50305D - Hanke

ICAMA / ' DREDGE & FILL P'!9
GENERAL PERMIT Previous permit#
LNew J Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued —
orized by the State of North Carolina,Department of Environment and Natural Resources t
- Coastal Resources Commission in an area f environmental concern pursuant to ISA NCAC I P ' I Z U CD
❑Rules attached.
nt Namem )% rG r J Gvi,, kc / Project Location: County �l�UNS tit'J C
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rized Agent C.. jj' , City 2 c/ , ZIP r
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d ❑CW pEW PTA ❑ES ❑PTS Phone# ( ) �'k-- River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
): Adj.Wtr. Body fr/ifikfli'/'+/W (n
❑ PWS: OMClosest Maj.Wtr. Body Z.-4 Wo�
yes / no , PNA yes /,4*, Crit.Hab. yes / no a
of Project/Activity l / ' �Q�, ��_ � 5G /n l P v
/ (Scale: A,
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ead/Riprap length
svg distance offshore
max distance offshore
channel
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ouse/Boatlift X, f
it 1
Bulldozing
i
line Length 5� i
not sure yes no ,` /`^,,r Cf or j ,e
ags: not sure yes c1 -
orium: n/a yes
I
s: yes "45),
r Attached: yes
ding permit may be required by: , fir- A/�
S �/ See note on back regarding River Basin
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a.." i =; GRIZZLY BEAR
HOLDEN DOCK& BULKHEADS
GREGORY A & DOROTHY HOLDEN 3084
910-842-9732 HIS NCDL 4576438 HERS 5202642
1502 STONE CHIMNEY RD SW (
]Jars o — 4'—/j7 66-1215/531
SUPPLY, NC 28462 840
PAY TO THE 8�
ORDER OF I $r �� �(
WAB ANK CCAMAW
Supj4 NC 28462
wac 2 k
www. b k.com
co, ao+.i�C2Pi=i- 503ds
1:053 L L 2 L5 21:8000 L5 7 5 3000 3084
5
WILDLIFE PORTRAITS WP

r

i-03-2007 10:02 From: To:8429606 F
CERTIFIED MAIL - RETUR YLRECEIPT REQUESTED
pIV)SIQN OF COA,�TQI:.jHANAGEMENT
ADIACENTJIPARIAN PROPERTY owno.NOTIFIC,ATIONLWAIVER FORM
The purpose of this form is to provide proper notice to you ns an adjacent riparian property owner to the individual or
individuals listed below, The CAMA General Permit application procedures require that applicants provide the Division
Coastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property own
indicating that they have no objection to the proposed work 1 that the adjacent riparian property owners have been notiti
by certified mail of the proposed work. Often these forms arc submitted to the adjacent riparian property owners by a mar
contractor or other individuals acting as an authorized agent on behalf of the applicant.
This form was sent to you by the following Individual or company designated by the applicant as an
authorized agent:
Authorized Agent's Signantre Date
Name of Individual Applying For Permit: _BEfA1/4
Address of Property:,/ Zd= SE/4 Al2 eLR2TL S k
(Lot or Street It, Street or Road)
Sdf PLY ) A 68. OA) d J t)iY>
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual applying for this pi
has described to me as shown on the attached drawing the development they are proposing. A description or dra%
with dimensions,should be provided with this letter,
' - I have no objections to this proposal.
If you have objections to what Is being proposed, please write the Division of Coastal Management,
Cardinal Drive Extension,Wilmington,NC 28i05 or call 910-796-7215 within 10 days of receipt of this al
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock mooring pilings, breakwater, bout house or hour lift must be set bi
minimum distance of 15' from my area of riparian access - unless waived by me. (lf you wish to wuiv
setback, you must initial the appropriate blank below.)
i do wish to waive the 15'setback requirement.
I d_Ql191 wish to waive the 15' setback requirement. AywA

- r tv Y Y l Y NO
CATION/WAIVER FO
2e of-Individual.Applying For Permit y igM
ress of Property: \
(Lot or Street#, Street or Road) (�
iu
(City and County) d
may certify that I own property adjacent to the abw
y for spermithas d to me as shown ontheattachedd - The meat
?roposin� A or g� $the development
dimensions,should be provided with this tette]
bj
I have no o '
ectiocsto this proposal.
von. have objections to what is being prop please write the Division of Coa
s end 127 Cardinal Drive jtxtension,Wilmington, NC 28405 or call 910-395-2
kin 10 days of receipt of this notice_ No response is considered the same as no objec€ii t have been notified by Certified Mail.
vAIVEit SON _.-
uderstand that a pier,dock,mooring pilia,v,breakwater,boat house or boat lift mu
wish mtuna Wince of 15'from my unless waived
arest of riparian-access- by mu
live the setback,yen must initial the appropriate blank below.)
I do wish to waive the 15'setback lcN.eui
- I do nn wish to waive the 1 S'setback requirement.
� ame
Date
' D

03-2@07 10:02 From: To:E3429806iits
AgA
�•J
North Caroline Department of Envinment and Natural Resources
Dh+lsion of Coastal Management
Victim F4 Easley.Governor Jam*H.Grown.Director Wdkam G R
Authorized Agent Consent Agreement
is hereby authorized to act on
t awn
order to obtain any CAMA a)required for the property listed below. The authorization is In
pacific activities described in the attached sketch_
LOCATION OF PROJECT:
/9 S-3 L.( ) j ��� IV L.
uP )>Y )_ _ < CP ern cv )
)ROPERTY OWNER MAILING ADDRESS:
/93 „4//2 t_Sz.‹)
4pLY 1 C (3,Q42.0 61o6)4,7-9)
Pik MO_ 0 -
AUTHORIZED AGENT MAILING ADDRESS:
/ 5 14-►
l
J
PHONE NO, %/(9 4! Z,2?