102-21 Gussenhoven, Jordan

Permit Class
NEW
STATE OF NORTH CAROLINA
Department of Environmental Quality
and
Coastal Resources Commission
Verint"t
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS 1 I3A-118
_ Excavation and/or filling pursuant to NCGS 113-229
Issued to Jordan Gussenhoven, 2519 Wake Dr., Raleigh, NC 27608
Permit Number
102-21
Authorizing development in New Hanover County at adj. to Figure Eight Channel. at 4 Skimmer
Rd., on Figure Eight Island as requested in the permittee's application dated 5/12/21,
including attached workplan drawings (2), Drawings 1 and 2 of 2 both dated 5/12/21.
This permit, issued on August 13, 2021 , is subject to compliance with the application (where
consistent with the permit), all applicable regulations, special conditions and notes set forth below. Any violation
)r mese terms may oe subject to tines, imprisonment or civil action; or may cause the permit to be null and void.
Docking Facility Expansion
1) This permit authorizes only the floating dock and uses located in or over the water that are expressly
and specifically set forth in the permit application. No other structure, whether floating or stationary,
shall become a permanent part of this docking facility expansion without permit modification. No
non -water dependent uses of structures shall be conducted on, in or over Public Trust waters without
permit modification.
2) The permittee•shall install and maintain at his expense any signal lights or signals prescribed by the
U.S. Coast Guard, through regulation or otherwise, on the authorized facilities. At minimum,
permanent reflectors shall be attached to the structure in order to make it more visible during hours of
darkness or inclement weather.
(See attached sheet for Additional Conditions)
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date.
This permit must be accessible on -site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2024
In issuing this permit, the State of North Carolina agrees that
your project is consistent with the North Carolina Coastal
Management Program.
Signed by the authority of the Secretary of DEQ and the Chair
of the Coastal Resources Commission.
Braxton C. Davis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee

Jordan Gussenhoven Permit No. 102-21
Page 2 of 2
ADDITIONAL CONDITIONS
3) This permit authorizes an additional formalized boat slip for a maximum of three (3) formalized boat
slips at this docking facility.
4) No attempt shall be made by the permittee to prevent the full and free use by the public of all navigable
waters at or adjacent to the authorized work.
5) The authorized structure and associated activity shall not cause an unacceptable interference with
navigation and shall not exceed the dimensions shown on the attached permit drawings.
USACE Conditions
6) In order to further protect the endangered West Indian Manatee, Trichechus manatus, the applicant must
implement the U.S. Fish & Wildlife Service's Guidelines, and strictly adhere to all requirements therein.
The guidelines can be found at htti)s://www.fws.gov/raleigh/odfs/ManateeGuidelines2Ol7.pd
General
7) This permit shall not be assigned, transferred, sold, or otherwise disposed of to a third party without the
written approval of the Division of Coastal Management.
8) All debris associated with the removal or construction of the permitted docking facility shall be
contained within the authorized project area and removed to an appropriate upland location.
9) The permittee and/or his or her contractor shall meet with a representative of the Division prior to
project initiation.
NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
NOTE: The U.S. Army Corps of Engineers authorized the project by way of Regional General Permit
197800056 (Action ID SAW-2021-01322).
NOTE: The N.C. Division of Water Resources authorized the proposed project by way of General Water
Quality Certification 4175 and assigned the project DWR Project No. 2021-1053.
NOTE: Future development of the permittee's property may require a modification of this permit.
Contact a representative of the Division at [phone] prior to the commencement of any
such activity for this determination. The permittee is further advised that many non -water
dependent activities are not authorized within 30 feet of the normal high-water level.
NOTE: An application processing fee of $250 was received by DCM for this project.

DCM Coordinator: Permit #: IOZ —Z(
MAILING DISTRIBUTION SHEET
/(/ G z 7GQ�
DCM Field Offices
Elizabeth City
Washington / (with revised work plan drawings)
Morehead City
Wilmington (OBJECTIONS )
US ACOE Offices:
Washington:
Raleigh Bland (Beaufort, Camden, Chowan, Craven, Hertford, Hyde, Perquimans,
Tyrrell)
Josh Pelletier (Bertie, Currituck, Dare, Gates, Pamlico, Pasquotank, Washington)
Tom Steffans (NC DOT- Beaufort, Carteret, Craven, Pamlico)
Bill Biddlecome (NC DOT -Remainder ECity/Washington District)
Wilmington:
Greg Curry (Brunswick, New Hanover)
Liz Hair (Carteret, Onslow, Pender)
Brad Shaver (NCDOT-Brunswick, New Hanover, Onslow, Pender)
Cultural Resources:
Renee Gledhill -Earley at [e-mail] "
Public Water Supply:
Heidi Cox (WIRO)/ Clif Whitfield (WARD)
Marine Fisheries:
Kim Harding / Jimmy Harrison
NC DOT:
Shellfish Sanitation:
State Property:
DEMLR/DWR:
David Harris
Shannon Jenkins / Sharon Gupton
Tim Walton / Mike Moser ,
Sheri Montalvo / Shelton Sullivan
Washington: Chris Pullinger-401
Tina Martin - 401
Roger Thorpe-Stormwater
Garcy Ward- (NCDOT-Beaufort, Bertie, Camden, Carteret, Chowan, Craven, Currituck,
Dare, Gates, Hertford, Hyde, Pamlico, Pasquotank, Perquimans, Tyrrell, Washington)
Wilmington: Holley Snider — 401 (Carteret, Onslow, Pender, Brunswick, New Hanover)
Christine Hall - Stormwater/
Joanne Steenhuis - 401 (NCDOT-Brunswick, New Hanover, Onslow, Pender)
Wildlife Resources: Maria Dunn (WARO)� (NCDOT) Travis Wilson
Natural Heritage Program Rodney Butler ✓
LPO:

DOE IR-1
APPLICATION for
Major Development Permit
(last revised 12J27106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. PrimaryAPPlicant/Landowner lnformadon -- --
Business Name
Project Name (d applicable)
Applicant t: First Name
MI
Last Name f
Applicant 2: First Name
MI
LWName
tt additional applicants, please attach an addraaral pags(s) aM names listed.
Mailing Address
G
�Q /� �%`/,//�Q
,CouCu
PO Box
el /1
state
ZIP
0? 71608
try �/
Phone No. FAX No.
`
exL _
Street Address (1t different from above)
City - -
State
ZIP
Email
Jo�-da h 5 urs ctV g,n aj j, coin
2. AgentlConbactorinformadon
Business Name
p ' r
Q•�' �l .r.�c
io n
Agent( Contraclor first Name
MI
Last Name
Agend Contractor 2: First Name
KM
Last Na
Mailing Address
PO Box
//Of/
�%/��.r�it
fm� lye--
Plane No. ,
Phone No. 2
exL
FAX No.
ContrUCIN X
Street Address (Hd#krent hom above)
City
Slats
ZIP
Email
RECEIVE)
RECEIVED
<Form continues on back>
11� 01 2991 1 DCM WILMINGTON NC
252-8Qa-2ana :.
'CITY

