62675D - Keech

LAMA / ❑ DREDGE & FILL
1ENERAL PERMIT
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 15A NCAC
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Name
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ules attached.
Project Location: County
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Street Address/ State Road/ Lot #(s)
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Subdivision
Agent,
City �ZIP
(�G��
U) JS� River Basin
❑ CW CJ EW I❑ PTA ❑ ES ❑ PTS
Phone # (-1 lIr%
❑ OEA ❑ HHF -! IH ❑ UBA ❑ N/A
Adj. Wtr. Body l/KL1
❑ PWS: ❑FC:
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fes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body
Project/ Activity
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u x
igth
nber
I/ Riprap length
distance offshore
t distance offshore
annel
is yards
ip
;e/ Boatlift
dldozin
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(Scale:
❑ Seey note on back regarding River Basin
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•
A C Division of Coastal 11l'Igt. Habitat impact Computer Sheet
Applicant:
Date: j
Permitm. 41zf_0_+9
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
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.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated fii
disturbance.
Excludes any
restoration ani
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
Z.� C)
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both [I Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

HOLDEN DOCK & BULKHEADS ss 129203
GREGORY A. & DOROTHY HOLDEN 515 5408.
HIS NCDL 4576438 HERS NCDL 5202642
PH. 910-842-9732 �J "
1502 STONE CHIMNEY RD. DATE' / f I aShield-
SUPPLY, NC 28462
PAY TO THE
ORDER OF
1
T IY j V 4UV'- c1, � �`O�i J �r go DOLLARS LJ .....
Ne
Voi First
COMMunity_�a�
L4
MEMO A t (�DiS�GC Pi/U►�' ""

l�146-6-7G0 SAG� /YJS�
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Fre
Govemor Director Sec
AGENT AUTHORIZATION FORM
Date:
Name of Property Own r Applying for Permit: Name of Authorized Agent for this project:
e3�1�l7f C7.^�/'7dG.� is S
Owner's Mailing Address:
r� of
J�iS fielAJ,;T'/ eA3",
1yV
Phone Number (&Z2 9a _ ist) ZLY
%/7--V89-66/8
717 - .S7g-gyo 7 ee«.
Agent's Mailing Address:
i sd z S , a ►i.- C,04j M A) . )�
Phone Number (9/0 ) 6`Y& -- 6 si p
certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
nor my property located at
Date

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November 27, 2013
Town of Holden Beach
110 Rothschild Street
Holden Beach, NC 27282
Dear Town of Holden Beach,
My wife, Kim, and I are purchasing the property at 231 Lois Avenue, Holden
Beach. We hope to settle in mid December if all goes well.
We have been told that the "spoils area" west of Boyd Avenue is the property
of Holden Beach. This area is next to the 231 Lois Avenue property on the
west side of the Town's Boyd Avenue. So I guess you own both properties next
to our property.
We would like to add a floating dock next to the existing dock similar to the
2 docks east of our property, to make easier access for kayaks and small
boats. Please see the attached drawing and aerial photos.
The North Carolina Division of Coastal Management requires that I notify you
of the construction as an "adjacent riparian property owner", for your
approval of the proposal. I believe the addition has been designed to meet
all requirements defined in the Coastal Area Management Act.
If you could, Please review the plan and aerials and call me with any
questions or concerns.
If you have no objections, Please indicate that you have no objections, sign
the form, and return to me in the enclosed envelope.
In addition to the floating dock, Kim & I would like to install a small pool
for our enjoyment in retirement. I have added that to the plan as well. I
believe the pool has also been designed to meet building requirements of the
Town of Holden Beach. If you have any questions, concerns, or suggestions,
Please call.
The pool will be installed by a pool contractor who will obtain all required
permits for the installation.
Again, Please call me if
cell phone number is 717SENDER:
Thank you for your atten 0 Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
Sincerely, or on the front if space permits.
to A-1; ...w...A.A... - J— -- u_— .

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner:
Address of Property:
(Lot or
Applicant's phone #: %/ 2 — 252 —Q2 � a
717- yy'%-/�/8 C%
/tt. lb 6 k) A /4
#, Street or Road, City &
Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this pen
has described to me as shown on the attached drawing the development they are proposing. A description of drawi:
with dimensions, must be provided with this letter. - e �P� s -`WJ4'lny OCX oYl�y.
ikl""_ I have no objections to thi pro osal. I have objections to this proposal.
Ai�nau�h dL4ai►S are�rav�c l or Qas��o a�aec�n k*e6Pbimat ht
ou ave blections to what is being proposed, you must notify t e Division of Coastal Management (DCIV
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive E
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the, same as no obiection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance
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' set back requirement.
I do not wish to waive the 15' set back requirement.
perty Owner Info
Print or Type Name
�F 59s,>v ,;ry� l�
7t�u�,U c76c� `*a,7AC,4 .
(Riparian Property Owner Information)
TW,6 a+ 11&c n
Signature S
C
Print or Type 14ame
i n 7-1-1 5 0.4 / 4.6
Mailing Address
ailing Address

November 27, 2013
Reggie, Kenneth, Robin,
705 Guilford Road
Jamestown, NC 27282
& William Tice
Hello Lois Avenue Neighbor,
My wife, Kim, and I are purchasing the property at 231 Lois Avenue next to
your property at 227 Lois Avenue, Holden Beach. We hope to settle in mid
December if all goes well.
We would like to add a floating dock next to the existing dock similar to the
2 docks to the east of your property, to make easier access for kayaks and
small boats. Please see the attached drawing and aerial photos.
The North Carolina Division of Coastal Management requires that I notify you
of the construction, for your approval of the proposal. The addition has been
designed to meet all requirements defined in the Coastal Area Management Act.
If you could, Please review the plan and aerials and call me with any
questions or concerns. If you have no objections, Please indicate that you
have no objections, sign the form, and return to me in the enclosed envelope.
In addition to the floating dock, Kim & I would like to install a small pool
for our enjoyment in retirement. I have added that to the plan as well. The
pool has also been designed to meet building requirements of the Town of
Holden Beach. If you have any questions or concerns, Please call.
If you have no objection to the pool plan, please sign the attached letter
and return in the same envelope with the Coastal Management approval.
Again, Please call me if you have any questions. My cell phone number is 717-
487-6018.
Thank you for your attention to this request.
Sincerely,
■ Complete items 1, 2, and 3. Also complete
Dave Keech item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. Signa re
X v , /C
B. Recei by (Printed Name) C
D. Is delivery address different from item

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