36820D - Galick

CAMA/ DREDGE & FILL c_:
iENERAL PERMIT Previous permit#
New Modification _Complete Reissue i Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources
Dastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7A/ /ZCJO
❑Rules attached.
Name /4/i C C W. ( a('Ck Project Location: County 5t t/,isLtJ/C ((
.5a(mOf c 4 Sea pr f k:oc "// Street Address/State Road/Lot#(s) 11 '/Z
State MA ZIP OL534, it)651- Eeoc:h .6 r,vc
(., if) 5 IC 43/0 Fax# ( ) Subdivision
dAgent II]atk_ 4-a?eiti- City Oak 1 fa rid ZIP A6zi/r5
❑CWW [ TA ❑ES ❑PTS Phone# ( ) River Basin L U i y7)
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PWS: ❑FC: Adj.Wtr. Body bct/VI5 La v7Gc_-( (nat tt
es / PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body 4'H. Cc& n /r�16L& )
Project/Activity / e O a f r/1Q y31 a Ce Pier", (D aC l
()length /$'D (gt7 Y / G/t
(Scale:
n
>) /Bx /.Z
r(s) /",X i A1(a`,r f ' i _.
'th f -t f
berb, tA..vf C..a.,_ - f
Riprap length r Lyfe
dstance offshore l 2-S'?'
distance offshore
nnel a � o T___
yards —
- -•-
a/Boatlift `_ - j I
(dozing rt. T___ i 1 1
B . . .
Length 75
not sure yes {no rLi/ { 1 I
not sure yes ( (`{ W 1__� : -
m: n/a yes
yes (no>i i L j Pp; G4k ,_....l {
[ached: /l esi� 'no) '
y
permit may be required by: n See note on back regarding River Basin rule

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: iL (2, Cl id A,c4-
ADDITIONAL NAMES: 44 p. 6S- a9
AEC DESIG: el,c) PT DEVELOP AREA: _..0i PROJ DESC: ( - fa_
(Will only take 6)
(Will only take 1)
WORK: P12 ?0 7E 1 12
(Will only take 4) 1
/aX (?1
MAINT:
(Will only take 4)
IMP: nu) t,p1
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 3f23/ Ott c0(240+-
CAMA MAJOR DEVEL REQUIRED: 3l Z 3( U y- (o( Z 3/o 6-

R-23-2004 08:39 FROM-CAPE [phone] 7-035 P.002/002 F-420
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AR-23-2004 08:39 FRCM-CAPEI [phone] T-035 P.001/002 F-420
9 VIStON of COASTALLJWASELLEET
DJ C A r PRO R ire
Name Of Individual Applying For permit: R-1{Ce. .,J,q /kr
Address Cf Property: %e L -c 4S
QAK ±S<qe /U.0 aru,,s
(Lot or Street I-, Street or Road, City &Coaxr1 y)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the, development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
,/Y' have no objections to this proposal.
•
you have biec ens to what ie being »ronosed, mlease write tie
v n o Coastal an a M m■r d
r IZ7 Carinal rive- Extension,
t c -3 00 t
days of receipt of this ngtioe o e de e t c e
as no ob v een notified by Certified Mail
•
ritrvERAMI21012
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift rust 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.
,/ W„--- i do mot wish to waive the 15'setback requirement.
•
,/27/
rig aturt D�fte ` • "

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NCTIPIC m N /W7 VE R
11t�.�r��lY/ 11��Y.;1;3� ��yl�M
Name Of Individual Applying For Permit: AJ
Address Of Property: y�j � 2J��, �l?e Dr.
/lJQ
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own
referenced ro ert Property adjacent to - the above-
property.P y• The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposi P. description or
should be pro ed with this letter, drawing, with dimensions,
I have no objections to this proposal.
•
If ou have objections to what is being mromosed mlease writ
Division of Coastal Management, the
Wilmington North Carolina 28405 I27 Cardinal Drive Extension
or call 910 395-3900 within 10
days of recejot of this notice. No resmonse is considered the same
as no oblecticn if You have been notified
by Cer-; =;mod Mail
WAIVER SICTION
C understand that a pier, dock, mooring pilings, breakwater,louse, lift must be set p• g boat
u area of e� back a minimum distance of 15'
myriparian access unless waived by me. (If you wish
:o waive the setba , you r_ initial the appropriate blank
)elow. )
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement,

MARK C ALBERT IS3 r�� — G y 66-1103003
1405
NCDL 8730102 PH.910-845-3291
112 19THST O°�O
OAK ISLAND,NC 28465-6201 � c $ ��o
0 E 1-) ? ._
0 t-
ito-t.Ae,ordeege \r\o rd t 0 el tr'...r.r" !
BB&T mom
BRANCH BANKING AND TRUST COMPANY
NORTH CAROLINA
/ t//////n
OAK ISLAND, ` 3--
(kitr i: 5 2 L8 L9 L3 L411• L1105