-0000
CAMA Major Permit Drawings
Existing Dock Map
715 Hughes Road
Hampstead, NC 28443
11/27/23 PAGE 3 OF 3
CLANCY, THOMAS V
3291-07-6492-0000
SUBJECT PROPERTY
SMITH, ANDREW
3291-07-6355-0000
EXISTING 12' X 6'
FIXED DOCK
TO BE REPLACED
EXISTING 12' X 12'
BOAT LIFT
TO BE REMOVED
APPROX. NHW LINE
NOT TO SCALE
APPROX. LOCATION
OF ARPO DOCKING
FACILITY
EXISTING
20.5' X 10.4'
FLOATING
PLATFORM
TO BE ROMVED
12 of 25 11 /27/2023

Attachment 4
Mill Creek Dredging Project Site Plan
13 of 25 11 /27/2023

kQN8n.L
00
v M
00
4b
<
cn
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cr
1lb
or,

Attachment 5
Adjacent Riparian Property Owner Notifications
Certified Mail Receipts
15 of 25 11 /27/2023

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER N' OTIFICATIO AIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED ar HAND DELI -VERY
(Top portion to be completed by owner or their agent)
Name of Property Owner5.a1mi-L. - -- ---- -
AddreSs of Property: 71 �
Mailing Address of Owner e Qom. ,r-
Owner's email: Owner's Phone: °1 io
Agenf°s Dame: -.. _-- . �'17.ti �-`�'i1:P�c�n Agent Phone*___�1,0 -2Z'$ t'SQ - .-- _-
Agent's Email_ �% , US Ct�n&221►r1C, 1vm , Cop
Bottom portion to be completed §1 the Adjacent Property owner
I hereby certify that f 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
I DO NOT have objections to -this proposal. I DO have objections to this proposal.
If you have objections to what is -being proposed, you must notify the N.C. Division of Codstal
Management (DCM) in writing within 90 days of receipt of this notice. Correspondence should be
mailed to 4QQ Commerce Ave., Morehead City, NC 2855I. DCM representatives can also bacontacted
at (252) 808»2808. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you roust sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian property woer
-OR-
1 do not wish to waive the 15` setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARP4: 7` ?- v A? `� 5
ARPO's email: r' cA 1 n�inn! (1 'e�" Q 0' ARPO's Phone: _ -ct e6 l G
r
[late: 3 *waiver is valid for up to one year irorn ARPO's Signature*
Revised May 2021
16 of 25 11 /27/2023

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY -OWNER NOTIFICAVONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT -REQUESTED or HAND DELfVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner -
Address of Property: -i l
Mailing Address of Owner. a Qs.
Owner's email: Owner's Phonel 1 Lea ' 44
Agent's Email:
Agent Phones -
ADJACENT FUPAFUAN PROPERTY OWNEWS,-CE�A­l ION
Bottom Portion to be completed hy the Adjacent Pro a LWVner)
V--ic,home5., car
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has descril�-o me, as shown on the attached drawing-, the development they are proposing. A
I DO NOT have objections to -this proposal. I EJO have objections to this proposal.
If you have objections to ghat is -being proposed, you must nofrfy the N.C. division of Codsial
Management (DCM) in writing within 10" days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also becontacted
of [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail,
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groiri must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.) n 1 -
I DO wish to waive some/all of the 15' setback
Signatures Riparian Property Owner
Iwo
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TypedlP inted name of ARRO:
q, -
Mailing Address of ARPO: erqo
ARPO's email: lc�ARPO's Phone:ou
' , `~
Date: *waiver is valid for up to one year froan ARPO's Signature*
x` Revised May 2021
17 of 25 11 /27/2023

