39827D - Evans

7CANI►A 7. DREDGE & FILL
3ENERAL PERMIT Previous permit#
..New 'Modification 17,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 I5A NCAC 7/t ,/.SOU ����
SRules attached.
rt Name fli4et ' C vol r✓5 Project Location: County ON S/0
' 0- I) Adpitin 4vfM Street Address/State Road/Lot#(s) ?y 3 UA"/(i
>Uie C]I- i State /tie ZIP 2,6911S.0.0 bRi✓c
(qv) 6,,,,)- 7Fax#( ) Subdivision / r 6a1(,M. 'Ri;7 C
:ed Agent SAYY`Qt ‘..) <AA;6,r S City S// 1Df i:--egg`/ ZIP .74-` 4
[ .CW [W [ PtA ❑ES ❑PTS Phone# ( )_. River Basin it,,,t'
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body /¢t ". c1)
❑ PWS: III FC:
Yes no PNA yes / Grit.Nab. yes / no Closest Maj.Wtr. Body 4`�w�
no
I Project/Activity P/4 f VAlp ,.i°/ f P/9'7 f"JQ ill
ie
(Scale:/ _
)ck)length 'ilk' ' 41 A / sepp&p GLA-
n(s) g'X/0' t...... r.
pr /S {/!1/`v'
)ier(s)
' T < ' r�._.t1��1 , `i s vioncie.._
'-ngth } t
imber t t _..
id/Riprap length .-.. 1 S C 7 � t ._ '
g distance offshore rt... F 1:1
ax distance offshore (! `__, .
hannel I`
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use/Boatlift
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le Length / _.-_...� — ..-t
not sure yes no : 1 (
gs: not sure yes no I
:rium: n/a yes no / :i t 1 Y
• a
yes no —, i
Attached: yes no �__ , i 1
ling permit may be required by: U4J /°w C-o • P See n to on back regarding River Basin

December 15, 2004
Mr. Martin Evans, Realtor
812-D Roland Avenue
Surf City,NC 28445
RE: 343 Waterway Drive
Dear Mr. Evans:
This letter acknowledges receipt of yours dated November 15, 2004 along with the
Division of Coastal Management Adjacent Riparian Property Owner Notification/Waiver
Form as well as a photocopy of your proposed dock and confirms our recent telephone
conversation.
Please note that I have no objections to your proposal and I have signed the enclosed
Notification/Waiver Form with a caveat that I will most likely be submitting a similar
proposal for my property(341 Waterway) with the same forms to you within the next year
and in the spirit of'quid pro quo', expect you and your partners to have no objections to
my proposal and sign as the property owner's of 343 Waterway Drive.
call me if you have any questions or comments.
With kind personal regards, I remain
Sincerely yours,

GENERAL PERMIT COMPUTE
'PLICANT NAME: ('Vlq f-N N 2 0-/VS
)DITIONAL NAMES: j14-y„, lit/, iMMcc(,/7
F,C DESIG: ( i.l cw pi 0{Z DEVELOP AREA: O Q1 PROJ DESC: P J i
ill only take 6) (Will only take 1)
rORK: t ( r6 ,(Yb
rill only take 4)
AINT:
'ill only take 4)
ED:
ill only take 6)
ACTION EXPIRATION
KEDGE&FILL REQUIRED:
AMA MAJOR DEVEL REQUIRED: 0(-1i °4(-(( tir

NOY-10-2004 11:58 From: To:9102708882 P.1'
DIVISION OF COASTAL MANAGEM
ADJAC T RxPARIAN P„ OpER"t"V' OWNER NOTIPICATION/WAIV1 R FORM
Name of Individual Applying For Permit: MA(Zr,A .,UPr 1.1s
Address of Property: .343 WA-r2.6.,A'-/ `" a_iv
(Lot or Street#, Street or Road)
S4 Ds F_Q.a..y ©f•.1s-i—c,fr..)
(City and County)
I hereby certify that I own property adjacent to the above-referenced-property. The rndivii
applying for this permit has described to me as shown on the attached drawin.gthe development i
are proposing. A description or drawing, with dimensions, should be provided with this lette:
(,,z
T have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no object(
you have been notified by Certified Mail.
WAIVER SECtION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access-unless waived by me.
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.
Sign Name Date

IP
DMEPLACE REALTY
November 15,2004
Mr. William Koerner,
Enclosed you will find a copy of the NCDENR letter and proposed dock/pier layout.
d ou lease review, sign, date and return at your earliest convenience. Thank
Coul y p
you for your cooperation in helping me obtain the dock permits. If you have any
questions please feel free to call Martin Evans
at(910)262-9999.
Thank You,
Jennifer Vaughan
Surf City Office Administrator
[phone]

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7U-10-2004 11:58 From: To:9102708882 P.1':
DIVISION OF COASTAL MANAGEIvEN T
;ADTACENTRIPARIAN PROEER.,TY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: n'1A( rs/3 6,U N S
Address of Property: 3 CAtR-rz,(2.1,..)A%-/
(Lot or Street#, Street or Road)
SN EA-2. S C.5Za b-.-)
(City and County)
I hereby certify that I own property adjacent to the above-referenced-property. The individ
applying for this permit has described to me as shown on'di a attached drawing the devel opment tl
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 being proposed, please write the Division of Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SEO'1ON
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set bck a minimum distance of$7 " iR pa of riparian access-unless waived by me.
you wish to waive the setbac you must initial th appropriate blank below.)
{
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Li
Simi Name

jPgc2.
EXIT HOMEPLACE REALTY •
'N
812-D Roland Ave.
Surf City, NC 28445 8 ,,c-'t_'v►t�ec�r_ r,c
Exit Homeplace Realty
812 D Roland Avenue
Surf City, NC 28445
t A443+vet �,, f,, ,II,,1„J,:LJIIhJ,1,r1I,„1L J J,r„IIr,frIJ,r1

': COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
fete items 1,2,and 3.Also complete A. S'enature
if Restricted Delivery is desired. ❑Agent •
our name and address on the reverse X c•"_ ❑Addressee
t we can return the card to you. B Receiyev by Pr• =d Name) C. Date of Delivery
this card to the back of the mailpiece,
he front if space permits. I • OC-,?4-F-�
lddressed to: D. Is delivery address different from item 1? 0 Yes
�\ ( � >>, It YES,enter delivery address below: CI No
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1 ( N C 3. Service Type
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a /X( 1, n v 0 Registered 0 Return Receipt for Merchandise St j
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4. Restricted Delivery?(Extra Fee) 0 Yes
umber 7004 1350 0002 2100 6212 5 from service IabeQ Q
'181 1,February 2004 Domestic Return Receipt 102595-02-M-1540 1i
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