Gallop Jr, Marshall A.

J
WENEL.
CAmA-j NbAEDGE &FILL , ' PERMIT Previous. permit #
New Modification El Complete Reissue El Partial Reissue l r Date previous permit issued
As authoHied by the State of North- Carolina, Departryient of Environment and Natural Resources'
" and.the Coastal'C Resources , orinmission in an area' of environmental concern pursuAnt to 15A Nck
Rul ttached
pplican—t.N
Project Location:0 lCounty 1
Address I Street Address State Road/ Lot #(s)
State A 1�
City
ZIP
Phone
P# X&ax # Phone - Subdivision
'3' 5�' -7 Authori7ed Aoant i I rit,, i (I i Y, - ( i' .- I W 71P 5 '1 S
1:1 PWS:
Closest Maj..Wtr. Body
Groin length
avgdistanceoffshorw.,�J§
UO.M14140111MONEOgNmrim
nawn
AllL�liv■11/■■■■■■■■■■■■■■■■■■■■■
max..distance,.offshore
Basin, channel
cubic yards
e/ 66at Boathous Jift.
�mcwmbiimmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
SO=
IMIUMMMI
11M=MMMMMMNMMMMMMMMMMMMMMMMMMMM
M
Beach Buildoing'.'
Other—
ommmilrImmmmmmmmmmmmommmmmmmmmmmmmmmmmmI
iffli�,MMMIIIMMMLTANMMMMMMMMOMMMMMMMMMMMMMMMMMMM
0
1 IMML-MM"IIMMMLdommmmmmmummmmmmmmmmmmmmmmmmmm
0
Ir
. . . . . . . .....
RME
"i
1111111111PRA
9-2
W,
01
I'M
U
01 1
1PMMMMMMM=MMMMMMMMMM
L
SAV. notsure yes 0
[Sandbags: notsure yes
Moratorium: n/a yes
'Photos: yes
Waiver Attached: yes rto
■■
I
I191
MMIISt
-MMOUROMBROMW
MINICE
UM
MEMNONIMW
;I
Nib
MW
ULVfflfflAJrA;L4MMMMMMMM=M
MME
4111ME
W1
ORAL
NWA
0001XVIMEMMOMMMUMENEMEN■NEEMENIMEN

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 1) 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, certifythat this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
Other:
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 (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters.
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth Elizabeth Ci�District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to fo—&2 4 . y r 's
Name of PropertyOmer)
property located at� Md��
(Address, Lot, Block, Road, etc.)
on '- v , in t` GI ✓ L- , N.C.
(Waterbody) �r� (City[rovfn and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location. /
�/ I have no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
fq r k/
R�ei Yq A/R s s 7-17 L'' Sii �s�-ice
T fi E �Vr'W %�R�irc c,� T" S17 o 11�.Z h rva 'i ,—X ��NP liv r
F
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, liift, or groin must be set
back 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 requirement.
I do not wish to waive the 15' setback requirement.
/ (Property Owner information} (Adjacent Property Owner Information)
F
or Type
Y© ailing Address
Telephone Num4er
Dare
Sae 'Kf Ch t&ch St.
ailing Ad Tess
yyan spv ry fV G 2�5i
Ci 1c1lu elZi
Telep7'Z,5
one N tuber
lu �I 3
Dare
` MTM (Revised 611812012)
OCT 29 2013

