79115_Jeffrey Gross_20210323

0❑CAMA / ❑DREDGE & FILL 1N N . 79115 A :© 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
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC '/./d(/G •
/ [iRul s attached. //
Applicant Name Je f rr. ( c cf Project Location: County i/,/,--/P Co
Address 67 ? 112.i 'S� //1 Street Address/State Road/Lot#(s) /yet- /),;',., /,/ v<
City o 4, /.<-, State -'(' ZIP . y.106 t . o / //r....,{J ��
Phone# %&6 - 06 E-Mail '`—i Subdivision A////
Authorized Agent ` J;. . J- (i, ,. City (/ 'er-o i< _ ZIP 9'C s
❑CW ❑EW [ *A ptS laP'TS Phone# ( ) River Basin Ir. ,- //?
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑WA J
AEC(s): Adj.Wtr. Body ��,••4- p,. (nat /man /unkn)
❑ PWS: /
Closest Maj.Wtr. Body
ORW: yes / no PNA yes I no ` ` '
Type of Project/Activity /. i <4 Ai
Av4'4
(Scale: / - , (/ )
Pier(dock)length
Fixed Platform(s) ,e, / ,-v f c u? rri 1
Floating Platform(s) f 1 i v 1 Ll` A 4 i
Finger pier(s) L
Groin length 1 1 if 1/�,�4. r
number — —. _ f — -- --
iill
Bulkhead/Riprap length !��--..' --- , +._._..+-_._-_ —.._ .._. 1h':
avg distance offshore C Q/l•/L ,
i J y
max distance offshore U ± 1 ) J I
Basin,channel
cubic yards J
Y r . . 111 i f d
Boat ramp 1 I i E
._rt.................{-._.._.............-_.._. —.._._.................__.._...._._._...— { --_.
Boathouse/Boatlift --I----._._.._..._..__._. �._....._.._...._.._..._._._ _._.. �..... T
............._.._..-.. }--j-_ ._.._..�._......._.............._.._.__..._.._._._ ._._.._............_._. ___ _ .V
Beach Bulldozing
Other
e i
I
l
T 1 - _
1 .f
Shoreline Length -3�(J
,
SAV: not sure yes ® _. _______ { — _..
II III
Moratorium: n/a yes n�
Photos: yes)no f I 1 .. .......
Waiver Attached: yes -/ J /- 1 ►'
A building permit may be required by: /// ,I ( U . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) //
' Notes/Special Conditions ', ' �-, 77,(, //OD
/
Agent or Applicant Printed Name Permit Officer's Printed Name 9
_.
Signnaatturrre'�y�**Please read compliance statement on back of permit** Signature
'" / er 1/4 1 l / i /�
Application Fee(s) Check# Issuing Dat Expiration Date
i

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(9 I 0-796-7215)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 252-946-648 I
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

4111 I]CAMA/ ❑DREDGE & FILL O i<K-'
N . 79115 ABCD
GENERAL PERMIT ZQ4 1Q0 Previous permit#
��—' ❑New ]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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 I 5A NCAC
liRulgs attached.
Applicant Name Project Location: County ..J / - �� Cc)
Address Street Address/State Road/Lot#(s) /
City State ZIP /`..--'
Phone#( ) E-Mail Subdivision
Authorized Agent City ZIP
Affected ❑CW ❑EW Li PTA ❑ES [I]PTS Phone# ( ) River Basin
AEC(s): ❑OEA El HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity
(Scale: / )
Pier(dock)length
I
1 j I
Fixed Platform(s) / . , 1 j i j . ' t.' I ; {
Floating Platform(s) -------;- {
Finger pier(s) ! — / _ _~ • /
•
i I
Groin length i }� ... / —,
L
number — --. , _
•
Bulkhead/Riprap length , ;�' `°--"' I---` { ! i 1- ii
avg distance offshore v' 1 i S/�,
max distance offshore _', , i j
Basin,channel , f
` j J i I l
•cubic yards "' I -I d; ) ,, i f
ii
Boat ramp i
_.._ f
' i Boathouse/Boatlift -- ! i --- I._ _ _ _. _
i {Beach Bulldozing .; } j
Other i I
I II j
ij
Shoreline Length J../C I I I fy
SAV: not sure yes %r�._�
{
i
Moratorium: n/a yes ng,I 11
; _ i j
Photos: yes no __. 1...__-.._ —.._ __T_^ f j
Waiver Attached: yes no 1 , j I , 1 1 i
A building permit may be required by: <
(, I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions /i g')t)
Agent or Applicant Printed Name Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** Signature
Application Fee(s) Check# Issuing Date Expiration Date
1

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 (252-946-648I) or the
Wilmington Regional Office(9 I 0-796-7215)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
40 I 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

CERTIFIED MAIL • RETURN RECEIPT RE UESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
Name of Property Owner. ll r,‘
FORM
'f y /7c 5--
Address of Property: e.'
i.Lot or Street a. Street or Road. City& ( �'�
County)
Agents Name#:
Mailing Address: . e, 1 ic6s s_
Agents phone#: _--_—_ r d
-ram
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
:hey are proposing. ri ti n or drawin with dimensions. must be rovided with this le r
e
1 huNe no objections to this proposal.
: ''•,`•,' : .,lr:tions 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. Contact information for DCM offices is
available at g
No res onse is considered the same as no ob'ection if ou have been notified b Certified Mail.
or by calling 1-888-4RCOAST.
WAIVER SECTION
I understand that a pier, dock. nioorin
be set back a minimum distance of 15 fppmgs boat ramp. breakwater boathouse. or lift must
you wish to waive the setback. you must initial the area pf riparian access unless waived by me. (If
appropriate blank below.)
I do wish to waive the 15' setback requirement.
► ___ i do not wish to waive the 15' setback requirement.
(Property Owner Information)
(Riparian Property n r Information)
r'rlurnrr
P/fnt or Type NameKohl 71 ,
c)rnt or Type Name
Mailing Address -
tAarlrn _Address —"'�—
c rtyistate/Z,p i 1 r ;i , I t✓1/J xyi r I l!/ �!�U 14
Crty/StateiZip
Telephone Number/Email r Address Tele hone Numberss / /�'( �` " '�fr,'G/16 /-
Email Ad rest/ Lei). i,L.:
!.Aire
f
(Revised Aug. 2014)
L_

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jeffrey Gross 'S
(Name of Property Owner)
property located at 198 Pintail Drive
(Address, Lot, Block, Road, etc.)
on Pamlico Sound in Ocracoke N.C.
(Waterbody) (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)
Bulkhead along Sound side of property of Gross and D'Oelnitz properties on Pintail Drive.
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.
(Proper wner I o ation) (Adjacent Property Owner Information)
Signature Sa ure*
()/,.-rr- 7/'( -6-.t ffrey Gross
Print or Type Nam Print or Type Name
_
R/7 /7d� 6342 Westshore Road
Mailing Address/ p /'' �,/ �/ /f Mailing Address
/�rir1!k^i �`? !/!K- YY 4 7/r ) Columbia.Sc 29206
City/State/Zi�j _ S _ City/State/Zip
t /'--)f `-3661 71,7 '7/`7 v 803-206-1616
Telephone Number/email address Telephone Number/email address
Mowr, l / February 25,2021
Date / Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*
1