78039A_Gold, Jeffery_20210225

FAcAMA / N DRMWE & FILL N9 78039 B C D
GENERAL PERMIT Previous permit #
} New OModification CComplete Reissue DPartiW Reissue Date previous permit issued
As authorized by the State of North Carolina, Depar" nt of Envirorurrental Quality
and the Coastal Resources Commission in an area of enviro vital concern pursuant to I SA NCAC l k - 11,60
G9 Rules attached.
Applicant Name_� Project Location: County. O' a�tAIC�6jsS
Address 15 0 street Address/ state Roadf Lots}
City State N_-imP 09RZ2 1,w cca4'-� Gove-
Phone # -MaA ' - ' ��' M2A<1 * ,ji'bdivision Cg tm Cc�"
4.L Vic__..
Authorized Agent -,,, Q i; ?-:LM t dL City t- zip ?9qq
Affected i-i CW JdEW A PTA r, ES 3 PTS PhoneRiver Basin
# { RiBaste AEC{s}: D OEA D HHF D D u8A C1lV1A Adj. Vtr. Body ih
D P+NS:
ORW: yes/ PrtA yes t " CisoW Maj. Wtr. Body .._ � � -Je 5
Type of Project/ Activity
Pier (dock) ieno
Fixed Platform(s)
Floating Ptatfotnr(s} a
Finger pie* "'"
Groin length
number
leroth
.S distaxe o'ahore
mare dastanct ofthwrt
rr
Basin,
Goat ramp -'
&Mdlouw BOW&
Beach BuYdozing _ v
Otte
Shoreline Length Xt I i I I I a
SAY: not sure Yes
Moratorium: n/ yes na
a
Photos: & no
Waiver Attached: yes
A building permit may be required by- JA 4 CA n A Co
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Agent or ApplW P+
slirm—yi P,
ApplicationPee(s)
{Scale: !;} ' (vd }
C] See mote on back regarding River Basin rules.
Permit Printed tJame
..............
id compliance statement on baacicoipermht **
Check* bssuingCrate EnpitarttartDate

RECEIVED
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
1AN272021
Name of Property Owner Applying for Permit: j-VfLO 6Ot-0 DCM-EC
Mailing address:
1S OV[R4ILL NA/AY
ULE Y
Telephone Number: t 1) - 6 ?a -� q SS
q�l
I certify that I have authorized uV� 1�1 �(� K (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of Q L�j k-h(Sd � Iwl Tk(
fvv, NIWOC'l tyu �W� 160 f0 NOJ"A, to
at my property located at
o (4Stc- s (cA7 0Y , WlFo
This certification is valid through ��(� �( fM �j �✓ (date).
(Property Owner Information)
A/40
IV - Signature
Print or Type Name
0 W PEE
Title, co. owner or trustee for property
Datb
W -06 37
Telephone Number
Email Address

1 /21 /2021
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RECEIVED
Track Another Package + 1AN 21 M91
Tracking Number: 70201290000040527452
Your item was delivered at 10:06 am on January 12, 2021 in KING, NC 27021.
DCM-EC
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C✓ Delivered
January 12, 2021 at 10:06 am
Delivered
KING, NC 27021
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM
CERTIFIED MAIL � RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner Jeffrey and Janice Gold
Address of Property: . ....... ... 160 Casters QQy Way of #2)
(Lot or Street #, Street or Road, City & County)
Agent's Name #: N/A Mailing Address:
Agent's phone #:
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 &nension-s,must - — JI-dyvith th.isletter.
I haze no objections to this proposal. I have objections to this proposal.
. ...... .....
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice, Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No response is considered the same as no objection if you have been notified by Certified Mail.
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 sign the appropriate blank below.)
(Property Owner Information)
silkwhite,
Print or Type Name
Mailing Address
Cit)qstatelzip
Telephone Number/ Email Address
4�AO 4 4 d-k
Date
$ \ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
*djacent Prop, Owner Information)
Ye
ign ature
A
Print or Type Name
Mailing Address
4tO � �x 27��Ll
Cibo'State/Zp
704 -!5 1-1
Telephone Number/ Email Address
1111,E
Date * I
I
*Valid for one calendar year after signature* Revised 2017

�10 5'o
At 's

Agent's Name #: N lA-
Agents phone #:
(Lot or Street #, street or kcied, City' & County)
ZMWZ=
I hereby certify that I own prop" adjacent to the above referenced property, The individual
applying for this permit has described to me as shown on the attached drawingthedevelopment
they are proposing, A'descriotion, or drawing. with di men sioa,--k—W O,_e krovididv— tter
1 have no objections to this proposal. -- I have objections to this PrOPOsal-
If you have objections to what is being proposed, you must notify the Division of CoastalAWWoment
(DCA#) in wilting within 10 days of receipt of this notice, cormspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No EgE2nsa is considered the same as no oyEtion If you have been notified bX Certified' Mail,
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 Haack, you must sion the appropriate blank below.)
I do wish to waive the 15' setback requirement,
(property 0 rmation)
jo
Print or Type Name
LL
Mailing Address
I &vw F1
citylstatelzip
Telephone Number Email Address
I do not wish to waive the 15' setback requirement.
(Adjocent Property Owner Information)
SiinatUre
Print or Type Name
S L CASTV'r VA
Mailing Address
tialpeki).
citylstat&zP,
-2- 1 o - � k, s:- - �
Telephone Number Email Address
2c 2-

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U.S. Postal Service''°
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
;.e at www.USPS.COM
Jeffrey Gold
', 5 Overhill Way
:1 y Heights, NJ 07922
[e-mail]
17) 670-3955
r
a
n iary 21, 2021
[e-mail]
RE: Bulkhead Permit for
160 Casters Cove Way, Hertford, NC
Dear Cynthia:
JAN 2 7 2021
DCM-EC
Please accept this letter and check for $400 (to N.C. Dept. of Environmental Quality) for a
permit to build a bulkhead along the water line of my property at 160 Casters Cove Way,
Hertford, NC 27944. Enclosed are the green certified mail receipts for the letters sent to my
two neighbors. Previously, I sent you the signed letter from my neighbor — the Arnolds (156
Casters Cove Way). I do not know whether my other neighbor — the Steinarts — responded but
my notification letter was received at their address on Jan. 12, 2021 (see enclosed USPS
confirmation).
My planned bulkhead will be of similar height and design and attach to the existing bulkhead at
156 Casters Cove Way extend along the water line for between 180 and 200 feet. See the
general plan as attached to my letters to my neighbors.
I also attach the letter granting you permission to meet and work with my Contractor — Joe
Riddick — for planning purposes to the extent I am unavailable.
Please direct correspondence regarding this matter to me at Jeff goldncomcast.net with
calls/texts to [phone].
S' cerely,
0
Jeffrey M. Gold

certified Mail service Droviriac fk— c�

Nerquimans (316
1/15/2021, 1:03:13 PM 1:2,257
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For tax purposes only. Not a legal Oavment or survey. Perqusnans nor State of NC assume any Iistxilty nosuns10 from use of this mep.

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Centerlines p q g ry
perquimans_nc_dims Red: Red Imagery2016
perq u imans_nc_m is1 c PerquKrans as
Far tax purposes Only Not a legal document or survey Perqulrnans nor State of NC assume arty liability resulting Ian use of this rnap.
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