23835D - Kelly

41/ CAMA and DREDGE AND FILL
GENERAL ;;;, 23835
PERMIT
as authorized by the State of North Carolina
> ,.....' Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC '7}-1 . 1100 .
Applicant Name -? o6 ,,�P II to Phone Number
Address t \C1 ``�1',„',-Ur\C...-, 1�.. r t J C/ n ,
City T. A \CAh State I V CJ Zip 1 & I>'.--..
Project Location (County, State Road, Water Body, etc.) I Ll(\Sul`, C k- e0 Lk.(\i-1 1 ) 1 U C_k or 1 o-f
f"C '+ it vice s k 1\A vim, - h''1Rd c i C r A
Type of Project Activity ?u`�=-1�e A d \CC-e.OA r e_ P-r,* iC-V A t(` 4 0 ci 0 M((Nr1 d oc k._.
PROJECT DESCRIPTION SKETCH ki pr,n- • / ,Np, (SCALE: f'JOT I.. )
Pier(dock)Length `� !.
Groin Length
number I
Bulkhead Length ,.. 0 1
max.distance offshore cg 1 Inn 1
ur,(1q %t L� aisnamemor
Basin,channel dimensions -1-
__,.._ ,„..,„,„1„,.. ,„ _rneo re -4
cubic yards a
11111111111111111
Boat ramp dimensions ,
wai .-,
Mal.
Other
iii NM
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t6 III
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i III I im I= - as �.�.
.01111
all � . iiiiii
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This permit is subject to compliance with this application, site drawing l! �( fO/r %�
and attached general and specific conditions.Any violation of these terms f j�'V /// .� �� a ;ca ' signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. (t' -,_
This permit must be on the project site and accessible to the per 't of- permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- n •C k 30 1 ;U 0D �Ur.� 30 r,2ou
fies by signing this permit that 1)this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they el 0 • 11)G
have no objections to the proposed work. G�<<� 4, '`qqa chments
vv 1
In issuing this permit the State of North Carolina certifies that this project '3 d • C ci older
is consistent with the North Carolina Coastal Management Program. app cation fee

GENERAL-PERMIT COI WUTER FORM
PPLICA- NA]€=: r-e)®I I f---t',
ADDITIONAL T Ai S:
Ff 1AJ DPI OP AR=A:-_n PROD DISC: f - I I •
(Will crsiyiakr.1)
WORD . ertA S(.3 " #. LO '
(W ©3vtai;-.4)
�?hl: TE 61 d -
6— °
4CTION MATION
DP.&LP..=QI3] D: - 3 j 3ol oo Co I Sol 06
LAMA_MAJOR D .R. QUIRM):

t '
•
DIVISION OF COASTAL MANAGEMENT
' ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORAM
. Name Of Individual Applying For Permit: athr
Address-Of Property: // ) CAa
(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
should be provided with this letter.•
°r drawing, with dimensions,
I have no objections to this proposal.
•
•
•
If You have objections to what is being proposed , please write the
Division of Coastal Manacement . 127 Cardinal
t''7' imi ncton , North Carolina . Drive Extension ,
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
house �f� mooring pilings, breakwater, boat
l ' t - must be set back a minimum dis from my area of riparian access unless waived by
you
f wish15'
bolowaive the setback, you must initial the yappropriat blank
. )
•
"" I do wish to waive the 15 'setback requirement.
I do not wish to waive the 15 'setback requirement.
•
•
A7:517
Signatureli
�
�.Oh444 14kAtk ate •
Print Name l
Telephone Number With Area Code HNI

03/17/2000 13:15 910-484-3707 GENE S. AMMONS PAGE 02
O3/15/200@ 21:54 9108429836 GREG HOLDEN PAGE 02
Zara?. sla _ _
N PRa RR arrb �.,,.�..�
j� FORM
, Name Of individual Applying For Permit:
Address"'of property; •
(Lot or Street , Street or
Roa , city & county)
•
I hereby certify that I own property adjacent to the above-
referenced 8 p y
described toroperty. The individual applying for this permit has
•
fie 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.
•
. v •i'Q
v' icn f e ho os o eas
Wi 1. nate l n v i 7 t 'v __E te�givn.
days of o.• e� o 9 0 3
o no a ie c deYed th s
Y CertUieet Mall
emigairalrommidassimommow
WArra. s EcZzQN •
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift trust be set back a minimum distance of l5'
from my area of riperien access Unless waived by me. (ri you wish
• to waive the setback, you malt initial the appropriate blank
below. )
I to wish to waive the I5'setback reguirernent.
I do not wish to waive the 15'setback requirement.
•
•
Sig ature
^ S Date IrcIP
;Print Name ` t a aS__
�2- NR
Te ephone Number With Area Code

•
•
•
•
•
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GREGORY A. HOLDEN o9-97 66-1 2302 y 199
DBA HOLDEN DOCK & BULKHEADS n
1502 STONE CHIMNEY RD. ���3 1: L1
,SUPPLY,NC 28462
Pay to the �
'1
• Order of `1 --�---1-- �S -JAI-- e�L1J_1t'�.i� ---� $ / li T:
• Od& _Lew ----
Dollars
NationsBank
Nationslinnk,N.A. i
Carolinas
V.S- feed r �
!:0530Q01961: 065 867 ?836u L' 99 GPa3Z3ic.