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
Location
R3-Projisat
(can be multiple)
StreettA�ssion
Name0 r /State
Zp
e.
Lot No -Is) (fmany, affach additional page wldm Nat)
- - r-zL
a. In whichWC de basin located,
b. No. body wwa�naa�af m pn,poaad Project
ii j`
c. Is the water body Identified in (b) above, natural or manmade?
4e
d N pbeea[ jor hoe body toera proposed project site.
Natmi ❑Manmade ❑Unknown
/
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit Me proposed
Oyes L 10
work falls within.
4. Site Description
a. Total length of shoreline on the tract (R)
b. Size of enYa pact (sq.fL)
A.
C. Size of individual lot(s)
d. ApproArnate elevation of Wad above NHW (normal high water) or
(If many lot sizes, please attach additional page with a list)
NWL (normal water level)
it"S j`�jNHW or ❑NWL
e. Vegetation on tract
"'�ASe4�e 4 ya rd
f. Man-made features and uses now on tract
/fDll S�
g. Identify and describe the ehdsting land uses adiaceM to the proposed projed site.
/�Dm (f, S
h. How does local goverment zone the beet.
;
I. Is the proposed prict consistent with the applicable zoning?
R p (� ,p�a� !
e.. e
(A zoning coliance certificate, if applicable)
`
❑No NA
j.Is the proposed activity part of an urban waterfront redevelopment proposer Dyes Aft
k. Has a professional archaeological assessment been done for the tract? If yes, attach a oopy. ❑Yes ❑NA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic Dlstrid or does it imrobre a ❑Yes No ❑NA
National Register listed or eligible property!
f
RECEIVED <Form continues on next page> friECEIVFI'?
J1Jitl G 9
JUN 212021
�2�g{/p
DC"1A-MHD26It a 8-2808 .. 1-888•dRv , . w.nccoastatr,ar:a�e.zent.nec C

rNr—rVGI V r.
Form DCM MP-1 (Page 3 of 4) J U N 212021
DCM-MHD CITY
M. (i) Are there wetlands on the site?
III) Are there coastal wetlands on the site?
(ill) If yes to either (i) or (ii) above, has a delineation been conducted?
(Attach documentation, if available)
n. Describe ebdsbng wastewater treatment facilities.
Se-1 �te
o. Descrbe ebdstng drinking water suppy source.
p. Describe "rhgAbDrm water management or bea((ngk t systems.
APPLICATION for
Major Development Permit
❑Yes NNo
[]Yes []No
❑Yes []No
5. Activities and Impacts
a. Will the project be for commercial, public, private use ❑Commercial ❑PubliclGovemment
mate/Community,
b. Give a brief description of purpose, use, and daily operations of the project when complete.
rives Boar
a Describe the proposed constvction methodology, ypas ormntruction ehphlprrberhtb be used during construction, the number of each type
of equipment and where h is to be stored.
.�l ��vle f-b"re%o O fit' V
d. List all development activities you propose. /J -
/ ifto A64J*f dam
e. Are the pnVovod activitiea ..whntenanoa of an "ding or both?
f. What is the approximate total disturbed land arse resulting from the proposed project? / " ❑Sq.Ft or ❑Acres
g. Will the proposed project encroach on any public easement, public accessway or other area ❑YYes ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of
ofthe/state. --
//V �e—
I. Will wastewater or stormwater be discharged Into a wetlend7 v ❑Yes o ❑NA
If yes, will this discharged water be of the some salinity as the receiving water? []Yes le []No ❑NA
j. Is them any mitigation proposed? ❑yam ❑�
If yes, attach a mitigation proposal.
<Form continues on back>
IIIN 0 9
t.:;ac . __._JT ,, wv.,. .,cco __r• j-:,au:.:h:;- NC

Form DCM MP-1 (Page 4 of 4)
MUMVED
JUN 21 2021
APPLICATION for
DGM-MID CITY
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP-1) the Wowing items below, if applicable, must be submitted in order for the application
Package to be complete. items (a) — (0 are always applicable to any major development application. Please tpnsutt the application
instruction booklet on how to propeltyprepare the required ttems belowa. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorizer) work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area W the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant dalms title W the affected properties.
e. The appropriate application fee. Check a money order made payable W DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which W submit comments on the proposed project W the Division of Coastal Management
Name OA44? S // C Phone No.
(v
Address 5ae7 oj tLL *4i( ©r. or—.j�/y
Name Phone No
Address
Name X.rlt, a toe PtwneNo.gjq-6/9-//&2-
Address 401440 r lfl e rJ ,/%_AMili 4i V R f �098
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, pennittee, and issuing dates.
h. Signed consultant or agent authorization form, if applicable.
I. Wetland delineation, if necessary.
J. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), If necessary. If the pmjed involves expenditure
of public funds or use of pudic lands, attach a statement doamemhhg compliance with the North Carolina Environmental Policy Act
1 7. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit-
1 certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that t e information provided in this application is hit ful to the best of my knowledge.
Date
/ Print Name )
Signature
Please indicate application attachments pertaining to your proposed project.
❑DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
ZOCM MP-4 Structures Information
RECEIVED
11IN 0 9 77
ACM WILMINGTON, NC

Form DCM MP-4 RECEIVED
STRUCTURES JUN 2.1 2021
(Construction within Public Trust Areas) DCM-MHD CITY
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. DOCK/NG FACIUTY/MARINA CHARACTERISTICS
❑This section not applicable
a. (i) Is the docking facility/marina: b. (i) Will the facility be open to the general public?
❑Commercial ❑Public/Govemment k+ Private/Community ❑Yes I,iPrr,�.o
c. (i) Dock(s) and/or pier(s) d. (i) Are Finger Piers included?
00 Number l []Yes, Jo
If yes:
(tit)Length
(it) Number _
(iv) Width _ (ili) Length _
(v) Floating Dyes ONo
(iv) Width
(v) Floating ❑Yes []No
e. (i) Are Platforms included?oes ❑Noy f. (i) Are Boatkfts included? ❑Yes ydno
If yes: �-x r 5 (ii)Number prj0 s E If yes:
(ii) Number =
(iii) Length % tl�� (III) Length
(iv) Width CJ (iv) Width
(v) Floating (N'es ❑No
Note: Roofed areas are calculated from dripline dimensions.
g. (1) Number of slips proposed h. Check all the types of services to be provided.
❑ Full service, including travel lift and/or rail, repair or
(ii) Number of slips existing maintenance service
❑ Dockage, fuel, and marine supplies
❑ Dockage ('Wet slips') only, number of slips:
❑ Dry storage; number of boats: _
❑ Boat ramp(a); number of boat ramps:
❑ Other, Please describe.
wale, rOQok
i. Check the proposed type of siting:
❑ Land cut and access channel
❑Open water, dredging for basin and/or channel
A —Open water, no dredging required
❑Other, please describe:
k. Typical boat length:
m. @ Will the ility have tie pilings?
Dyes No
(ii) If y n bar of tie pilings-?
j. Describe the typical boats to be served (e open renabo
charter boats, sail boats, mbted types).
I. (I) Will the facility be open to the general public?
❑Yes No RECEWE1'.
DCM WILMINGTON, NC

