38539D - Hager

]CAMA/ I]DREDGE & FILL
3ENERAL PERMIT Previous permit# - -
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
)rized by the State of North Carolina,Department of Environment and Natural Resources / i -,
Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC /-7 L r- • � C'CJ
❑Rules attached.
nt Name 1 LL c I r P N� ?'} ECG.. Project Location: County 1:4>F-u r.►CAL..) i C
s (`li I I (so McD r-T - 1.?' 71 Gs f 0 r N I _ Street Address/State Road/Lot#(s)
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d ❑CW CJf�- ,PTA ❑ES ❑PTS Phone# ( ) River Basin
C OEA L]HHF ❑IH ❑UBA ❑N/A
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yes PNA yes /� Crit.Hab. yes / no Closest Maj.Wtr. Body f t o'11iS 4 NLT
of Project/Activity L'w A Gt(( L e c4 ( r
(Scale: N
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length F ( �3
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number -� �' y/n G tf
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an distance offshore I r i ENE
max distance offshore j. IF
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ags: �I �►� '' ■■ - mil !_
orium: n/a yes �■■ .. 1 `+.. i y. • V ri.� ,....._ um
s: yes M■
r Attached: 41:110o i l I a ding permit may be required by: O c.€46,1J (S L4 . n See note on back regarding River Basin
/.• • IL J:r:�..�

D` ER
HOLDEN DOCK&BULKHEADS _ 3095
GREGORY A & DOROTHY HOLDEN
910-842-9732 HIS NCDL 4576438 HERS 5202642 ��� © vvv� 66 t2t5/e I
1502 STONE CHIMNEY RD SW (
SUPPLY,NC 28462
NJ:J. D ai\ti-2_ 1 $ 00.
rizo iiii,ly..._J_ Dr) -...J Pcikes n ';::atz.
WACCAMAW
-�BANK G G pa.3Z53`3 i i ,
Su pt4 NC 28462
z.ruruw.wacantax ank.comt 5,1 An 7� .-
For ( ---- -.- /
1:053 L L 2 L5 211:8000 L575301160309 ,
WILDUFE PORTRAITS.WP
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13 08 05: 33p Michelle Hager 828-478-5052 p.
i-03-2B8T wow From: To_8429 6
AMIN'
Raft*
North CaroLne Dep&Amentof Erwinnment and Natural Resources
Division of Coastal Ilanapsmset
was F. Easley.Governor -Arm0.Grown.Director William G
Authorized Agent Consent Agreement
tic p n t/d C 73(k I f c d S is hereby authorbod to act a
ovisaussmaciono
1 order to obtain any CAMA pen (e)required for the property liieted below. The authorization is
:pacific activities described in the attached sketch.
=A M OF PROJECT:
V r 1 jYl 1 n ` tin 5t iee-E-
OC, n_T. 1 , _Noc±b Carol_ nc,TT'
rIa05Y)f�s� �
PROPERTY dIMNER MA1LWIG ADDRESS:
_f
anct—L flajer
.G 1
ILLOsliq5, NC, 2X4.5/ pHonE Pao_ tYLeii..‘3
AUTHORIZED AGENT MAaUNG ADDRESS:
,se)+OnC C hlm[1e i 1 c _ `W
. i. .. C 2X41i2)
PHONE NO. I1)-j5' 10 e,5
1

13 08 05: 33p Michelle Hager 828-478-5052 P• 2
1V-09L70rA
�-U. -CYJCbI AV- rrV01-
CEg'iTinED MAIL •RE'ti'tJ_R -REc1'R-RQJJ $1 FD
piv)SIQN OF COAST MANAGEMENT
AD1e,CENT RIPARIAN PROPERTY OWNS,b4'I'IFJCA NLWeivERFORM
The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or
individuals listed below, The CAMA General Permit application procedures require that applicants provide the Divisit
Coastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property c
indicating that they have no objection to die proposed work of dint the adjacent riparian property owners have been no
by certified mail of the proposed work. Often these foams are submitted to die adjacent riparian property owners by n r
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 amok:
-�rlrinr);' 1'r k'c +7? u K Necad: ((( j L ideri
Authorized Agent's Signature Date
Name of individual Applying For Permit:, t<< ( A XI rtrl Yi.c4 Y1 trie Ct jer-
Address of Property �1)Is 1
(Lot or Street 1t, (�I'or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual applying for tfi
has described to me as shown on the attached drawing the development they are proposing A description or
with dimensions,should be provided with this letter.
I have no objections to this proposal,
If you hove objections ro what Is being proposed, please write the Divislun of Coastal yianagen
Cardinal Drive Extension,Wilmington.NC 28405 or ca11910.796-7215 within 10 days of receipt of Ili
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. boat house or bout 11R must be a
minimum distance of IS' from my area of riparian access- wilds waived by mc. (If you wish to
setback,you mast initial the appropriate blank below.)
ll I I do wish to waive the iS setback requirement.
/ t ran nnr wish to waive the 15'setback requirement. A t_ A

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