1�
• •
s
m
ro
;,
0584
m
Pos a c - arc
'
06
m
Certified Fee W.1_I0
rq
Postmark
M
Return Receipt Fee d# ,1 {# #
Here
1:3
(Endorsement Required)
IM
Restricted Delivery Fee
O
(Endorsement Required)
r-qG.
' u
1#i 1y1'4,02Z
m
Total Postage & Fees
*6n-�
Q.
Sent To ��// �a�y5� y�
O
r`-
(/�[�J v!__:,`�------- ----------------
Street, Apt. No.; q
or PO Box No. p4! �vlS! (-i-
...........................
City, State, ZIP+4
Postal
■ ,
. ■
m_(Domestic
Mail .
• .
n
�3.
tirriPrs pQ r •.
79u
,
" n
m
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ELI
m
Postage
c- C
_i v
t#.0 I
Certified Fee
Return Receipt Fee
(# . i li,#
Postmark
Here
(Endorsement Required)
C3
Restricted Delivery Fee
C3
(Endorsement Requirgd)
Total Postage & Fees
i Oil l `=} F12023
m�,.
L
Ir
o
Sent To
..O.W. ..........................
p
r�
Street, Apt. No.;
or PO Box No.
h�- •• •••
- -------------
City State, ZIP+4
18 of 25 11 /27/2023

Attachment 6
DWR Pre -Filing Request
19 of 25 11 /27/2023

From: dlutheranCcbseai.us
To: "401orefile(c dea.nc.aov"
Subject: 715 Hughes Road 401 Pre -File Request
Date: Monday, June 19, 2023 3:39:00 PM
Please fill out the following information:
Project Name: 715 Hughes Road, Hampstead
County: Pender Co.
Applicant Name: Andrew Smith
Applicant Email: [e-mail]
Consultant: Southern Environmental Group, Inc. (SEGi) — Dana Lutheran (910.228.1841)
Project Description: CAMA Major Permit for three to four boat slips.
Souti,em environmental 3oup, Inc.
5515 Souti, College Road, juite F
Wilmington, NC 28+1 2
Phone: [phone]
Mokile:910.228.1841 (Preferred)
www.segi.us
20 of 25 11 /27/2023

6/19/23, 1:45 PM
Submission Completed
Project Submittal Interim Form
Updated September 4, 2020
•4�w+
NORTH CAROLINA
Environmental Quality
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: * For the Record Only (Courtesy Copy)
New Project
Modification/New Project with Existing ID
More Information Response
Other Agency Comments
Pre -Application Submittal
Re-Issuance\Renewal Request
Stream or Buffer Appeal
Pre -Filing Meeting Date Request was submitted on:
6/19/2023
Project Contact Information
Name: Dana Lutheran
Who is submitting the information?
Email Address: * [e-mail]
Project Information
Project Name: * 715 Hughes Road, Hampstead
Is this a public transportation project?*
Yes
No
https://edocs.deq.nc.gov/Forms/Form/Submit 21 of 25 11 /27/2023 1/2

6/19/23, 1:45 PM
Submission Completed
Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
Yes No Unknown
Is this project connected with ARPA funding?*
Yes No
County (ies)
Pender
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
Only pdf or kmz files are accepted.
Describe the attachments or add comments:
CAMA Major Permit for three to four boat slips
* By checking the box and signing box below, I certify that:
■ I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to
the best of my knowledge and belief.
■ I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
■ I agree that submission of this online form is a "transaction" subject to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act");
■ I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act");
■ 1 understand that an electronic signature has the same legal effect and can be enforced in the same way as a
written signature; AND
■ I intend to electronically sign and submit the online form.
Signature: *
Submittal Date:
https://edocs.deq.nc.gov/Forms/Form/Submit 22 of 25 11 /27/2023 2/2

Attachment 7
Agent Authorization
23 of 25 11 /27/2023

N.C. DIVISION OF COASTAL MANAGEMENT
Date
Name of Property Owner Applying for Permit:
Mailing Address:
-I I s-
I certify that I have authorized (agent) 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
Signature
(date) 0 Ve> I j
tC� (o-2:3
Date
24 of 25 11 /27/2023

Attachment 8
Existing Conditions Photos
(8/23/23 at 2:30 pm just after high tide)
25 of 25 11 /27/2023

SOUTHERN ENVIRONMENTAL OROUP
715 Hughes Road
Hampstead, NC 28443
CAMA Major Permit Application
Attachments
Prepared for:
Mr. Andrew Smith
715 Hughes Road
Hampstead, NC 28443
Prepared by:
Dana Lutheran
Southern Environmental Group, Inc.
5315 South College Road, Suite E
Wilmington, NC 28412
Date:
11 October 2023