p.2
ADJACENT RIPARIAN PROPPERTY�'0W-W-FR STATEMENT
I hereby certify that I own property adjacent to y0rZsv- f y 1K 6-.ly e. 's
Name of ropmW w)
property located at A/
YY (Address. Lot. Block Road, et r.)
on ��. n . N.C.
(Watarbody) tQty1rdvfn andior County)
The applicant has described to me. as shown below, the development proposed at the above
location.
4— 1 have no objection to this proposal.
I have objections to this proposal.
DEWRIP'i'lON ANDIOR DRAWNG OF PROPOSED DEVELOPMENT
(Individual proposing devalopment most fill in description below or af6ach a arts drawing)
l� vf/P AOD D��E; /DVS%f�s,�- Jtr�L'aGKitx�
G.R. hv"si%Ea 7171'
�h N W AIRXA S h Wn i 45,eT� r a
l f71 UJJ�7f v�sry !'10�?c kYAHr!.i ��Qvit fhC �i�L�1lt�yS�/�6�,4v�C[.
t understand that a per, dodo, moodng pilings, nreakwater, boathouse. rlit, or groin must be set
bear a minimum distance of IS from rrry are* of rOWian access unless waived by me. (if you
wash to waive the setback, you must hmdW the appropriate blank below.)
I do wish to v atve the 15 setback requiremenL
_ I do not wish io waive the 15' setback mquirement.
Owner Information)
Gw
rrrtl c rype
�� N
Address G
CKY fP-Zp
IQ „4'* -f t ��
�elRob it Numbpr --r
Daft
WMV
- alk— — - • C kgzs rwE,�3
Mint or Type ame
v o
� any ar�orrsss �
Ciry/Sf e2ip . "' 7*
Telephone N .bar
Dare
t2 1#tE�N1;D
(Revised 6N8/2012!
�c�-�xncrrsr
TO 39Cd 6Z60090616 ET=60 CIOZ/6Z/01

10/29/2013 09:13 9194604929
IJO
cammau
g-d
PAGE 02

S 6737*05" W
15.62'
.-.ioll -
7u
0 O
C] N
N/F
R05S J. Simpson, Jr.
DB. ,2349, Pg. 777
N 29'11'17" W
8,39'
• • S' 7T,15'25" W
S 65 ,
p " �s7
1 W • ► •
29,54� S 65.39, '
20.14. �. t
CP
• N• 66'ik5'06
20.65' \
•
ov
�,. 41S" ��. •CP •
pN- a2 �p N 49'05'SCP
0"
9.0
gp I ���57 N 12'06'14" N 59'S9'S6"9E '
• 9.53'
• 21.70' •
. N 35'03'34 W • •
15.38' •
►CP •
• ; • •N 5249'23" W •
8.05'
CP
CF N 42'40' 16" W '
v lieni"d Hip R
• • • • • ' • ii8 j1O%.. CAMW'"
b t •

�?;'Y
1 .:.
IJ` '�:
��+,�v-
M

This map was produced by the Geographic Information Systems (GIS)
program. Informational data used to create this map were collected from
federal, state, county, and private organizations. This map is a general
guide to assist the public and is for illustrative purposes only. While every s A CO Rae�rl�
effort is made to keep this map accurate and up-to-date, it is not intended Tow J ��
to replace any official source. Under no circumstances shall the State of �. I JOIVES
North Carolina be liable for any actions taken or omissions made from c CAR?FREi� N°hns
p '
reliance on any information contained herein from whatever source nor % ? _
shall the State be liable for any other consequences from any such reliance.
White Oak River
C
.010312f
- �t - - - ; - - �- - - - �� � srraaw J •roc
•1
Holland Mill Creek .010312 If if
� Y Prl
O\�i/I�n�rCk.
eo
f . ( Queens Creek o
-I �( Rob+ son
Green `i ( ! t' S�Mig ti .0103 12 h Po n
Hall's Creek Jonm I
h III
ie (
P--� Parrot Swam
o � p .010312hii i �•
L
C
.0103 12
Hawkins Creek
•
G rrat NKk -
�
rIt
4\ ,i %0/
a\ 1 f .010312 h i
r _ We ft Dick's Creek y`
ail, I Bear Creek .010312 t �„w Y
]I1. RS E R V A TPAY
51p d
4
Salfiers Bay 010313 a
Salliers Ba .010313
MDZRA
Background imagery are U.S. Geological Fishery Nursery Areas
Survey 1: 1 00,000-scale planimetric maps. QPrimary Fishery Nursery Areas N
0 Permanent Secondary Map Datum: NAD83
® Special Secondary Map Projection: NC State Plane -
Map Date: March 2011
® Military Danger
Zones and 1000 0 1000 2000 Yards
Restricted Areas
locator map 0.7 0 0.7 1.4 Miles
Iffffff� Inland waters(WRC jurisdiction) Map 20

ash SOUTH FEDERAL HIGHWAY
BOCA RATON ,F 32
For l7 ✓tJ�2-
1: 266086554i: 3 Los 89763611' L l'