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• CAMA AND DREDGE AND FILL
GENERAL 1 019790 —
PERMIT
CI
as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and thei5ootallsour.es Commission
7
in an area of environmental concern pursuant to 15A NCAC VV
Applicant Name U C' F-le r$ C O ) a v U r" Phone Number i/ z 617 3' R.
Address l6 a '7/4 /n 2d
//
City ( iefit '11 oil S State NC Zip 3 670 / �
Project Location (County, state Road, Water Body, etc.) a - 4I l iis ppc, a/1 /4.ld eH igrw.1.,
D A /x GA n -119,u d ( C o e. a f ir /1 r✓ n 5 llidi�- c v k./n
Tpg ofProject Activity C0A T r�c-'�' & #X fS ;et' wi 1 A 10 'X 16 �I--/"4cA a ACI /4i'k I0"
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PROJECT DESCRIPTION SKETCH' _ -
(SCALE: mil ' $ . )
te
Pier(dock) length 6(' \ ' / M Lin— hl a ` /
Ci
Groin length
i y,
number FIC 4 4,,...' .,,...�---^ • A/
Bulkhead length orc 1� �0♦
max.distance offshore
.
Basin,channel dimensions /di /0
cubic yards vf,/� NI it is i r V ! K— C.
Boat ramp dimensions f f r 6, v Y
Other 7 lea d .
roux /6/ < `75f,1—
Fia.t4-,h bo`k(
/ ' ? / o /
This permit is subject to compliance with this application, site `/
/f drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void. 19... ,
a...
This permit must be on the project site and accessible to the / permit officer's signature
permit officer when the project is inspected for compliance. /O _cf / /D,__
The applicant certifies by signing this permit that 1) this pro- U
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from // ,
adjacent riparian landowners certifying that they have no 7 H^ / a v
objections to the proposed work. attachments rl
_ ,-.

GENERAL PERMIT - COMPUTER FORM _ -
F )^p. p
/FIELD REP. G*✓." /\. (+--- _ APP FEE: --•U, . . _
PE taT NO: 0 ` l 741'0 — .- . COvNlY: /` '1n/
AEC T)�'SIG: / :
- � �a PT— � IA) WATER BODY: �►^- ��, t - Cy � ��
APPLI �p� T NAIL'• ' V 1 u r� //i.
ADDITIONAL NAME(S) : _. - - .
MAILING ADDRESS: ._ " 't I'r .,. ,�.:RC.. - • PHONE:-wJr -''7.
► •CITY. •- IN M �:kij STATE - .�- Al.�� :ZIP:- - -2 • c / 1
PROJECT LOCATION: •
xc v.�N LW.:`= _
?t'CLUD'?sIG CITY a)it LOCALITY (WHEN- DIFFERENT FROM MAILING ADDRESS)
DR`;V .AREA: _ PROJECT DESC: r =
_L__. LAT (X) : LONG Y
WORK• - , �
: eke _ j.5 b -,) c. .1f-L _ • =-i
•, CODE LENGTH: WIDTH DEPTH ' CODE LENGTH • :• WIDTH DEPTH
ENT: ' -.
Cf".0% LE`7GTH WIDTH DEPTH WIDTH DEPTH
CODE - LENGTH — — —,
P, -b,
CODE SQUARE FEE CODE SQUARE FEET
CODE SQUARE FEET
ACTION EXPIRATION. :..
DREDGE AND FILL REQUIRED: ` /c' :. —1`1
. . . .
LAMA 201.:RJR DEVELOPMENT REQUIRED: -.
*********************************************************ii****************-
-" CODES_ FOR AEC DESIGNATIONS -
npg" - Ocean Hazard „ "
• CW - Coastal Wetlands
"EW" - Estuarine Waters _ "FC" -Fragile:.Coastal Natural/Cultural
"ES" Es tuari•ne Shoreline "PW" -_ Public Water Supply
_"PT" •-.Public gust "OR" Outstanding Resource Water - .
`
- CODES FOR PROJECT =
"P". ': iv .te, ►�siaally an individual -i. n "
nCn r Federal =
Le,marcial- - "L" Local Government
°tU" Utility nt
"H"_ Housing Development
"S". State - _ �11 O" Other _
- • -_ _- CODES FOR DESCRIPTION -J= `=
-"11" BulkheadsRip' _
,- rap ; "16".�Utili
"12"_Piers, Docks," Boathouses = tY_y' Res
_ � `"17�n,_ �iergercy: Repairs .� "
="13". Boat Ramps- - "18" Beach Bulldozing
__still" Wooden Groins :. "19"
"15" ainten -:racer Basins,+. Channels, Ditches 19 Temporary,Structures

MAR-10-99 08 :24 AM ELECTRIC SYSTEM SPECS. 704 525 5691 P. 01
•
03i09/1999 21:00 9Ies42s oE. GF,E; "i:DEII
FACE o
�y �1'�lPl 0Y COY e�r+i r
• III • • T` \ , y r ' r'Mi�.��Y�l ,
Name a! Zndividu&1. Applying For Permit:
Jlddrass ,Of Ara .. p� , .F�2 rr 1 �tr
party: �-� r S ?. .. .E��,Z.,.: , .,,
,
�r ,
(Lo pr t:aet treat orlt YralrzTm
I hereby certify that Z awn
referenced property. The irdivlua property p1 adn scent tothis
the above-
referenced described to me as shown on the attsch♦d drs ing r the development
has
they err proposing . A description or drewin 4 e spio4nt
should be provided with this letter. 4r • with dimer�siorts,
—\\4 I !level no eb,sctione to thta
--- proposal .
� v4 , ~
G
• •• t �. . Gl ll h a y! �] n n n ru r 1 I' L -ti.t r{ as 1u th jj1!S1
'rrr.w.s
Y understand that a pier, dock;- )toorin ins breakwater,
oat
house, lift or sandbags must be-met back pilings,
distance ofb15'
Boors my area of riparian access unless w+►ived by Ms. CZf you wish
toy waive the setback, you, must, PP p initial the a ra ria:e blank
below. )
9 .._ : do wish to waive the 1S'setback requirement-
1 do got wish to waive the 15' setback requLrtment. _
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•
•
GREGORY A. HOLDEN 09-97 66-I9/302 53
DBA HOLDEN DOCK & BULKHEADS
910.812-973] 2 1125
1502 STONE CHIMNEY RD.S.W.
SUPPLY,NC 2 2__- a-
Pay the
Order of-.---- --'/�-- --
tf;f7/57 .DEDOt r---c
Nati k �, ..
onsBan Do [�] ,
NationsBank,N.A.
Carolinas
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Pur__ �
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1:0 5 3000 196i: 065
86 7 78 360 1 2 5
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