Gallants Landing HOA

ICAMA / ❑ DREDGE & FILL
GENERAL PERMIT �_. ---" Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authbrized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources C mmission in an art of environmental concern pursuant to, 15A NCAC
/ 1 4 Rules atta hed.
Applicant Name � C�
Project Location: County—
Address 1 l �\ Street Address/ State Road/ Lot #(s)_
City State i i ZIP j , 1 i i_ •� �� / K
Phone # (� 1 f ' ` /t/ _Mail Subdivision
Authorized Agent
L1 OW
4W
TA El ES ElPTS
Affected
❑OEA
❑HHF
l ❑UBA ❑N/A
AEC(s):
❑ PWS:
ORW:
yes / no
PNA
yes / no
No. 75272 A B C D
Phone #
Adj. Wtr.
Closest Maj. Wtr. Body
ZIP
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Agent or Appli;ant Printed Name
Sig at r,C * easeiread compliance statement on back of permit's"
Permit Of cer's Printed Nam-e�—,�-.�
l '1
Signature
Application Feels)- Check# Issuing Date
Expiration Date

Styron, Heather M.
From: Eddy Myers <[e-mail]>
Sent: Monday, October 07, 2019 4:30 PM
To: Styron, Heather M.
Subject: [External] Slip #8 Gallants Landing
Attachments: Slip #8 Gallants Landing Adjacent Riparian Notification.pdf
Heather,
We own the slip, but understand that it has to be in the name of the HOA.
Eddy Myers
Eddy Myers Real Estate
office 252-728-1310
cell 252-241-2205
0 " Virus -free. www.avast.com
RECEIVED
OCT 0 7 2019
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to CA GG`+.vTs L P vp 1H 6 W 0.4 's
(Name of Property Owner)
property located at CQ A GG .v 9 i L A tir`
(Address, Lot, Block, Road, etc.)
on g &�pq L,FaT- G ,N.C.
(Waterbody) JCitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
vFu"'I
�L�A t�� ,✓I �
�Li SOd.f �
1
� s t •
t 5 7° xs0
ir;5nrJs 60A/JkAI
� �rl
�k) NC-e/ (.lalNeJ
/Z r`
65 rSi�'6 cK J
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, 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.
(Prop rty Ow p InXvl--/'—
ation)
/
Signature
CMLtAN%S G4A.-Dprre No✓1
Print or Type Name
(42U4 W"vt=t4 �r"rc/e
Mailing Address
�l4L.�`IGN No
City/state/Zip
Telephone Number/email address
Date
*Valid for one calendar year after signature*
(Adjacent Property Owner Information)
1l
SignatureL* -1�
Print or Type Name
�L�t kA11.1 .5i
Maitigqg Address
lSt,
City/State2ip
Telephone Number/email address O
Date*
(Revised Aug.2014) O`1TO
C30 o o",
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oGM M

nLtperGJa'I
AUJAC t:N I RIPARIAN PROPER1 Y OWNER SIAI EMENT
I hereby cerldy that I own property adjareni to _A LLi•'**.•+-.7_:_�
(Name of Property Owner)
p opoily for algid al ... { } _(..!.? J_`)_���t.�v L i�y..Bc_�
(Address, Lot, Bloc RoW etc )
un 6 /4r <(- ✓a C- ✓/ .t"_ 4'L`'L,
(Waterbody) - - City/town 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.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
9 A
L1,,9'.egs G1-1/9Alk&.
1'6' 19 Ft
!�>
Gr 1 I
r 9
20
0.
6
AlL'
t?t 4lry lllJ y� Ti®
C,t A/L v PI[ /raI
12 r,
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, 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.
1 do not wish to waive the 15' setback requirement.
(Prop rty Ow�ris Infor ation)
.�'gnahrre
Jp4LitNil 41i N/J rr�e HAS/+
Print or Type Name
19.2o4 wtAli'rt•Lo C r141/e
Mating Address
Cityy/State2ip
Telephone Number / email address
Dale
'Valid for one calendar vear after signature•
(Adjacent Property Owner Information)
Signatwe*
Ann t or Type Name
Mailing Addr¢ss
City/Siate/zip I .
Telephone Outfitter / email address
jt/?n
Dare`
RSGS�NjED
(Revised Auy 2(;' , OC� O 1 70
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