37984D - Martin

3CAMA/ II DREDGE & FILL 4
3ENERAL 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 7/L 7.1ZCD
❑Rules attached.
t Name J. • /)'7< ,-�-i r Project Location: County 6rt i r1 stu/C'k_
3/5 (o rSf1, Uk 2)r/v C Street Address/State Road/Lot#(s) 35 2/
, / f;, r> State / /C ZIP. -7: /0 Lc)/r)c/i/ Po i l't /c Coe,CI`(9/`/) 92 9- 77o5 Fax#( ) Subdivision l
:ed Agent 6rci - Gd r c , City 5 //c/t4'e 5c.c a/;.� ZIP .Z''/(c
❑Cw [?EW U ) PTA ❑ES ❑PTS Phone# ( ) / , River Basin L c/rri
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
El Pws: CI FC: Adj.Wtr. Body tR/t U c-cJ (nat
yes /(3 PNA yes / no Crit.Hab. yes / no
Closest Maj.Wtr. Body /f-7 /cow
Project!Activity k' pet ( r" Etc./ 5/7nqJ )/rr r 6cch.. l' /7(/�/ r7ew f c cc 4,, (
./c. . i, . -0e-71 L-/fi (Scale: / „
ck)length 1. Y/,'T. .2,20 It/A./1 /e5
1(s) /lam A/6' 6'-(/ST h`rcCi,7c,. _ - r--- 71 ...I.. -
ier —
s 41X Za _ ....- _ {
•
ngth f II j
mber �• i •
d/Riprap length 1.5 _ T T
distance offshore �' f
uc distance offshore -...... .. — 4 y_ ... p 1...__ i t......- - - j
cannel 42,,
1- , ..� I -�
bic yards T - f r , -I
nP - il _
ise/8oatlif) /3 X /3
�-
ulldozing .-- + 1 Ii / i V.,
tii
e Length /tit.) /_. f .....
t ,
not sure yes o I t < 1/ ._� ' t i } I
�_.. ,"� j
1%
s: not sure yes CVO) , . o i /k/ a rpm
cum: r —-_ +..__
n/a yes } t �—1 �'� ` T.
ttJJyes no — i ' ......
kttached: yes no I
ng permit may be required by: 6. /"5-i/C k Cce;/ 2 E See note on back regarding River Basin n

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 1)3. /1'I(,_:_e?5 r)
ADDITIONAL NAMES:
AEC DESIG: —?.v J ) j DEVELOP AREA:__.G L PROJ DESC: P -
(Will only take 6) (Will only take 1)
WORK: E . 64, 2 2-
(Will only take 4)
8L /3,/3
••
MAINT:
• (Will only take 4)
•
•
D w 35-7
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 4/20/oE{ 7/2v/OLt
CAMA MAJOR DEVEL REQUIRED: '?.o/o el 7/2 U/Of

04/11/1bb4 bb:15 y1da41ytfdb bkt(a HULULPN rHlat el
DIVISJON OF COASTAL MANAGEMENT
DJ NT P Aryl FORD
777S5.
. Name Of Individual Applying For Permit:"
Wk*.ytaLLy____
Addreas`Of Property: .� _ / ; � ( � ck Sv??\./ 2-IV4.2-
(Lot 'or Street , Strea or Road, c ty & county)
I hereby certify that I own- property adjacent to the above-
referenced property. The individual applying for this permit has
described to ae as shown on the attached drawing the development
theshould be provided ere o g. A with thisrlettter_ or drawing, with dimensions,
I have no objections to this proposal.
jr you have objections at
v le�e write th@
ijanasumearve• Extension.
jzgraj:111"p&JLII--Cahiljigtwa,"1"11A-- faxszumnag.21142" -
• is sidered the saxe
•- • L • 1.: L •. a• 1 1 • ram. • �_i_ i•
-w
I understand that a a
pier, dock, mooring pilings,
house, lift _ breakwater, boat
must be set back a minimum distance of 15'
from my area of riparian access unless waived by ae. (If you wish
to waive the setback, you must initial the appropriate blank
below.)
I do wish to waive the 15'setback requirement.
--V� I dq net wish to waive the 15'setback requirement.
•
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I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CONSTRUCTION OF A
BULKHEAD
I hereby certify that I own property adjacent to 4/1 /114/ �///
f/
property located at 5�a / 1�/2 ��,
n (street address
Kc-_—, . on a man made canal in the Town of Holden
lot no & subdivision)
Beach. I have no objection to a BULKHEAD being constructed at this
location.
Adjacent property owner (tiro. / v
illaut_
?� / Signature
`�� 1'4 ?/lif 4 4
g ;k oa�/L,' 7fiei c/ Nle Y ee
p� 4 7 ame (please print or type)
Adi ,,cent pro erty owner
�a Holden Beach Address
5 3 c( 1,,1; ktd I ?o; Rc Ki
Home Address
CityStye & Zip
:AMA requires property owners signatures before general
)ermi t.m nr cvcmrnt-i ,.-� i c. .,,,..i nnuT r.T: 1...a ..._J.-- ^- --

•
MALLARD DUCKS
HOLDEN DOCK& BULKHEADS _ .,
'GREGORY A & DOROTHY HOLDEN fit, ,- pp y y f �P/ .
pu 012Ad'7 Q7'�2. - �f ..r" A� .�, *wA' e �,F".
1502 STONE GHIMNE°Y 1113 5 1 7jy� _ _ _ _... '
$UWPL 284fi2 ,r w _ ,
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WILDLIFE PORTRAITS.WDWP
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