85471D - Gallo

0`°"`4 CAMA [ 1 DREDGE & FILL Na 85471 A B COO
GENERAL PERMIT Previous permit
Date previous permit issued
New ❑Modification ❑Complete Reissue ['Partial Reissue
As authorized by the Slate orth Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC V 7r I t`"w O ❑Rules attached. eral Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name ('9 ( o Authorized Agent Address 0 SO/ Project Location Coun : 'Z/Z•
�r_ (County):
City 2�p ��jState MC ZIP ttz Street Address/State Road/Lot#(s) _Phone# ) 77-` `✓70 _ / 3 6fie
Email Subdivision e-
City dile5 J/ ��ZZIIP� 73
Affected ❑CW EW PTA ❑ES C PTS Adj.Wtr.Body 1/ ft a ��'j" '�'� �11'an/unk)
AEC(s): ❑IDEA U IHA ❑UW ❑SPIMA n PWS Closest Maj.Wtr.Body t ( • [�^""
ORW:ye) PN•V4 t•
Type of Project/Activity 1/M>(i /9r (4,14/A
-
�// r (Scale:I �.•t)
Shoreline Length t f.--qQ
Access Length / /
Pier(dock)length v 6 ///
Fixedor s), '/ 1J
Floating Platform(s) M
Finger pie ) , /
Total Platform a a dark //B')(2'i/ WrGroin length/il1 /`Bulkhead/Riprap len h � Y/ N
TIO ,
Avg distance offshore
Breakwater/Sill c/,,, sod '
,400
Max distance/length (` . OOronoBasin,channel tl/OI.{ , /` ��t
Cubic yards ietilik 144.46t •
Boat ramp
Boathouse/ �y • 4/ / be- /rl.4Beach Bulldozing C (`�a�-
Other
SAV observed: yes _ ."W�� w
Moratorium: n/a yes ,.
Site Photos: yes i f / 17
Riparian Waiver Attached: yes � �
�J,_amJ�
A building permit/zoning permit may be required by: —1
•
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
nSee additional notes/conditions on back
I •,LL,,•WA' i F ST• UTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND R WED CO 2 PLIANCE STATEMENT. (Please I , / ---
'M7� UMW! _
•g. or Applicant i D Na wit Officer's P'INTED Name
- IMP _ 1/27/2022 I� A
-Z7 22
.ign.ture"Pleas read corn• ance atement on back of ermit•• Si na•'re r

a90("54' ❑CAMA I-I DREDGE & FILL No. 85471 ABCD
1 p EN E RAL PERMIT Previous permit
Date previous permit issued
n New Modification Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 'y
n Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name /j'A( Authorized Agent
Address Project Location(County):
City 1/� State ZIP Street Address/State Road/Lot#(s) /
Phone#( ) /r - CJ 7f'fJ /✓ •
Email Subdivision ,' j /�'/
C
City ZIP
Affected ❑CW n EW n PTA n ES n PTS Adj.Wtr.Body (nadthan/unk)
AEC(s): n OEA n IHA ❑UW n SPIMA n PWS Closest Maj.Wtr.Body (t (
ORW:yes/no PNA:yes/no
Noe of Project/Activity '� ,
(Scaler t )
f,
Shoreline Length ' Vb
Access Length_ r ( j-
Pier(dock)length / ,
Fixed Platform(s) "k IIIMgr111 RM' 1
, ' IN illimill NM 1111 ISM'
Floating Platform(s)
r
Finger pier(s) ii..ll
p 1 1 # in
Total Platform area ��
1 i i
Groin length/# I!,
,
3
Bulkhead/Riprap length -- ---- g�---��--
Avg distance offshore a_._..
Breakwater/Sill / J f k ,,„i
Max distance/length ] . otiilb IIIIII
III
Basin,channel .. , .. . ....... .
\ _ rail J
Cubic yards41
Boat ramp III I PE
mi , , IL, imaii,„siamme
Boathouse/Boatlift
El Beach Bulldozing
romai1112161.Migffilliall
Other — ' 14 1 i
I.
I
SAV observed: yes -ft•,i 1 j N a i
Moratorium: n/a yes no i '
Site Photos: yes n- i r j/ �J
Riparian Waiver Attached: yes no I >' ( r I
. / I, (. ; 4 ) ' i
A building permit/zoning permit may be required by:
n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
nSee note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
gent or Applicant PRINTED Name Permit Officer's PRINTED Name

