31005D - Ossi

r . 0 AMA / DREDGE & FILL N9e 3100 5"1
GENERAL PERMIT Previous permit #
` ' ..Neew Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environment and Natural Resources f 'LW
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1-i
❑Rules attached.
Applicant Name \-- t "lik U5St Project Location: County art, t'\5 t);C
Address 1 1 1 61'\j Pt'r CC rouca T C t•.J ' , Street Address/State Road/ Lot#(s) /3 2. G e,n or,s.
City
State WC, ZIP ar15I 1 PU,n1 I. -Und
Phone # ( ) Fax# ( ) Subdivision Luc k-vJoccA F 1 y l_ `aj t i,.��'r9 .,/t.I'
rr1 �
Authorized Agent GL C'�,t,('� t-f1U S City 6& k e\ ZIP ,8(-1(Q2_
__CW ;KEW PTA ❑ES C PTS Phone# ( )4 i\C . L 0-1- River Basin Lu.t\j
Affected
AEC(s): OEA ❑HHF ❑IH IDUBA ❑N/A Adj. Wtr. Body L o ..tiJ OGC) T U j(c 0/man /unkn)
❑ PWS: ❑FC: AS ,�/
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body
Vv
Type of Project/Activity kJ P ..0 A C cuss CAD f\ - ‘ LJE.4 1 d S , ,1 NV d ' Lit ci uC-k.-
�1• .�, �`1 LA()CA--- � c2'�� �4t *,,ur, tA)AlJrA `_�C4hfY -- (Scale: IJuT Tc, )
Pier(dock)length 14t�t ___.,. . _--rif (b1__.. n oprr : aci. ---{ c--1F- e- t
Platform(s) (� ?( . 'SEX— 1fh-f Tor- . -
1
Fin' er ier s t `y L-- rc S
Groin length 4 n 4r �Y I t _ tom I' 1
number a 1 �; V
3(
t I
Bulkhead/Riprap length ( , - - V .I_
P P � C.,
avg •
distance offshore r I -�
max distance offshore I I — 1
. I ' -1I- -
—I
I ! I t' ,Basin,channel i d . i Y i�
.._.
1
a
cubic yards • • ___
Boat ramp I - ._.
Boathouse/Boatlift "" -- -_ i
Beach Bulldozing ` I - . Y Y____ _
( , - r i
Other 1
Nr.
,
Shoreline Length } I ( I i i ,
SAV: not sure yes no _
Sandbags: not sure yes no
Moratorium: n/a yes now_ 4
Photos: yes n i ,,,_.
„_
Waiver Attached: yes (no - - — - - - �...
A building permit may be required by: la t,t r pus)',C L. (0 w,.‘41 E See note on back regarding River Basin rules.
Notes/Special Conditions k 4--.)Lt, t t LA ui t u S+ I Pt 1--1 Ot kt `j 1-1-u C - C R «U f F1 rr
;._1 -t-r. 4 t-,rI.,\ P t u r -h) C o r 5t1 u c 'tun Rs— l , It 5 to r t.r-ti LA?11 I , lac
,`"u�,Y;,A!�rl, 4-U 1 he y,',s\u r\ �,�Z� - n ()( ^Uf Pr u\ec+ u v I c 4 ',L n
—s A r`I -c\mil.r 'rr\u f '\, .a,;,. 4
Agent or Applicant Printed Name ( Permit Officer's Signature
l
Signature **Please read compliance statement on back of permit" Issuing Date E piration Date
L:3CUCV's,(1)'.CL (UL"n
Application Fee(s) Check# Local PlanningJurisdiction Rover File Name

t
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:
Li 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 252-946-648 I
Location: Fax: [phone] Fax: [phone]
Parker Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort,Bertie,Hertford, Hyde,
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 II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
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

