42038D - Maxwell

y�LAMA/ -DREDGE & FILL I'.IC Li
'New E RAL PERMIT Previous permit#
(Modification (Complete Reissue Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
:,astal Resources Commission in an area of environmental concern pursuant to 15A NCAC-h ./.)DC)
C.RLles attached.
Name (3;1\y fyyc)(we (j Project Location: County g/ t4vSW i C
P. 0 . - �X 5 3 e e a Street Address/State Road/Lot#(s) /a (, b o /p
eye/ 'U1fI -e State N °LZIP 2 30C
(Q) 0040.Fax#( ) Subdivision
ed Agent ISR wv SW;t IL C„\c-„t Co' City /k/dpn- i3,A-( /f ZIP
❑CW EVA QICTA ❑ES ❑PTS Phone# ( ) River Basin L H IN
❑OEA ❑HHF ❑IH E UBA ❑N/A
❑ PWS: ❑FC: Adj.Wtr. Body (4,v4 ( pG C e4X-1", W(nat e
yes / PNA yes / Crit. Hab. yes / no Closest Maj.Wtr. Body IdhJ
Project/Activity / ('vA-�`p D o Cj( /4 ,,. I) 8o4-7` L .J T
'(Scale: / c
:k)length
(s) t Y(/.) r
er(s) - '�✓ '".-�
igth tii q V'1
nber , � 1
I/Riprap length
distance offshore RPM 8 1
K distance offshore e
annel ,
is yards
f� F
0 0
oatli -'
Ildozing
fioA-i e !�/6 , �° �.t /p1,
Length SD 1
not sure yes (9 '
not sure yes 'no)
urn: n/a yes )(
yes no
ttached: / no 0.-,
ig permit may be required by: .147)%,c/., 1-/ See note on back regarding River Basin ru

so mat we can return the card to you. B. Received by(Printed Name) C. D e of elivery
IN Attach this card to the back of the mailpiece, B '.
or on the front if space permits.
D. Is delivery address different from item ? Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
B.M.W. , ILC
3729 Waterford Street
Myrtle Beach, SC 29577
3. Service Type
❑Certified Mail ❑Express Mail
❑Registered ❑ Return Receipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7002 3150 0004 0 319 3 516
(Transfer from service label)
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to William and Kathryn Maxwell's
property located at 126 Dolphin Drive, on Canal Number 1, Harbour Acres Subdivision,
in Holden Beach,N.C.
He has described to me, as shown below, the development he is proposing at the location,
and I have no objections to his proposal. I understand that a pier must be set back a
minimum distance of fifteen feet, (15'), from my area of riparian access unless waived by
me. No response after ten days from receipt of this notification will be considered as no
objection to the proposal.
Pleas • 'tial one:
do not wish to waive that set back requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
See Attached
.a
, ,- . 4, „,
- ,„,.
ignatur..
Mark A. Saunders
Print or Type Name

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to William and Kathryn Maxwell's
property located at 126 Dolphin Drive, on Canal Number 1, Harbour Acres Subdivision,
in Holden Beach,N.C.
He has described to me, as shown below, the development he is proposing at the location,
and I have no objections to his proposal. I understand that a pier must be set back a
minimum distance of fifteen feet, (15'), from my area of riparian access unless waived by
me. No response after ten days from receipt of this notification will be considered as no
objection to the proposal.
Please initial one:
I do not wish to waive that set back requirement.
CA) N v-I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
See Attached
Signature
Print or Type Name

SUPPLY,NC 28462 66-112-531
6/30/20(
a I
�aytot
lorderof D.E.N.R $**100.0
One Hundred and 00/100*******************************************************************s********************
D.E.N.R
127 Cardinal Drive Ext.
Wilmington,NC 28405
MEMO
yL 0000L24430 1:053LOLL2LI: 52L76757920