44087D - Gatley

'CAMA/ C_I DREDGE & FILL
3ENERAL RAL 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 ,., , //e�
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
s, [4}RtTes attached.
t Name C4P/11's 6A/h/ Project Location: County FQyrstiicjj
'I3 -S1 L Y'/�2 e e j I Ci✓ a Street Add ress/State Road/Lot#(s) J J V �y,dit
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cieJo✓ ` Stater" ZIP ,3 YJG.S
•( ) Fax# ( ) Subdivision
ed Agent Ca 9 //,r p,✓ City IIoLrii.- &' A ZIP 2 TV,
Cw I ETA 'ES ❑PTS Phone# ( ) River Basin LVM)
OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (1, ,rA L pi) ' 4 ,w (nat
PWS: ❑FC: n
yes PNA yes no Grit.Hab. yes / no Closest Maj.Wtr. Body �7 /L✓y'✓
r Project/Activity Z 0,149 c r C < 'S)..f E,r/4)1r.g i
(Scale:/ -
ck)length •
i(s) /
ier(s) � , L
ngth
mbar — �
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)/Riprap length ,S y ,
I- tdistance offshore .2l __I
IX distance offshore S
cannel _., ... ,
l - L.:Y.re} ,',
Sic yards i
np } - '....
se/Boatlift I
ulldozing l J
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I
e Length _7t ,
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not sure yes -Flo rnLr s f _
s: not sure yes no /
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turn n/a yes no , �,. 1 � �,/�
yes gkttached: yes #
ng permit may be required by: //(, l �^�' y t.:., /! I See note on back regarding River Basin r

•
GRIZZLY BEAR
•
HOLDEN DOCK& BULKHEADS 2�92
GREGORY A & DOROTHY HOLDEN
PH:910 842-9732 1 A ¢D�
1502 STONE CHIMNEY RD SW
pep (� 66-1215/531 •
� gqp
SUPPLY 28462
PAY TO THE — $ 9:00 1
ORDER OF
• WACCAMAW
BANK -
Supply,NC 28462 j
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P e_e y,c) 6 ` y i a cot)
1:053LL2L521:800 753 602L9
WILDLIFE PORTRti S*.P
6 G' o - ( WILDLIFE
•
•

r tv i tur&ctAiv rKOYLK 1 Y O W NER NOTIFICATION/WAIVER FORM
ie of Individual Applying For Permit: C how-I,es • -q, l P
>,
ress of Property: I Z 4 "T.}
(Lot or Street#, Street or Road)
0 VA' g_eatek
(City and County)
-eby certify that I own property adjacent to the above-referenced_ ro e
P P rty. The individua
ying for this permit has described to me as shown on e attached drawing the development the}
>roposing_ A description or thawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
Du have objections to what is being proposed, please write the Division of Coasta
tagement,_ 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390(
in 10 days of receipt of this notice_ No response is considered the same as no objection i
have been notified by Certified Mail.
WAIVER SECTION
derstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must 134
►ck a minimum distance of 15' from my area of riparian access -unless waived by me. (I
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_
!"(-, '
Na Date

r.tv t tur -uAN rKurhx l Y OWNER NOTIFICATION/WAIVER FORM
ne of Individual Applying For Permit: C r[te S i f
tress of Property: c
(Lot or Street #, Street or Road)
\ Ps1c,L
(City and County)
reby certify that I own property adjacent to the above-referenced_property_ The individual
ying for this permit has described to me as shown on tl:_e attached drawing the development they
)roposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
on have objections to what is being proposed, please write the Division of Coastal
iagement,_ 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
tin 10 days of receipt of this notice. No response is considered the same as no objection it
have been notified by Certified Mail.
WAIVER SECTION
derstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
)ck a minimum distance of 15' from my area of riparian access - unless waived by me. (II
wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
\/ a' I do not wish to waive the 15' setback requirement.
�r. 2 S: t R 44- r L.. J 71 m r (fir li r� o� �,,. . pervil 4o Rtnig"
4 0 I C qa ra STD
�a.�o� .t r�2 - LQ�d�2J
i Name Date