La-r--i\n-±-(AL C01\11-)UTER FORM
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ACTION -=EPIR_ATION
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CAMIA W.A.JOR_DEVE..riQUIR,-M: 1,, I 1,0/ to 2— _1441_2—

of-ISS
��?'ox� DEPARTMENT OF THE ARMY
�� i// WILMINGTON DISTRICT,CORPS OF ENGINEERS
w _== P.O.BOX 1890
",11I! WILNIINGTON.NORTH CAROLINA 28402-1890
Gyre i= = REPLY ro
n Srari s of N• ATTENTION OF:
December 13, 2001
•
Regulatory Division
Action ID No. 200200188, General Permit No. 197800056
Mr. Paul Ossi
111 Sylvan Grove Drive
Cary, North Carolina 27511
Dear Mr. Ossi:
Reference your letter of November 26, 2001, requesting Department of the Army (DA)
authorization to construct a 171 feet long x 6 feet wide pier and a 6 feet x 24 feet float' g dock at
132 Genoes Point Road, Lockwood Folly Subdivision, Genoes Point, in the Lockwood lly
River,Brunswick County,North Carolina.
On July 2, 2000, we renewed general permit No. 197800056, (copy enclosed), that authorizes
the maintenance, repair, construction and installation of piers, docks, boathouses and boat
shelters, mooring piles, dolphins,jetties and breakwater structures in navigable waters of the
United States in the State of North Carolina pursuant to Section 10 of the Rivers and Harbors Act
of 1899.
Your work is authorized provided it is accomplished in strict accordance with your submitted
plans, the enclosed general conditions, and the following special conditions:
1. All work authorized by this permit must be performed in strict compliance with the
attached plans, which are a part of this permit.
2. An as built survey of the structure will be performed at the completion of the project and
sent to our office for review for navigation concerns.
Your proposed work is authorized if you can comply with all permit conditions. Please read
the enclosed permit to prevent an unintentional violation of Federal law. As this Department of
the Army regional general permit does not relieve you of the responsibility to obtain any other
required approvals, you should contact appropriate State and local agencies before beginning
work.

Thank you for your time and cooperation. If you have questions,please contact me at the
Wilmington Regulatory Field Office, telephone.[phone].
Sincerely,
Henry Wicker, Project Manager
Wilmington Regulatory Field Office
Enclosure
Copies Furnished (without enclosure):
Brunswick Surveying, Inc.
Mr. Gary Gurganus
1027 Sabbath Home Road SW •
Supply,North Carolina 28462
Chief, Source Data Unit
NOAA/National Ocean Survey
ATTN: Sharon Tear N/CS261
1315 East-West Hwy. Rm. 7316
Silver Spring, MD 20910-3282
Mr. Doug Huggett
Division of Coastal Management
North Carolina Department of
Environment and Natural Resources --
1638 Mail Service Center
Raleigh,North Carolina 27699-1638
Mr. C. Robert Stroud, Jr., District Manager
Wilmington Regional Office
North Carolina Division of Coastal Management
127 Cardinal Drive Extension
Wilmington,North Carolina 28405-3845

I , 199
\\ MARCHH, 1993 I I 1. I `,
�\ \ I I EXISTING I
BOAT I I e G
\ i
I O 1(,�XIS
ct
KK STAITIONARYI I I
DOCK I
N 85' 6'S2'E 136.14 N I I
26.0 _
EXISTING
I I �7 FLOATINGI I I
\ DOCK >
w
EDGE OF MARSH I I to J >_
MARCH, 1993 EDGE OF MARSH 16 o z r, IJ J
\ MARCH, 1993 z o -I Id
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LIMIT OF oZ Iz Iw
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RIPARIAN RIGHTS "� oU `
• I��oN 15' RIPARIANI I I0w i
PAGE 107 "' "4` SETBACK I o�
• _ ® I
_ I
oo.° vLe o CHANNEL
N6� a
.09 I I vl(r 6, 16.1' I o (GREEN)MARKER # 7 I 0 I
9 -- PROPOSED 6' PIER 4-� 1� I i
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.........
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87'24'06"E 141.03' 1 N
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, vie 1 PROPOSED
• \ "� 4- I `."r 801 FLOATING DOCK I ® I
vir N 10.6'
0 - „It' 15' RIPARIAN ' I I 6' I I '—I
U� OFFSET 4- I
vire
O c,I
vie
i.^ ' RIPARIAN AREA \
vk •�"• • • . • • • • • . . . TO BE WAIVED BY
vle vire LOT 311 TO ALLOW
ADDITIONAL RIPARIAN p6
® vlr< ACCESS FOR LOT 312 p\
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33 LIMIT OF vie /\ JEDGE OF ULY, 2001MARSH o 0
15.3a 23' RIPARIAN RIGHTS \ �w. �\
EDGE OF MARSH / p� OG.�p�
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' • JULY, 2001 / / \ \S� >p\ 0'4\
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MEAN HI(;H WATER \O_ 92.0..

