44858D - Hornof

AMA/:.'RDREDGE & FILL
3ENERAL 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 2oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC N ///., 1 a
[Riles attached.
t Name JG,,p,, ,i C/4/9 ,/1, rUf - Project Location: County ��,�S wi c
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Cw New-- E PTA- Iff PTS Phone# ( ) +River Basin
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yes no PNA ye ` Crit. Hab. yes / no Closest Maj.Wtr. Body �/
'Project/Activity / l i g 1
(Scale: / -
ck)length
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ier(s)
ngth L N �
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c Nprap length 5-0
distance offshore
a distance offshore -4--
cannel
sic yards 1170Je
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no
ktached: yes /
ig permit may be required by: NO id e,� 10.9c A __ See note on back regarding River Basin ri

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HOLDEN DOCK&BULKHEADS
GREGORY A& DOROTHY HOLDEN 2223
PH:910-842-9732
1502 STONE CHIMNEY RD SW J 2 fr b pep 66-1215/531
SUPPLY,NC 28462 840
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Supji„NC 28462 L �j MX /p
1:053 L L 2 L5 21:8000 L 7 5 301110 2 2 2 3
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tAti jK iv t K t:K1 UWN NO ICA ON/WA FORM
acme of Individual Applying For Permit: U ( e)cCc.rA )-C)C( --- -
ddress of Property: 1 0 3cu ' t 5 '1 r i U
(Lot or Street#, Street or Road)
b(de�. e�� �
(City and County) --
hereby certify that I own property adjacent to the above-referene d prey_ The individ
plying for this permit has described to me as shown on the attached drawing the development d
e proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal
you have objections to what is being proposed, please write the Division of Cow
[anagement,.127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-35
ithin 10 days of receipt of this notice. No response is considered the.Saane as no yob ectiel
)a have been notified by Certified MaiL ?-..,f, 'sr, f
understand that a pier,dock, ""4.;'��•.,., _. . . .
moo ring prima, breakwater,boat house or boat Iift must
bck a minimum distance of 15' from my area of riparian"access-unless waived by me.
3U wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement_
I dgnot wish to waive the 15' setback requirement
igf►x

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION/WAIVER FORM
Name of Individual Applying for Permit: Aif 46LD
/20 Salt- F., t]D
(Lot or Street# Street orRoad, City&
ounty)
I hereby certify that I own property adjacent to the above-referenced property. The
individual applying for this permit has described to me as shown on the attached drawing
the development they are proposing. A description or drawing,with dimensions, should be
provided with this letter.
//,.e? I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
'Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 or call
910-395-3900 within 10 days of receipt of this notice. No response is considered the same
as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring, pilings, breakwater, boat house, lift must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you 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.
Si mature Date