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Home My WebLink About40491D - Grif LLAMA/ DREDGE & FILL N? 4 WeNERAL PERMIT Previous permit# w 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 15A NCAC,) / ;ni 0 i ules attached. t Name 0/A- GA) �' Project Location: County ' Afi -Si�/rlc I Ib}aA►-t (NA!1+ Street Address/State Road/Lot#(s) ( p4 / V t 0/v I 4-1 yr J State Met ZIP D,0 y 3 Pero,- LI N-d (^- t) f t'V /V() (q'f ` 77 3)- Fax# ( ) Subdivision/ �rr r- L-A,, �f9 ed Agent ( �fj(9 i4/del"- City/4 4ti µ ZIP .:: '6 l/ E 'EW GOV [ 1A 'E'S PTS Phone# ( ) River Basin /..--Gift 4 ❑OEA ❑HHF ❑IH ❑UBA N/A Adj.Wtr. Body 4J h/ ❑ PWS: ❑FC: A- vd. yes / no ) PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body Project/Activity /ii;v,tyl, /9,c/f A ti 00 4 All;J f" / (Scale: / ii: :k)length /yy' xb�_ (s) IX kJ ' er(s) igth nber fi. I/Riprap length distance offshoret\\ K distance offshore annel 4-4.- is yards— ' — v. � 1 F Boatli 4 Ise l`f? I 1-4_ 4+ illdozing 4 r/o41" , 'riy ' ^CP Length 4_► S , -" not sure yesn � ?, �"� lD'° ^� not sure yes j .,� on: n/a yes g /mac\ f yes ' ttached: yes ( n� g permit may be required by: /74/4v g d/ . See note on back regarding River Basin ru %. AIVA/ Ci DREDGE & FILL N9 4 GENERAL PERMIT Previous permit# - WGew ❑Modification ❑Complete Reissue ID Partial Reissue Date previous permit issued thorized by the State of North Carolina,Department of Environment and Natural Resources ',� he Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC)// ODU f.-.1�HC�ule� � s attached. cant Name—; 1a' 6i (_ Project Location: County ess /Cf ' tom' 1�,1i" eovca f- Street Address/State Road/Lot#(s) 1�,ti* // Iti l''�bA/ tit le"i State /Mcf, ZIP Di 0?-3 ron•- 4A4if,-) e#(''' lt/ 13'1- Fax#( ) Subdivision n/-p - Leknicir orized Agent 6.4i6 !-ate- City j a+' ' .t4C. ZIP ted ig6v C E' CA 4 ❑A l PTS Phone# ( ) River Basin /...-1441/it ❑OEA ❑HHF ❑IH ❑URA ❑N/A (s): ❑PWs: ❑Fc: Adj.Wtr. Body i1'+�i n t ✓: yes / no PNA yes /(o Cris. Hab. yes / no Closest Maj.Wtr.Body A' `/'"-/ e of Project/Activity Jil',j v p,e./i' ,itnA) A1-4- c/ y '/ (dock)length l y i I A t �Sgle: / .rl 1 :form(s) /�`)c ; ' ' ' .. - -.- 1 1 I I • ..-. . -:_.1..-----`- ._ . ;er pier(s) j t I i .f • . .._ ---- -- •i-a...--T•-I -- .- .- —.;..... g :in length _._.._. �—i - • number r-_ ' : - : - -i k - : �; : (head/Poprap length I -- ' J i. I avg distance offshore [ ' f T `1 1 -i max distance offshore - t J -7-7 tT-I I j- �_._ . - -_; n,channel r-„- i I-i- ' - �. i ! ! ; - ( ; 1 I�- i JI ; I 1- cubicyards _ -=' I i - - j-` I ` I 1 1 1 1 '•j T . t ramp ' -}--+�-�- ; 1 g-- -i- 1 _!- ! ..-I r..+ ,4----i thouse/Boatllft • i ; ` i -i • r ! I I , i i 1�� f h Bulldozing _...I .. . - , i i HLJ ,! j L 1 •aline Le r _ -�" -?--t-+ --+-_ T-_�__I--- i Ibags; not sure yes' n esI —:.. —l— -- `,i - i•� ! _t +Q !? not sure -+ -I -, --t•---1,--1 I 1_I I CT'�—_ i 1 atorium: n/a yes I _ i- '-1 _4-`-r i'1- I i i !