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CAMA AND DREDGE AND FILL
GENERAL 018320- c
PERMIT
0 as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coastal e o aces Commission
in an area of environmental concern pursuant to 15A NCAC ")l4 , /�
Applicant Name D(( 1( CD �1, Phone Number
Address 35 y 5 R l Y e r V('W A ( S W
City Gam/ p j! I State f/ Al C r Zip `/Z g tt,�l o ..
Project Lotion ( ou y, St Road, Water body, etc.) s y re, ✓r r "`./ " ..e °V— 8. A o. I Pk- t
/1(vr 5(1, 11 /r �'v )►�( c A Cam. o . A' (�P/ V� y
Type of Project Activity oil 4r J(C 4' y ')( /y S T T f(r' w4/-f h r /� ' /D' — e"� (3' (/
1/" � „« c 0 4oc44" /It- . Fit Ca., str-L4-0A II, 6-r u -r A•c, /S >< /AJ; I(
.eat_kr'lparI(I.A ('arr404r 1i.1 ( . 411 (-..AJf 'A) aC 9/4. /) aJ sA4 /i q//)!J
P
PROJECT DESCRIPTION SKETCH (SCALE: A/o., ('may i/)
u� y Ci ,V 7
Pier(dock) length_1 n ril$ , , / ,A f , 1
2-, 1)) ' t/v
Groin length
• 13'. w
/0e
number 17'
Bulkhead length 8 o
max.distance offshore
Basin,channel dimensions
cubic yards
iil
Boat ramp dimensions
Other 4- 4ei4J 01 XP ,'`
�� --I
,p / i Cs
This permit is subject to compliance with this application, sit /
drawing and attached general and specific conditions. Any /(p d//
violation of these terms may subject the permittee to a fine, / t
imprisonment or civil action; and may cause the permit to be- V applicant's signature
come null and void. Ck -CPO-4K,
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. .. c—9 -s- 5--(,
The applicant certifies by signing this permit that 1) this pro-
ject �1 0
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 )4
objections to the proposed work. attachments
' GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Du le CO x
ADDITIONAL NAMES:
AEC DESIG: C bv'" E
(Will only take 6) J P 1 DEVELOP AREA: _0 O( PROJ DESC: P -
n ) (Will only take 1)
WORK: ?A y
(Will only take 3
L /
MAINT:
(Will only take 4)
IMP: 0\Ai l7 OVki X ur
(will only take 6)
W
ACTION EXPIRATION
DREDGE&FILL REQUIRED: S _ -1 I 7 - S - 7
CAMA MAJOR DEVEL REQUIRED:
DIVISION OF COASTAL MANAGEMENT •
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WArvER FORM
Name Of Individual Applying For Permit: 4L- /i 6/ •
••
Address ..Of Property: ��� � vet e.�J� /690-
�e). / .
0.2
(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 .
•
If you have objections to what is beinc orcoosed . please write the
Division of Coastal Men.acenent . 127 Cardinal Drive Extension ,
Wilmi cton . North Carolina . 234C5 or call 910 395-3900 within 10
days o= receipt of this notice. NC res onse is considered the same
as no Obi ection L= you have been notified by Certified Mail
WAIVE?. SECTION
•
I understand that a pier, dock, mooring pilings, breakwater, boat
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 recuirement.
I do rot wish to waive the 15 ' setback recuirement.
4111 ...z. Abc, CI"? t
Sicnazure Date •
a '1J NA _P177, 1 A A
Print Name
CO µ24 Lti N F=I
'r=l :hone Number With Area Code
COLUMBUS CO BD OF ED ID :919-640-1010 MAY 01 '98 8 :59 No .001 F .02
PVIS N O COAST ANAGE`1ENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIF'ICATtON/RIVER Jot
li
Name Of Individual Applying For Permit: 2j/ (164_
Address ,Of Property: ,Gif' / c-'30X
oszq.e ,<z_Ar'ftAAI,-
4._/) 'I e
(Lot or eetStreet 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.
If you have obiec_ions to what is beina proposed, clease write `he
Division gf CoA,ta'_ Mena event . 121 Cardi, I Drive Extension,
;..1. 1minaton. North Carolina . 28495 or call 910 395-7900 within 10
daysity,1_21...zaza,isl_ca this notice. No res•partse is ogCsidergd the same
• _g no oblecti 7 if v$u have been notified by‘ Certified Mail,
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
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 just initial the appropriate blank
below. )
I do wish to waive the 15'setback requirement.
,x',.f I dq_pot wish to waive the 15 'setback requirement.
45
S n lure - l - Dale T e
`Pr i.nt Name
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66-19/530 1061
1 GREGORY A. HOLDEN 09-97 2302
DBA HOLDEN DOCK &BULKHEADS
910-8429731 - ls!
1502 STONE CHIMNEY RD.S.W.
SUPPLY,NC�28462 p� , _ ,�
Pay to thD� L�'J /J/ — — ----J $ 5 0
Order of /—i r ��. Q �
./ ///S �� °
AC-5
� --Dollars =:.,..
HatiionsBank
NationsBank,N.A. /
Carolinas
rPt
For 24.
1:053000 L961: 065 B6 ? 78360 L.P. L •
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