_
•
RIPARIAN WAIVER
,being the owner of Lot 311 Phase Three Lockwood Folly
Subdivision, do hereby waive my riparian rights to the area designated as Riparian Area"A"as
shown on the attached Dock Permit Plat for Paul Ossi as prepared by Brunswick Surveying, Inc.
and dated July 26, 2001 and revised December 20, 2001. Said Riparian Area"A" is waived for
the exclusive riparian use of the current owner, Gerald W. Coln, and future owners of Lot 312
Phase Three Lockwood Folly Subdivision.
Said Riparian Area"A" is further described as:
Beginning at the southeastern corner of Lot 311 Phase Three Lockwood Folly Subdivision;
thence N 77-35-30 E 95.83 feet to a point in the thirty-four foot setback from the toe of the
Lockwood Folly River dredge channel; thence along the thirty-four foot setback line,
S 02-35-54 W 24.81 feet to a point; thence N 87-24-06 W 92.57 feet to the aforesaid
southeassfern corner of Lot 311, the pointof beginning.

OM
•
III
1
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37
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LOT y § c h LEGEND:
PHASE THREE
310 y O LEG EXISTING RE-BAR(F
LOCKWOOD FOLLY UNIT of y 2
RIPARIAN RIGHTS
SUBDIVISION •r
NAP CABINET W.PAGE 107 Jr -Jry 1J'RU'ARtAN Ir J
SETBACK y y ay 0
© ly
ERB CHANNEL
x• qg�E ©.y, (GREEN)/7 O
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• a c soon.11'E N635Ep1 f—_ G9 N 3 NOTES:
22918' �� O •L07 T IN A FLOOD WARD
w y $B]71'OB O,OS'y PROSE U •TOE 311 IS I DOCK SHALL BE LC
c ERB J. o, y 10 FEET fROu THE TOE OF THE
J •THE RUNGS FOR THE GLOVING D
y t5'RIPARIW ON THE LANDWARD SIDE OF THE I
11
y o ai O,TSET y 7HE RMDNC OOCN VALL NAVE Tf
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Jr S E9.�m1m� REOUESIEO BT THE US:::
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MARINA S 7S�2J W AAA RIPARIAN RIGHTS `L. 4 Doak Permit Mot For
DRIVE °j v'A PAUL OSSI
ilgi
73
O LODE FROM LOT 311.• .LOCKWOOD FOLLY SUBDIVC
�'% EXISTING PI1Y5
ERB 29'N wAIER
NAVA
T.290114 BRUNSWICK
LOT PHASE THREE SURVEYING, IN
312 LOCKWOOD FOLLY Thomas W.MorgaR
SUBDIVISION North
Lana Surveyor
MAP CABINET W.PAGE 107
North Cm:v and South Caro*a
1027 Sabbath Horne Rd..SW
Supply.North Carolina 28162 I
AO 0
SCALE
REMO:P M-26-01
RINSED 12-20-01
CI
SCALE: 1•-10' OA
TOWNSHIP:LOCKWOOD FOLLY FIE
COUNTY. • BRUNSWICK Fit
STATE: NORTH CAROLINA JO

•
BRUNSWICK SURVEYING, INC.
Thomas W. Morgan,R.L.S.
November 26, 2001
US Army Corps of Engineers
P.O. Box 1890
Wilmington, NC 28402-1890
Attn.: Keith A. Harris.
Re.: Paul Ossi, 132 Genoes Pt. Rd., SW, Lockwood Folly Subdivision, Brunswick County, NC
Dear Mr. Harris:
Enclosed is an application for a dock permit in the Lockwood Folly River. In October, Tom
Morgan and I met with Howard Varnam and you to discuss the permit. At the time, Mr.
Varnam said he would have no problem with the dock proposal, but the Corps of Engineers
setback requirement would need to be waived. At the time you said we would have to
apply for a Major CAMA Permit. Since that meeting,Tom Morgan spoke with Bob Stroud
with CAMA and Mr. Stroud stated that all he would need to issue a general permit is a letter
from the Corps of Engineers waiving the setback requirement. You then said that I should fill
out an application and send it to your office for review.
The proposed pier will be a maximum of six feet in width and extending from the landward
edge of marsh to the waterward edge of marsh and then turning and running parallel with
the marsh line for thirty feet. There will also be a floating dock six feet by 24 feet adjacent to
and running parallel with the waterward edge of marsh. The floating dock will be located
on the waterward side of the marsh and a minimum of ten feet from the toe of the
Lockwood Folly River dredge channel. Also, the support pilings for the floating dock will be
located on the marsh edge of the dock.
The floating dock will have to be removed at the owners expense during dredging projects if
requested by the U.S. Army Corps of Engineers. The U.S. Army Corps of Engineers shall be
held harmless for any damage to the dock system.
If you have any questions, please give me a call at 910-842-9392.
Sincerely,
LIA
04401-4,
Gary Glurganus I
1027 Sabbath Home Road S.W.•Supply,North Carolina 28462•C9 103 842-9392

