76514D - Gallo

,Cd" CWri -
1 CAMA / ❑ DREDGE & FILL N9 76514 A B
3ENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
•ized by the State of North Carolina, Department of Environmental Quality '
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC '
++__ / El Rules attached.
t Name G (� rl s �5 , • h �� 0 Project Location: County
a Street Address/ State Road/ Lot #(s) I tl
< State `ZIP 7 �` 2
ILI I. 2� al E-Mail Subdivision
ed Agent L J, k 0, ( � c - �Jc]n City l ZIP 7 `
❑ CW KEw PTA ❑ ES ❑ PTS Phone # ( ) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
El PWS. Adj. Wtr. Body AA
yes /(Ao. PNA yes / Closest Maj. Wtr. Bodyti�W w
Project/ Activity
=k) length_
rtform(s) _
Platform(s)
,igth
nber
i/ Riprap length_
distance offshore
x distance offshorq
cannel I
k yards
ip
se/ atli f2 • n
Aldozing
Length :)p
not sure YDS
um: n/a yes ......_._L.
yes Q.1p
_.....
ktached: y no
ig permit may bW(equired by:
_ocal Planning jurisdiction) ,`
n
0
1�
(Scale: N T
❑ See note on back regarding River Basin rt

REGENT AUTHORIZATION FOR LAMA (PERMIT APPLICATION
Name of Property Owner Requesting Permi :
Mailing Address;
141 Lions Paw
Ralph & Patricia Gallo
Holden Beach NC 28462
PIZt=ne Num3er: 919-395-1-21
Ei ail Address:
1 cerfrly that l have authorized Will Richardson
Agee: ;' Contractor
to act on my behalf, for than pugmose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my ,property located at 141 Lions Pave
in _3runswick County.
Boat Lift lrastallation
i fi:7hermcre calla-tify that ; an- auf ono recf to grant, and do in fact grant permission to
Division of {coastal Management staff tt e Local Pemik Officer and their agents to enter
cn the aforementioned lands .;r connection with evaluating infi%,mation related to this
permit application,
r rg nat(!r e _
Dnnt or Type Name
Owner
Titre

-16FT
LOWDEN
CANAL
12X10
FLOAT
UP
FT
STRUCTURES II II -1 I
&X12 DOCK
I IFT �2' -1
�2
RALPH & PAT GALLO
141 LIONS PAW
HOLDEN BEACH NC 28462
PROPOSED
BOAT
LIFT

139 Lions Paw Holden Beach Nc 28462
ADJACENT MIUM UIAN PROPERTY i:itlt)NER STATEMENT
Ralph Gallo
I he~eby certify that: I own property ediacent tc
141 Lions Paw Street (Natrne of Prol3erty Owner)
Addres3, 1_.ot, Mcrk Road, Vic:- -_-----___----
c„ r -Atlantic Intracoastal Waterway , r, Holden beach, NC 28462 , N.C.
(Waterbady) (Cityl-'own and/or County)
The applicant has describe;J tc me, as shi:)xv►7 t 7e dt;velopment proposed at the above
f, :atom.
I have no objection to _his pra.josaI_
,k--- I have objections to this proposal.
...~.�..... DESCIMPTIO14 ANDIOR DRAWING OF PR0130SF- i C6>WV-LOPlMENT
Gallo Proposed Boat Lift
boat Hft
Lowden 09 Q Warner
adjacent propwly seawaff currant dock adjacent property aeawan
8foot...............0
from adr Md seawall Gallo seawall
WAIVER SI CTICN
I understand that a piker, duck, mooring pilings, boat rarrfp, hreakwate..• boathouse, lift, or groin
roust be set back a minimum distarce of 15` fry:r, my wea of riparian arcess unless waived by
me. (If you wish to waive the setback; you rn.ist initial the appropriate blank below.)
do wish to waive the ' 5' setba^Ic requremem.
I do not wish to waive the: 1 E5' s,:�tback re al irement.
Retph Galo
f? inf or Type Name

&Q:JAGE_ T RIPA.RtAN RR£iPi;RTY OWNEi<' STAT='MEET
I he-eby certify that i nwn property adjacent tc Ralph Gallo s
�
oroperty located at,_, at___ 141 Lions Paw Street (Narne of Property Owner)
;Addra�s, Lot, 131ack, Road, etc.)
orl Atlantic kibacoastal Waterway , ire Hoiden Beach, NC 284fs2
_ , N.C.
(Waterbody) _ (City/Town andior County)
The applicant has described to rite, as shown below, t 7e develoorrient proposed at the above
i have no objection to his proposal,
I have objections to this proposal.
DESCRIPTION AND(OR DRAWING OF PROPOSED DaFELOPMENT _
tnc' viduaf,ixropa►iltg d velop ne.14 rmusf��# *SciiP*n i`-N�t`ort ur attach a site da'awing)
Gallo Proposed Boat Lift
goat urc
C O • •
8 Feet—> Warner Sea ail
Gallo Sea Wall
WAIVER SECTION
l understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' frcm my area of riparian access unless waived by
me. of you wish to waive the setback. you must initial the appropriate blank below.)
G I do wish to waive the ' 5' setback requirerrent.
I do not wish to waive the 15' setback requirement -
(Property Owner Information) (AdjacAt Property Owner Information)
Siaturre gn '
P.*h Gallo
Prim or Type- Name
141 Lions Paw Street
Uail-ng AadreAadra ,,s
h L Holden Beach, NC 28M
Print or T} Ng
-- _-_I is ST YtLt (� trLfl 1+i31"-Ns
Mailing Address
►-fQLrcN

Dab Recelwd
Celvmnt
I Dab DWD~
Caemr2
Chock F—
Cobmn3
Name of Parmlr Ncber
Coh—.4
V-11.1
Co/umn5
Ch-k Number
Columns
amount
Column7
Pone1 Manear�oenwrb
Ca1m0111
5262020
5/28I2020
Grace Construction of Brunswick County Inc
Grice Construction of Brunswick County Inc
Ronald Foster
BBBT
13850
$ 200.00
GP 6765241D
5262020
512812020
Miller Gibbons
BUT
13849
1 800.00
GP OM12D
526/2020
5R8/2020
Holden Docks end Bulkheads
Stephanie Bass
CrssCom Bank
3739
5 400.00
GP Q5W7D
_
5262020
_
_ 52tS2020
-
Willie Clarence RieherdsoNRichatWon
Roo and Patricia Galt
BUT
7114
200.00
GP i76514D
5/262020
- 5/26I2020
William and Sharon HerringTom
HerringFirst
Citizens Bank
18880
200.00
GP s78300D
5/26/2020,
_ 5/26/22020_McPhez
Marine Services LLC
ThomnAdems
Fk
3124
800.00
78stCHzensS"
GPiM
5/26/2020 5/26/2020 Carolus Buiklin Com
C