r e RECEIVED
- c
2. DOCKING FACIUTyAWAR/NA OPERATIONS
a.
JUN 21 2021
DCM-MHD CITY
Check each of the following sanitary facilities that will be included in the proposed project.
❑ Office Toilets
❑ Toilets for patrons; Number. _; Location:
❑ Showers
❑ Boatholding tank pumpout Give type and location:
b. Describe treatment type and disposal location for all sanitary wastewater.
C. Describe the disposal of solid waste, fish offal and trash.
d. How will overboard discharge of sewage from brats be controlled?
e. () Give the location and number of 'No Sewage Discharge' signs proposed.
(ii) Give the location and number of'Pumpout Available' signs proposed.
Section notapp6cable
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
g. Where will residue from vessel maintenance be disposed of?
h Give the number of channel markers and 'No Wake- signs proposed.
i. Give the location of fuel -handling facilities, and describe the safety measures planned to protect area water quality.
I. What will be the marina policy on overnight and live -aboard dockage?
k. Describe design measures that promote boat basin flushing?
I. If this project is an expansion of an existing marina, what types of services are currently provided?
m. Is the ma�'na7�_ ocking facility proposed within a primary or secondary nursery area?
❑Yes !
41N 00 _,_
DCM WILMIN

n. Is the marin docking facility proposed within or adjacent to any shellfish harvesting area?
❑Yes to
o. Is the marinaldocking facility proposed within or adjacent to coastal wetlandstmarsh (CW), submerged etprattc yegafathn ($Av). MM bottom
(Sa), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
❑CW _ SAV ❑SB
❑WL None —
L' '
p. Is the proposed marina/docking facility located within or within close proximity to any shellfish leases? ❑Yes N0
f
If yes, give the name and address of the leaseholder(s), and give the proximity to the lease o
3. BOATHOUSE (including covered Itfls) This section not applicable
a. (p Is the boathouse stmcture(s):
ElCommercial ❑Public/Govemment ❑Private/Community,
(it) Number _
(III) Length
(iv) Width
Note: Roofed areas are calculated from ddp*m dimensions.
A GROIN (e.g., wood, sheetpile, etc. if a rock groin, use Mp--2, Excavation and Fill.) This section not applicable
a. (t) Number _
(ii) Length
(III) Width
5. BREAKWATER (e.g., wood, sheatpile, etc.) hts section not applicable
a. Length _ b. Average distance from NHW,NWL,orwettands
C. Maximum distance beyond NHW, NWL orwetlands
6. MOORING PILINGS and BUOYS is section not applicable
a. IS }he S}r11MlroI¢1
[]Commercial ❑PubliclGovemment ❑lonvate/Communily
c. Distance to be placed beyond shoreline _
Note: This should be measured from marsh edge, If present
wumuer
d. Description of buoy (color, inscription, size, anchor, etc.)
e. Am of the swing
P ECENED RECEIVED
7. GENERAL
nq?I
%I'Y DCM WILMINGTON, NC

a. Proximity of structure(s) to adjacent riparian property lines
� 23'
Note: For buoy or mooring piling, use am of swing including length
ofvessel.
C. Width of water body
-r 3 ?L5-i
(i) Will navi aati' nal aids be required as a result of the project?
❑Yes WNo ❑NA
00 If yes, e6lafain what type and how they will be implemented.
b. Proximity of structure(s) to adjacent docking facilities.
f /DO t
d_ Water depth at waterward end of structure at NLW or NWL
8. OTHER [This section not applicable
L5"1/2/Ll
Daft
Project Name
Applicant Namef
APPlicant Signature
RECEIVED
JUN 212021
DCM-MHD CITY
RECEIVED
JUN 0 9 2021
DCM WILMINGTON, NC

DIVISION OF COASTAL MANAGEMENT
APPLICATION TRANSMITTAL AND PROCESSING RECORD
APPLICANT: Jordan Gussenhoven COUNTY: New Hanover
PROJECT NAME: 4 Skimmer Road 3id Slip
LOCATION OF PROJECT: 4 Skimmer Road, adjacent to a canal on Figure 8 Island, Wilmington
DATE APPLICATION RECEIVED COMPLETE BY FIELD: 6-16-21
FIELD RECOMMENDATION: Attached: Yes
FIELD REPRESENTATIVE: Elks
DISTRICT MANAGER REVIEW:
B) DATE RECEIVED BY MAJOR PERMITS UNIT:
APPLICATION ASSIGNED TO: Bodnar
PUBLIC NOTICE REC'D: 6-25-21
ADJ. RIP. PROP NOTICES RECD:
C) 75 DAY DEADLINE: 5-30-21
To Be Forwarded: N/A
MAIL OUT DATE: 6-21-21
PERMIT FINAL ACTION: ISSUE DENY
DISTRICT OFFICE: WILMINGTON
FEE RECD: $250#5830
END OF NOTICE DATE: 7-16-21
DEED RECD: Yes
150 DAY DEADLINE:
STATE DUE DATE: 7-16-21
AGENCY
DATE
COMMENTS
RETURNED
OBJECTIONS:
YES NO
NOTES
DCM — Field Rep
7i( %/
4jv� Jce
DCM — LUP Consistency Determination
V L
Local Permit Officer
Corps of Engineers — Regulatory Branch
DWR-401Section
-7&F Zj
?cDL!— o
DWR—Public Water Supply
DEMLR — Stormwater
DEMLR — Sed and Erosion
DOA — State Property Office
Wildlife Resources Commission
DMF— Shellfish Section
�Iltgj/Zt
,c
ME — Habitat & Enhancement
DNCR— Archives &History
DNCR — Natural Heritage Program
R
NCDOT
NC Dept ofCommeree
%
JUN2021
DCM-MHD CITY

RECOMMENDATIONS FOR 4 Skimmer Road Gussenhoven Jordan 8/21/2021
Shoreline length =178' x 8' = 1,424 ft2 (maximum allowable)
Pier = 6' x 43' = 258 ftz (credit)
Fixed platform =12' x 15' =180 ft2
Floating dock = 8' x 24' =192 ft2
Proposed floating dock = 8' x 16' =128 ft2
TOTAL = 500 ft2
It appears that the project is CONSISTENT with the use standards set forth in NCAC 07H .0208(b)(6), including the
pierhead line, the eight -square foot rule and the pier width rule. This office has no objection to the proposed work, provided
it is consistent with all other local, state, and federal permitting requirements. Any permit issued should include standard
conditions for private docking facilities.
RECEIVED
JUN 21 2021
DCM-MHD CITY

