20112D - Gallivan

r� CAMA AND DREDGE AND FILL 020112
GENERAL /
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC Ti 1 ' • I A 3
...--' j f
Applicant Name i 1 /Y1 a 1 h`'Ic_... .4 `I I vet , Phone Number
Address --)•ilk Ci 0/Cie P /2(A
City 1"i.,..,nP5 4.e4., e. State] Iv C. I Zip
Project Location (County State Road,Water Body,etc.) . d o rr
py r A t i 4-a Afl + Ae r ffiu, XS eK / t n {+r' o v -,L-,�
ii
Type Project Actiyity (OAS trot 4. A 44 1` / ' ? y 4-, Ch .- e1 /10 r 44 s 1 '
o )l1S 1-,4 /a' X 1 ' T- .e' ri ` Au C oof �r #i ct /I ti, a 4 /i' t /
/5 7 /A'4 l Y? T cJs rl/" (dr 1'4P orri V �� kir _ f, ,, r�r t'ah a c C/47 C. S/t/!
e y�eA t rnarc "4ti�,A 'li-i he w$ -#4, of 10,14(r , All con di 4' 1a.) b "iI4, l 31,7:7,
PROJECT DESCRIPTION SKETCH 544 I J ei p (SCALE: lib 1 4 L.
Ii )
r
Pier(dock) length I
Groin length /\vJ
1; ���u r. a Ci j u t-e" -f' 4 A 1 W lit,,
number _
Bulkhead length
max.distance offshore 2ti' 7 �_ E.XIS 4;n
loa {
Basin,channel dimensions p `', L ?•,
fry .„ , ,.
cubic yards Do r` k
Boat ramp dimensions -
++ e Ir Vk ve ktk v irir l ri'
Other F) On In kl ..
ay ' 7ll X / f
1.*-
This permit is subject to compliance with this application, site -4(i:te, 7 •� ®�
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void. /C'�\ ,
9.4/41 ._..
This permit must be on the project site and accessible to the (,/ permit officer's signature
permit officer when the project is inspected for compliance. �.. f�J ^ V r1 'S° '
The applicant certifies by signing this permit that 1) this pro-
ject ` C/ 4 Lji
is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no / I� ��
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that t7 G /I
this project is consistent with the North Carolina Coastal application fee CeN#u rq
Management Program.

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DIVISION OF COASTAL MANAGEMENT
ADJACENT R-RF-ZTAN PROPERTY OWNER NOTiFT
`' _CAT=ON WAIVER FORM
Name Of Individual Applying For Permit: "'' O-/W c J CI V
/1(L)
Address Of Property: 20
/ •
(Lot or Street If, Street C����2 e©CAN
or Road, City & County)
hereby ce �ifY I ownproperty
referenced L, that p ODE_ty adjacent
_operty- The individual to the describedabove-
pi.t • me applying for this pe_.•�.it has
as shown on the attached drawl
they are p_oposing. A description or drawing,
the dimensions,
should be r e a`�w'ng, with dimensions
_ oti_a_d with this letter.
f
I have no objections to this proposal.
If VOu have O.D;eCti On5
to what is beinc proposed. l
Division of Coastal a a D-Ease Ls7T-;to tlla
i`'1an_aem_nt. 12 7
�'�"'-1nIZT-1QtOII. North Carolina. Cardinal Drive
days0mansion. •
of receipt -ra. 28405 or call3_5-39d0 w;
C`_Dt of this notice. r 910 II 1
NO response i -thy
as n0 OI71eCt10n f VOII have been notifiedS COnSi considered the Spa
by Certified Mail
EATVER SECTION
I understand that a pier, dock, _
I un lift ! moor'no pilin J _ i
__use, or-sandbags must he set back a miinimu�„D � �distance
DG'
om my area of ri arian access unless waived C1St=f Ca O� i s h
tobelow. )
wwaive the se ack, you must ;r.i t;aly ? by me_ T-i you wish
the cDDl"OpT'i`te blank
•
i do wish to waive the ?5'SEmbcCk ierauir-..._I* =,,t_
I do not wish to waive the 1.S'setba
`_�-�cCk =e_ Ti rem`TSL_
S5
1
's. ,...._sure _ ,
VLF L=�e
pry--It Ivame
`1=lphone Number With Area Code

Dry 7.`=ON OF COASTAL MANAGEMENT
AD AC 'T R FR-AST PROPERTY OWNER NOTIPI
•
i- CATION wA,—v. pop
Name Of Individual Applying For Pearl /9-Ge__//44,d
Address Of Proper` --?
(Lot or Street n, Street or Road,
City & Count )
I hereby certify that I own above-
referenced property. The individual��eStY, adjacent to the zbOYe-
r e
ref erence .to me as shown on the applying for this permit has
theyare attached drawing
'proposing. A description or the development
should be provided with this letter. drawing, with =aih'15i0II5
I have no objections to this propo5a1.
If You have Ct_O
' i of
; r+S to what is jciDC, proDos=^ l e=
Z,^i s i r� O- a ^1 m=T� Ce = t`. �--- a W'r;t o a
j'Yi_IP.i:lCtpn. Nprth C-r01 ;�a , 28405 �T7 CcY'Qi Il=l... �?-i ya .'7Ct � i OP_.
o a_ tali c "
Q.-i►$ of re ciDt of this notice. response c ` �� 0 30 _Z w• n�
No is 9 00 t•_ n ?0
as :10 OD;er`t;Oil i r V011have COT'`51 `are
been notified edy d the S2I21a
Certifi.=d Mail
•
WAZV- a r3Crr*rON
I understand that a pier, dock,
ck, moor nc D_7 ;
house, lift or sandbags must be setback a Il' ;s, Jdist=ant= D ,a`
from my area of riparian access unless ess waived C=SC f .1 ?s r
to waivethe setback,
below. ) ch you must tip the appti =oD( yp wish
________ I do wish to waive the ,S r s etback r e ui_em=_t.
----.__ I dQ not wish to
waive the ,S,set -c�-�_ _
•
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Pr-i,n; Name
9/O_ Z 7v_ -'ice 3
'relephoLe With __Are-
Code

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TIMOTHY J. GALLIVAN 66-65/531 1818
CAROL C. GALLIVAN 0276148604
209 OLDE POINT RD. PH. 910-270-5164
HAMPSTEAD, NC 28443-2389 DATE ' p
PAY TOTfIE / /y' — --- $
ORDER OF
1_,1.Al2S El
PsIDE=
Centura Bank®
Ilumpelend,NC 28443
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I S 3 L008 501:0 2 76 Lt,86041" L8 18 GPci-01'