52055D - Mintz

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CAMA/ ❑DREDGE & FILL 5
3EN ERAL PERMIT Previous permit#
(New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources /�
Zoastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ,�' /2 L G
/ -Rules attached.
it/Name ,111,4 4 0/ 1 , , T Z Project Location: County 6/I 0 NS '. ,c�e
b G ; r. ; ..r,. - '..'i' Street Address/State Road/Lot#(s) / P 2�i 4
1 1-F,f a '�` State/ ' - ZIP 5� 1
t•(2/0).210 -4//1b Fax# ( ) Subdivision /
:ed Agent (iz.4., G'1 d e.., City/90 1d o, e57_A.5ic 4 ZIP 2 F/
❑CW ❑°EW ❑}PTA EMS ❑PTS Phone# ( ) River Basin L y 4,
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❑OEA ❑HHF ❑IH ❑UBA III N/A Adj.Wtr. Body C Q t „(' D1/V
Cl/Iv /' (nate/
❑ PWS: ❑FC: .-
yes / no ' PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body 19) W l✓
I Project/Activity /9 r:l Q' .A"'i i t e -(71 710 E)( I S)`. > P,e, YA .e �' , 0,/2/2
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imber
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id/ftiprap length �; / 24,
g distance offshore —_-. _._ ! _..
ax distance offshore I Li X'i A r
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AttachedX i no .. ,
ing permit may be required by: /7/U 440n/ 8P9 c A U See note on back regarding River Basin r
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HOLDEN DOCK & BULKHEADS •
GREGORY A & DOROTHY HOLDEN
910-842-9732 HIS NCDL 4576438 HERS 5202642
1502 STONE CHIMNEY RD SW
SUPPLY, NC 28462 740
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• 25 08 01 : 24p Greg Holden 8429806 p. 3
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Nzm of Individual ApplyingForPermit: + 1 ciAr 0 ( 1.
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Adcrs of Propc y_ / •1 4 f" D i Vti-1 , .��, _
(.Lot or Sty ilk Street or Road)
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(City and may) •
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I hereby comfy that I own property adjamit to the ah
PIYfarmispacmit g'oPY The imd;vidt
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t proposing_ A
L° sbvwnaa tke attached gthe development
or drawirtg,with ems,should be provided with this letter.
X � x have no obecctigps to thiS proposal.
If yo* hay. Objections to what
�vd�12'! �ar�al Y]a�,,4,��OO�d' �e woe the b±c�►isioo of Coax
,wri�un 10 wt�x� � i NC S or cell 9']�4.39�3�9
r'�ai notice. No response is considered the Samara s yoo have beta notified by Certified Mal. r1e objeditol
-"Traffilek7Wilerair
X understand that,a per,dock,mooring panes breakwater.hoot house oar
set bch a.minimum&seam=wnf15'frost bust Eft mum
you wish to waive the setback, nay area of -��-tt4irsx by me..
�4�musts the appropriate Monk below.)
X.C:4_,_:_. X do'wish to'wave Vic LS setbsekrequirozoent.
I Alma wish to waive the Ys=fleck
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• 25 08 01 : 24p Greg Holden 8429806 p. 2
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Rpr 21 08 08: 17b Greg Holden 8429006 P- 1
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North Caroline Deer 1n. tol Emend Natal lirstomos
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AMIterized Agent Consent Agreement
-re_ 440 1 A-1. is hereby esselortzed to act e
tarw rani erAgerAf
in order to Main Doty CAM palm .)rogired for Mo p+oporty Need beip , The atMorizition 4
specRc activities deemed ie Ms slitecheci sketch_
LOCAUON OF PROJECT:
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ttc,)1114., :37 .eckeAr. A - _e—
PROPERTY OWNER NAILING ADDtNr9S:
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Ji641„ 7 ,l y/ v $ YZ�ac)
ai llettl b Of Property cfar /Q .P1.1./..
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