ROY COOPER
Governor
JOHN NICHOLSON
intenmsecretary
BRAXTON DAVIS
Director
June 21, 2021
MEMORANDUM
NORTH CAROLINA
Environmental Quality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Avenue, Morehead City, NC 28557
Fax: [phone] (Courier 11-12-09)
gregg bodnar(a)NCDENRgov
SUBJECT: CAMA
Applicant: Jordan Gussenhoven
Project Location: 4 Skimmer Rd, adj. to a Figure Eight Island Canal, Wilmington, New Hanover
County.
Proposed Project: Proposal to add a new 8' x 16' floating dock fora total of three (3) slips.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Greaa Bodnar at the address above by July 16, 2021. If you have any questions
regarding the proposed project, contact Katharine Elks at [phone] when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
**Additional comments may be attached**
X This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME Shannon Jenkins
AGENCY NC DMF - Shellfish Sanitation and RWQ RE MVED
SIGNATURE 5�u for Shannon Jenkins
JUN 2 8 2021
DATE 06/28/2021 WHO SdECT10N M H D
North Carolina Department of Environmental Quality I Division of Coastal Management
Wilmington Office 1127 Cardinal Drive Extension I Wilmington. North Carolina 28405
w wvaaunn
oe,munme,w.arumwa 910.796.7215

ROY COOPER
Governor
JOHN NICHOLSON
Interim Secretary
BRAXTON DAVIS
Director
June 21, 2021
MEMORANDUM
NORTH CAROLINA
Environmental Quality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Avenue, Morehead City, NC 28557
Fax: [phone] (Courier 11-12-09)
areao.bodnar(tDNCDENR.00v
SUBJECT: CAMA
Applicant: Jordan Gussenhoven
Project Location: 4 Skimmer Rd, adj. to a Figure Eight Island Canal, Wilmington, New Hanover
County.
Proposed Project: Proposal to add a new 8' x 16' floating dock for a total of three (3) slips.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Gregg Bodnar at the address above by July 16, 2021. if you have any questions
regarding the proposed project, contact Katharine Elks at [phone] when appropriate, in-depth
comments with supporting data is requested.
REPLY: _V1 This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME J�n(iE -Ik. 1�. CFac
AGENCY t AJ Jer 0.1L,
SIGNATURE C
J U L 1 2 2021
DATE T ulh/ -- [AP SECTION MHD
North Carolina Department of Environmental Quality I Division of Coastal Management
1/ wilmington Office 1 127 Cardinal Drive Extenslon I Wilmington, North Carolina 28405
� Y
910.796.7215

ROY COOPER
Governor
JOHN NICHOLSON
lnwrlm secremry
BRAXTON DAVIS
Director
June 21, 2021
MEMORANDUM
NORTH CAROLINA
Emlronmental Quality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Avenue, Morehead City, NC 28557
Fax: [phone] (Courier 11-12-09)
gream bodnarONC DENR.00v
SUBJECT: CAMA
Applicant: Jordan Gussenhoven
Project Location: 4 Skimmer Rd, adj. to a Figure Eight Island Canal, Wilmington, New Hanover
County.
Proposed Project: Proposal to add a new B' x 16' floating dock for a total of three (3) slips.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Greaa Bodnarat the address above by July 16, 2021. If you have any questions
regarding the proposed project, contact Katharine Elks at [phone] when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME A r //
AGENCY W [ g7 , li f (,oljl wl t- a f Ea C F" t, �"
SIGNATURE M � &" h I $ �- JUL 9 2021
DATE Y a l L I FEP SECTION PAHD
North Carolina Department of Environmental quality 1 Division of Coastal Management
Wilmington Office 1127 Cardinal Drive Extension I Wilmington, North Carolina 29405
r�^ ®! /��� 910.796.7215

ROY COOPER
Governor
JOHN NICHOLSON
interim secretary
BRAXTON DAVIS
Director
June 21.2021
NORTH CAROLINA
Environmental Quality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Avenue, Morehead! City, NC 28557
Fax: [phone] (Courier 11-1249)
areng. bodnarANCOENR.goV
SUBJECT: CAMA
Applicant: Jordan Gussenhoven
Project Location: 4 Skimmer Rd, adj. to a Figure Eight Island Canal, Wilmington, New Hanover
County.
Proposed Project: Proposal to add a new 8' x 16' ffoa6ng dock for a total of three (3) slips.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Grean Bodnar at the address above by July 16, 2021. If you have any questions
regarding the proposed project, contact Katharine Elks at [phone] when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"*Additional comments may be attached"
VThis agency has no comment on the proposed project.
This agency approves of the project only ifthe recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME b4 r+G. ! )�AA11
AGENCY tie4Lc RECEIVED
SIGNATURE —�V' z)�---- JUL 1 A 2021
Al
DATE ( a2q LM SECTION MHD
North Carolina Department of Environmental Quality I Division of Coastal Management
Wilmington Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 28405
910.796.7215

ROY COOPER
Governor
JOHN NICHOLSON
Interim secretory
BRAXTON DAVIS
Director
June 21, 2021
MEMORANDUM:
NORTH CAROLINA
Environmental Quality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Avenue, Morehead City, NC 28557
Fax: [phone] (Courier 11-12-09)
areaa.bodnar(@NCDENR.aov
SUBJECT: CAMA
Applicant: Jordan Gussenhoven
Project Location: 4 Skimmer Rd, ad). to a Figure Eight Island Canal, Wilmington, New Hanover
County.
Proposed Project: Proposal to add a new 8' x 18' floating dock for a total of three (3) slips.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Gread Bodnar at the address above by Ju1y_!0 3021 j If you have any questions
regarding the proposed project, contact Katharine Elks at [phone] when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
`*Additional comments may be attached**
_X_This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
Thrills*
gillis.-p os.edend two,existing.totaling`5,sl ps
PRIN7,'NAME Wanda Hilliard
AGENCY State Propertir Office
SIGNATURE W am do� J U L 1 6 2021
DATE _July 15, 2021 WAP SECTION MHD
a D_EQ� North Carolina Department of Environmental Quality I Division of Coastal Management
Wilmington office 1127 Cardinal Drive Extension I Wilmington, North Carolina 28405
," e 910.796.7215

