77710D - Golob

41110 CAMA / DREDGE & FILL NO 77710 A B C D/
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality /� ' 1q1 n 1
•
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ` f1 U V
❑Rules attached.
Applicant Namey4 .,01 V\ L�1AA ) Project Location: County r-Ai \. _ , ._,.,
Address - v. J l,C [[U% • kto_\N k 1 v-(. Street Address/State Road/Lot#(s)
City `ba ik1r((l State •L�. ZIP rqq40
Phone # : �) Ak'I(, E-Mail Subdivision
Authorized Agent City ZIP
Affected cw ❑EW CIPTA ❑ES ❑PTS Phone # ( _) River Basin L ti,,,,, ,-
qOEA ❑HHF ❑IH ❑UBA ❑WA ,j 1 (bat/man /unkn)
AK t(s): Adj.Wtr. Body �A ' ` V`-�1
❑ PWS: i I
ORW: yes /-no— PNA _yes-/-10 Closest Maj.Wtr. Body
Type of Project/Activity ;Vltq Lk ,,,i -.
1 I
(Scale: '>----- )
Pier(dock)length
I
Fixed Platform(s) ` 1
j
Floating Platform(s) i i i
Finger pier(s)
_ I
j i
Groin length i - i '
1__
number — -- — i_..._..._._._...._..._ _... -.
Bulkhead!Riprap length
avg distance offshore i I (j� - +
max distance offshore T ��
I of , t j
Basin,channel I J (� I I
j jv \ { 1t +
G
cubic ds �9 C> f
� D /(
Boat ramp' I f� 1 y I
Boathouse/Boatlift - j i —_—._..- ....... -
+_+..._ t —._
Beach ; -
Build°zing
- Ji
Other_ A i � �s
Q. dirOPIIIIIr4.1.
._ i k.a1V— G�h
� - �-!_ ;
Shoreline Length FF i
SAV: not sure yes ` ' ,__.-- I j
Moratorium: n/a yes } _
:. �-
Photos: yes -- -..._..._......._.__..---- ...._..._........__
Waiver Attached: yes � ,A ' ;
no
A building permit may be required by: J '\ U' &tL. t cf (a Jp.Ct . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) I
Notes/Special Conditions JL \ 6.01(� �( C Y ) \' (Ai '(k A h4 'ct
1'
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`� otku G 0 �'\\Agent or Applicant Print�Nam {{ PermittOfficer's Printed Name
'- 1/7e4t--C' i j 1 ,_4---- 6\,......,
Signature "Please read compliance statement on back of
permit" Signatu j `
I 1
(An , / - al � -
ApplicationFee(s) Check# Issuing Date Expiration Date

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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(910-796-7215)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

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.,iCANIA.t .DREDGE,•&.FILL, N° 77710 A ES: C'..'-'-.
ENE =:_ 'L PERMIT . .. PrOigus
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14 w' OVGdifiiiition,. 0CortiOieteleiAu OPiitiall Reissug Date previous permit psue9_,
As-atidioiliol".byrti4Siati•ntNiiitii-Caforuil:pep.artfnitititl(E(iyironmint:QOArity , : . ,„,..1 I,i t„300,- -: - .',:,`;•:'•%'-,•'
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and the•C_dista124airilrtit Cornnlissin0.10,an area of.eqviyonpo_rgal concern pursuant to-I 5A.-NtAC,...,.--- ,._;_., . U., .r7.'iRu•i,islt,t%'(tied:- -__:::.1-7,-•'-f--::-'._,,,;:;:gt.'1; .
Proiect Location C.--cHi.ntY
'. .APPlicAP N_ar1-3. .--:kk,/,',Ar_.-''. -- '.q.)-LO ,': --:.- '_.____--
. . (JAI LS '0 ''r U.-60..- -.1)S'1012- Street Addri.W State goad/Lot#(0.____ , .:._:..--7,
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NV. CPT A. 4-7-Es: C PI'S , 1_
Phone#.(._ ).._,_ -.•,,,,s. giver Basin - : 4
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Photos: YPS ' .,,',-': • l. 'i. '— '-i. " ' •li -- . ' .? / '' • ' ' 1- I. ' 'F„.';.*,.-".f47-7.7 i; •
:'. Waior,,,*460- . _
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(Note 44aPelipning jurisdiction) DA - A
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ADJACENT RIPARIAN PROP€RTy OVtNER STATEMENT
hereby certify that I own property adjacent to
� 5 L E q��rope ) s
property located at ��Cacu
(Address,Lot, IXLIVr�owner
l S tJr�tlD N C
(Waterhody) (City/Town and/or County)
The applicant has described to me.as shown below the development proposed at the above
location.,
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)
zvviSortd -
w:(i- A Q.
l�os� dune
WAIVER SECTION
I understand that a pier,dock,mooring pilings,boat ramp.breakwater,boathouse,lift,or groin
most 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
f petty Owper Inf atjon) (ATI roperty Ownerinfomla*len)
W./A.ris a II I
Print or Type Name Pont Typ arrk
Mp!lJOffe J c s (( ti(-. 2,c ig.c Vc k-� S6it 1 D c. .2.42'%
y/SJ{at {ip Cny/Stal ip
d.�( .3to t ' b ldoC coze1l.(Diu w� c rtr,
Telephone Number/enna ress Telephone Nu %elriail addre
Dew' l(� —- -
(Revised Aug.2014)
'Valid for one calendar yea'after signature'

