38502D - Hall

❑.'CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC '7/V /2 00
❑Rules attached.
nt Name i//©1G ,S• /A/l , Project Location: County �,rZ-r"75,u iC�
`
s //3 plc l t.1--(cp vv //e .374 c":` t Street Address/State Road/Lot#(s) //3"
/ctcd, ec c/J State /VC ZIP,.i8'/,. `"al eV/%lt
#( ) Fax#( ) Subdivision
ized Agent r c..-1 jr rc,',.&5 City /1-T�c�,i ( C// ZIP f/L-
d ❑CW ,yiEW XPTA ❑ES ❑PTS Phone# ( ) River Basin 7/(rr
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body L� i<.---e (nat
PWS: ❑FC:
Closest Maj.Wtr. Body filccl e 4.-
)
yes I no PNA yes / no Crit.Hab. yes I no
Af Project/Activity t/a(ate / /c'r v ! Lci<< 74z Y/c ock-
(Scale: /''
lock)length G> X/3
1
m(s) /G X/b + .j - I I �_ —
1
pier(s) ErX/;.. i - - I
length j
1 �a4
camber 1
1 1
•.ad/Riprap length F 1 r_1.. { -
-. }.. ...... , f2— .. —
ivgdistance offshore .. 1 I f+",-• ••-•► f1 1 -r -- - 1—
nax distance offshore -_._.__ —._ _I . ; - -- — ._
channel Y i� _ �. i — -- i 1 !.
:ubic yards '
ff 1 ;.
amp ... I 1.......{ f
Ouse/Boatlift i f i I I I • I I
I 1'
Bulldozing \j/,
I 1 1
1
i
t I 1- , ' 1 i
line Length 5-0 i 13LC • (I '
not sure yes (rw) i Sk o .L.r i
ags: not sure yes fio +..._ i ._..... ._.
:orium: n/a yes T P100 T
Y 2 I — ,
r Attached: yes
(ding permit may be required by: e c/c , 4c 6 . 7 See note on back regarding River Basin

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: /4/rk S Mt (
ADDITIONAL NAMES:
AEC DESIG: 5k) PT DEVELOP AREA:_ ' .O / PROJ DESC:�� - 62.
(Will only take 6) (Will only take I)
WORK: Ph to//3 EL /0) /0
(Will only take 4)
MAINT:
(Will only take 4)
e )q-
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: //3 / z/
//3/ lt
CAMA MAJOR DEVEL REQUIRED: 51/43 /t)f-- '//3/o/

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOI4M
Hilda S. Hall
3 of Individual Applying For Permit:
113 Fayetteville Street
_less Of Property:
Holden Beach, NC 28462
(Lot or Street #, Street or Road, City & County)
3reby certify that I own property adjacent to the above-
arenced property. The individual applying for this permit has
Bribed to me as shown on the attached drawing the development
r are proposing. A description or drawing, with dimensions,
ild be provided with this letter.
11/1/, I have no objections to this proposal.
(ou Iaavo abjoatiana tc. wh=t 4 a i+a+ ng rrnrrnsYari ri caanA write till
Lsions of Coastal Management, 127 Cardinal Drive Extensioi
ning on, "Nor -C o1Yna, 2:1405;eit-ca}Y'-"gle -3g5=3$880 within :
s of receipt of this notice. No response is considered the samw
no objection if you have been notified by Certified Mail .
WAIVER SECTION
riderstand that a pier , dock , mooring pilings , breakwater , l
se , lift or sandbags must be set back a minimum distance of 15
rn my area of riparian access unless waived by me. ( If you will
waive the setback, you must initial the appropriate blank bel,
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15 ' setback requirement.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
Name of Individual Applying For Permit: ;'"�( J ( CL. ��((
Address Of Property: \ I 3 1Q \J 1.
4'Lu7`I w l-k- C.— c c`[Co —
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
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 be provided with this letter.
I have no objections to this proposal .
IE you have obaootiona to what- ia boi na rrny►nanri , p1 caaec, Write the
Divisions of Coastal Management, 127 Cardinal Drive Extension,
�ilmirig on; `"Rorth—eU olln4,"2M8a;DY"da1Y--g18 -3 5=3 8o 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 , boa
house , lift or sandbags must be set back 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.
I do not wish to waive the 15 ' setback requirement.

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AGENT
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I10DATE051304
080989995�66 LOCATION Otla
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