ROY COOPER
Governor
JOHN NICHOLSON
rntenm secretary
S. DANIEL SMITH
Director
DATE: July 16, 2021
NORTH CAROLINA
Environmental Quality
FROM: Holley Snider Y`5
NCDEQ-Division Water Resources
401 Buffer Permitting Branch
SUBJECT: DWR#20211053
No Written Approval Required
PROJECT LOCATION: 4 Skimmer Road, Figure Eight Island, New Hanover County
Gussenhoven property
PROPOSED PROJECT: Expansion of an existing docking facility to provide dockage forthree (3) vessels.
The Division of Water Resources (DWR) has received a copy ofyourCAMA Major permit application
request dated received by this office on June 21, 2021. The proposed project is located within the
waters of Topsail Sound which are class SA;ORW waters by DWR.
In accordance with the attached General Certification #4175 (GC 4175), the impacts described in
your application do not require written authorization to utilize GC 4175. However, you are required
to follow the conditions listed in the attached certification.
You should also obtain and comply with any other federal, state and local requirements including
(but not limited to erosion and sedimentation control regulations and state stormwater
requirements before you proceed with your project). Also, the approval to proceed with your
proposed impacts to waters a depicted inyour application shall expire upon expiration of the 404
or CAMA Permit.
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by filing
a written petition for an administrative hearing to the Office of Administrative Hearings (hereby
known as OAH). A petition form may be obtained from the OAH at http://www.ncoah.com/ or by
calling the OAH Clerk's Office at [phone] for information.
RECEIVED
J U L 2 0 2021
D E Q North Carolina Department of Environmental Quality I Division of Water Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 28405
-�V'� 910.796.7215

Received: 7/14/2021
Historic Preservation Office
ROY COOPER
Governor
JOHN NICHOLSON
Interim secretary
BRAXTON'DAVIS
Director
June 21, 2021
NORTH CAROLINA
EnvironmentalQuanty
ER 21-1667
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Avenue, Morehead City, NC 28557
Fax: [phone] (Courier 11-12-09)
gregg. bodnar(@NCDENR.gov
SUBJECT: CAMA
Applicant: Jordan Gussenhoven
Due: 7/21/2021
NC - SBA
7/20/2021
Project Location: 4 Skimmer Rd, adj. to a Figure Eight Island Canal, Wilmington, New Hanover
County. I
Proposed Project: Proposal to add a new 8' x 16' floating dock for a total of three (3) slips.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Gregg Bodnar at the address above by July 16„2021. If you have any questions
regarding the proposed project, contact Katharine Elks at [phone] when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached`*
X This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRI.yT,NAl111E Renee Gledhill -Earley
AGENCY
SIGNATURE
DATE
Historic Preservation Office
7/28/2021
JUL 2 8 2021
MttP SECTION MHD
North Carolina Department of Environmental Quality I Division of Coastal Management
Wilmington Office 1127 Cardinal Drive Extension I Wilmington, North Carolina 2a4O5
wm0.v rmeemcwo.��
910.796.7215

I� i�lU�t11��►1 Illl\'I I
To: Gregg Bodnar
From: Michael Christenbury, Wilmington District Planner
Subject: Consistency Determination, Major Permit Application, Jordan
Gussenhoven, New Hanover County
Date: August 6, 2021
Consistency Determination;
this project'is consistent with the New Hanover County Comprehensive Land Use Plan.
td,
The applicant proposes to add a new 8' by 16' floating dock for a total of 3,slips. The
project is located at 4 Skimmer Road, Figure Eight Island, New Hanover County.
Areas of Environmental Concern (AEC's) impacted by the proposal are EW and PTA.
Waters at the project site are classified as SA-ORW and are open to the harvesting of
shellfish. The area is not a Primary Nursery Area.
I have reviewed this proposal for consistency with the New Hanover County
Comprehensive Land Use Plan and offer the following comments.
The general area of the project is classified as Developed while the AECs impacted by
the work are classified as Conservation.
In general, New Hanover County allows development in Conservation classified AECs,
which is consistent with the State's minimum use standards. The New Hanover County
Comprehensive Land Use Plan contains some policies, which exceed the State's
minimum use standards. However, none of these standards appear to be applicable to this
proposal.
This project is consistent with the New Hanover County Comprehensive Land Use Plan.
Cc: File
AUG 6 2021
MP !SECTION R5,96HD

1 -0
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2021-01322 County: New Hanover County U.S.G.S. Quad: Scotts Hill
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFIC
Permittee: Jordan Gussenhoven ���°�
Address: 2519 Wake Drive 2 2021
Raleigh, NC 27608 AUG 1
Telephone Number:
Size (acres) Nearest Town FigureEie�ksP SECTION 11' ID
Nearest Waterway Middle Sound River Basin Onslow Bay
USGS HUC 03020302 Coordinates Latitude: 34.2537
Longitude:-77.760798
Location description: The site is located in a channel within Middle Sound at 4 Skimmer Road in Figure 8 Island, New
Hanover County. NC.
Description of project area and activity: The proposal is to add a new 8' by 16' floating dock to a residential dock for a total of 3
slips. The proposed 8' by 16' floating dock would be attached to the south end of the permitted 8' by 24' float and will be
positioned parallel to the shoreline.
Please note, a Coastal Area Management Act (CAMA) permit authorization must be obtained from the
North Carolina Division of Coastal Management (DCM) prior to commencing any work on this project.
Applicable Law: ❑ Section 404 (Clean Water Act, 33 USC 1344)
® Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number and/or Nationwide Permit Number: 197800056
Special Condition: In order to further protect the endangered West Indian Manatee, Trichechus manatus, the applicant
must implement the U.S. Fish and Wildlife Service's Manatee Guidelines, and strictly adhere to all requirements therein. The
guidelines can be found at hup://www.fws.gov/nc-es/mammal/manatee—guidelines.pdL
SEE ATTACHED RGP GENERAL AND SPECIAL CONDITIONS
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted application, information and drawings dated May 12, 2021. Any violation of the attached
conditions or deviation from your submitted plans may subject the permittee to a stop work order, a restoration order, a Class
1 administrative penalty, and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide and/or regional general permit
authorization is modified, suspended or revoked. If, prior to the expiration date identified below, the nationwide and/or regional
general permit authorization is reissued and/or modified, this verification will remain valid until the expiration date identified below,
provided it complies with all requirements of the modified nationwide permit. If the nationwide and/or regional general permit
authorization expires or is suspended, revoked, or is modified, such that the activity would no longer comply with the terns and
conditions of the nationwide permit, activities which have commenced (i.e., are under construction) or are under contract to
commence in reliance upon the nationwide and/or regional general permit, will remain authorized provided the activity is completed
within twelve months of the date of the nationwide and/or regional general permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case -by -case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Resources (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management in Wilmington, NC, at [phone].