715 Huahes Road CAMA Maior Permit Attachments
CAMA Major Permit Application Attachments
Number
Description
Page
1
Pender County GIS Aerial Photo, Parcel Information and Deeds
3
2
Vicinity Map
4
3
CAMA Major Site Plan
5
4
Mill Creek Dredging Site Plan
6
5
Adjacent Riparian Property Owner Notifications and Certified Mail Receipts
7
6
DWR Pre -Filing Request
8
7
Agent Authorization
9
8
Existing Conditions Photos
10
Page 2 of 10

715 Huahes Road CAMA Maior Permit Attachments
Attachment 1
Pender County GIS
Aerial Photo, Parcel Information & Deed
Page 3 of 10

10/11/23, 6:32 PM
PARID:32910763550000
SMITH, ANDREW
Parcel
ParlD / PIN:
Tax Yea r:
Township:
Neighborhood:
ESN:
Owner
Account Number:
Current Book/Page:
Name:
Name 2:
Mailing Address:
Physical Address:
Legal Description:
Sub Code:
Plat:
Tax Districts/
Charge Codes:
Tax District Setup
Tax Dist 1:
Tax Dist 2:
Tax Dist 3:
Tax Dist 4:
Tax Dist 5:
Recorded Transaction
Date
18-1 U L-19
20-APR-15
03-SEP-13
Description
NBHD Code/ Name:
Class:
Land Use:
Appraisal Territory:
Zoning:
Living Units:
Topography:
Pander County NC Property Information
32910763550000 / 3291-07-6355-0000
2022
102: TOPSAIL
R2077:
1002850
4689/882
SMITH,ANDREW
ANDANT, VALENTINA
715 HUGHES RD
HAMPSTEAD NC 28443
715 HUGHES RD
LTS1,2,3 PB 6/39 WASHINGTON ACRES
00060039
G01100%- PENDER COUNTY
F29100%- HAMPSTEAD FIRE
R40 100%- PENDER EMS
S641- SW FULL SERVICE
G01100%- PENDER COUNTY
F29100%- HAMPSTEAD FIRE
R40100%- PENDER EMS
S641- SW FULL SERVICE
Book
Page
Instrument
4689
882
WD - WARRANTY DEED
4567
174
WD - WARRANTY DEED
4316
087
WD - WARRANTY DEED
R2077:
R : RESIDENTIAL
101: Single Family Residence
0
RP
1
B: ROLLING
Sale Price Validity Code
667,500
ROLL: REAL
715 HUGHES RD
Location:
CF : CHNL FRT
Road Type:
1:PAVED
Traffic:
Utilities:
01 : ELECTRICITY
05:SPTCTANK
https://tax.pendercountync.gov/Datalets/PrintDatalet.aspx?pin=32910763550000&gsp=PROFILEALL&taxyear-2022&jur-071 &ownseq=0&card=1 &rol.
1/2

10/11/23, 6:32 PM
Pander County NC Property Information
08: WELL
Restrictions:
Calculated Acres:
VC Notice / VC Date:
Appraised Land:
Appraised Building:
Appraised Total:
Deferred:
Exempts/Excluded:
Assessed Real:
Personal:
Total Assessed:
.61
Y:12/4/2020
278,644
285,139
563,783
0
0
563,783
563,783
Item Area
Main Building 1156
WD-31:WOOD DECK 100
3291-07-6355-DODO 10126f2017
https://tax.pendercountync.gov/Datalets/PrintDatalet.aspx?pin=32910763550000&gsp=PROFILEALL&taxyear-2022&jur-071 &ownseq=0&card=1 &rol... 2/2

