31910D - Gossin

0 CAMA/ ❑DREDGE & FILL N':' 31910
GENERAL PERMIT Previous permit#
> Nev Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC l 44 • j 2.0C) .
E Rules attached.
Applicant Name j t,r\ftr a (,'tS \ n Project Location: County fur uJiC ......- -
Address I IL1 CFS'u(\t r.,1 ' 1A re___, Street Address/State Road/Lot#(s) S
City nor/tftJt k State NCI ZIP c;")S&, C.Sk- Cio(A. Ct
51 a Fax# Subdivision �S\Prr 6 '[`AT V--
Phone # (�1�1) `.:��'� � ( ) ff
Authorized Agent �Z\\1 C err rc#* ) City 0Ce.., -, sue tn,ZIP
Affected CW XEW ).PTA DES OPTS Phone# riIU ) 515'SSSU River Basin L ur c —
AEC(s): ❑OEA ❑HHF ❑IN ❑UBA C N/A Adj.Wtr. Body O k d S ) rd ' fexk..42/man /unkn)
❑PWS: . FC: (� I
ORW: yes /fno PNA eyes / no Crit. Hab. yes / no Closest Maj.Wtr. Body t 1 W w
Type of Project/Activity Np'u-) p Ie—e prr C) 01n, ‘,, -.G) �U C L-_
VI
(Scale: ('Jor To )
Pier(dock)length ti(Si .-
Platform(s) 81 I tO I F f 0 n.I
Finger pier(s)
Groin length ! •
number
•
Bulkhead/Riprap length
avg distance offshore _ • ,
max distance offshore . . .
Basin,channel -_-4___________.__ ------_-_—
cubic yards
Boat ramp .
Boathouse/Boatlift i — . T
1
Beach Bulldozing
V
Other. .
Shoreline Length .5 U - • '"'�: -1 '",., E.}C I s-k;r1C, .., '' ��"nit%iii #Z� .*r- \ -
SAV: not sure yes no - — -Sandbags: not sure yes no ` 1�1 ����
Moratorium: n/a yes no I 'WI 1 '
Photos: yes no\ O
1
Waiver Attached: yes / L.- — — — — G/
A building permit may be required by: (f e -1--S\UC' k . I See note on back regarding River Basin
Notes/Special Conditions L Ne J c'UAL, U P wir. '�{'\ f 1 O'f1A-- 0(1 z—rc k .J f �,i t
1�� -A 4 rr t" fc�c ll�,�Ci �� `f`n 9-__CeC2' ..
Agent or Applicant Printed Name C I PjErmitOfficer' Ignature •
✓' _ i 7 t-'' f �` —II-02— !Q-II--U2—
Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
(u0 -- — ()c:-PAm t`sQ�e P 09 !jApplication Fee(s) Check# Local PlanningJurisdiction er File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
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 Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-6481)or the Wilmington
Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-6481
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford,Hyde,
Parker Lincoln Building
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza 11 Wilmington, NC 28405-3845
Morehead City, NC 28557 9 I 0-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
Revised 10/C

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C_4Ifi42vsn.JORD 7Z REQUIR"D
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CERTIFIED MAIL RECEIPT
(Domestic Mail Only;No Insurance Coverage Provided)
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Postage $
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Certified Fee
Postmark
rl Return Receipt Fee Here
7 (Endorsement Required)
7 Restricted Delivery Fee
7 (Endorsement Required)
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Total Postage&Fees $
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:ertified Mail Provides: •
I A mailing receipt
I A unique identifier for your mailpiece •
I A signature upon delivery
I A record of delivery kept by the Postal Service for two years
rnportant Reminders:
I Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
I Certified Mail is not available for any class of international mail.
I NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
I For an additional fee,a Return Receipt may be requested to provide proof o1
delivery.To obtain Return Receipt service,please complete and attach a Returr
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver foi
spa duplicate return receipt, a USPS postmark on your Certified Mail receipt is
i,� gwred.
I For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
'endorsement"Restricted Delivery".
I If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mai
receipt is not needed,detach and affix label with postage and mail.
MPORTANT:Save this receipt and present it when making an inquiry.
'S Form 3800,January 2001 (Reverse) 102595-01-M-104t

.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. ignature
item 4 if Restricted Delivery is desired. 0 0 Agent
• Print your name and address on the reverse X ' il, _ rs ' UR t ❑Addresse
so that we can return the card to you. !Flied by(Printed Name) C. Date of Deliver
■ Attach this card to the back of the mailpiece, +_or on the front if space permits. I 1. bib ' ID '02.I-4,
1. Article Addressed to: D. Is.elivery address different from item 1? 0 Yes
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YES,enter delivery address below: 0 No
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S9-^ 1) CI Registered ❑ Return Receipt for Merchandis
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4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) /740/ 9-S/O etv S /.S V 6,a-
'S Form 3811,August 2001 Domestic Return Receipt 102595-01-M-25

