52511D - Wallace

:AMA / 1_ DREDGE & FILL .
ENERAL PERMIT Previous permit#
Jew -Modification JComplete Reissue EPartial Reissue Date previous permit issued
.ed by the State of North Carolina,Department of Environment and Natural Resources astal Resources Commission in an area of environmental concern pursuant to ISA NCAC 'Z"o v Rules attached.
\lame e'� � v
P-EV fill-I..,At.-e Project Location: County O �,�L'_u,•-•
sy 1 a-T C.s --FL p,T L.,.. Address/State Road/Lot#(s)
.:14,.f t Statet, ZIPZ33#o if _ ' .&-4+aD;.-✓+.-\
) Fax#( ) Subdivision
d Agent City g‘....!L- C—r t ZIP G.o'-(N
I
❑CW PEW P PTA ❑ES ❑PTS Phone# ( ) River Basinci
❑OEA ❑HHF LT IH ❑.UBA N/A / v. ;
E Lc (n
Adj.Wtr. Bod6 t U P `�-3 �',/ at
m
❑PWS: ❑FC:
Closest Maj.Wtr. Body a �I W
es 4601, PNA yesjj Crit.Hab. yes / no
Project/Activity Ltd S 1-\`i— j 3 X I AI. L L F[ 1 tJ t'x L 5'ii..r
(Scale: ! ";Z
iQ C
;()length
s
�) is ; i
:r s I
gt
fiber PI
/Riprap length
distance offshore • Ikiii � . r - i , ._,_
-
<distance offshore — 1
annel _ ........_I-
IMIIIM
1_ I
;ic yards MI
u:1à151!!I!IP!
i _
illdozing 'A�U I
........_.
ra 1- %;:
MINN i211hIaEi , * ,,
illu.I••IIIIIUU•U
: ; , _
i
e Length , !
,-, * i NISMIlingiall ,aw Ia., • i—
not sure yes no 11111.111111111
s: not sure yes no
T
IIII
:ium: n/a yes no tr`
1 OMNI
yes <no
Attached: ( yes no
ng permit may be required by: 71,171 - • I I See note on back regarding River Basin r
Special Conditions

Tow.. Of Surf CI w... . �.....o . ........_. ._ .-__ __�
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOAATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to n'EC'-r GL,iGg�L./4c2 's
(Name of Property Owner)
property located at Z'T /Y AO c1)CK 'V 95.1 ( 9m.o4f Si ,
(Lot,Block,Road,etc.)
on r.ff,G 11 2- , in Sef C/, % ,N.C. .
(Waterbody) (Town and/or County)
He has described to me,as shown below,the development he is proposing at that location,and,I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(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 not wish to waive
•
I do wish to waive that setback requirement.
------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing devel�pment)
AM & A &I" 4 IF r A,t'I f-W/6 PE ' T M6 r SQt� ©F Ex r s i/A-'c
. 7;2 lij / ___
. t-2-
.t. , I1 */ it.
t4<---- --Xl,Srpt/6_ ••. >1<— Nell) -4 .
Ct-11-, -f-, 4.,,,,,,____
Signature
17\ t1 / (151 I/1 he 6IJ

Town Of Surf City a,FM*,wino . �..vw • •...•.-,•• • •• ..... •.._.___ .. .. .
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to OREG d94LRee- is
(Name of Property Owner)
•
property located at Le /1 BJ)K 417 95:2 eiee w4 f Sr- ,
(Lot,Block,Road,etc.)
on (:1 k L. , in seyefr-- n y ,N.C. -
(Waterbody) (Town and/or County)
He has described to me,as shown below,the development he is proposing at that location,and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(1 S)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 not wish to waive
./ I do wish to waive that setback requirement.
M DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
AI
M
(To be filled in by individual proposing development)
/WM S,c1A &AT IImo'r /f/e00 f—/,c'G�7 f ER T /V160T SiI06 OF EX lSi/A:-
li / - 11 .. ' , .1' --;. ,
`� h �q
I e -t
i •
t.,----- .2--„,,r,,,,,, >1, ,,New .
Signature
t .i ' Il 0 ,...n l Li.„ el r v ., ,/T -r

<.&4O14.11lL L14“.14[115 v L t(U.uC1411a FIRST-CITIZENS BANK&TRUST CO
2808 Hiking Trail Raleigh,NC 27615
Raleigh,NC 27615 66-30/531
Igay to the
NCDENR
t of
, Two Hundred and 00/100*************.,.,***********************************************************************
NCDENR
•
rnIT31,
GP II — �, U) • _ f
11'00 L 6 L 711' 1:0 5 3 L00 3001:0008 6 15 2 50 3 611'