BK 4689 PG 882 - 883 (2) DOC# 20051640
This Document eRecorded: 07/18/2019 04:14:29 PM
Fee: $26.00 DocType: DEED Tax: $1,335.00
Pender County, North Carolina
Sharon Lear Willoughby, Register of Deeds
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $1,335.00 44TI
Parcel Identifier No. 3291-07-6355-0000
Property Address: 715 Hughes Road; Hampstead., NC„28443-2101
Prepared By. Colby & Mincey, PLLC
Return to: 1001 Military Cutoff Rd., Suite 204
Wilmington, NC 28405
Brief Description for the Index: Lts 1, 2 & 3 Washington Acres
THIS DEED made this day of July, 2019, by and between
GRANTOR GRANTEE
Robin Rotiroti, Trustee of The William A Turner Andrew Smith and wife,
IrrevocableTrust II Dated April 17, 2015 Valentina Andant
Mailing Address: 102 Tiercel Ct. Mailing Address: 715 Hughes Road
Cary, NC 27518 Hampstead, NC 28443-2101
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and
shall include singular, plural, masculine, feminine or neuter as required by context
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that
certain lot or parcel of land situated in Pender County, North Carolina and more particularly described as follows:
Being all of Lots 4 2, and 3, Washington Acres, as shown and recorded in Plat Book 6, Page 39, Pender
County Registry, reference to which is hereby made for a more particular description.
The property hereinabove described was acquired by Grantor by instrument recorded in Book page.
A map showing the above described property is recorded in Plat Book 6 page 39.
submitted electronically by "Colby & Mincey, PLLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Pender County Register of Deeds.
....... ........................... ... ......... .......

DOC# 20051640
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging
to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, bas the right to
convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will
wazrtant and defend the title against the lawful claims of all persons whomsoever, other than the following; exceptions:
Subject to ad valorem taxes; all applicable zoning and land use ordinances, statutes and regulations, and
to the provisions of all applicable restrictive covenants and utility easements of record.
IN WITNESS WREREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
(Entity Name)
By:
Title:
By:
Title:
By:
Title:
county
pq (SEAT,)
ZRobin Rotiroti, Trustee
W This property is _ isno4 my primary residence
a
ca (SEAL)
x
O This property is _ is not— my pnmary residence
U
(SEAS..)
NF T
State of
JEANINE Y'PUBLIC CQNDON
NOTARY I certify that the following persoa(s) personally appeared before me this day, each
Wake County Acknowledging to me that he or she voluntarily signed the foregoing document for the
North CarolintW4.1;a
My Commission Expires e stated therein and in the capacity in "cared Rabin RotirotiT Trustee
Dated 7&4 1 /,� ��
F f l
My commission exUires
SEAL -STAMP county State of
Notary Public
I certify that the following petson(s) personally appeared before me this day, each
aclmowledgmg to me that he or she voluntarily signed the foregoing document for the
purpose stated therein and in the capacity indicated:
Dated:
My commission ices: Printed Name , Nv Public
The foregoing Cerdficate(s) of is/are certified
to be correct This instrument and this certificate are duly registered at the date and time and in the Book and Page
shown on the first page hereof.
Register of Deeds for
r M
By: Deputy/Assistant — Register of Deeds

715 Hughes Road CAMA Major Permit Attachments
Attachment 2
Vicinity Map
9ollin
Spring Lakes _.
Rocky'Palnt
J
Topsail Beach
Cn,rIr- Ir,,
a
1+V�ilmfngton
rights I€e
Beat
Surf CILy
P��CfRG� 4c.
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ap
4 \ COW
L plY
x L
M
F
.a
P
m
ass 5 Daa
a � .
ft a�
Beach
Page 4 of 10

