38927D - Edwards

CAMA/ Pll DREDGE & FILL
1ENERAL 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 -7N./. v
cii Rules attached.
It Name / " "y G >' '' {� Project Location: County 5i,,,;.5c.4.),C/�.
/7 .,i <_ %7i. /7 , /v c Street Address/State Road/Lot#(s) / 2
‘6c .--) &ea'c/ State NC- ZIP .❑$5/i'z , ez L/ r>h
(9/9) 2&4 lF$'4'% Fax#( ) Subdivision
:ed Agent City ._//vCoc, Bct cL ZIP Z- 2
E CW gEW PTA ❑ES ❑PTS Phone# ( ) River Basin Zit/r if
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (,,:r4 rlt (nat
PWS: ❑FC:
yes / no PNA yes / no Grit.Hab. yes / no Closest Maj.Wtr. Body /?>c vc-
F Project/Activity / e-c< T L-/�f'
(Scale: /''-
ick)length
i(s) Cam' I f ,
}
'ngth1 I I .i
I
mber i 1 *'�► 4
d/Riprap length i
L T - i
distance offshore
I
uc distance offshore _—.--_ __ —_ ' — I _...
. eI f¢ 1
cannel ; f 4. ,c s . {
- � TA,_ — —
_ i
bic yards i1
A + 1.
f i -1-
Ise/Boatlift; /3x/..3 } ! J/ V 1y / }
l� �} i "..x''s �./1 v v, 1
,, V^
ulldozing ✓ 4/' +✓ 3 I No V /.
e Length �>u j 1 -I I _ _i-- -
not sure yes ' I I-,` li I . O �_ 1 — -
s: not sure yes nd 1
urn n/a yes n �#�.....
-t
Yes l.— +•.... ?- -
attached: i j 1 I 1
ng permit may be required by: -46-Cder) .�c.aC/i, . H See note on back regarding River Basin rI

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: ? > c c
ADDITIONAL NAMES: �/ o"e
Z AEC DESIG: T DEVELOP AREA:_ . L PROJ DESC: P - 12
(Will only take 6) (Will only take 1)
WORK: ,?5;2_ /3, /3
(Will only take 4)
MAINT:
(Will only take 4)
IMP: Q c ) ./ q
(will only take 6)
ACTION EXPIRATION
DREDGE &FILL REQUIRED: (6 -23 o y 5'- 2 3.05c '
CAMA MAJOR DEVEL REQUIRED: Z3 •b`1 9` �3 •.=) -

May 5, 2004
Mr. Wayne Tucker
805 Winberry Court
Winston-Salem, North Carolina 27104
Dear Wayne,
We are writing to request your permission to allow us to have a boat lift installed at our
dock on Sailfish Drive, Holden Beach. We are hoping to have the installation take place
early this summer. We would appreciate your assistance in providing the town with the
permission required by signing the statement below.
We have enclosed a self addressed stamped envelope for the return of this permission
statement. Please be sure to contact us via Todd's cell phone, 919-264-6869, with any
questions or concerns you might have regarding this request or the installation of the lift.
Thank you for your cooperation in this process.
Sincerely, ` V
ece_e_c)ct404.09 jrafrut$44-• •
Todd and Betsy Edwards
172 Sailfish Drive
Holden Beach, NC
I, (name) /4/4-(d-- , give my permission to Todd and
Betsy Edwards to install a boat lift at their dock located at 172 Sailfish Drive, Holden
Beach, NC.
Signed: C Date: ,5 9 0

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 7 Q D &Fl
Address of Property: i b f L F 3 1q. b
(Lot or Street#, Street or Road)
EA-C44- , d ft-f/NS w1 c am- C,
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The individ
applying for this permit has described to me as shown on the attached drawing the development ti
are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
within 10 days of receipt of this notice. No response is considered the same as no objectiot
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
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.)
gI do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
60Afrok, q_ Ati,vgazt
Sign Name Date
a. A r.- " 1 _ .. _ ,--I-- ` w

81"
arbor Acres Canal
i4r
• Goosed rdt location---> 13 8,
141
2' 1.25 " 1
argett 174 Edwards 172 Sailfish ucker 170
airfish ` •ailfish IL4fLiti 1
UPPER— DOcit
LI ' ll.s " vJ
10 5 • L.
FRorn er5sA f
Posr^s To
UPpit. DEcK/i
II '
192.0.1 uPPrD
'ram BuL
5'

TODD J EDWARDS 2174
ELIZABETH B EDWARDS
8609 Carriage Tour Ln ss 2v53o
Raleigh,NC 27615 �] ' BRANCH 44737
u:u
Pay torthe %1E,� /[7 $ /! 0-U
Order of �/ �V !1 ( l./ a
(/lL a _" 8t u is o.
—"Dollars e.a.
111/1
WACHOVIA
Wachovia Bank,NA.
A 0219
For V ) �Sf' Z �
iw
1:0530002L9i: LOG 269 ? 20632211° • 2174