39791D - Stanley

•
ICAMA/ 11 DREDGE & FILL trd—
3EN ERAL PERMIT Previous permit#
;New —Modification _iComplete Reissue IIPartial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I5A NCAC;)/' ./i;.'_'
r.b� tiIe les attached.
t Name e a(p� Sl i Project Location: County • V1n/5 V K—.
,J i 7 e>f_e2z 1.,10 a ilk A ') 55^.--iP 1./U0 Street Add ress/State Road/Lot#(s) `o 4 $ 3 5/
e ui//e7 State A.0 ZIP 30 3 • .f'(-fr-c `( LAA e 5E-4 5 -C
`(1/0) ) ) - 7bb7 Fax#( ) Subdivision 584 SC -Pr
,ed Agent &R G(0-44NDEW City ,_'.1 i7?k( ZIP �V1
E CW ❑EW ❑PTA fps ❑PTs Phone# ( ) River Basin /....u I'h
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body /7 4'-j nat)
❑ PWS: ❑FC:
Closest Maj.Wtr. Body > U/
yes / no PNA yes / no,: Crit.Hab. yes / no
1 0
f Project/Activity t3„ 'KUQ „pAtiD�
4-i) 1 /kiLn O CMIA }-6.-5 ,
(Scale: /�: 1
ck)length
ier(s) t
ngth - - - - ( .;
P P length
distance offshore ....__ + _.
r
Ri ra len h `9 .
i
oc distance offshore i t ?ram i _ -
iannel
bic yards -.,_, _�--• ._ . 1
0
Ise/Boatlift ,,,,,....1 (�
.i., 1 -
4
i
e Length /96 1
I.
not sure yes ® / --
Ili— �__.. ri0` y '.__...._—
I r• 1 ,�,� j
s: not sure yes {fjp? r L..- f r% r- 1 - i
1 ' ft- t--u.-• '1,./ () "( : ____i__ i 4 , _L
Yes & .y.. .. Y... -}.
attached: yes _ 1 1
ng permit may be required by: / hti i W ( . P See note on back regarding River Basin r

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HOLDEN DOCK
& BULKHEADS
GREGORY A & DOROTHY HOLDEN 2247
910-842-9732 HIS NCDL 4576438 HERS 5202642
1502 STONE CHIMNEY RD SW �`-- l ,i/} 66-1215/531
SUPPLY, N 8462 746. 1 /5 I C..�i 840
''',4100.'.iV.'tq,',"'. 1/
Via: a /
One #0- irl.c( aAi\L-- , ci-\J‘rc%/----- p0,4,T n itaL:::
W 4 WAC KCAMAW
BAN
Sup/l)NC 28462
www.w bank.
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1:053LL2L5 �211/ /:�8)0001 � 5301 n2247
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menran //7� —../.✓ _,v _l WILDLIFE PORTRAITS*WP

111 : HEMOPHILIA FIRST PHONE NO. : 3368520167 May. 30 2006 08:3
5. , y,.r tv_► K!- k_ )I' K t Y uw NER NQTI ICATION/WANER FORM
Name of Individual A'plying For Permit RAO
Address of Property:_
p,ot or Street#,Street or Rnad)
•
(s:ity and County)
I hereby certify that I own property adjacent to the ahove ref ran ed,.property. The individual
applying far this penni t has descn'bed to me as shown onto attached drawing the development they
are proposing. A desc ription or drawing,with dimensions, should be provided with this letter.
VI have no objections to this proposaL
If yea have object ns to what is being proposed, please write the Division of Co to
Management,.127 C trdInal Drive Extension,Wilmington, NC or call 910-395-3901
within 10 days of ree Apt of ibis notice. No respoule is considered the same as do objection i
you have been noti8 d by Certified MaIL
WAIVER SWI
I naderstand that a t der,dock,mooring pffmgc,breakwater,boat house or boat lift must b
set bck a minimum d istanceof 15'from wares of riparian-access-unless waived by m,c_ C
you wish to waive th:setback,you mast initial the appropriate blank below.)
I do wish to waive the 15'setback segttiremant.
I glculat wish to waive the 15' setback rodent
arise fla i

may. jU. IUUb : ZUYM H H GUNS I KUt, IUKJ U429806 No (J/ I r•
Hl_r.v Y UWN�R NO CA pQRm
dame of Individual Applying For Permit: U o 4- S t4Avi, j
kddress of Property: �IJ ) � ,C
(Lot or Street##, Street or Roctat9
(City and County)
hereby certify that I own property adjacent to the above-referenced.property. The individi
ipplying for this permit has described to me as shown on-the attached drawin g the development th
ire proposing. A description or drawing,with dimensions, should be provided with this lettrr.
I have no objections to this proposaL
Et* you have objections to what is being proposed, please write the Division of Coas
Nlanagement,127 Cardinal Drive Zzteasion, Wilmington, NC 28405 or call 910-395-35
within 10 days of receipt of this notice. No response is considered the same as no objectioi
you have been notified by Certified MaiL
wA1vFft szenols - - �"
I understand that a pier,dock,mooring pilings, breakwater,boat house or boat lift muse
set bck a minimum distance of 15' from my area of riparian access-unless waived by me.
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 requitement
firt P.
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