This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact Gregory Currey at [phone] or at Greeorv.E.Currey(a),usace.armv.mil.
Gregory E. �;ego'ri signed y
Currey Date.. 2021.08.1209:3026
Corps Regulatory Official: -04'00' Date: August 12, 2021
Expiration Date of Verification: December 31, 2021
A. Determination of Jurisdiction:
1. ❑ There are waters, including wetlands, on the above described project area that may be subject to Section 404 of. the Clean
Water Act (CWA) (33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). This preliminary
determination is notan appealable action under the Regulatory Program Administrative Appeal Process (Reference 33 CFR Part
331). However, you may request an approved JD, which is an appealable action, by contacting the Corps district for further
instruction. Please note, if work is authorized by either a general or nationwide permit, and you wish to request an appeal of an
approved JD, the appeal must be received by the Corps and the appeal process concluded prior to the commencement of any
work in waters of the United States and prior to any work that could alter the hydrology of waters of the United States.
2. ❑ There are Navigable Waters of the United States within the above described project area subject to the permit requirements
of Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act (CWA) (33 USC §
1344). Unless there is a change in the law or our published regulations, this determination may be relied upon for a period not to
exceed five years from the date of this notification.
3. ❑ There are waters, including wetlands, within the above described project area that are subject to the permit requirements of
Section 404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations,
this determination may be relied upon for a period not to exceed five years from the date of this notification.
4. ® A jurisdiction determination was not completed with this request. Therefore, this is not an appealable action. However, you
may request an approved JD, which is an appealable action, by contacting the Corps for further instruction.
5. ❑ The aquatic resources within the above described project area have been identified under a previous action. Please reference
the approved jurisdictional determination issued . Action ID: SAW-
B. Basis For Jurisdictional Determination:
C. Remarks:
D. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination may not be valid for the wetland conservation provisions of the Food Security
Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation in USDA programs, you should request
a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work.
E. Appeals Information for Approved Jurisdiction Determinations (as indicated in A2 and A3 above).
If you object to this determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed
you will find a Notification of Appeal Process (NAP) fact sheet and Request for Appeal (RFA) form. IfiotiiaiYtie&tR��Eit tlSis
determination you must submit a completed RFA form to the following address: B-�i� 4w E G - ll�
US Army Corps of Engineers
South Atlantic Division AUG 1 2 2021
1114P SECTION M►H®

Attn: Philip Shannin, Appeal Review Officer
60 Forsyth Street SW, Room 10M15
Atlanta, Georgia 30303-8801
Phone: [phone]
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by
It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this
correspondence. Digitally signed by Gregory E.
Gregory E. 'Currey
Currey Date: 2021.08.1209:31:18
Corps Regulatory Official:-04'00'
Gregory Currey
Date of JD: Expiration Date of JD:
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete our Customer Satisfactioin Survey, located online at
http://corl2smapu.usace.army.mil/cm apex/Pp=136:4:0.
Copies furnished by email:
Trip Pippin (PIPPIN MARINE CONSTRUCTION)
Katharind Elks (NC DCM)
Gregg Bodnar (NC DCM)
Holley Snider (NC DCM)
a
a
E EIVED
AUG 1 2 2021

Action ID Number: SAW-2021-01322
Permittee: Jordan Gussenhoven
Project Name: 4 Skimmer Road/Jordan Gussenhoven
Date Verification Issued: August 12, 2021
Project Manager: Gregory Currey
County: New Hanover County
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF
WILMINGTON DISTRICT
Attn: Gregory Currey
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may
result in the Corps suspending, modifying or revoking the authorization and/or issuing a Class I
administrative penalty, or initiating other appropriate legal action.
I hereby certify that the work authorized by the above referenced permit has been completed in .
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
Signature of Permittee
Date
CEI'VED
AUG 1 2 2021
PAP SECTION MHD

ROY COOPER
Governor
JOHN NICHOLSON
Interim Secretary
BRAXTON DAVIS
Director
June 21, 2021
NORTH CAROLINA
EnvlronmentalQuality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Avenue, Morehead City, NC 28557
Fax: [phone] (Courier 11-12-09)
gregg.bodnar(5NCDENR.gov
SUBJECT: CAMA
Applicant: Jordan Gussenhoven
Project Location: 4 Skimmer Rd, adj. to a Figure Eight Island Canal, Wilmington, New Hanover
County.
Proposed Project: Proposal to add a new 8' x 16' floating dock for a total of three (3) slips.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Grego Bodnar at the address above by July 16, 2021. If you have any questions
regarding the proposed project, contact Katharine Elks at [phone] when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
X This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME Klmberlee Harding
AGENCY NCDMF
SIGNATURE /l�lyt�o2 Yr
RECEIVERD
AUG 1 3 2021
DATE 08/13/2021 IVP SECTION M14D
D E Q� North Carolina Department of Environmental Quality I Division of Coastal Management
Wilmington Office 1127 Cardinal Drive Extension I Wilmington, North Carolina 28405
I ��� 910.796.7215

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Jordan Gussenhoven, c/o Trip Pippin
2. LOCATION OF PROJECT SITE: 4 Skimmer Road, Figure Eight Island, New Hanover County,
Latitude: 34015' 13.43" N, Longitude: 770 45' 40.37" W
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 6/16/2021 Was Applicant Present - No
5. PROCESSING PROCEDURE: Office — Wilminntnn
A
lication Received
6/gl2021
DWR WQC Pre-filin date:
N/A, concurrence not required
LApplication
Complete
6/16/2021
Day 30 for WQC Pre -filing
N/A, concurrence not re
uired
A
SITE DESCRIPTION:
(A) Local Land Use Plan - New Hanover County
Land Classification From LUP - Conservation
(B) AEC(s) Involved: EW, PTA
Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - N/A Planned - NA
(F) Type of Structures:
Existing -Private 2 slip docking facility with a floating dock and bulkhead.
Planned - Add a new floating dock for a total of 3 slips.
(G) Estimated Annual Rate of Erosion: N/A Source - N/A
HABITAT DESCRIPTION: [AREA)
(A) Vegetated Wetlands (shading impact)
RECEIVED
JUN 21 2021
DCM-MHD CITY
II (B) Non -Vegetated Wetlands (Open water) I I 1128 ft2 II
(C) Other- High Ground
(D) Total Area Disturbed: 128 ft2
(E) Primary Nursery Area: No
(F) Water Classification: SA-ORW Open: Yes
8. PROJECT SUMMARY: The applicant proposes to add a new 8' by 16' floating dock for a total of 3 slips.

