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Home My WebLink About63143D - McGirtYCAMA / DREDGE & FILL S�c "ENERAL PERMIT 21 New -Modification EComplete Reissue ❑Partial Reissue Previous permit # Date previous permit issued 611 rized 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 j L RUles attached. it Name 4 Project Location: County N� w (Ai_ aa Ca-ledf'-CL (�A Street Address/ State Road/ Lot #(s) State ZIP j� 14 i /❑ t n n P_ *-e_ " `ft) Fax # () Subdivision W :ed Agent s Ideus cl�5 City r)((A Lt k 0 %ate. ZIP ZSM ❑ CW �VW A PTA J ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: f Project/ Activity ck) length� W LJ th 1(s) 0 "YA yp �� ier(s) / ngth .� mber d/ Riprap length / distance offshore �— x distance offshore cannel )ic yards ip se/Boatlift_ 17— lz/ j-Ildozing W/A AP q/;K1V not sure yes no um: ?n/a attache ig permit may be required bI 1 r ne # (9[LL1Yt 10SI t River Basin` Um%3 Adj. Wtr. Body (',( JAt� D ' , W\►J (n" Closest Maj. Wtr. Body Al LOW ❑ See note on back regarding River Basin r NC Division of Coastal Mgt, 'habitat Impact Computer Sheet Applicant: V ` 5 5 GC Permit #: Date: I Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurem( 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 f disturbance. Excludes any restoration an temp impact amount Dredge ❑ Fill ❑ Both ❑ Othe 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 ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ HOLDEN DOCK & BULKHEADS 69_129 t GREGORY A. & DOROTHY HOLDEI1��i ' sis 203 r HIS NCDL 4576438 HERS NCDL 5202`642 PH. 910-842-9732 k 1502 STONE CHIMNEY RD. oarE 0 SUPPLY, NC 28462 5580 ®Shield` goo ;� vv First , �o 26 �mmu Bank Ywr Fhrt Firnrrcial Fe-mulrc/,-e.Zn� MEMO J(��T �X t AV Ian c i Cn 1 710 11 P1f1r� r rr r _ _ VI �,7 n� ,alb -6,o9 (hGL) 174- hoL 1= \ g . .A C4-IBZ �N No►��Zc�3�, A v M c o(� •M W 31 POMP014M ACPW94 S 1 WWAG 'UM3 -A tam sealnoee� POM PW W UWM%u3 !a NOAAft aWwo wm cee62t78: u, . o� N� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I awn property adjacent to KRrS S14ERRT- I GIRT s (Name of Property Owner) property located at 4 t M oNRt* STREET (Address, Lot, Block, Road, etc.) on ayz-r (3 ' T. I Hooe*i t '. chAt_ in bCrePo4 i,E(*C A N.C. (Water ody) (City/Town and/or County) ATh p nt has described to me, as shown below, the development proposed at the above at' ' 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) St`E PrTTA CVrC D O ?AW ztJG WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back inimum distance of 15' from my area of riparian access unless waived by me. (If yo Fle the setback, you must initial the appropriate blank belo%L) i do wish to waive the 15' setback requirement. Wal lvaill¢ s J I do not wish'to waive the 15' setback requirement. r,,; f — T, . Afd n 'M(Wdmid AM*yjngFcr I? - I Kr I IS, hA A of Skeet#, SUOMOr Road) �j + (CiLy and) I-. Iiii I %am iihimlmfioas to w6me is being PC.- please Wrift tke Divisim of com W� 127 C6vdhma Dgkm V*1bmbt9bWWC 22405 or can 9te,39- Wm bus mofilkd by Citrif" MMI Wmdmdiama pier, dock, pwmw� bi boat bume We beat fift um WMT or�ri�tia�aaocrssmWAcW waived by �aa ppy OrdMe bbmk below) do- 10 so IY $Comm* OL 1ARAM to Vusim-tbe LS sad mck I xcmczd