;tatement of Compliance and Consistency
"his permit is subject to compliance with this application and permit conditions. Any violation of these terms may
ubject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
-his permit must be on the project site and accessible to the permit officer when the project is inspected for
;ompliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by thi
>ermit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
ocal land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
pas been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
-he State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
nformation and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
fiver Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
lease ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
)ivision of Coastal Management Offices
Jlorehead City Headquarters Washington District
100 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
152-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
Serves:Carteret, Craven—south of the Neuse River,Onslow Fax: [phone]
;ounties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico
Tyrrell and Washington Counties)
:lizabeth City District Wilmington District
101 S.Griffin St. Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
:lizabeth City, NC 27909 910-796-7215
152-264-3901 Fax:[phone]
Serves: Bertie. Camden.Chowan.Currituck. Dare.Gates. Hertford. (Serves: Brunswick. New Hanover and Pender Counties)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Thomas E Gallo
Mailing Address: 204 Dowitcher Dr
Hampstead, NC 28443
Phone Number: 919 3a9 5700
Email Address: [e-mail]
I certify that I have authorized Logan Marine, LLC
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Construct a new Kayak Facility to
Include 60 x 5 Fixed Pier,a 18x22 Fixed Platform,a 12x18 Gazebo and an 18x5 Kayak Launch.
at my property located at 133 E High Bluff
in Pender County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Thomas E Gallo
Print or Type Name
Owner
Title
/ / /
Date
RECEIVED
This certification is valid through 1 / 6 / 2023
JAN 2 7 202?
DCM Wil IUIN(Tnni Kir

•ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Signat ,:
• Print•your name and address on the reverse X
j2-Agent
so that we can return the card to you. 0 Addressee
■ Attach this card to the back of the mailpiece, B. R= iv.. by(Printed Name) C. Date?of Delivery
or on the front if space permits. i,:t‘c-r - J' 2 Z.
1. Article Addressed to: D. Is d'ivery address different from item 1? ❑Yes
(14 WZ ft � `� 4.6t. `�� If YES,enter delivery address below: 0 No iOall
artb1.• C( r,J Di 08.
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3. Service Type ❑Priority Mail Express®II1I1I IIIIIIIIIIIII111111111111111111 0 Adult ignature ❑Registered MaiITM
Fit
Signature Restricted Delivery ❑Registered Mail Restrict(
ified Mail® Delivery
9590 9402 6672 1060 8450 90 ified Mail Restricted Delivery ❑Signature Conflmiationect on Delivery 0 Signature Confirmation
2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery Restricted Delivery
red Mail
7021 1970 0001 9284 2500 red Ma Delivery il Restricted Delive
3C Fnrrn RR11 .I,der 9r9n arty 7san_m_nnn_on�z ❑nmestin Return Receint

USPS TRACKNG#
11 In248°L
First-Class Mail
Postage&Fees Paid
i uSPS
Permit No.G-1 O
9590 9402 6672 1060 8450 90
United States •Sender:Please print your name,address,and ZIP+4®in this box*
Postal Service / .C)-
A-7 ./Uot-ILY 51*")."-k-
623 ,_ogNv r Ltd La
tdi t,in-t (A)G)-r bA), 2.2-1-/65)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to
7 fheiii ,5 vAL' a 's
Fled
j C (Name of Property Owner)
property located at p Fle 5t i i i u t
(Address,Lot, Block, Road, etc.)
on V Cirttk., , in /-1l4.,vo {eA4 N.C.
(Waterbody) (City/Town and/or County)
- The applicant has described to me, as shown below, the development proposed at the above
locatio .
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)
WAIVER SECTION
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.
I do not wish to waive the 15'setback requirement.
(Property,Owner Info., iation) (Adj cent Prop rty Owner Information)
Si hire Salute* M,A1— �--
7And 4-5 6-4 tA-0
Print or Tye Name Print or T`pe Ngtn •.-�� p Y
204 oovie,•k sr 13� 13( .. i-J'
Mailing Address / �t MA ng AddreksY ( .)4.5
City/State/Zip Cit /Scat tZ43
Telephone Numper/email address Telephone Nu er/email address
1 t_;0 a e//P J - - -
Date Date
*
(Revised Aug.RWEIVED
`Valid for one calendar year after signature*
JAN 2 7 2022

•
Check
sod Date Deposited Check From(Name) Name of Permit Holder Vendor Cheek number amount Permit Number/Comments Receipt or Refund/Reallocated
1 Column2 Columm3 Columnl Column! Column! Column7 Column! Column9
022 Sea Do_gMarine Construction -John Hamilton First Bank 1604 $ 200.00 GP#85447D PA rct 16528
022 Christopher Morrison Const.Inc. William Lilly First National Bank 2038 $ 400.00 GP 885516D PA rct.16530
022 'Logan Thomas Gallo BB&T 7837 $ 200.00 GP#85471 D JD rot.16554
022 'North End Builders NC LLC t,Kevin Cook SunTrust 1084 $ 200.00 GP#8565613 BH rc.15998

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JAN27
GALLO PIER
SCALE: 1"=40'-0" BY LOGAN MARINE,LLC ILMI�G
6310 GREENVILLE S 1
133 E. HIGH BLUFF DR PLOT PLAN
HAMPSTEAD, NC 28443 WILMINGTON, NC 28409
DATE: 12/22/21 910-367-1348