34135D - Wallace

• CAMA/
DREDGE & FILL oA 3413W
GENERA L - PERMIT Previous permit#
) , New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC "1-k 1400
yl Rules attached.
Applicant Name ,$TE✓t W A L L R C L Project Location: County pt IJ DEa2
Address a3-2 De-14N-e Lix AV Street Address/State Road/ Lot#(s)
City tO/ LlMI/J&77r'Y1 State C ZIP 9YO3 —_- 1/0 0 46-1gAJplz ar
Phone#( 9/0) 3. p.7 t/3 �O /1Fax#( ) Subdivision LAND 5 HO le" 5
Authorized Agent I / ru(M 0 t )i 4 A1Zt) City ,5a2.c ( I TY ZIP Se/Vs
Affected ,,,iii se'E CW W VISTA .?S r-PTS Phone # ( _) River Basin 0 C Fm'1ytL.
❑OEA ❑HHF 1711H ❑UBA ' N/A
AEC(s): Adj.Wtr. Body _ An/43 (.Ni-iNNEL .o an /unkn)
C' PWS: ❑FC:
ORW: yes / no PNA yes / no Grit. Hab. yes / no Closest Maj.Wtr. Body T J2,5/`�it- .SOU/VD
Type of Project/Activity 61.,1 iG D pr/uATE p/En Do i^.K # L3oATL/Fr
�— 3,N le-3 al (-f ANA/E(- -_� i� r
7r '(Scale: / 1O )
Pier(dock)length N 86 1 . .
i i II
Platform(s) /0 X 6 — _ ... ._--_ j�� Q. —.. �QpQ(► X AR-
Finger pier(s) 1�p1" ,! e ' `_14-- ' I I f
/OXf I I _ _ I
Groin length i { �f{'( ,ftf l ! --------�— I 1 _
number — O a
i
Bulkhead/Riprap length I
Pia port) to k- ...
avg distance offshore IQ�i'(
max distance offshore I.. _ _�
-
Basin,channel '
cubic yards I `
I ,
t 1 . --
Boat ramp � ,
Boathouse/Boatlift - I
J
Beach Bulldozing } i A 1
I f a '
Other FLOAT 6O X—�� } I 1 '! e 'j,,,�,�//
I r`S
j >
y —
Shoreline Length __ I rt
SAV: not sure yes no . ti'4414 W ,�ft i yl 1v` j • i Sandbags: not sure yes no {
Moratorium: n/ayes no �--— r _.. / .. am ... -_.._... 4 .... -- i
1... Y .
I
-- — p l
Photos: yes no 4- 1 4
Waiver Attached: yes no ----
A building permit may be required by: . (ARP ./7 d . i See note on back regarding River Basin rules.
Notes/Special Conditions L)Fill) in 7/6. ST2iN6, 071 A 17J p/ n..s 4 NO-T 7D �)eTe.N.7)
36S/0 N D TN/IS LI wi i r
. .a(27/..._
Agent or Applicant Printed Name Officer's Signature
6' &--y_ 0 7.�y-6)3
Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
On 00 . r 3$ 2 5 ii.e 01 se,s---022 sh
Application Fee(s) Check# Local Planning jurisdictionr File N
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Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-648 I)or the Wilmington
Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-6481
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9 I 9 733 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: [phone] 151-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret, Craven, Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised I0/05/0I

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ACTION p'1"'�L4 TTOI�T -
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b61.t 3/20O3 08:43 3303322233 SALEM WOMEN'S CARE PAGE 01/01
i. )t a- 7-74-127.7 Imo.2i I `r;- !a' / - .
' DIVISION OF COASTAL MANAGEM$NT .
ADJACENT 12jpABLAN P QIBItTX O EB O'1 iFICATION A>[V R FORM
Name of Individual Applying For Permit: J7e14 r-
Address of Properly; 4/7 ' ° . • .4 0 BW- VII t ?=
(Lot or Street#, Street or Road)
''Z err P c - i
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying far this permit has described to me as shown on the attached drawing the development they
are proposing. A des 'ption or drawing, with dimensions,should be provided with Us letter.
I haveno objections to this proposal. .
If you have objections to what is being proposed, please write the Division of Coastal
Management, 121 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
Within 10 days of receipt of this notice. No response is considered the same as no objection if
• you have been notified by Certified Mail.
�.._I►- WA1 i'R SECi I i .,
I understand that a pier,dock,mooring pilings, breakwater,boat house or boat lift must be
set bck a minimum distance of 15'from my area of riparian access w unless waived by me. (If
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. .
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Sign Name ate •� .
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Print Name ,•+•�•� .
NCDENR . . • ::
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Telephone Number with Area Code , `'=
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®RCM: WILKINSON CRDJLLRC DI FAX NO. : 919 775 3421
CI v .�tiu .s„ 06-03-03 09:49 P.01
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Name of Individual Applying For Permit .5
Address of Property: L 0 ° ,/r7.
1 c f
(Lot or Street#, Street or Road)
(City and County) .
I hereby certify that I own property adjacent to the above-referenced.property. The individual
applying forthis.permit has described to the as shown on the attached drawing the.development they
are proposing. A description or drawing,with dimensions, should be provided with this letter.
____:4 •
I have no objections to this proposal-
. If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
' you have been notified by Certified•Mail
R ON
Y understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must be
set belt a minimum distance of 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 wish to waive the 15' setback 1equirement. -
•
_____Y_____ I do.nel wish to waive the 15'setback requirement.
Sign nuke - Date
... o e lam/ // .-s'. /Th..... AVA
Print dame____LZ--...-2-7—L----:3 a?( (A$''''0 • NCDMIR
Telephone Number with Area Code
S:lcamalshellslriparianp ropery. .
i a08d Z66916L016;XVd - EVITIVE N[V'1NYiOMd Wd 61 '01 NOW bOOl-ZO-Nff

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MILAM & BALLARD GENERAL CONTRACTORS, INC.
' PH. 910-791-6908 l`3 8 2
P.O. BOX 5081
WILMINGTON, NC 28403 i
PAY _ S. L' 7 O.
66-134/531 !1
TO THE - DATE
ORDER OF -_
' 1 FN6
FNB SOUTHEAST DOLLARS a r
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�� //�� P WILMINGTON OFFICE
' -L - �M NORTH CAROLINA
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