RECEIVED
4 Skimmer Road, Gussenhoven, Jordan
Page Two JUN 21 2021
9. PROJECT DESCRIPTION DCM-MHD CITY
The project site is located at 4 Skimmer Road on Figure Eight Island, adjacent to Banks Channel and Middle
Sound, in New Hanover County. The island is accessed from the mainland at the end of Edgewater Club Road
(SR 1402), by private bridge over the Atlantic Intracoastal Waterway (AIWW) and an earthen causeway, which
traverses Middle Sound. Heading east on the causeway, turn right on Beach Road South and travel south
approximately 1.5 miles. Turn right onto Skimmer Road, travel approximately 223 feet to and keep right staying
on Skimmer Road. The project site will be at the end of the road.
The property is located on the upland near the middle of where two Y-shaped man-made canals join, adjacent to
Banks Channel and Middle Sound on the southern end of Figure Eight Island. The 0.66 acre parcel has an existing
single family residence and is approximately 5' above normal high water (NHW). Upland vegetation on the
property currently consists of ornamental landscaping and lawn grasses. The approximately 178 linear feet of
shoreline frontage is currently stabilized by a timber bulkhead that approximates normal high water.
The applicant currently maintains an existing private docking facility. A fixed pier extends east from the bulkhead
into the man-made canal, measuring approximately 43' in length by 6' in width, terminating in a 12' by 15' T-head
platform. An access ramp extends from the platform into open water. The floating dock that was previously in
place was damaged by Hurricane Isaias and removed. General Permit No. 80223-D issued on 3/23/21 authorized
the replacement of the floating dock with a smaller floating platform, measuring approximately 24' in length by 8'
in width positioned perpendicular to the shoreline. The existing docking facility currently accommodates up to two
(2) vessels.
The Wilmington -New Hanover County 2006 Land Use Plan classifies adjacent waters and high ground portion at
the property as Conservation. The waters of this canal, Banks Channel, and Middle Sound are classified SA-ORW
by the Division of Water Quality. They are NOT designated as a Primary Nursery Area (PNA) by the N.C. Division
of Marine Fisheries and they are OPEN to the harvest of shellfish.
PROPOSED PROJECT
The applicant proposes to add a new 8' by 16' floating dock for a total of 3 slips. The proposed 8' by 16' floating
dock would be attached to south end of the permitted 8' by 24' float positioned parallel to the shoreline. According
to the applicant the proposed floating dock would be for private family use (see Drawing 1 of 2). Water depths,
confirmed by DCM, at the end of the access ramp are approximately -3 normal low water (NLW). In the area of
the proposed slips located waterward of the ramp, water depths appear to be greater than -3 NLW. According to
the applicant the addition of the proposed floating dock would not encroach into either riparian corridor nor extend
beyond the pier headline. The docking facility adheres to the 8 square -foot rule and extends approximately 85'
into the approximately 375' wide waterbody.
10. ANTICIPATED IMPACTS
As proposed, the new floating dock would result in the incorporation of approximately an additional 128 f12 of
Public Trust Area and Estuarine Waters. The project area consists of open water, and there would be no impact
to vegetated wetlands or to the high ground area. No encroachment of the15riparian setback or pier headline
is anticipated. There appear to be no SAV present In the project area. Minor increases in turbidity should be
expected during project construction.
Submitted by: Katharine Elks Date: June 21, 2021 Office: Wilmington

P.O. Box 11291
Wilmington, NC 28404
w .pippinmarinecom
May 12, 2021
NCDEQ
127 N. Cardinal Drive
Wilmington, NC 28405
OFfic&Fax: [phone]
Mobile; 910-471-2034
[e-mail]
The enclosed CAMA Major Permit Application is being submitted for Jordan Gussenhoven at 4 Skimmer
Rd. Wilmington, NC 28411. This application is for addition of a 8' x 16' floating dock to the existing 8' x
24' floating dock. This docking facility is private and for family use only.
The project proponent hereby certifies that all information contained herein is true, accurate, and
complete to the best of my knowledge and belief
The project proponent hereby requests that the certifying authority review and take action on this CWA
401 certification request within the applicable reasonable period of time.
Thank you,
Trip Pippin
Pippin Marine Construction, LLC
RECEIVED
JUN 21 2021
D(-N'1-MHD CITY
RECEIVED
JUN 0 9 2021
DCM WILMINGTON, NC

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New,, anover County, NC, New Hanover County
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N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 2,113 Zl
Name of Property Owner Applying for Permit:
Mailing Address:
"a A;'
.+V,/. _7'i,r�A>r'
I certify that I have authorized (agent) I",y to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date) Z
Property Owner Signature
RECEIVED
JUN 21 2021
DCM-MHD CITY
2/8/2 1
Date
RECEIVED
JON 0 9 202
DCM WILMINGTON, NC

RECEIVED
CERTIFIED MAIL • RETURN RECEIPT REQUESTED JUN 21 2021
DIVISION OF COASTAL MANAGEMENT DCM-MHD CITY
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property_
(Lot or Street #, Street or Road, City &
Agent's Name #: /yAn orri;'y w+, Gl Mailing Address:
Agent's phone #: 6 - 'f� b .r'.> f� ihl.Yos .l� Q 4✓:
1 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 dimensions, must be provided with this letter.
—k I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you mustnotify the Division of Coastal Management
(DCMj in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at httg-IA w.nccoasta/managementner/web/cm/steffdisNnn orbv calling 14684RCOAST.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
SI do not wish to waive the 15' setback requirement.
Signature Signal{�re
W. Jordan Gussenhoven �V- -,, S' �,-5
Print or Type Name Print or Type Name . v
2519 Wake Drive w a t)J I4.0d o
Mailing Address Mailing Address /
Raleigh, NC 27608 6/6 0 C Z-7 Y 0
City/StateiZip Cily/Stateop
[e-mail] �?� V �i - S% Z �S c r y -r
Telephone Number/Email Address TelephoneNumber/ Email Address fj FAA' I hT
2/8I21 j'1l�t),%
Dare Date ( ftlief1VED
(Revised
JUN 0 9 2021
DCM WILMINGTON, NC

RECEIVED
CERTIFIED MAIL • RETURN RECEIPT REQUESTED JUN 212021
DIVISION OF COASTAL MANAGEMENT DCM-MHD CITY
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner.
Address of Property:
(Lot or Street #, Street or Road,
J
Agent's Name #: Mailing Address: �;- ¢Y
r'
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 dimensions must be Provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you mustnoti/y the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at httnJ/www.nccoastalmanaoement net/web/cm/staff fisting orby calling l-888-4RCOAST.
No response is corrsidered the same as no objection if you have been notified by Certified Mai_
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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 Owner Information)
Signature
W.Jordan Gussenhoven
Print or Type Name
2519 Wake Drive
Mailing Address
Raleiqh NC 27608
City/Statelzp
[e-mail]
Telephone Numberl Email Address
2/8121
Date
(Riparian Property Owner Information)
ignJ a21[1'Ie.l ' 11
Pnnt or Type Name
Mailing Address
City/State/Zip
CEIVED
Telephone Number/Email Ad Addross
Dare V l 1 u iN n 9 2021
D��1r1eWILMINGTON, NC