715 Huahes Road CAMA Maior Permit Attachments
Attachment 3
715 Hughes Road CAMA Major Permit Site Plan
Page 5 of 10

CAMA Major Permit Drawings
for
Mr. Andrew Smith
715 Hughes Road
Hampstead, NC 28443
10/13/23
Entire lot within the 575' ORW AEC
SUBJECT PROPERTY
SWTH, ANDREW
-291-6'7-,6355-0000
Maintained grass yard
B1
Proposed [\\
35: x 3' Component 2
Disposal Area
Component 1
Appox. 30'
Vegetated Buffer
ARPO 1 Al
WASHINGTON ACRE
HOMEOWNERS ASSN INC
3291-07-5289-0000 -
Appox. Property Line % —y _ y He
Legend .qo
15'
Rip -rap EmbLegend UCoastal Wetlands •
Slip O B-...
ARPO 2
CLANCY, THOMAS V
3291-07-6492-0000
E: 15' �o•'
a
3
Com
Cgrnpo
Compon t 6
Component 7 _
Proposed Dredge Area (-2000 SF / —148 CY)
Normal High Water Line (NHL) —
Edge of Marsh (EOM) Line
1/4 Width of the Waterbody Line —
30' Vegetated Buffer - - - - -
Proposed Temp Spoil Disposal Location (-1050 SF) _ _ _ _ _ —117'
Approximate Water Depths measured BNLW -X.X'
Previously approved dredge limit (-475 SF)
List of Components
Component 1 (DP-1193) - 22' x 6' (132 SF) Fixed Dock (not included in platform area)
Component 2 (DP-1209) - 40' x 4' (168 SF) Fixed Finger Pier
Component 3 (DP-1210) - 22' x 4' (132 SF) Fixed Finger Pier (not included in platform area)
Component 4 (DP-1215) - 14' x 16' (224 SF) Boat Lift (not included in platform area)
Component 5 (DP-1215) - 14' x 16' (224 SF) Boat Lift (not included in platform area)
Component 6 (DP-1211) - 11.5' x 4' (46 SF) Floating Finger Pier
Component 7 (DP-1212) - 16' x 16' (256 SF) Fixed Covered Platform (measured from the drip line)
Component 8 (DP-1214)- 21.5' x 6' (129 SF) Floating Platform
Component 9 (DP-1213) - 18' x 6' (108 SF) Floating Platform (not included in platform area)
Total Proposed Platform Area = 578 SF
Available Platform Area = 75' (length of shoreline) x 8 = 600 SF
=Dredge Area
LINE B PROFILE
8
9
Water Depths taken by SEGi 8/2/23 at 3:15 pm:
A -1.0'
B -z.o'
C -3.5'
D -2.5'
E -1.0'
F -3.0'
G -1.0'
H -1.0'
(measured below normal low water (BN LW)
1/4 Width Line
Approx. Edge
,,*----of Channel (EOC) Line
qt\3
4'& 5
/
1 APPROX. NHW Ap rox. EOM 1/4
Component 9
-3.0' -3.0' -2. '
Existin Grade
Proposed Grade — — — —
NOT TO SCALE
1"=30'
A2
Dredge Limit Approx EOC
Approz. NLW Line
-3.0'
B1
B2
Approx. EOM 1/4 Width Approx. EOC
Approx. NH W\ Component 2 Component 3 Dred Limit /
Maintained yard �(/
=Dredge Area
Propose Grade
SCALE NOT TO -
Approx: N LW
Line
-1.0'
-2.0'
-3.0'
�
-3.0'
Existin Gra
-3.0'

715 Huahes Road CAMA Maior Permit Attachments
Attachment 4
Mill Creek Dredging Project Site Plan
Page 6 of 10

0
u�
o
0

715 Huahes Road CAMA Maior Permit Attachments
Attachment 5
Adjacent Riparian Property Owner Notifications
Certified Mail Receipts
Page 7 of 10

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER N' OTIFICATIO AIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED ar HAND DELI -VERY
(Top portion to be completed by owner or their agent)
Name of Property Owner5.a1mi-L. - -- ---- -
AddreSs of Property: 71 �
Mailing Address of Owner e Qom. ,r-
Owner's email: Owner's Phone: °1 io
Agenf°s Dame: -.. _-- . �'17.ti �-`�'i1:P�c�n Agent Phone*___�1,0 -2Z'$ t'SQ - .-- _-
Agent's Email_ �% , US Ct�n&221►r1C, 1vm , Cop
Bottom portion to be completed §1 the Adjacent Property owner
I hereby certify that f 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
I DO NOT have objections to -this proposal. I DO have objections to this proposal.
If you have objections to what is -being proposed, you must notify the N.C. Division of Codstal
Management (DCM) in writing within 90 days of receipt of this notice. Correspondence should be
mailed to 4QQ Commerce Ave., Morehead City, NC 2855I. DCM representatives can also bacontacted
at (252) 808»2808. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you roust sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian property woer
-OR-
I do not wish to waive the 15` setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARP4: 7` ?- v A? `� 5
ARPO's email: r' cA 1 n�inn! (1 'e�" Q 0' ARPO's Phone: _ -ct e6 l G
r
[late: 3 *waiver is valid for up to one year irorn ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY -OWNER NOTIFICAVONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT -REQUESTED or HAND DELfVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner -
Address of Property: -i l
Mailing Address of Owner. a Qs.
Owner's email: Owner's Phonel 1 Lea ' 44
Agent's Email:
Agent Phones -
ADJACENT FUPAFUAN PROPERTY OWNEWS,-CE�A­l ION
Bottom Portion to be completed hy the Adjacent Pro a LWVner)
V--ic,home5., car
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has descri�ed-o me, as shown on the attached drawing-, the development they are proposing. A
I DO NOT have objections to -this proposal. I EJO have objections to this proposal.
If you have objections to ghat is -being proposed, you must nofrfy the N.C. division of Codsial
Management (DCM) in writing within 10" days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also becontacted
of [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail,
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groiri must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.) n 1 -
I DO wish to waive some/all of the 15' setback
Signatures Riparian Property Owner
Iwo
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TypedlP inted name of ARRO:
q, -
Mailing Address of ARPO: erqo
ARPO's email: lc�ARPO's Phone:ou
' , `~
Date: *waiver is valid for up to one year froan ARPO's Signature*
x` Revised May 2021

