56618D - Brand

CAMA DREDGE & FILL
ENERAL PERMIT Previous permit#
New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources rr��
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC /y. 2 UO U
C17�Fial�s attached.
t Name Z3 Zl3 17 Project Location: County ERM v sw/cIle
.R
State ZIP
Fax # ()
cedAgent
❑ CW i EW PTA L= ES PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
Street Address/ State Road/ Lot #(s) .Z / y ­5�4G2 F
Subdivision
CiZIP Z
Phone # () River Basin L.4,v
Adj. Wtr. Body5e' s /i d� �� y'✓� na /
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
f Project/ Activity 1&�r:2 f ��- 1��,9-)'1e-.z.7.
(Scale:
ickllenoth ��1• 'C C
imber
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g distance offshore
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ing permit maybe required by: ❑ See note on back regarding River Basin r

r5--03-286T 2fl:82 From.
Who 1i F;Eaeky, (ov y)a
in arft to o6toin uny
MOM Cie DwErf1i w4 of BiVMlplitW aW NftwW Rmurces
Otvierion of CONN pep ownt
At DWW imd Agmtt Coeae d Agremrl -
is hecaby authorized to ad
Pe A*S) required for th* Property Hied bMm. The authorization
specific ac*ilies deed in the
LOCA710M OF PROJECT:
c y �ti �eK or ) .li�sL
IMMMWOWNWMALMAUDREM
2�ort.�i
AUT 4ORIZED`AAAGENT Ili KJWx ADDRESS:
I S-0 Z J 4Vv v) e I vm ti Et k j-
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PHOW MD: Fl/3 - CG -T-- ,
1e) 8Yz 9 ga

Alreb_ Ia�Z011�_ I IdAMn: __ .. oT��o.,o N0.4ya r. 1
To = 64298%
CRPAAII- Rg=M&FaJMtlRQ MSTPn
The pseepore of this form is to providt pnOM nsoec to rou as an adjas=nt ripwion prepttty owner ID the indiridaol of
individuals lino below, The GMA C-*w l permit nppheatkm pfccedt>tt:s reaper Cho sppticanv Provi& tht; Di•j.
Coaaeal Manm9mmm confirmation that a wriaert stalmnent has bean obtained s*ad by titer adja*m ripa;m pie
lnditating that they have no objection to dee proposed work oldiwt the sdjaccm riparian pmpaM owner have bees n
by Corti Pled mail of the prnposeed work. Often timse forms arc mbm;md to tlse a4ixt m riparian prvporty owners by I
contractor or oaw individuals amirg as an auawiwl agent on bolmWof the applkznt_
The torts was sear to you by the fe0sml ft hWh►WOW or csaspsuy Add by tk aPPFAMnt as as
authorized tkMt_
Agent's S;gramum
Name of Individual Applying For Pennir _ v �(-6A-�
Address of Property:
(Lot or Smer it, Strut or Hood)
(cry and County)
! hereby certify titer I awn property zdjaow to the above -referenced pmpctsy. The individual vWying for i
has described to erne as shown on the saOWA drawing the devclapment they are proposing. A dt:Sek tron o
with dimensions. should bt provided with this kcrer,
—4 1 havo no objections to this proposal.
if rote have ob*ttaas to what is Wal, proposed, piesw Write the Diwblon of Coastal lfardge,
Canboml Drive ExteoWoa. Wilminemn. INC 26405 of a els 910•-19i-Tt15 witMR 10 4ays of receipt of t
No reapoesse is moOdered wbe "t as as ahjecrtbn of you tasve bcco tsdairled by Cerrirod Mail.
Waivt~R SECnON
I unds"mad th-st v pier, area. mooriBt pry brcgkwaret'. b"t k4juge Gr b"t llil cRtm be
ttilsiWOU: d muce ol• 15, Graft shy ate oiripar4u seeeets - � aao a ebe �aA yrr ;� „�
i du wish in wuirw the is- set mek mquitm omt.
OR" v4--h to waive dre-3' S Setback m9wremmL

