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Home My WebLink About61506D - FridyCAMA / F—DREDGE &FILL A C M" 615 IENERAL 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 I SA NCAC L L Ln Rules attached. Project Location: County i Name I& G5 2- —,7 V U! I La n C Street Address/ State Road/ Lot #(s) State {. ZIP ._16 L ri coo /)14 S `-c;'4 Fax # ( ) Subdivision }} I :d Agent �`i l 4 (i r ^ `', k Llz I i City Hid 1, �k' (I C.l t ZIP �- ( ` I ( ❑ CW I EW 13 PTA 0 ES ❑ PTS Phone # ( � b) ( L, 51 L River Basin J-IA(JA ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: pFC: Adj. Wtr. Body n ` ` / yes / no des (no� PNA ( � no Crit.Hab. Closest Maj. Wtr. Body Project/ Activity k A) length igth nber i/ Riprap length distance offshore x distance offshore cannel moll ■ E M MKI"Wol M ME1 MM MM MMO IMMIN MMM=9 IMMOU, ANN ME MM MM MM OULA 1111111111111115 MMM ■ INS MIRS M M M M OM M E M M MMFO,' M MM ing permit may be required by:— I (, ,m 1 �� ' 1n j` li ❑ See note on back regarding River Basin r - -- --- i i I V7,1. i. !1 t. !j.�. �,/i. ,.).ifs.,,,-,.lamiit-t�I V'iva.!!ehIi,-,6 J / 1 , ._...... ...... ....... •. ...,.,. .__ ,. ;.�—, .._�_.�•. .. .... .. .....k�•�--•f.w,. h-'. _�•�..-NKa—ace,.. _..,..emu.. sMf(�—... ..._ •• 6-6 . •',fir .• � ._ � f, .'� • _ �f. ,.I .' ' f••. •- 7-7 ar � fir. ,•I �r , fi f'i a r r <• •� •. .. ,�� `'��1� , �. .4:i-'••d'I;, O. .YTS `� •��• rl ' .. ,' ?/07/2064 19:20 9108429806 GREG HOLDEN PAGE 01 Name Of Individual Applying For Permit: �uvlC Address"Of property: 7-1 Yz c ole e* e,, 4 (Lot 'or street IF, Street or Road, City 6 County) I hereby certify that I own raf eranced Pr�rtY adjacent to the above- o R as shown on The individual applying for this Permit has described tre they are prpposing. the attached drawing the development A description or draws should be ptovided with this letter.' with dimensions, I have no objections to this proposal. e Divi,Krr.., t Q or000sed Dlcase �t� t V@ nt_ 177 r I understand that a pier, dock, mooring pilings, breakwater, boat house, lift 'must be Bet back a minimum distance of 15, frae my area of riparian access unless waived by me. to waive the setback, Y Qu wish below_) you ( IP Rust initial the appropriate blank /leer v!a -r' 5- G� '/ZS SeG `c I do wish to waive the 150setback requirement- 191Q- not Wish to waive the 15'setback requirement. L 1-C-2� r 4 e t, - -j lv- -a ar. A41 I T A Z-V 4pplicant:5 c T1 j� Dck\4 t� V{,n YlQ Permit #: 1 5 O CQ 1J Dat e: 2.1ce 1 13 )escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ound in your Habitat code sheet. labitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or tempimpacts) 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 final disturbance. Excludes any restoration and/or temp impact amount) j ( 0 V� Dredge ❑ Fill ❑ Both ❑ Other l Cl 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 GREGORY A & DOROTHY HOLDEN 910-842-9732 HIS NCDL 4576438 HERS 5202642 1502 STONE CHIMNEY RD SW SUPPLY, NC ,280Z. XFInit� l 50� D Supply,unim.w2w 2 (p l 5� ; 5 ruuxu.vxucamambank.c �(J (Q 4871 �,, 66-1215/531 84 13 J`0 a i $gdosCJ� Oack. N � W N O �� CD CD o and 3. Also complete ielivery is desired. ■ Nrint 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: �� ►J� ❑ Agent ►J ❑ Addressee Received (�nt d Naa C. D# f Sliver D. Is delivery address different from item 1 ?r ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7 011 0110 0000 8670 5470 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 W 7 Cj O O �E THIS SECTION Ny O O o ? and 3. Also complete Delivery is desired. r-nni 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: Svc-�heY-L.- Y\- 2��g � A. Signature X ❑ Agent Addressee B. R eived by rfnted Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number ^^ (Transfer from service label 71111 0110 0000 8670 5 4 8 7 2/07/2004 19:20 9108429B06 GREG HOLDEN PAGE 01 DIVISION OF MASTar %.n NA9ZM=T PROPER Tv p NOTIFICATTnwinrTy Name of Individual Applying For Permit: D>", t7r-I V Address -of Property: (Lot 'or Street street or Road, C t T 6 County) -1 hereby certify that I awn- raferonced property_ Thm inQ3viAua1 a�ladjacant to the above - described to me as Shown ore tee attached d a wiying ng this permit has they are proposing. A description or drawing,9 the davelopeat - should be provided with this latter. With dlstens�on I have no objections to this proposal. I understand that a pie , dock, mooring pilings, breakwater, boat house, lift 'must be set back a min fromm my $-raft of riparian access unless waived by me. (If Y of is to waive the setback, YOU ■ust initial the (If yeu wish below.) appropriate arm I do ---_�. ffih to Vaive the I setback requirement. ------- Y SiQ_= wish to waive the 15'setbeck requirement. / `J r^ sl e �7 C w� L_�Cs Amer Da k print as _ o� % J �rw