ADJACENT ROPARIAN PROPERTY OsINER STATEMENT
lrwerby rarely ewe+oI.-n'P`'nPrry'adjec e co P P 1 y��Plr-�oQ�arf
rrodaty boned M (Zyy l WE-ST 13Cat.fa t--MP,,g Owner)
on AT (C cr_eMJ ,�'"*IIV*1.- JA
ItNataesedy} aerate(Gay/Teem County) C
The apPheent hoe daunted to me.as shown berew the aewopment mooned at The acre
t Now no cONcdon to tin POpoeat.
I have ob}eWorta to Ea r.rr;tssa,
O6et TlOot ANO,OR t)RAWING OF PROPOSED DEVELOPMENT
analt'kasei Pip development"mast fur M dancrtpNon bMow or attach a see drawing)
Sit
hiliS
04-,one
PMf szyc+lw.g
f undergyrtd INN per.dock. j aECTION
ntust be Mt bock a rhenium o eMnce of 15frfrom o tare,of boat on a me to h,Mt or d by
"e fin you wren to wane the setback b area of rip. acme D lve)a waived try
you meat Initial the ttpptopriote DloftR Delve)
I de weir to wotye the 15'setback'equaement
I do not was^.Ie watye the 15'setbaci,'Nunn-nest
(P""ity ey Inkrnarte„)
l AN�WKy Qtwtw tnfotmatbn)
.G t1 dil
GJL3 SiXnu rare•c
?ad or to 0�2'
= .3 �QC. 4..X chin)ano,Mena
5 •• 7�L.3ti"S a 1yfll.CMI r9Oadl erp Mentor/ .elepnorx
ernMr address
Darr'
C- fdfrtta for one calendar year atte saran,'" 74 `

DRAWING FOR PROPOSED SAND BULLDOZE FOR
6609-6623 WEST BEACH DRIVE IN OAK ISLAND (FEBRUARY 13, 2021)
tia ail CH
Eia
%XI* SAS

Chock
Oat.RocNwd Dat.Dapoalfd Chock From(Name) Nero*of Permit Holder Vendor 111 amount Punk Numbor/Commonta Receipt or Rafund/Raaflecatod
Column-1 Cotumn2 Column] Cdumn4 Columns LbMvI Columm7 Column. Cotumn9
2/18/2021 Richard Penny Construction.LLC Wendy Mack Navy Federal CU 1587 E 200.00 GP#775960 JKE rctr.13674
2/18/2021 John Dunkle Suzanne Dunkle Fulton Bank 588 $ 200.00 GP#78820D Tmac _rat.12912— 2/1 812 0 2 1 Barry Golob Jeff Lawyer Layafette FCU 179 5 400.00 GP#77709D Tmac rat 12915 __
2/18l2021 Barry Golob same Layafette FCU 177 $ 400.00 GP#777100 Tmac rot.12917
2/1812 0 2 BB 1 Augustus Paul Davenport Mark Davenport BUJ _ 555 $ 400.00 GP#77707D Tmac rot.12918 __
2/18/2021 Michael J Ouimet Loncille Litz Wells Fargo 2150 $ 400.00 GP#77708D tmac rct.12919
2/18/2021 Barry Golob Cathy Lovejoy Layafette FCU 178 $ 400.00 GP#77708D 1mac rat 12916 _
2/18/2021 Michael Ouimet same Wells Fargo 2149,1 400.00 IGP#77711D tmacr rot 12920 _
2/18/2021. B&B Marine Money Order BSB Resort Properties Wells Fargo _ `17-979411842'S 400.00 GP 077657D _ tmac rot 12913
2/18/2021 Fire Mechanical Scott McCaffrey Wells Fargo 2074 S 200.00 OP#77839D tmac rct.12911
.
2118/2021 Michael Leone Kathleen and Michael Leone FCB 5136 E 200.00 iGP#77771D PA rct 11587 _
2/18/2021 Roland C Lingle same .Lumbee Guaranty Bank 507.$ 600.00 1.GP#717631) !mac rat.13596
2/18/2021 Carolus Building Company Alfred Stewart First Bank 1463 $ 200.00 GP 077767D JD rct.13552
2/18/2021 Richard Penny Construction,LLC Thomas Simpson NavyFCU 1565 b 200.00 GP#77793D KE rct.13670 __
2/18/2021 Jill P Ansley same First National Bank 5520 S 200.00 GP#80114D JD rot.13563
2/18/2021 Permit Pals Riverview POA CresCom Bank 3735 b 200.00 GP#77794D BB rat.13525 _
2/18/2021 McPherson Marine Services,LLC Tim Poirier FCB 3963 S 200.00 GP#77796D BB rct 12964
2/18/2021 McPherson Marine Services.LLC Chadd Smith FCB 3962 S 200.00 GP#777970 BB rct.12965 __ _
2/1 812 0 2 1 Jeffrey Skidmore same Peoples Bank 1018,$ 200 00 GP#77788D .8B rt.13524 _
2118/2021 Town of Wnghtsville Beach same FCB 1180991 S 400.00 GP#74592D PJ A fp.13675