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(Endorsement Required)
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t# sylr#1�,
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Total Postage
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Sent To
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Total Postage & Fees
i Oil l `=} F12023
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Sent To
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or PO Box No.
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715 Huahes Road CAMA Maior Permit Attachments
Attachment 6
DWR Pre -Filing Request
Page 8 of 10

From: dlutheranCcbseai.us
To: "401orefile(c dea.nc.aov"
Subject: 715 Hughes Road 401 Pre -File Request
Date: Monday, June 19, 2023 3:39:00 PM
Please fill out the following information:
Project Name: 715 Hughes Road, Hampstead
County: Pender Co.
Applicant Name: Andrew Smith
Applicant Email: [e-mail]
Consultant: Southern Environmental Group, Inc. (SEGi) — Dana Lutheran (910.228.1841)
Project Description: CAMA Major Permit for three to four boat slips.
Souti,em environmental 3oup, Inc.
5515 Souti, College Road, juite F
Wilmington, NC 28+1 2
Phone: [phone]
Mokile:910.228.1841 (Preferred)
www.segi.us

6/19/23, 1:45 PM
Submission Completed
Project Submittal Interim Form
Updated September 4, 2020
•4�w+
NORTH CAROLINA
Environmental Quality
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: * For the Record Only (Courtesy Copy)
New Project
Modification/New Project with Existing ID
More Information Response
Other Agency Comments
Pre -Application Submittal
Re-Issuance\Renewal Request
Stream or Buffer Appeal
Pre -Filing Meeting Date Request was submitted on:
6/19/2023
Project Contact Information
Name: Dana Lutheran
Who is submitting the information?
Email Address: * [e-mail]
Project Information
Project Name: * 715 Hughes Road, Hampstead
Is this a public transportation project?*
Yes
No
https://edocs.deq.nc.gov/Forms/Form/Submit 1/2

6/19/23, 1:45 PM
Submission Completed
Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
Yes No Unknown
Is this project connected with ARPAfunding?*
Yes No
County (ies)
Pender
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
Only pdf or kmz files are accepted.
Describe the attachments or add comments:
CAMA Major Permit for three to four boat slips
* By checking the box and signing box below, I certify that:
■ I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to
the best of my knowledge and belief.
■ I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
■ I agree that submission of this online form is a "transaction" subject to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act");
■ I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act");
■ 1 understand that an electronic signature has the same legal effect and can be enforced in the same way as a
written signature; AND
■ I intend to electronically sign and submit the online form.
Signature: *
Submittal Date:
https://edocs.deq.nc.gov/Forms/Form/Submit 2/2

715 Huahes Road CAMA Maior Permit Attachments
Attachment 7
Agent Authorization
Page 9 of 10

N.C. DIVISION OF COASTAL MANAGEMENT
Date
Name of Property Owner Applying for Permit:
Mailing Address:
-I I s-
I certify that I have authorized (agent) 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
(date) 0 Ve> I j
tC� (o-2:3
Signature Date

715 Huahes Road CAMA Maior Permit Attachments
Attachment 8
Existing Conditions Photos
(8/23/23 at 2:30 pm just after high tide)
Page 10 of 10

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