56534D - Stevenson

CAMA / PbREDGE & FILL 5
i E N E RAL PERMIT Previous permit #
New uModification ❑Complete Reissue ElPartial 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 1� /f o0
©Bales attached.
Name ly N' --f f�IrUG �"S ^� Project Location: County ?if 0'✓1'✓ie-A-1
%/ k r' cp✓C;,',ar 5' 1,1,/.9.r Street Address/ State Road/ Lot #(s) /,2 9
10 t, L fZ
State 54C ZIP '2 J 7/0
#(?C)� 61i '-/J39 Fax#( )
ized Agent e 9,� e
d ❑ CW ) EW - . PTA -_]ES ❑ PTS
G OEA HHF IH ❑ UBA ❑ N/A
C PWS: 1FC:
Subdivision
City rlU L do•✓ �� c l7 ZIP 2
Phone # ( ) River Basin Lu
Adj. Wtr. Body /V t a ",IV (nat[
yes / no PNA yes / not Crit.Hab. yes / no Closest Maj. Wtr. Body '41 GVW
A Project/ Activity )e Q ,p L A e P aT X , S
(Scale: %
■■■■■■■■■■■�■■■■■■■®■■■■■■■■■■■
■■■■■■■■■■■■
NOON
S■■■■
.?4�Riprap length
distance offshore -
:iax distance offshore
channel
■
■■■■■■■■■■■�:■■■■■
p
'���
■■�■■■■■■■■
�
MOON■■■NONE
an
E=.vg
NOON■
■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■H■■■■■■■
�ubic yards
Lmp
■■■■■■■■■■■■■■■■■I
�l■■■■■■■■■■■■■■■
■■■■■■■■■■■■�■■OI
E,■®■■■■■■■■■■■■
■■■■■■■■■■■■
■■■■t
ail
�■■■■■■■■■■■■■■■■
■■■■EEO■NEE■■■■OI
�I
��■ON■■■ONE■■NEE■
Bulldozing
inel-ength
•
not sure yesegs: not sure yes
.�
yes C.
_ .... , -�
EO■■■E■E�■OEN■ON
EE�!E�li%1
IiIIiNE■E■■
LA
i
AMMUNINNIME
■
■■
■■
NE
l■
II
m■mmm■m■■■
■■O?;I■!�■EL
■
■■
■
■OI
1■11■l
EON/c7r►.�1.!7�'/■
■
■■
■E
■E
■■I
�■■I
IE�
N■■■■■■■■■
■
■■■■■■■mow■■■■■■■�■®■
■■��■■■■■■■■■
M
OMEN
0
�■■■■■■
■■■■EEE■■N■■■■OI
■■■■■■■■
ding permit may be required by: l7pLdBN R 0,0C ❑ See note on back regarding River Basin

NCR MR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management Dee Freeman
James H. Gregson Secretary
everly Eaves Perdue Director
'overnor
AGENT AUTHORIZATION FORM
Date:
rmit: Na of Authorized Agent for this project,
ame of Propert Owner Applying for Pe
)wner's Mailing Address:
CllypeS7io
?hone Number 4Z Z Z ,-Pol11
Agent's Mailing Address:
Phone Numbed
for the purpose of applying
I certify that 1 have authorized the agent listed above to act onstrubt heehalf following (activity):
for and obtaining all CAMA Permits necessary to install or
c
(my property located) at
This certification is valid thru (date)
/0 /iI
Date

800-845-1120 H o l c i m
Iz 5 I sP�w
N c V-3 6 ti e
www.holcim.us
Vt—, "' 14e-
bu-lkda.d

bu►Vev
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
on & s
sevens
1 hereby certify that I own property adjacent to Jimmy Duane Stevens
(Name of Property Owner)
property located at 129 Tarpon Drive
(Lot, Block, Road, etc.)
in Holden Beach , N.C.
on Holden Beach —
(Waterbody) (Town and/or County)
704-619-1139
Applicant's phone #: 704-9-11> > Mailing Address: 116 � GenexaG S".a`7- ----
Clover, SC 29710
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
----- _ -- ----------------------- _ -----------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
Replace bulkhead ...
(Information for Property Owner Applying
for Permit)
116 Generals Way
Mailing Address
(Riparian Property Owner Information)
Signature

.1 - bq#V r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Jimmy Duane Stevenson &
I hereby certify that I own property adjacent to Barbara S St ay-enson -'s
(Name of Property Owner)
property located at 129 Tarpon Drive
(Lot, Block, Road, etc.)
on Holden Beach in Holden Beach N.C.
(Waterbody) (Town and/or County)
704-619-1139
Applicant's phone tf: sn3-999-8911 Mailing Address:. 116 G-e-neral c; W;;y
Clover, SC 29710
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
----------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
Replace bulkhead
--------------------------------------------------------
(Information for Property Owner Applying
for Permit)
116 Generals Way
Mailing Address
-------------------------------------------------------
(Riparian Property Owner Information)
Signature
r�� cr 0071n (harl PG F Vol t-7.

cant: ���,/ e SPf/P�S��✓
l
Permit #:
:ribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
d in your Habitat code sheet.
tat 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 final
disturbance.
Excludes any
restoration and/o
temp impact
amount
> L _
Dredge ❑ Fill oth ❑ Other ❑
Sn
r l
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 ❑

DUANE OR BARBIE STEVENSON
116 GENERALS WAY
CLOVER, SC 29710-9021
19- (c)
auto
2001
67-160/532
"AY
o $ Jqcx_� , clo
BRANCH BANKING AND TRUST COMPANY 94,&
:-i 4KX M%KK5BTT 1BBT.eo�m-.
i:053 20 i60?1:0005 L 23?5??36l1'0 200 L