HomeMy WebLinkAbout53175D - CampbellCAMA / DREDGE & FILL
IFNERAL PERMIT Previous permit #
1Clew El 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 Z�� �2
[.}itG(es attached.
Name I/r d. ram,% /!1 +l ,.✓ ��/neO of Project Location: County 12Oe-14v,CA
S2 0j Li l V t pl/"V, Street Address/ State Road/ Lot #(s) P/
,,, ,a �� f e .✓ ___—__— _ State49C ZIP 2_75,f?
()G 4 g"7z3G Fax # ( ) Subdivision_
ed Agent rr A Ue ✓ City(-1r,OO w Spig-6,4 ZIP 2 7/X
❑ CW Lj�W ice... TSB— ❑ PTS Phone # ( ) ^River Basin �-
❑ OEA ElHHF ❑ IH ElUBA El N/A Adj. Wtr. BodyZA� e i� ��(nat
❑ PWS: ❑ FC:
/�Closest Maj. Wtr. Body ,�M 1 /4V /
yes (TD PNA yes /`. p Critt.Hab. yes / no
' Project/ Activity A� N �G�T L.—,/U
(Scale:/
ck) length CSC, S
II I i I I
ngth
tuber
d/ Riprap length_
g distance offshore_
vc distance offshore
hannel
bic yards
np
lulldozing
ie Length S
not sure yes
i
gs: not sure yes
rium: n/a yes .
yes
Attached}e� (Z�p no
—.
ing permit may be required by:�//
Special Conditions Al ( Car 1//�� t a� 21 Z? GO P
❑ See note on back regarding River Basin +
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North Carolina DepaMwt of Environment and Natural Resources
Division of Coastal Management
Wcheel F, Eas(ay, Governor James H. Gmgson, Director WiWn G Rm Jr. Secretary
Date 1 1 6" o ci
Name of Property Owner Applying for Permit:
Mailing Address:
52-d3 Live
L%",-\ V-Dq-TA-or\. n�-. 2%bi1
I certify that I have authorized (Agent) A A to act on m,
behalf, for the purpose of applying for and o icing all CAMA Permits necessary to
install or construct (octivit)
at (my property located at)
This certification is valid thru (date)
Property Owner Signature Date
-27-2009-TUE 10:02 AM TRIAD COMM PROP FAX No.336 668 0888 P.004
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wi& ti�;•• s !o ! be Provided ♦ e• with this_ i
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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
3329
66-1215/531
840
W WACCAMAW
B W NK Su
vnuui.maocaouuobank.com _
I:53LL2L52�:8000L5753011'0332
0C�P��I`75
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