35032D - Gale

•
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AMA / DREDGE & FILL !
iEN ERAL PERMIT Previous permit#
dew Modification Complete Reissue Partial Reissue Date previous permit issued ;
t of Environment and Natural Resources
.;, r 3
tastal Resources Commission in an area of fli�hYonmental concern pur5uai�tb 15A NCAC ] ';ta �1 t" " it,, t 't�'•t cI
zed by the State ofNorthCarolina, Department
O.;in fi 1:. cii..._ / jj irii, iU k�, ,.,,ii i:✓ iu 9Rti :> ,, .. i3q. ,,i:i,`,3;diii..,• Ci (Rules attached . P'0i3J
Name �J ev 1= • lfl4/'P Project Location: County f f fd k (( _iv:tit t3rif:
Al ' a.a' > 041)*A65•6j e I ,f'd i i;. Street Address/State Road/Lot#(s o
„ ..i�' 13 State_f.Iar:iiit4.' ii)kl 3 1 1 i i k ip t :.; s t'i J1
i IP
.e r , f:a 9Li., i'v',i n93 f. 4 i . Cr; 07 25;31-10(t,wir kkDol .7:r Iigoic4gs n tiw 16
rlc..))_' 06"4-u75[ ,a+Fax# \'7S1 fh-,`i 2fif'i lif Subdivision ift t- ..-•P R✓f: `, h i„ c}-iiri
d Agent /4/pit• 01'4 tQ;(1-/e City ZIP is'Oler1,670
6 .SEW PTA ES -PTS ,3r19rr19gfii ia, Ori. bnE I. l
Phone # ( •'" �` River Basin tro
❑OEA"f e l HHF IH - UBA N/A rIti lit''c i,-!; CY1 i.!idl lr3i f roi7rr;t•,
❑PWS: ❑FC: Adj. Wtr. Body )i b,)/r L / (nat /mi
Bs I rio PNA �� no Crit. Hab. yes / no Closest Maj.Wtr. Body - -t(N1✓
3roject/Activity 0 1 W A e
rile i1m.e.
r:-„it.rfi .f 17v0i i (Scale:
.)length 3
e ncl irnmoD iri9`a$gssiE -1,7ivn71 ai 17 01 4du•t 3 9 "I _.4Qk(jirtris+
",., .. •,9n"1t C!'1:10,1n$-9'1E-29k111 19 I1 4l" 1T- t31:xi1 i,, 41-+: (L tha'i lndi._ tk .11 :9-1•J Go•_`r:: —..r(s) ✓
,/9,i! RI(I8#4). ,�t.0_E-4i)9a itt tu+;r,J711-rtc a-fit' r'!;`Y�V i,J1fJ !-\it ; .:.:__------- --- .
;di
ber .291-014i5-,IhiJ1l4 , .; i) 1d y 10i3fpldfni 4;
Riprap length C I`-Qi 16
listance offshore
distance offshore
inel 5'
:yards i ss
1 .e.) IL I
L1
I/o '
/Boatlift --...'�—' ---------
dozing
/ci4 1 /0 11 r, 6' 3. .,t,s d 1 j
31
ength l "7
•
not sure yes no
not sure yes no
11: n/a yes no
yes no L
ached: yes no
permit may be required by: Pert, /c r, , See note on back regarding River Basin rulE

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: S61nn. -• G c /`P
ADDITIONAL NAMES: Ak (N\
AEC DESIG: C lnJ w DEVELOP AREA:_(2.0 ± PROJ DESC: - '
(Will only take 6) (Will only take 1)
WORK: P4 5 i 3 y s /6,/ - /
(Will only take 4)
>c) y u
/ 6 o
MAINT:
(Will only take 4)
IMP: bt./
(will only talce6
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
LAMA MAJOR DEVEL REQUIRED: 6 -AS -O`( 0

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DIVISION OF COASTAL MANAGEMENT •
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ..TOkF J C• c g
Address of Property: `f /3 PI,• G✓ yiZJ ‘ J d
(Lot or Street#, Street or Road)
4Z,4 fli05-;a9• ^Cc 2-8 PeA1l6
(City and County)
I hereby certify that I own property adjacent to the above-referenced.property. The individi.
applying for this permit has described to me as shown on the attached drawing the development th
are proposing. A description or drawing, with dimensions, should be provided with this letter.
ha/Cloppri I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coasi
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39'
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must 1
set bck a minimum distance of 15' from my area of riparian access- unless waived by me.
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.
of . v
vr Name D to

4cf%
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J. GALE 6666=4s
K. GALE 531 384 3631
413 WINDWARD LANDING PLACE 372509262 '
HAMPSTEAD, NC 28443 Date 2./0 i/
Pay to the D 4
`X' y.
Order
off (--- I $ /O D/,o
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( ' —Be4lms ei YX1,1.d
CB Central Carolina Bank:et IS,ignature
c�21lioru,Nortt�CaroWia 27401 Rauking
:61 3543oZ
For ------� ----- --------------'-------AP
1:0S3L0046SI: 37 2509 26 2116 36131 e4