UNITED STATES POSTAL SERVICE First-Class Mail •
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Postage&Fees Paid
LISPS •
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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.LNDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
II Complete items 1,2.and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. J �)El Agent
II Print your name and address on the reverse X ...air° � ❑Address(
so that we can return the card to you. g•Received by(Printed Name) C. Date,of Delivai
■ Attach this card to the back of the mailpiece, 19. (,, ca
or on the front if space permits.
~ D. Is delivery address different from'item 1? Cl Yes
I. Article Addressed to: If YE18,enter delivery address below: El Np '
��///� S �/q, 3. Service Type
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t.-fT* ertifle•d Mail ❑ Express Mail
,t J. K• ❑ Regist d Cl Return Receipt for Merchandis
's Cl Insured Mail Cl C.O'.D.
f
_, . '4_ Restricted Delivery?(Extra Fee) Cl Yes
2. Article Number •
7001 2510 0005 1569 6945 -
(Transfer from service label) Yy S
'S Form 3811,August 2001 Domestic Return Receipt 102595-01-M-2!

UNITED STATES POSTAL SERVICE R�4o . C1 w 1�1�
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PM e
20 J'JN
• Sender: Please printryooir a fe; address, a
ggU/SLU/C k SUS//2C .S' &"J/i''-, /

. - . - - -
CERTIFIED MAIL RECEIPT
(Domestic Mail Only;No Insurance Coverage Provided)
L
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r Postage $
17 Certified Fee
a / Postmark
Return Receipt Fee
n ,� ere
(Endorsement Required) /,//
3 Restricted Delivery Fee P !
(Endorsement Required) -•.T
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3 Total Postage&Fees
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▪ Sent To
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Street,Apt.No.; rA"' '/� f
or PO Box No.���d t" �"C.� ��p+�J �d
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;ertified Mail Provides: •
I A mailing receipt
I A unique identifier for your mailpiece •
I A signature upon delivery
I A record of delivery kept by the Postal Service for two years
nportant Reminders:
I Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
I Certified Mail is not available for any class of international mail.
I NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
I For an additionalrff�e a Return Receipt may be requested to provide proof of
delivery.To obtain. turn Receipt service,please complete and attach a Return
Receipt(PS Form 811)to the article and add applicable postage to cover the
fee.Endorse mailpiece 'Return Receipt Requested".To receive a fee waiver for
a duplicate return Jrceipt, a USPS postmark on your Certified Mail receipt is
required. i
I For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
I If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mai
receipt is not needed,detach and affix label with postage and mail.
MPORTANT:Save this receipt and present it when making an inquiry.
'S Form 3800,January 2001 (Reverse) 102595-01-M-104t

- -
CERTIFIED MAIL RECEIPT
(Domestic Mail Only;No Insurance Coverage Provided)
a OCEAN ISLE BEACH NC 28469
7 Postage $ $0.34
Certified Fee $2.10 0470
W Postmark
n Return Receipt Fee $1.50 Here
(Endorsement Required)
Restricted Delivery Fee $•00
(Endorsement Required)
Total Postage&Fees $ $3.94 06/19/2002
II Sent To
olk eaer-,tPS Aftz-c_,
or PO Apt.N. / ( Ste-
3 or PO Box No. �Fs i y
3 City,State,2!P+4 !•'�
Dc&foyk ,4_ /e6.74 cd/ /i

•
:edified Mail Provides: •
I A mailing receipt
I A unique identifier for your mailpiece
I A signature upon delivery
I A record of delivery kept by the PoosSal Service for two years
nportant Reminders: �')•'s ?{ +'p
I Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
I Certified Mail is nottavailable for any cltt44 international mail.
I NO INSURANCE tCbVERAGE IS PROVIDED with Certified Mail. Favaluables,please co er Insured or Registered Mail.
I For an additional fee, a Return Receiptimaybe requested to provide proof o'
delivery.To obtain Return Receipt service,please complete and attach a Returr
Receipt(PS Form 3811)to the article arid,add applicable postage to cover the
fee.Endorse mailpiece 'Return Receipt'R sted".To receive a fee waiver fa
a duplicate return receipt, a USPS postmark on your Certified Mail receipt ie
required. , IIh 21..4,
I For an additional fee, delivery may be restricted to the addressee of
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
I If a postmark on the Certified Mail receipt is desired,please present the arti•
cle at the post office for postmarking. If a postmark on the Certified Mai
receipt is not needed,detach and affix label with postage and mail.
MPORTANT: Save this receipt and present it when making an inquiry.
'S Form 3800,January 2001 (Reverse) 102595-01-M-104!

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Bank of America Advantage"
RICHARD J. AND BARBARA J. GOSSIN 8291
NCDL HIS 3278370 HERS 3284068
114 PRESTONIAN PLACE 66-19/530 NC
• MORRISVILLE,NC 27560 /� //— _ 413
� Date / CJ
Payll�/ 'E I $ / . �6
to e order o �7
s-,zz.•� ��I/r/,l�r--fin ;r � 7,..,,,
Dollars 8 a
Bank ofAmerica, ��
ACH Rif 053000198
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�:0 5 3000 l 9 61: 660006,0 6 3 4 1II■ 8 29