Form DCM-MP-4
STRUCTURES
(Construction within Public Trust Areas)
Attach this form to Joint Application for CAMA Major e. Mooring buoys n/a
Permit, Form DCM-MP-1. Be sure to complete all (1) _ Commercial _Community_Private
other sections of the Joint Application which relate to (2) Number
this proposed project. (3) Description of buoy
(Color, inscription, size, anchor, etc.)
a. Dock(s) and/or Pier(s)
• (1) _ Commercial _Community x Private
(2) Number
(3) Length 1.71 ft. (4) Width of water body
(4) Width 6 ft. (5) Distance buoy(s) to be placed beyond
(5) Finger Piers Yes X No shoreline
(i) Number
(ii) Length f. Mooring structure (boatlift, mooring pilings, etc.) n/a
(iii) Width (1) _ Commercial _Community_Private
(6) Platform(s) Yes x No (2) Number
(i) Number (3) Length
(ii) Length (4) Width
(iii) Width
(7) Number of slips proposed 1 g. Other (Give complete description) •
(8) Proximity of structure to adjacent riparian 6' x 24' floating dock
property lines 15 ft.
(9) Width of water body •
(10) Water depth at waterward end of pier at
MLW or NWL
b. Boathouse (including covered lifts) n/a
(1) Commercial Private
(2) Length Paul Ossi
(3) Width Applicant or Project Name i
ICU L . GU it CitiV1 1,+� /-C-1usf
c. Groin (e.g. wood, sheetpile, etc.) n/a Signature
(1) Number 1
(2) Length(s) II-21-61
Date
d. Breakwater (e.g. wood, sheetpile, etc.) n/a
(1) Length
(2) Average distance from MHW, NWL or
wetlands
(3) Maximum distance beyond MHW, NWL or
wetlands
•
Revised 03/95

•
Form DCM-MP-1
•
LI APP ATION C
(To be completed by all applicants)
b. City, town, community or landmark
Lockwood Folly
1. APPLICANT.
c.. Street address or secondary road number
• 132 Genoes Point Rd.
a. Landowner: "
d. Is proposed work within city limits or planning
Name Paul Ossi jurisdiction? Yes X No
Address 111 Sylvan Grove Drive
e. Name of body of water nearest project (e.g. river,
City ' State •
NC creek, sound, bay) Lockwood Folly River
Zip 27511 Day Phone _-
3. DESCRIPTION AND PLANNED USE
Fax
OF PROPOSED-PROJECT
b. Authorized Agent:
Name Brunswick Surveying, Inc. a. List all development activities you propose (e.g.
building a home, motel, marina, bulkhead,pier, and
1027 Sabbath Home Road SW excavation and/or filling activities.
Address Construction of 6 pier and 6 x24
floating-dock
City Supply State NC .
Zip 28462 Day Phone [phone] b. Is the proposed activity maintenance of an existing
• project, new work, or both? New work
Fax [phone]
c. Will the project be for public,private or commercial
use? Private
c. Project name (if any) N/A
d. Give a brief description of purpose,use, methods of
construction and daily operations of proposed
NOTE: Permit will be issued in name.of landowner(s), and/or project. If more space is needed, please attach
additional pages. The pier and floating
project name. dock will be for private recreational
use. Construction methods will be with
- - - pile driver and barge.
2. LOCATION OF PROPOSED
PROJECT . .. . -
•
•
a. County
Brunswick,
Revised 03/95