an OGI vul G/ 1V/ 4.V11 L. ..JV . 11 17'I'1 rrnv" 4./ VVJ
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-eb 16 11 09:37p Greo Holden 9429006
AX--03-Z07 10:02 From_ To:$42 G%
CV,&I ff f6U MAIL - Rk'Ea ! E CEM3"RIMI .STED
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P. 2.1,2
The purpose of this form is m provide proper route to you as to ;4 amu riparian property owner to the individual or
individuals listed below, 1- t LAMA GcccnA Permit" icaden pm -cc ures require that upplicana provtdc Ow Divijion or
Caasutf Mam egwncnt eoaf"Oon that et "nor star meat ba boor. oboinc0 aigrtod by rho adjacent ripwimt property owners
indicating that fty hm no objeerimt to dK propaatd Work 2E dw the sdjm&= riparian prvpony ownt" have beta norifled
by eomfied mail of'the prcTosed work. Q!ten :tsar fonrs arc submiitai tm fhc ndjac= i -r ."p awncrz lsvy n :rfa*ina
contraetoir dr o0h" indiMuMs mitt m an b !efler
This forts wcm scat en you pry tht fel_ksvring lnd 'Aioml *r eoomp-m-, deg:nated by the n,r n =— n? m Am
authorized taccstt: ±,�a
v # ,�
Arrtha ' Agcr,Cs 9ig�uturt �tste
N me of ladividual Applyirib Fos i'esalit: L 4 t %rG�
Addrws of Propcn°y:
iLox or Stmcr 4. Stress or Road)
(wry and i;ouruy)
1 kimby eenify thK i own property a(iioccm to the above-miennecd property. The individuoi apple ing tbrtlris permit
ha; wdcscr" to mm a shown on 4hc.3ii Cltcd dm►dinS,.he oevlk)Qv141 t xl"v are prop*$"& A �CS�rlgrtQ�r1 AI (1RtWirW:
=+i.re v+r»4++,it•++�i• oenssrti va, yrv+rr."v .er etrrjr
e dare` ara cAbicciiOrks Wits OroOSui,
Us *you huvc objimdons to what is uaing proposed, picric wrim the Divisirtn of Cou%riti 'imna,emcm. is :
Curdinui Drive gmemian, liY liminr_ron, NC i&05 ar cad 9 W-196. J! ia within lu days of M."irir aj MW nutter,
is rcapausc is caasidcrco the sasnc as no objection 11 you have mesa somwo Dy c:cr' INd ivwm
WAiNER SIrMON
t pndrrsjond that n pier, rink- mnrw4n* *i"P%, hre,tdcwc rt_ M►gt 1aq%,$0 or b"t 11R mosr be 1?1 h!gck
rZit.inr... . rtir+n�act, of 15' t-Om M am- of Hrr+o_±ion Nary - `i�iwsi' vr�>vwA by ens+ (Try_" with rq r e
wr►.i .L ..�. e' :si..� ��.,. vy.,.^..^.�3 ��r_r A�tnw.i
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r %M. V•! •v ��••F Wall r W�Ww•+� .�yiin ra:,�±'..
i—`� i i.lii :.L'i �.:iiii •v .eur.r uw :✓� si.'ik3ui e.. u�w.wsarC..a_ AVWNWA

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HOLDEN DOCK & BULKHEADS
GREGORY A & DOROTHY HOLDEN
910-842-9732 HIS NCDL 4576438 HERS 5202642
1502 STONE CHIMNEY RD SW
SUPPLY, NC 28462
ir.�..4.'�M`:.'.'n.-.'ksr;
3868
66-1215/531
840
s
IWANKAMAW
,%. , NC 28402
umnu.uvux:nnuirnla k.crrm
1:05311 215 21:8000 L575Rollo 386
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WILDLIFE PORTRAITS®