49116D - Holub

CAMA/ RI DREDGE & FILL
3ENERAL PERMIT Previous permit#
New ❑Modification Complete Reissue Partial Reissue Date previous permit issued
-ized by the State of North Carolina, Department of Environment and Natural Resources
;oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC P 4 . ) I of-)
,,, li2ules attached.
t Name 61 1-L vAoLu13 Project Location: County 16Q vN sty.)I CCG
Lt' 5 e: 7 04- S► Street Address/State Road/ Lot#(s)
(L I<U h)Q State `L ZIP S 5 4302 E. - >', - i T ('Q,
( ' 1 ) 7j3-6f27(. Fax# ( ) Subdivision
ed Agent tf L! tfrv1'F1‘_:, iY\i}>L 111tl1G 6LiI LOO ity (Dec:1-'1/ \51..14N3C....' ZIP 281410
❑CW ❑EW ❑PTA 4AS ElPTS Phone# ( ) River Basin Ceet
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body A-I A/0i fihts r
❑ PWS: ❑FC: Al W,r✓
no yes / PNA "6/ no Crit.Hab. yes / no Closest Maj.Wtr. Body
'Project/Activity 'V( /A) / /7"7}() << I WU00)
(Scale: I'• L
:k)length
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1(s) -_1 I I -.1 /r\ it W IN-',„
ier(s) & =S TA K-t-S
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ngth 1--;--— --I r
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Tiber =-
W
Rip rap length - I'l1'I�1A11N&w.1, , , I ` I .I-ti1 ►-L_)17& p UI.NQ
distance offshore Y -
x distance offshore ` ►t _ AT C R L A °wA
cannel 7'4 1 i i 5 i
ti
�)ic yards
lP
se/Boatlift ' rillX CoY1*1A L
.JO j 44._ — - 4404 NiO
4
11
illdozing Y/ I • I _ - .-
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Length i V C7 j ._ i )
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not sure yes no — .
not sure yes d _ _' y, 43
cum: n/a yes Co - --� 3 !T� tn{7
— - — _
yes no 1
kttached: yes no 'I i 1
ig permit may be required by: Oae I S L F9i J 7 . I See note on back regarding River Basin ri

;.lug, if- 11Frd
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PROPOSED 71-7116-1/
EARTH FILL ;� - b / �t \
PILIING (� @ 6
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1-177 �t� g TanoQ o 0
„404 0644041ps
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Pall e/e u11bri-
DINGoD
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SEA POSk -- A-r ,ox S (}z

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MINGTCN NC
SEP 1
2007

LL/L L
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: A/
Address of Property: i jQ� / L3(.9
(Lot or Street#, Street or Road)
--a'A/A/el g
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individi
applying for this it described to me as shown on the attached drawing the development th
are proposi A descriptio or drawing, with dimensions, should he provided with this letter.
.4
have no objections to this proposal.
If you e objections_ to what is being proposed, please write the Division of Coasi
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-72
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must be s
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yc
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
FiEC
I do not wish to waive the 15' setback requiremer M WjLA �GTok
ECj
SEP
12keideci— ;2-1(---. 7/4/0
Sign Name Date
" rzzv- J . b— .•"1
Print Name A' A

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
rh
Address of Property: 3O2 93c9 y 30
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property.applying for this permit has described to me as shown on the attached drawing the development individtl
are proposing. A description or drawing, with dimensions, should be provided with this letter.
er
I" I have no objections to this proposal.
l-
If you hay• •bjections to what is being proposed, please write the Division of Coasi
Managemen 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-72
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yc
wish to waive the setback, you must initial the appropriate blank below.)
0 I do wish to waive the 15' setback requirement.
q .
—4/4--- ,
I do not wish to waive the 15' setback requirement. °CM!'Ii �E
SFp/C4
41/GT ®
S.gn Name Da?-77
Af S
Prin ame 2 AT"?I"A

Aridi
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor James H.Gregson, Director William G.Ross Jr.,Secretary
Date 7-/2 -- D
Applicant Name /f//ari j. /i4
Mailing Address S 2-0 S
O� lc 1a lid A/C 2zq
I certify that I have authorized (agent) ,g I I ( 10 h14 y to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) h(./4 fj eq ,
at(location) /3 a Z S� Grc T� ,1//•
This certification is valid thru (date) ��.2 -0 , DC'
Signature /� l�G,� ��zM
FP l�/�T Fb
o 0
4 ?OO? ' NC

09/17/2007 15:35 9102787276 M PAGE @1
Fax Cover
From: Maritime Builders (Bill Thomas)
115 E. Island Dr
Oak Island , NC 28465
Tel. [phone]
email [e-mail]
To: Heather Coates
Re: bulkhead information for 4302 E Yacht Dr.-Bill Holub

18/17/2007 15:35 9102787276 M PAGE 02
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