40407D - Wallace

:AMA/ ` DREDGE & FILL N? 4
Previous permit#
iENERAL PERMIT - b
New JModification ❑Complete Reissue Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7f/• I.1 00
l 'fules attached.
:Name �h lV/v\ 1,1A I/*U' Project Location: County_ 2 114 S in/1(-(L..
. C) . C;1°q Street Address/State Road/Lot#(s) /0 4 /rick+
l N'{ ,3t u,4' State n/C.ZIP !s 37 /((f(U ) DO—')/...s" (çtI3)
i Fax#( )y9 3IS s�--
ubdivision r r 6" -7n1/,N 4,4 (c-eC
ad Agent A 4¢ (1"") City SLr.c.J f ii°4(L4 ZIP -W
o Cw ❑EW [I P1A Cw IS ❑PTS Phone# ( ) River Basin Llyh i
OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body f/1.7`• /to .rM/L✓ (nat /r
C PWS: ❑FC: ASw'_ /
yes / no PNA no Crit.Hab. yes / no Closest Maj.Wtr. Body r'V
Project/Activity # -!r-1 o - 6oq-H i f f Ij L�X)SA nl/ Ib OC-K
(Scale: /
:k)length _i(s) /0 f
/5
nth
1/Riprap length
distance offshore
x distance offshore
cannel .1.-
l sic yards i
ip
se/Boatlift I,) 1/'/.1 r ________
JIldozing //��
/0 y. k 4,;, , 1 i/-{v
Length �1OO J /O D ' L o I
not sure yes no
>: not sure yes no
sum: n/a yes no
yes no
lttached: yes no
ig permit may be required by: 5-
01",S P I Re.41-14- . See note on back regarding River Basin r

Mate of Norm Laroullu
Department of Environment and Natural Resources
_
Wilmington Regional Office
Michael F. Easley, Governor William G. Ross Jr., Secretary
FAX COVER SHEET
Date: L/vim No. Of Pages:
To: 1:7,-. ►,-) LA-LW-, From: G, ,,,
CO: CO: DGM
FAX #: S-ya -zy9 - arYs' FAX#: 910-3`15 :3'1/1'
- - /
REMARKS: /ft.., i / )..„„Al---.
127 Cardinal Drive Extension,Wilmington,N.C.28405-3845 Telephone[phone] Fax[phone]
An Equal Opportunity Affirmative Action Employer

April 20, 2005
Mr. James Gregson
N.C.D.E.N.R.
127 Cardinal Drive Ext.
Wilmington, NC 28405
Reference: Pier Permit#40407-D
Dear Jim:
Please find the enclosed check in the amount of$100 for pier permit#40407-D in Sunset Beach.
Thank you for taking the time to review the site earlier today. Feel free to contact me at(704)
953-2721 should you need further information.
Sincerel '
.../
,A
Shane Wallace EC '--'
__
V E r.'
t,"; 252005
L.))
DIVISION OF
COASTAL MANAGEMENT

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Lai 1 aLIa6 —
I
Address of Property: /0 Le1-1iLkaL,II SF
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The indi`
applying for this permit has described to me as shown on the attached drawing the developmen
are proposing. A description or drawing, with dimensions, should be provided with this lett
+' /� Cg61i) c74-�i33
IV I'4 '�'' ' I have no objections to this proposal.
tar 64 is Kcia--1 .S7r, J v-uSCr dcocbr, -t3�
If you have objections to what is being proposed, please write the Division of Co
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-
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 mu
set bck a minimum distance of 15' from my area of riparian access-unless waived by mi
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

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOR
Name of Individual Applying For Permit: jn nL, L,11 «I 9—
Address of Property: I ()Le k-2/6--6-6Y(Lot or or Street#, Street or Road)
InS-6 f5yu
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The in
applying for this permit has described to me as shown on the attached drawing the developm
are proposing: A description or drawing,with dimensions, should be provided with this 1
/ (910)41c-I223
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-3!
within 10 days of receipt of this notice. No response is considered the same as no obje
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift n
set bck a minimum distance of 15' from my area of riparian access- unless waived by
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
AMA

HICKORY AVENUE 30' R/W (soil)
�\p G Ex.Iron
EIP1 N 78°-00'-00" E 170.13' (i _ N 78°-00'-00" E 100.00' —
w
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Lot 3� `r• in m N
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r,,-- I rl.ting r.grnrrr Ivy., n••;..,1
it:!r� P.WALLACE and DAWN W. WALLACE
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Message Confirmation Report MAY-02-2005 08:52 AM MON
Fax Number
Name
Jame/Number 918432493845
'age 2
;tart Time MAY-02-2005 08:52AM MON
,lapsed Time 00'22"
lode STD ECM
Results [0.K]
state of Norm L roan..
Department of Environment and Natural Resources
Wilmington Regional Office
Michael F.Easley,Governor William G.Ross Jr.,Secretary
FAX COVER SHEET
Date: S z t,� No.Of Pages:
To: r lw�a.�1�--� From: -.A
CO: , CO: O.M
FAX#: sva -4+r 9- 3$ 's' FAX#:910-395-•'396
REMARKS: �'•�, , ,,, -
I:7 Cardinol 011ie Extension,Wilmington.N.C.23405.3115 Telephone[phone] Fes(p10)550.300+
An Epuei Opportunity Afflrmetl.e wedon Employer

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