63215D - Middle

& FILL
��4
LAMA / ❑ DREDGE ��
.ENERAL PERMIT `�' Previous permit #
ed
New DModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources �� , i_ _^
{ T
0
�astal Resources Commission in an area of environmental concern pursuant to 15A NCAC
ules attached.
Name } ' t ,f '*.1 i `j" �."! ' Project Location: County (is""j
I
r'
�1 Street Address/ State Road/ Lot #(s)
. State ZIP IV +' �)+�1
i4 L ►�h'►') r P
-fir# Lih t�UCI't4VAubdivision
A Agent l f' �v, City I`�1�1
ZIP_{
❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # O River Basin l 1 E
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body VA tv0
hl»
❑ PWS: ❑ FC:
�. /� Closest Maj. Wtr. Body�t ►�—
(es / "no' PNA yes /; p Crit.Hab. yes / no
Project/ Activity f�'T Ir1(, r '�-
(Scale: h = '
:k) length `w
er(s)
igth r
nber
I/ Riprap length
distance offshore
x distance offshore
cannel
k yards
ip
se/ Boatlift
ulldozing '
e Length Q
not sure yes ' o
s: not sure yes no
ium: n/a yes no
yes no
4ttached: yes no
ng permit may be required by: i—V L `) r �'-.>LA-✓ ❑ See note on back regarding River Basin i

BRUCE MAREK, P. E.
MAREK YACHT DESIGN CONSULTANTS
5489 EASTWIND RD,
WILMINGTON, NC 28403
'lHhtn tke
W Toler n
Wells Fargo Bank N.A.
a North Carolina <
wellsfargo.com
1335
68-21/530 10402
3 2075080394099
Rt�e7 �
outs se „'o
r e�.

Division at Coastal Mgt. Habitat Impact Computer Sne �;1-
)licant: 00Vt-4 i-A,no"I LL C Permit #.
:e:
>cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
)itat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
ternimpacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated fina
disturbance.
Excludes any
restoration and/c
temp impact
amount
Dredge ❑ FilWilF Both ❑ Other 2"
�oQ
Dredge ❑ Fill L3' Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date rGtB o?S, :2 D l
Name of Property Owner Applying for Permit:
NooLc 13in,U 1b;R 1v 1/?i«n±"CGµnRLEs -t), t/00A/G 10<zC/7
Mailing Address:
1143 Jec..3E,
A
3�z� 5
--,--Nc z g� 3 Z
S,r,v , 6 i� L Tt .33 s 7
I certify that I have authorized (agent) 64, v cC /I'l,+RE rc Pto act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) KI�-)q-1 C �w sT�N(r �,iN �.J,ry �f -D ©--,
at (my property located at) ,JC-,--Ess -7-C> 64L_j) 46.4D
This certification is valid thru (date)
Property Owner Sign
Date

Bruce Marek, P.E.
5489 Eastwind Rd
Wilmington, NC 28403
[e-mail]
910-799-9245
March 14, 2014
Middle Island Marina Community Dock Replacement: Adjacent Property Owner Notification
Is. Heather Coats
livision of Coastal Management
27 Cardinal Drive Extension
lilmington, NC 28405
'ear Heather:
fr. Charles Young, President of Young Realty Co. Inc. has retained me as authorized agent in
)plying for a CAMA Boat Dock General Permit for replacement of the existing Middle Island
ommunity Dock and its boarding ramp. I have notified the adjacent property owners by certified
tail, copies included. On your site visit yesterday, I gave you 5 copies of the 11 "x 17" color drawing
,al dated 3/13/14 and Bruce Marek, P.E. check #1335 for the $200 Permit Fee. I will scan and send
)u copies of the certified mailing green cards.
incerely,
?OPoF ss o94"111
ti
:•QQ 9� '9 �'y l q, Y I
SEAL -
15684
.
cF ✓AIGIN
q.%. •�P,
ruce Marek, P.E.
uthorized Agent for Mr. Charles Young

Bruce Marek, P.E.
5489 Eastwind Rd
Wilmington, NC 28403
[e-mail]
910-799-9245
March 14, 2014
Middle Island Marina Community Dock Replacement: Adjacent Property Owner Notification
John Eldridge
39'' Ave Drive NW
icory, NC 28601
r Property Owner:
By: Certified Mail
Charles Young, President of Young Realty Co. Inc. has retained me as authorized agent in
lying for a CAMA Boat Dock General Permit for replacement of the existing Middle Island
nmunity Dock and its boarding ramp. Records indicate you are an adjacent property owner to the
posed project. Please see enclosed drawing seal dated 3/13/14.
ave included the Division of Coastal Management Notification/Waiver Form. If you could so
dly fill it out and return to Ms. Heather Coats, CAMA Field Rep at the North Carolina Division of
astal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405, it would be much
neciated. I have included an addressed envelope with this mailing, or you may e-mail her the form
[e-mail]. Non -response after 10 days is considered acceptance.
you wish to receive further information you may contact me at the page top contact information.
,u may also contact Heather direct at 910-796-7424.
icerely,
uce Marek, P.E.
athorized Agent for Mr. Charles Young
111,... f/I,
c''-,
QFtOFESsc,9J
..E

Bruce Marek, P.E.
5489 Eastwind Rd
Wilmington, NC 28403
[e-mail]
910-799-9245
March 14, 2014
Middle Island Marina Community Dock Replacement: Adjacent Property Owner Notification
Mystie McCormick
vlillers Lane
gefield, CT 06877
Lr Property Owner:
By: Certified Mail
Charles Young, President of Young Realty Co. Inc. has retained me as authorized agent in
lying for a CAMA Boat Dock General Permit for replacement of the existing Middle Island
nmunity Dock and its boarding ramp. Records indicate you are an adjacent property owner to the
posed project. Please see enclosed drawing seal dated 3/13/14.
ave included the Division of Coastal Management Notification/Waiver Form. If you could so
dly fill it out and return to Ms. Heather Coats, CAMA Field Rep at the North Carolina Division of
istal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405, it would be much
ireciated. I have included an addressed envelope with this mailing, or you may e-mail her the form
[e-mail]. Non -response after 10 days is considered acceptance.
iou wish to receive further information you may contact me at the page top contact information.
u may also contact Heather direct at 910-796-7424.
cerely,
ace Marek, P.E.
itiorized Agent for Mr. Charles Young
,gill#,,,,''
.'ORTH QqR''%
PpFESS18.0��';
Sfq�
� 15684
/NEE?• ?�
E S.

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property: bat (fit -4 Loci INN
(Lot or Street #, Street or Road, City & County) �1
Agent's Name #: &2cc ��� / c Mailing Address: �T-�� �Tl�i��i /1 jz
Agent's phone #: 21J�2 - 2!?y' � �,A/w6
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 must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmanagement.net/contact dcm.htm or by calling 1-888-4RCOAST. 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, boathouse, lift, or groin 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.
(Pro erty Own r Information)
Signature I/
Print or Type Name
4 - — ? --- - - 3,'—'fwx
(Adjacent Property Owner Information)
Signature ,/,/
Print or *fie'Name
/ f� A 44.hn -� Z4X, �