_ :OS: yes I I�_ i ; ..__ I1 _..-- T- --- L— --_..I. --_I..-f--=---i-----' -1.-1-- T i -ter ,erAttached: yes n L '..._ij.,._L____!- ,i ' ; ; i. L- - - ; I- ----3-...i. •i_ .. —.. ;- --. t_ � f: � gilding permit may be required by: th/fp.y 9 e•/ ❑See note on back regarding River B sin ruff qc/Cnc.A.I!^......1;44..... A-.._ A _ A P...4..i A /••ai 4 f._ ,i AJ e -/ /A_ a' . , uy aVn ncocal Vl� 9/ 10/CVVJ IJ.YY rn,% 010J4V9JCV ul tit From' 8429806 Page. 2/2 Date 4/82005 7:29:38 PM -• -V - - - - - - -- - - 1 r.,'I I , , u,lk I'lcc,;r'LK Y ()W„�vhR NOTiFICA,TION/WA - F(1RM Name of Individual Applying For Permit: 6- r) G� Address of Property: �/ �, bk � --- (Lot or Street #, Street or Road) �I (City and County) I hereby certify that I own property adjacent to the above-referenced-property. The indivi applying for this permit has described to me as shown on tic attached drawing the development are proposing. A description or drawing, with dimensions, should be provided with this lettc . I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Cos Management, 127 Cardinal Drive Extension, Wilmington, NC 78405 or call 910-395-3 within 10 days of receipt of this notice. No response is considered the same as no objectit you have been notified by Certified Mail. WAI1 sterbri I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus set bek a minimum distance of 15' from my area of riparian access - unless waived by roe, 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 requirecucnt. 4111.1 . A-�c,,G os' Sign Name Date �o � ,o,�../A- A A ,r' 05 05 04: 30p pr 05 05 01 : 04p Gree Holden 8429806 p. l `i).imt_rty t Klt'.uuf\IN rKQl.'t: et Y OWNER NUTIFICATTQN/WAIVER FORM Name of Individual Applying For Pernlit: C ra ;S c-;- Address of Property: /a/// t/c"Qh "4 nJ • ('Lot or Street ii, Street or Road) (City and County) I hereby certify that I own property adjacent to the ahove-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 he provided with this letter. I have no objections to this proposal. if you huve objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 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 or boat lift must be set belt 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. _______X___ I do not wish to waive the 15'setback requirement. /LnNamc Date 7. A---(et, r,A 1---\---a (of f,t...„ , . Print Name ,_____r vp 05 05 04: 30p • 05 Q5 0l : 04p Greg Holden 8429806 P•2 /�l ` t F (. S r+ 1 �/1 C��1LrMCir dapr/y 411/ Lo 71i/ feerrt Derck f roIec1 41e141 bel /4°4- "o 7Vz-I73Z Aix ga'-8'+/24To4• C'elfrilt) 4 6-1°......-------- t A)01-441 L&.)120/ --- ---' (k,ef-PA9-71 Q2w 0..l`( 1. igi .ici ) 14. 0 .( c L0 r 571 o s- PAY TO ORDER E I $ 2ON9 mf tivkl/c%tVkel .vt eAio WACCAMAW BANK 4 " L06 1 f I '.`� Suppl}NC 28462 i www.waccamawbank. F„ ir►1iTA fir► �Fpe 4.5 - — —=--- Y 1:053LL21521:8000 LS753011'0190 Odvke.fwskan WILDLIFEPORTRAITSe WDWP 1