50275D - Brechausen

1 JCAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
New El Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources _
/
Coastal Resources Commission in an ar a of environmental concern pursuant to 15A NCAC
l I 1 (Z0 v
❑Rules attached.
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ant Name 4 Nrr` /.i,/f i,, �"/r ,. - �i, Project Location: County 6/14A. Skit / L2
ss � / 11 + �� (`- Street Address/State Road/Lot#(s)
t'I ri- '_1/LL StateNC-- ZIIg7'S%V 7 / ?l/ ./ ;Z c!i,/ fit//'
#(7/,-)'i 7 / /fax#( ) yZ " cS UG` ZI# �L` Subdivision L�h,/0 A,-�c�c_
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rized Agent ,- Y e,-i F j7,�,(�G A-/ 'City 1l�_ % t/c ZIP _ri,
ed r CW 'I EW - ©PTA ❑ES CIPTS Phone# 1 U )$ 6- 4 /o River Basin,' /c-y
OEA ❑HHF ❑IH ❑UBA ❑N/A
): Adj.Wtr. Body C(1 44) (nat
❑ PWS: ❑FC: it
yes��, PN �n Crit.Hab. yes / no
Closest Maj.Wtr. Body w/«J Li-)
of Project/Activity ( 9-)^1, f'Li/ 1- rA y /V /,' -" — „. /
(Scale:
dock)length Pr-....r/4�'�""'
P ! 1 r pier(s)
s lcf T- Z- / y I 1
1length +_ I
number tIQUS�'...... 1 -
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ead/Riprap length A
avg distance offshore •
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max distance offshore fnJ�,-• Z� Z1 r (9' I ors.fr
channel
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ouse/Boatlift f
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I Bulldozing I 1
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line Length /r V/
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not sure yes no
ags: not sure yes no - - AV417
orium: n/a yes no `) i Y{ ,
s: yes no
r Attached: yes no. i. 1 tea,. j1. '4 1 ''(
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ding permit may be required by: V Att.A.% f t.)i C/ (fi • Tie note-on-back regarding River Basin
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HOLDEN DOCK& BULKHEADS
GREGORY A & DOROTHY HOLDEN 3088
910-842-9732 HIS NCDL 4576438 HERS 5202642
1502 STONE CHIMNEY RD SW `S�`O -D O 66-1215/531
SUPPLY, NC 28462 IA Pet 84a
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Su pt4,NC 28462 `v / • ��v Y"" �, ', ,;' ,
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For f.� i•1.� �1 • �,. ,
1:053 L I. 2 L5 21:8000 L5 7 5 3000 308^
WILDLIFE PORTRAITS.WP
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06 08 12: 30p Greg Holden 8429806 p. 1
LI . 0104
EN ERAL PERMIT Previous permit#
. New L lModification L1Complete Reissue C]Partial Reissue Date previous permit issued
prized by the Stu of North Carolina,Depa►etrent of Environment and Natural Resources
Coastal Resources Commission In an area of environmental concern pursuant to 15A NCAC i 00
les attached.
ant Name ITitsci _ati-,C. . — Project location: County-_ l_ILLPI ill 1 C, - _..
u___-- trA .012_1 t`Sv ter Address(State Road/Lot 0(s)___-j ' 3 .,
O ce4N .4..St - _state ).ZIP ,A 646ei
# mo).616_6,? Fax,�#.. (_�..)�5n, 7�p�1 Subdivision . _ 1.__LItt\� r._._ C S - -
ized Agent 1. ._.1~.aC .-L ftrTh11V.>5._._.— City Y �5.1 zlPQ8 L1-&D..q_._.
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"�CW LJ EW Li PTA DES C PIS Phone# (. L&t�b
.. )_ ___----.—.—�- — River Basin '
OM l M J HF U IN URA LI WA Adj.Wm Body F at.4)LA) _.--...-...(Hat .42 ur
;a PWS: 0FC!
yes I PNA yuz / no Grit.Halo. yes I no Closest Maj.Wtr.Body w�..... Q V�
of Project/Activity tsNW1/4) , VI a 4^.. Apr r ` 0 MFJ` 11DuL.
(SCalM POT TO
dock)lengths
112-
r •
rpk, ) • ,a ' .
• I
length —
number _._.
cacti Wrap length V i j ,
svg distance*ashore ' • , •, . _
mu distance offshore____.__ '� ,
channel __ �`� ,y �J�r
rabic yards ... 4 �\• , NY 4, �I 1r .tr Y
oua Boatllft Or
lie' "1. .- v Ne e 67)*Ntr:sC
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,Ino Length Qros_�. � vy �t.• . Y -F' Niel'to i * -4.
. . _ �/ I .-ym no _
rags: notate.* yes g • 4,
toNum; r, yes no • w.-
is: yes n 1
If'Attached: yes ,yy(p' T _ ._ _ _ .
(ding permit may be required by: (`yC tJ j f W tAN\ �]Sea Here on back regarding River Basin rules.
si Special Conditions MO V L) A4r$,Y ti (A ti3D�i Ptt1 M bC-0 Mr*fY �11 5't
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Net-P'itY
90862b8:01 :w0JA 20:8T 2002-£0

- .rxt r[N: t rurN YKUY 1 Y U Whr.R NO
CATION/WAIVER FORM
e of-Individual Applying For Permit A.
-ess of Property_ VV l
I. o
(Lot or Street#,Street or Road)
(City and sty)
eby Certify that I own pauperty adjacent to the above-r
Imposing. A descibedtoroeasshownontkeattacheddigthedevelop development.
rawing,with.dimensior4,should be provided with this iette
objections-to no have
I
------ -to this proposal.
t a have obi to what is being proposed, please write - - -
t,.127 Drive the D of Co:
tin�days of receipt��notice. i NC 28405 or call 910.395-:
have be ea by C�Man. response the same as no objecti
Al
wiapier,
bckaaaau�a � rom tamp,b ,boat �r boat me
aware*of riparian-accesswig►to waive fire -unless waived by m
4 yen must ne►itial the appropriate blank below.)
I do wish to waive-the 15'setback requirement_
I do not wish to waive the 15'setback requitement_
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