38984D - Brown

CAMA/ ❑DREDGE & FILL
;ENERAL PERMIT Previous permit#
New 11Modification ❑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 '7// ./.2-0-0
❑Rules attached.
Name Z./.7) / ,lresGtrr/ Project Location: County One 1)5uJ I C�
//U VG7)C G ' r/V Street Address/State Road/Lot#(s) /0 0
5 r 6eh-v State A/C-ZIP 2'78'8 6 04 r/o H—c ,. 7 -ee e-
(mm) 624 C(driFax#( ) Subdivision
:d Agent ( cc, //acc%,? City i (c/c n 13(1c6A ZIP .2eYeo.
❑CW KEW 1TA ❑ES ❑PTs Phone# ( ) River Basin Lei Tr)
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body CG ria-C (nat /(1
❑PWS: ❑FC: /�7 COG()(
ies & PNA yes IC) Crit.Hab. yes / no Closest Maj.Wtr. Body
Project/Activity Co..7.,_Tfi-uG�/�Aie r--' 4 {}GCS
*a L/P (Scale: /'
:k)length - ,�
(s)
er(sexIST gXZo : (, o 7 ey
, I -F
igth �, } j
fiber 1 } --_-� ! 1 -
/Riprap length
distance offshore 1
c distance offshore - '.. -I —
annel j } I a }
j -,- ( a—
... I 1 i - -- • _.
ic yards 9.. { — -1— r r .i _ . . _.
t2/Pilp •
illdozing ! ' i
f i
t j
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../E liGepd.;d
Length .�� � Ni r 1. 1 �ytyt10rc-.-.f ; ._ ��_
not sure yes •no { t �, {
not sure yes
—,-.-.
gym: n/a yes �... -- ..i...._ �_�
yes -- I
ttached: yes . i : i
g permit may be required by: /mod.. ,-; `73et2e. . I I See note on back regarding River Basin ru

06102/2004 16:23 9103233555 PAGE 03
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06/02/2004 16:23 9102233555 PAGE 02
• ,05/31/2004 03:49 9109d29896 GREG HOLDEN
PAGE 01
"C
PIS
. Nam. of Individual Applying Por Peruit: ; h
is
Address*of Property: - ? `far 1 �4 cow
C le -% 4 "` S
(i,o or street , Street or Roe
C ty oun Y)
r*P hereby certify that Y own-
described me as property. The individualpply� for this permit
has
shown onhas
they
are pmpoa the attached drawing perait
should be provided with this letter.
or draw the development with dimensions,
—.— I have no objections to this proposal
• .� -), • ,
of - 1 • -` „IL! !It ,J. •
• '
X
I understand that a
•
house, lift pier, dock,, mooring pilings,
from ae free of mist be set bark a mini , a►ater. 15'
below � the setback,riparian y� Mila initial by as (If distance
of
the appropriate blank
'c ' I do wish to waive the 15'setback requirement.
I ga_arat wish to waive the 151setbaak requirement.
Pr t Names cg 5,, .,, °:.naf Date AA .

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
ame Of Individual Applying For Permit: %��)\-Nj , L `'Ajk,), AL\ ,)(Ow
.ddress- Of Property: \ 3'`-\ „0„, \b-v\-e .
(Lot 'or Street #, Street or Road, City & County)
: hereby certify that I ovn- property adjacent to the above-
•eferenced property. The individual applying for this permit has
lescribed to me as shown on the attached drawing the development
hey are proposing. A description or drawing, with dimensions,
,hould be p ovided with this letter.
I have no objections to this proposal.
•
:f you have objections to what is being proposed. please write the
)ivision of Coastal Manaaement. 127 Cardinal Drive- Extension.
filminaton_ North Carolina. 28405 or call 910 395-3900 within 10
lays of receipt of this notice. No response is considered the same
Ls no obiection if you have been notified by Certified Mail
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat
Louse, lift _ must be set back a minimum distance of 15'
from my area of riparian access unless waived by me. (If you wish
:o waive the setback, you must initial the appropriate blank
Below.) -
I do wish to waive the 15'setback requirement.
I .
I do not wish to waive the 15'setback requirement.
(A A Jn 1 / iA , r)( / I e\ , I a,O=WT1Mo►.

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• GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: n 4 O y ' -
ADDITIONAL NAMES:
AEC DESIG: (i) F' I DEVELOP AREA: .C.' / PROJ DESC: rJ -1 2-
(Will only take 6) ——— (Will only take 1)
WORK: 5 V l 2, 13
(Will only take 4)
MAINT:
(Will only take 4)
IMP: CAN i 6
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: -30 • 041- • 30 ,
CAMA MAJOR DEVEL REQUIRED: (o • 30 • 04 i• 30 • c4

HOLDEN DOCK & BULKHEADS
GREGORY A & DOROTHY HOLDEN 1689
PH:910-842-9732
1502 STONE CHIMNEY RD SW G V +l ) •66-1215/531
SUPPLY, NC 28462 ZPr
�� 840
WACCAMAW
BANK 3gc6i1_ 73riae
Su ty4NC 28462 unew.w /
www.waccamnwbank.com 1 _
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1:053LL2L521:13000L57530 fie OL6139
OCIn/Ne Ponerkwn WILDLIFE PORTRAITS*WDWP