42010D - Daley

CAMS:/ DREDGE & FILL
ENERAL PERMIT Previous permit#
,New -.Modification ,Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Nat Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
❑Rules attached.
t Name Project Location: County ,c ;i,
, <r Street Address/State Road/Lot#(s) 1/5
State ZIP / %fi.; 7i-a / /t / / / G 5 ay C
( ) Fax#( ) Subdivision iclir)). A/yr, J
zed Agent City d�,//4.- /; ZIP `l-/:
CW EW PTA 'ES ;EPTS Phone# O River Basin Zd"'
d
OEA HHF IH UBA E,N/A
Adj.Wtr. Body L �t • :-,/ic/ vr-r
PWS: FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body
Df Project/Activity
(Scale: /'_
lock)length
m(s) __.— 1— —� { ........
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pier(s) C /+Zei44* 4-C77 �✓�y.Z /r -«- - ._�
1 rJ 1
length , i +
umber ; 1
:ad/Riprap length
-
vg distance offshore • _ L.......
iax distance offshore
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r
channel 1
ubic yards i ......... t ...... . I —i
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ne Length ,e'er^/ . ! I.._ — 1 .. t _
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not sure yes (no i I 1
gs: not sure yes (no
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)rium: n/a yes /n0 --- I .1 1....... --� .-F-
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Attached: yes i
1 I j
ling permit may be required by: . ,✓./ . n See note on back regarding River Basin

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: V i n -w�"
ADDITIONAL NAMES: h`f-NA,aa' )
AEC DESIG: S DEVELOP AREA:__O 2 PROJ DESC: P -1
(Will only take 6) (Will only take l;
WORK: lj 1,1 c
(Will only take 4)
MAINT:
(Will only take 4) •
IMP:
(will only take 6)
Sb .20
ACTION EXPIRATION
DREDGE&FILL REQUIRED: it 14 j OS L// /U5
CAMA MAJOR DEVEL REQUIRED: t I l t o s 11/ 14/06

12/27/2002 10:31 6109959181 C1MMLKMAN, 5UbAN KAUI
)ec Z4 04 11 : 56a Greg Holden 8429806 p. 1
&was t gj4JlltIA]�
Name Of Individual Applying Tor Penoaits _ _ .....--
Address ,Of Property . D (` -.
0)1 4Oar ah_�41• pQ'�S �r, S .F
�•y L0 or Screst r, Str.az o odd, c�t•I �a�ty;
/ t
/
I hereby c.rtity that I own property adjacent to the above
refas.need property- The individual applying for this permit 11a
.described to me as shown on the attached drawing the dswlops=
they are propos ieq- 0 A description or dravioq y -vi th d imens ions
should be provided with this letter_
I have no objections to this proposal. .144.4( 1814)L
yQu< Q ions to rtAt is baicic pravosed` alga.* s�►riSd,
p, �sion 9t coasts? Ma • -anent. 127 .- . . Cr3.vr s tenion
_
SILELaf
rffioe_ot of th s-ectiee--bra ress6112111 i r43 iaared te ,SA a
As no ottcion if you have be=n notified by _Cartirkge talk
ANWINISW
•
W=, a1"..,4.r
S understand that a pier, dock, mooring pilinqs, break/water, boa
house, lift or sandbags must be set back a•sirtisua distance of 15
from ay•arrsa► of riparian access uta.Lsss waived by sea- (If you wis
to waive the setback, you sin initial the appregr£ate bten
below.) -
•
•
I do wish to waive the 15'setback requirement-
. I do NM vish to waive thi 1S 'satback requi=ement.
•
L) 21• oY ATP%
S ilia•�ur,a n�r�

n- 11 -05 04 : 16P IKA Works HR 910 452 4279
an 11 OS 03: 29p Gre: Holden 8429806 p. 1
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WACCAMAW
BANK
Sup/4 NC 28462
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1:053ii21521:8000L5753000i829
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