Form DCM-MP-1
•
m.- Describe existing wastewater treatment facilities.
. 4. LAND AND WATER community sewer
CHARACTERISTICS
a. Size of entire tract 32,520 so. ft. n. Describe location and type of discharges to waters
of the state. (For example, surface runoff, sanitary
b. Size of individual lot(s) 32,520 so. ft- wastewater,- industrial/commercial effluent, "wash
down" and residential discharges.)
c. Approximate elevation of tract above MHW or surface runoff
NWL i`o niraw
d. Soil type(s) and texture(s) of tract o. Describe existing drinking water supply source.
sandy community water
e. Vegetation on tract grassed & trees.
f. Man-made features now on tract None
5. ADDITIONAL INFORMATION
g. What is the CAMA Land Use Plan land In addition to the completed application form, the
classification of the site? (Consult the local land use plan.) following items must be submitted:
Conservation X Transitional(urban) • A copy of the deed (with state application only) or
Developed Community
Rural Other other instrument under which the applicant claims title
to the affected properties. If the applicant is not
h. How is the tract zoned by local government? claiming to be the owner of said property, then
R 7500 forward a copy of the deed or other instrument under
which the owner claims title; plus written permission
i. Is the proposed project consistent with the applicable from the owner to carry out the project.
zoning? X Yes No
(Attach zoning compliance certificate, if applicable) • An accurate, dated work plat (including plan view
and cross-sectional drawings)drawn to scale in black
j. Has a professional archaeological assessment been ink on an 8 1/2" by 11" white paper. (Refer to
done for the tract? Yes X No Coastal Resources Commission Rule 7J.0203 for a
If yes, by whom? detailed description.)
k. Is •the project located in a National Registered Please note that original drawings are preferred and
Historic District or does it involve a. National only high quality copies will be accepted. Blue-line
Register listed or eligible property? prints or other larger plats are acceptable only if an
Yes X No adequate number of quality copies are provided by
applicant. (Contact the U.S. Army Corps of
1. Are there wetlands on the site? X Yes No Engineers regarding that agency's use of larger
Coastal (marsh) X Other drawings.) A site or location map is a part of plat
If yes, has a delineation been conducted? No requirements and it must be sufficiently detailed to
(Attach documentation, if available) guide agency personnel unfamiliar with the area to the
Revised 03/95

Form DCM-MP-1
site. Include highway or secondary road (SR)
numbers, landmarks, and the like. 6. CERTIFICATION AND PERMISSION
TO ENTER ON LAND
• A Stormwater Certification, if one is necessary.
• A list of the names and complete addresses of the I understand that any permit issued in response to this
adjacent waterfront (riparian) landowners and application will allow only the development described in
signed return receipts as roof that such owners the application. The project will be subject to conditions
have received a copy of the application and plats and restrictions contained in the permit.
by certified mail. Such landowners must be advised I certify that to the best of my knowledge,the proposed
that they have 30 days in which to submit comments activity complies with the State of North Carolina's
on the proposed project to the Division of Coastal approved Coastal Management Program and will be
Management. Upon signing this form, the applicant conducted in a manner consistent with such program.
further certifies.that such notice has been provided.
Name W. Gerald Coln . I certify that I am authorized to grant, and do in fact,
Address 3004 Upland Circle,. Raleigh NC. grant permission to representatives of state and federal •
Phone ' 27607 (919) 881-9900 W • review agencies to enter on the aforementioned lands in
(919) 881-0112 H connection with evaluating information related to this
Name Kenneth Palumbo permit application and follow-up monitoring of the
Address 9904 Cape Scott Ct., Raleigh, NC 'project.
Phone 27614 (919( 848) 9159 •
I further certify that the information provided in this
Name application is truthful to the best of my knowledge.
Address
Phone
This is the Z1 day of AhliEfr ut2,.1 266 J
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers, Print Name ( IW.\( L. • UC'GAr10S
permittee, and issuing dates. LI
Signature . G LU AAI tCacNT
Landowne or Authorized Agent
• A check for$250 made payable to the Department of Please indicate attachments pertaining to your proposed
Environment, Health, and Natural Resources
project.
(DEHNR) to cover the costs of processing the •
DCM MP-2 Excavation and Fill Information
application. DCM MP-3 Upland Development
DCM MP-4 Structures Information
• A signed AEC hazard notice for projects in DCM MP-5 Bridges and Culverts •
oceanfront and inlet areas. DCM MP-6 Marina Development
• A statement of compliance with the N.C. NOTE: Please sign and date each attachment in the
Environmental Policy Act (N.C.G.S. 113A - 1 to space provided at the bottom of each form.
10) If the project involves the expenditure of public
funds or use of public lands, attach a statement •
documenting compliance with the North Carolina
Environmental Policy Act.
Revised 03/95

