43342D - Maxwell

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"r//CANFA/ ❑DREDGE & FILL I�i (� !
3ENERAL PERMIT Previous permit#
New _Modification Complete Reissue _Partial Reissue Date previous permit issued
wized by the State of North Carolina,Department of Environment and Natural Resources ,J
Zoastal Resources Commission in an area of environmental concern pursuant to 15A NCAC J/7 ,/Z of
les attached.
it Name Fi l l y/ /72,4 k t,/Q. I L Project Location: County 6i2 Hrl w,C !t
Pa go)( .53 ' FCr Street Address/Spate Road/Lot#(s) /26 „Dot`
i
i4j t/I t✓r//.e State A/C ZIP 2 TiGS"-- `!
(J,'/G)r/T 606 Fax#( ) Subdivision /7f94 604 /j1C>'`!tL
:ed Agent Qi/t,-,,se✓#c k -51u4 v Cy,,., City/7o i P..' 13,4 c A ZIP' 2 7y(
CwVP A ❑ES ❑PTS Phone# ( ) River Basin Lc/,f,
❑OEA HHF IH ❑UBA ❑N/A n
Adj.Wtr. Body ei,A,rI 1 o/t AteZ GA/ (nat(2
❑ PWS: ❑FC:
ye no PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body /9/ill ill
f Project/Activity PIZ I✓A ' -t „[/C t/( , -01 eufl 4 4, /
(Scale: r-
,ck)length
n(s) b )( /Z `---
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•ngth
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amber i y
.d/Riprap length 1 + ` CI}
g distance offshore U 11 C$ � i -r''
sx distance offshore _-_ 3040 v • MI 1
hannel
if
bic yards
np
ise/€oatlift T I Z X 22
.ulldozing •
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ie Length 5 o ' n J e A.
not sure yes rap .5 I /2 , t/aie/J. ✓
;s: not sure yes 'r i 5
-ium: n/a yes Q
yes U
Attached: `4 no
ing permit may be required by: /7 1 L C o_ £?, c /f See note on back regarding River Basin r

d SENDER:
a •Complete items 1 and/or 2 for additional services. I also wish to recei'
v+ •Complete items 3,4a,and 4b. following services
H •Print your name and address on the reverse of this form so that we can return this extra fee):
E card to you.
> •Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee
d permit.
y ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted
t •The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaste
v 3.Article Addressed to: I 4a.Article Number
eu
°' Dana Nevin Cobb 7003 1010 0000 701
E 4b.Service Type
o 1305 Spring Mountain rd.
o ❑ Registered I
rn Lynchburg, VA 24 r 03 ❑ Express Mail I
G0 Return Receipt for Merchandise I
a 7.Date of liv'ry
z ` -5/0s
5.Received By: (Print Name) 8.Addr see' Address(Only if t
w and fee is paid)
cc
g 6.Signature: (Addressee for Agent)
X ( ( ,I\` ( C )2t0
en
PS Form 3811, Dec mber 1994 Domestic Retur

Dec. . 1. 2005 10: 13AM Brunswick Surveying No. 0232 P. 2
ADJACENT R.IWA IJAN 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.
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
Si L . krSc . __
Print or Type Name
6110 — W-4 .1k

•
13167
BRUNSWICK SURVEYING INC. BRANCH BANKING AND TRUST COMPANY
1027 SABBATH HOME ROAD SW 910-842-9392 SUPPLY,NORTH CAROLINA
SUPPLY,NC 28462 66-112-531
11/30/2005
totbe
order of D.E.N.R $ '100.00
p0
• One Hundred and 00/100**************************************************************************************** DOLLARS u
D.E.N.R
127 Cardinal Drive Ext.
Wilmington,NC 28405
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