52096D - Jenkins

CAMA / CttIREDGE & FILL '
EN ERAL PERMIT Previous permit#
Illi ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
.rized by the State of North Carolina, Department of Environment and Natural Resources . // G
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ?
Gg}RGfes attached.
t Name /9V, D T G`/5// ,,'I Project Location: County 2u-i,j4„/iC,/
. P. ©. £a}c / i)4./b} Street Address/State Road/Lot#(s) / 5 S
, l"py.e. la StateN 4 ZIP 2 Y Y651 .S G,/p 2 7=/ S Ai _Do? .
(9/0 4T 4-9 V 9S-Fax#( ) Subdivision
'zed Agent 6,i p� G 1 cle,-- City A" 'Zc/ r 8.jOAG 4 ZIP 2 l/,
d ElC}
CW EW ❑-PTA 'DES ❑PTS Phone# ( ) River Basin G//4
❑OEA ❑HHF El E UBA ❑N/A Adj.Wtr. Body (f2,�A L- 07T 1�/L"w (nat
• ❑PWS: ❑FC: '/ wA✓
yes no PNA yes / n:: �J Crit.Hab. yes / no Closest Maj.Wtr. Body
•f Project/Activity P4,4./ /P /?u tkh P9e -/o , ,,— /I 0J',«� 1c.l,et ,,,,a/.�(Scale 7 �7
dock)length
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rm(s) ,
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•pier(s) `
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length I
lumber
ead/-Riprap length _co / I I
i j
tvg distance offshore _,a' I _
nax distance offshore �' r ------'-�_ `0 R ip 1
—�'channel ,
1
:ubic yards 1
amp
ouse/Boatlift
L11 ,mil. • ' .�/
._Bulldozing .-_ __...____ I A{ .il
1 I
ine Length S . I
not sure yes
3,gs: not sure yes `� 7/7 r —
orium: n/a yes , 1' I
E
yes — : 7 I iS� d/G� s4
rAttached: yes T " — // , . + j/1.1 C C_
•
ling permit may be required by: /a L de./ p, L
K/ L A n See note on back regarding River Basin
a c_,._:_.r.___.:..:_ . .Q/ / n . , J _I _ _ C 7// . . .. , .. - _, Li ..

HOLDEN DOCK & BULKHEADS
GREGORY A & DOROTHY HOLDEN 3015
910-842-9732 HIS NCDL 4576438 HERS 5202642
1502 STONE CHIMNEY RD SW Zs(, cV- 7-6 ss t2i5'S3t
SUPPLY, NC 28462 840
(, - NR 1 $ ,O0 °
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4 WACC_AMAW , ,
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S www.wSupfiy,NC 28462
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I:0531i 2L521:8000L5 7 5 3000 30
,., WILDLIFE PORTRAITS*WP

%-03-2007 10:02 From: To:8429806
AVA
NCD R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F Easley,Governor James H.Gro©son,Director William G Rea
Authorized Agent Consent Agreement
i
�� r )�( is hereby authorized to act on m
(Punted Nome of AQont)
n order to obtain any CAMA permit(s) required for the property listed below, The authorization is limi
pecific activities described in the attached sketch.
OCATION OF PROJECT:
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PROPERTY OWNER MAILING ADDRESS:
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AUTHORIZED AGENT MAILING ADDRESS:
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...--NAJJ r tv z 1Ur!P(LPdN 1'KUYIK 1 Y OWNER NO I"I. ICATION!WAIVER FORM
of Individual Applying For Permit: OW ,
ess of Property: I ,SW � f
cS bt
(Lot or Street#, Street or Road)
ear/Z,
(City and County)
eby certify that I own property adjacent to the above-referenced..property- The individt
ying forthis permit has described to me as shown ontte attached drawing the development th
Iroposing. A description or drawing,with dimensions, should be provided with this letter.
I have no objectionsto this proposal,
on have objections to what is being proposed, please write the Division of Coas
a�nent,.127 Cardinal Drive ltictension,Wilmington, NC 28405 or call 910-395-35
►in 10 days of receipt of Ibis notice. No response is considered the same as no objectioi
have been notified by Certified Mail
WAIVER.SECTION
idersfand that a pier,dock,mooring pilings,breakwater,boat house or boat lift mug
bck a=inhuman distance of 15' from my area of riparian-access-unless waived by me.
t wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
•
�.Ali!'. `i,,
go.Nffi1e Date

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DIVISION OF COASTAL MANAGEMENT
AMACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: r v �_ 1-4 eel v(-11,►,,a fr.
Address of Property:
(Lot or Street #, Street or Road)
)7 VD MP/k-
(City and County) -�--
: hereby certify that I own property adjacent to the above-referenced_.property. The indiv
applying for this permit has described to me as shown on the attached drawing the developmen:
ire proposing. A description or drawing, with dimensions, should be provided with this lett
S1 __ I have no objections to this proposal.
•
:f you have objections to what is being proposed, please write the Division of Co
Nl:auagement,. 127 Cardinal Drive Extension, Wiltnington, NC 28405 or call 910•-395•-.
vithin 10 days of receipt of this notice. No response is considered the same as no objecti
'ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu;
et bck a minimum distance of 15' from my area of riparian access - unless waived by me
on wish to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
ign Name Date

DIVISION OF COASTAL MANAGEMENT
ADJACEN1,�RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
II
dame of. Individual Applying For Permit: I r t-� . �' T2 res ems ,� t4-yri Q 1u
'address of Property: JZS Mat- iI;N r— .
(Lot or Street #, Street or Road)
oiaeid geo-c
(City and County)
hereby certify that I own property adjacent to the above-relerenced.property. The indiv
applying for this permit has described to me as shown on the attached drawing the development
we proposing. A. description or drawing, with dimensions, should be provided with this lett:
h
= I have no objections to this proposal.
•
f' you have objections to what is being proposed, please write the Division of Co;
vlanagement,. 127 Cardinal Drive Extension, 'Wilmington, NC 28405 or call 910•-395-:
vithin 10 days of receipt of this notice. No response is considered the same as no objecti
iou have been notified by Certified Mail.
WAIVER. SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu,
et bck a minimum distance of 15' from my area of riparian access - unless waived by me
on wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
ign Name Date •