' SENDER: COMPLETE THIS SECTION - 11111 111.11 LU Illt 11J.L.F i II [-
• • Complete items 1,2,and Iso dp plete'. _r •� .0 {•�Q 9
item 4 if Restricted Deliveyy,xsktefsnsi:el:'v i x_)' ` a : r r r. _'ri_r_: x '-_1-
• Print your name and address on the reverse
so that we can return the•card tog(ef1 \ C. Sign.t �/
• Attach this card to the back of the mailpiece, X I' f 0 Agent
or on the front if space permits. //1////I�_! �!�, ❑Addressee
D. Is d ery a. differen •m item 1? ❑Yes
1. Article Addressed to: If YES,enter livery ddress below: 0 No
Gerald W. Coln
PO Box 32295
Raleigh, NC 27622
�L7i C'WeT 3. Servi e
A Certified Mail ❑ Express Mail
` m El Registered 0 Return Receipt for Merchandise
❑Insured Mail ❑C.O.D.
m
al 4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number(Copy from servic- - ,[``
7000 . 0600 0-028 9 e1 ' - 7
PS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952:
SENDER: COMPLETE THIS SECTION - COMPLETE THIS SECTION ON EEL!:•EF--r
•
• Complete items 1,2,and 3.Also complete A. Received by(Please Print Cl:arly) B. Date of Delivery
item 4 if Restricted Delivery is desired. 'EP 2 G: 200
IN Print your name and address on the reverse -
so that we can return the card to you. C. •;nature a
• Attach this card to the back of the mailpiece,
or on the front if space permits.
Is delivery address different from item 1? • 'es
1. Article Addressed to: If YES,enter delivery address below: ❑No
Kenneth Palumbo
9904 Cape Scott Ct. -
Raleigh, NC 27614
3. Se ice Type
ertfied Mail ❑Express Mail
Registered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
•
' 2. Article Number(Copy from service label)
7000. 0600 0078 95q 7170
PS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to Paul Ossi 's property located at
132 Genoes Point Rd. Lot 311 Lockwood Foll Subdivision
on The Lockwood Folly River , in Brunswick ,N.C.
(Water Body) (Town and/or county) •
He has described to me, as shown below,the development he is proposing at the location,
and I have no objections to his proposal. I understand that a pier must be set back a
minimum distance of fifteen feet, (15'), from my area of riparian access unless waived by
me.
Please initial one:
��
I do not wish to waive that set back requirement.'Fe,
�� ��
)
I do wish to waive that setback requirement. /.4 �
7%;
G? ")--/ Pe ,T<Ze,dzel-e7.-0 #10,,Ced
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: PX471-- -
(To be filled in by individual proposing development)
W/7/zee, G 7a_e a-el
See attachment 909
Signature
/4, 1 (/Gz e
Print or Type Name
f/9 f477 9/J7
Telephone Number

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER) •
I hereby certify that I own property adjacent to Paul Ossi 's property located at
132 Genoes Point Rd. Lot 311 Lockwood Foll Subdivision
on The Lockwood Foll River , in Brunswick , N.C.
(Water Body) (Town and/or county)
He has described to me, as shown below, the development he is proposing at the location,
and I have no objections to his proposal. I understand that a pier must be set back a
minimum distance of fifteen feet, (15'), from my area of riparian access unless waived by
me.
Please initial one:
X I do not wish to waive that set back requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
See attachment
- 4Aal
Signature
GJ g„,e/4 /6/1,
Print or Type Name
%/%- f-gIOt ('i)
Telephone Numtet

r- _ _ _ _ _ _ _ _ __ _ _
rat-
6650
BRUNSWICK SURVEYING INC. BRANCH BANKING AND TRUST COMPANY
1027 SABBATH HOME ROAD SW 910-842-9392 SUPPLY,NORTH CAROLINA i
SUPPLY,NC 28462 66-112-531 1/I 1/2002 ,
o ,
.a Ie�h� DEHNR t**I00.00 8
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8
One Hundred and 00/100****************************************************************************************
DOLLARS i
DEHNR `
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A,I.r,o TT n 1 rns y'
Dock permit-Paul Ossi l�P� L,_-_-C,/,,, — ""'
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100000665011' 1:053L0LL2LI: 52L ?67579211' �`"� r
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