68082D - Dodson

PAMA / IX,DREDGE & FILL Q r}, '--� ? "' y` ` A
3ENERAL PERMIT T ✓ Previous permit #
New ]Modification ❑Complete Reissue []Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
'oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
hh (( ❑Rules attached.
!
Name l 401A �o`�Gll�i JD�15b
5kZ's I
� �� State_ ZIP Z 5
614--Mail
ed Agent b1'2 rT V1
❑ CW ❑ EW ❑ PTA ES )(PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
f Project/ Activity
d/ Riprap length �j D -
g distance offshore
ax distance offshore
ie Length 5D
not sure yes
mum: n/a yes
yes
Attached: yes A. 11._�
ling permit may be required by: I—dWM Ot ftLd& ` tK4 L ❑ See note on backregardingRiver Basin
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision !! __
ity 2 ZIP 04L
on�ef � MCV-46' 0 River Basin L-VV41
Adj. Wtr. Body a
Closest Maj. Wtr. Body

Holden
Docks &
CresCom
2/28/2017
Bulkheads
Glenn Dodson
Bank
3006
$400.00
GP 68082D
SF rct. 3575D

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: i, j so to Permit #'
Date: OZ/2 LA/f I .
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
Found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft. TOTAL Feet
(Anticipated final (Applied for.
disturbance. Disturbance
Excludes any total includes
restoration any anticipated
and/or temp restoration or
impact amount) temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ FillA Both ❑ Other ❑
i M0
o�
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑ .
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill [I Both C] Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

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W2004 19.20 9108429806
GREG HOIDEN PAGE 01
::? W
DIVI 10N OF MASTAL MMAGEMM=
J#�JAC "�.$-XPAA1" PRQPFJ= Q _NOTiPI�Afi OWN/WA�y �oit
.Name Of Individual Applying For Pexnit: `'` eah
Address -of Property: 113 So S re- S­Jc--
(Lot'or Strieei: 1,'S-Crect or Road, City & County)
I hereby certify that I own property adjacent. to the above-
ref4exance d property. The individual applying for this pereit has
dascrihed to nay as shown an the attached drawing the dezvelopaeant
they ar* proposing. A descriptiort or drawing, with dimensions,
should be provided with this letter.
I have no objections to this proposal.
I understand that a pier, dock, mooring pilings, braakwatear, boat
house, lift _ tuna be eat baek a mini== distance of 150
fray my area of riparlan access unless valved * us. : (If you Wish
to waive the set -buck, you ILW& i u TA a 1 the aMroprimte blank
below.) .
1 .--Ao wish to waive the 15 t setback rsqu ireament _
,_r I dQ not Irish to waive the 151se tba:ck requirement.
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