HomeMy WebLinkAbout52057D - Holden LLAMA/ LJDREDGE & FILL
3ENERAL PERMIT Previous permit#
New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 2A/, l/ s'a
Imes attached.
t Name teeth✓ �>'#4/J",13,.,re C C ✓44„, ; Project Location: County Je w (4'9C/
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ted Agent 6RCG d' 0/Pr, City A4 Zoo,✓ pg c A ZIP 2-F0
❑CW 4E-EW EIPTA 0-ES ❑PTS Phone# ( ) River Basin L y,-,,,4
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑PWS: ❑FC: Adj.Wtr. Body CL9i✓9 Z. A/4!/G✓ (nat4
yes y�o J PNA ye... .....":„.) Crit.Hab. yes / no Closest Maj.Wtr. Body
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ing permit may be required by: 1i'p/(/v,_- e"79G /� Li See note on back regarding River Basin r
)LDEN DOCKMALLARD DucKs .`
& BULKHEADS;EGORY A & DOROTHY HOLDEN 2979
-842-9732 HIS NCDL 4576438 HERS 5202642
)2 STONE CHIMNEY RD SW 66-1215/531
PPLY, NC 28462 7�irfi 840
70(PC4A-UkrliPtiGAk....n <k- )674- parirs.
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Mrchael F F.Eabley,Governor Jarmo H.Grown,Dkodor WilGorn G Roo'Jr.
Authorized Agent Consent Agreement
l'r r c o\ is hereby authorized to act on my b
(Pilaw/Nome or Aeon()
in order to obtain any CAMA permits)required for the property listed below, The authorization is Iimitbd
specific activities described in the attached sketch_
LOCATION OF PROJECT:
S
PROPERTY OWNER MAILING ADDRESS:
ILI—Lo_ce)r) 4e)trin-) ci e a CA
. 5� L �- r
u/I a d Al a?�6- ` PHONE NO. 7 /Q- �1 - (pO('( ,
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MAILING VG ADDRESS: e i 4 Vs O o � Ad
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(1.3aLLJ4L: cDBef Co:D— PHONE NO. j
Signature of Property Owner: I- _
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