53192D - Danza

1 AMA / ❑ DREDGE & FILL
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111ERAL PERMIT Previous permit#
ew 'Modification -Complete Reissue 'Partial Reissue Date previous permit issued
•ized by the State of North Carolina, Department of Environment and Natural Resources ? // /�G�
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC /%
ul
�/ +�- es attached.
t Name �C V6i Den 211
23-/ S L aclet✓a& d R
e H V Ift State/j C ZIP,ZY G
Fax #//( )
ed Agent 4",ke4G G de—,
❑ Cw LtCW- C TA g1ES C PTS
O OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
yes / . °� PNA yes L:!E5::> Crit.Hab. yes / no
Project Location: County �,/l O.,JS W , c le,
Street Address/ State Road/ Lot #(s) %-?S! Se,, -IA
Subdivision
City %/1Ozd,9 ,O —6.046% ZIP 2 7
Phone # ( ) River Basin L'V.a
Adj. Wtr. Body (,llyA1- �J /��ww (nat1�[
Closest Maj. Wtr. Body
Project/ Activity Pd
(Scale:/ `
ck) length L
ier(s)
ngth
mber
d/ Riprap length
g distance offshore
ix distance offshore
cannel
bic yards
np
is ift a
,ulldozing
ie Length
not sure yes no
:s: not sure yes no
-ium: n/a yes no
yes <V
AttachedX 19�:, no
ing permit may be required by: A, ldy, 6 ow C. ❑ See note on back regarding River Basin r
fl Special Conditions l L CG ��` J `� .1 O ��• �2 Ol �S t✓ol l

01 / Zb/ 21JU9 11: bt3 " 2`1TITT111. - - --= rAU
Jan 26 08 08114a Grec Holden 84eesob 1P.1
4Lvt. o;J Or QQASTAL M-A_N_JtjE2*QNT
DJACE cu - I PROPERTY 0WNE-R_NODfICA-10NfW alVER LO_R
Name of L:d1vidua. Applying For --f
Address of Property: SGDGrSpgge
(Lot or Street 4, Street or Road)
.{% I Rya
(City and County) —~
I hereby certify that I own property adjacent to the abo%,c.refr:ecccd pCOpzt;L, iI',; ;atliti
applying for this permit has described to me a.,: shov`n on Lhe, ached drawing the developmer
are proposing. A dcsctiptioc Or dmvfn!!. wi;h dirne*mons. sncu!d he pre. idcd v"iLdh' i5 k-
i !Ix -a no Oi3jectkons to this prCP0511.
If VOL) bzve objecrrobs tip wbat ;g b6n: proposed. pie_se tYrt:: The Dtris: m of Cl
Mninaze next. 127 Cardinal Drive Extension. 1rVilmin,-•too, INC ?S-iG� or cc,
%,;thin 10 day-- of recr-pt oftbis notice. No response s considered the saute as ,3o obier!
you have been notified by Cerified Miil.
WAIVER 91r—Ti4N
I understand that a pier, dock, mocrics p1linas. breakwater, bfiat house or boat lift M115:
bc:%- :; miniP, u-n distancr of I: frown my area rif ripariae access - uul�.g Sj'�.;e �' �'' `.
„isii .L 3' see t2e W1,26k. �'ou ragas totrial tie ::pp�priate black �c:a.�.i `
I do wish to waive `�c I j' serback rc'ttirc nl ,-jr.
I 40 Q0('W15h to waive the iY setback requirtment.
5N
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Aria" Name Z J

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4-09-2009 10:11 From: To:EM29806 P
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F Easley, Governor James H. Gregson, Director WNliam G Ross Jr , sacrelary
Date / — /s- — 0 2
Nume of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agen
behalf, for the purpose of applyi for and
install or construct (activity)
at (my property located at) Z 3 S
FINK
to act on m,
aini�all CAMA Permits necessary to
c
This certification is valid thru (date) — l 1 O
ZIl.
Prnnertv Owner Sianatu
Date

�tttt-ty i KiYAKiRiV rKVYhw I Y f I%AfI R 1�OTIFICATIOI�T/ iAIVE�RFpRjyi
of Individual Appiybig For Permit
ess of Properly. l 3 5 S c.oG4-L ;�o to aA a I L cN —
mid 3
:!! Mw ♦ fl :! { ' i EI f't :. : II :,b:�i I} Ui" 1 f e _
F} • !; Et !•:+flt 1.: l:6.; M! {.�f tt tt - .I�l'" 1 f;i 1 :EI}: l*./i.�t E! t" It �1,- 1 _.
f i1 •.'•1 L • I.w r!•li ! f;! •: Ei r: t11` 311 flltl.rt•.y;f 12.:MOM r, I M'
Ir. 1 • E t 117, ' !l eilti !: f f 1:
Qa bwn oblmdow to wbat is bang proposed, p write tine of Goa
mewl ZM c� Drive $Sctea�oa, yftlh$, a2 ETC 284W or caU %0 395-3
tis 10 days of receipt scab SOOML No -response is tmaAdsred Ihesause as uo o%ecdu
Lave been a0fi&d by CafdW Matt
SECUON
Mll�d UM a pler, dock, moorift bra, beat er boat iit
oflS' from �� of rya aoczss - unless ` b _
Fawe the se#basr &, you must h&W firebelow-.)
� sae
appropr�te bleak bel� vr�v .
I do wishfo waive to W sea=* requffanwL�M
I do not wish-tOvndvelbel:YsedmkrequkemeaL
DU W

HOLDEN DOCK & BULKHEADS
GREGORY A & DOROTHY HOLDEN
910-842-9732 HIS NCDL 4576438 HERS 5202642
1502 STONE CHIMNEY RD SW /
SUPPLY, NC 28462 <
WBANKC.AMAW
Suffix NC -8462
unom.ruaccamamboiu -
1:053 L 12 L5 21:13000157530003
^3�8
66-1215,'531
a4u
$ 000,400
HarlaM Clarke WILDLIFE PDHTHAH ,