■ Complete items 1, 2, and 3-
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of me ,.,.,n..:___
4� 4 6 I'S'a (vLt L.
Pal k C, I—r� U r �yo
IIII�IUMVlllllll IIIIIIIIIIIIIIIII IIIINil
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iebalf ❑ Collect on Delvery ne cted ,N Realdctetl Delivery
7019 1640 0001 7419 8202 Mil
l
PS Form 3811, JUIy 20pp
20 PSN 753a-02-0-)pW Re-MGW Delivery
I
Domestic Return Receipt
■ Complete Items 1, 2, and 3.
■ Prim your name and address file Y
erse
so that we can return the c Stoki
■ Attach this card to the batik 'i'fge mailpipge
or on the front if space nen„ lf_ 3aYrr,
"i-, &dye N
IIIIIIIIIIIIillllllllllllillllllllllllllllll�cM
9590 9402 6418 0303 3455 68 0
_[. article NumbarMoo
9620 9500 '0000 02ST SMOG
is Fotm 3811, J* 2020 PSN 7530-W_000 S=
r
X
6.
MM
D. Is delivery address different from
if YES, enter delivery address below; ❑ No
:CEIVED
MAY 18 2021
y 0 y .spy,
❑priority Mail Express®
Restricled DeWe N
❑ Registered Mallrm
O Registered Mao Restricted'
atricled Delivery
DaN ery
❑$igrlature CanrirrnatbnTM
xy Restriced tDeE very
�$iaoeWm Conrmmalion
Fteslrkted
'tsuN Melt Delivery
KW Restricted Delivery
rver
Domestic Return Receipt
RECEIVED
JUN 212021
DCM—MHD CITY

ROY COOPER
Governor
JOHN NICHOLSON
/nhon Secretary
BRAXTON DAVIS
Dlrecwr
Trip Pippin
P.O. Box 11291
Wilmington, NC 28404
Dear Mr. Pippin:
NORTH CAROLINA
Env/ronr waW Quallty
June 21, 2021
The Division of Coastal Management hereby acknowledges receipt of your application, as acting agent for Jordan
Gussenhoven, for State approval for development of the subject property located at 4 Skimmer Road, adjacent to a
man-made canal on Figure Eight Island, in New Hanover County. It was received as complete on June 16, 2021 and
appears to be adequate for processing at this time. The projected deadline for making a decision is August 30, 2021.
An additional 75-day review period is provided by law when such time is necessary to complete the review. If you
have not been notified of a final action by the initial deadline stated above, you should consider the review period
extended. Under those circumstances, this letter will serve as your notice of an extended review. However, an
additional letter will be provided on or about the 75th day.
If this agency does not render a permit decision within 70 days from June 16, 2021, you may request a meeting with
the Director of the Division of Coastal Management and permit staff to discuss the status of your project. Such a
meeting will be held within five working days from the receipt of your written request and shall include the property
owner, developer, and project designer/consultant.
NCGS 113A-119(b) requires that Notice of an application be posted at the location of the proposed development.
Enclosed you will find a "Notice of Permit Filing" postcard which must be posted at the property of your proposed
development. You should post this notice at a conspicuous point along your property where it can be observed from
a public road. Some examples would be: Nailing the notice card to a telephone pole or tree along the road right-of-
way fronting your property; or at a point along the road right-of-way where a private road would lead one into your
property. Failure to post this notice could result in an incomplete application.
An onsite inspection will be made, and if additional information is required, you will be contacted by the appropriate
State or Federal agency. Please contact me if you have any questions and notify me in writing if you wish to receive
a copy of my field report andlor comments from reviewing agencies.
Sincerely,
Katharine Elks
Field Representative
RECENED
JUN 21 2021
cc: Gregg Bodnar, DCM USACE
Holley Snider, DWR Christine Bouffard, LPO DCM-MHD CITY
Jordan Gussenhoven, Applicant
:DepartmentWilmington
North Carolina of Envtronmental Quality I D1,1,1 n of Coetal Managem
of ce 1127 Cardinal Drhe En I Wilmington, North Carolina 284o5
� 910.7967215

RECEIVED
JUN 21 2021
DCM-MHD CITYNOTI(ol$14i
LAMA PERMIT
APPLIED FOR
PROJECT:
A &! A
0
licant
7
ed to add a new 8'x
COMMENTS ACCEPTED THROUGH ✓uiy_Mf 202
APPLICANT:
Jordan Gussenhoven
2519 Wake Drive
a egg ,
Agent: Pippin Marine Construction
Trip Pippin
[e-mail]
FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
1,21 Cardinal Dr. Ext.
Wilmington,

ROY COOPER
Governor
JOHN NICHOLSON
interim secretary
BRAXTON DAVIS
Director
June 21, 2021
[e-mail]
2 Pages
Star News
Legal Advertisement Section
Re: Major Public Notice for:
• Jordan Gussenhoven
NORTH CAROLINA
EnWronmenta/Quality
Hello: Please publish the attached Notice in the Friday, June 25, 2021 issue.
The State Office of Budget & Management requires an original Affidavit of Publication prior
to payment for newspaper advertising.
Please send the original affidavit and invoice for payment to Tanya Pietila at the NC Division
of Coastal Management,127 Cardinal Drive Extension, Wilmington, NC 28405, 910-796-7226
(Customer No. 489895).
Please email a copy of the credit card receipt to me.
Thank you for your assistance in this
me at our Wilmington office.
cc: MHC Files
Gregg Bodnar — MHC
USACE
If you should have any questions, please contact
Sincerely,
j9%
TTan4a K. Pilletvillaana
Support & Customer Assistance
RECEIVED
AN 2120ZI
DCM-MHD CITY
North Carolina Department of Environmental Quality I Division of Coastal Management
Wilmington Office 1127 Cardinal Drive Extension I Wilmington, North Carolina 28405
910.796.7215

NOTICE OF FILING OF
APPLICATION FOR CAMA MAJOR
DEVELOPMENT PERMIT
The Department of Environmental Quality hereby gives public notice as required by NCGS
113A-119(b) that the following applications were submitted for a development permits in Areas of
Environmental Concern as designated under the CAMA: On June 21, 2021, Jordan Gussenhoven
proposed to add a new 8' x 16' jWdng dock for a total of three (3) slips at 4 Skimmer Rd, ad). to
a canal on Figure 8 Island in Wilmington, New Hanover County. Copies of these applications can
be examined or copied at the office ofgatharine Elks, N.C. Dept. of Environmental Quality, Division
of Coastal Management, 127 Cardinal Drive Ext., Wilmington, NC 28405, [phone] during
normal business hours.
Comments mailed to Braxton C. Davis, Director, Division of Coastal Management, 400
Commerce Avenue, Morehead City, NC 28557-3421, prior to July 16, 2021 will be considered in
making the permit decision. Later comments will be accepted and considered up to the time of
permit decision. Project modification may occur based on review and comment by the public and
state and federal agencies. Notice of the permit decision in these matters will be provided upon
written request.
�D_ Qpl�
RECEIVED
JUN 21 2021
DCM-MHD CITY
North Carolina Department of Environmental Quality I Division of Coastal Management
Wilmington Office 1127 Cardinal Drive Extension I Wilmington, North Carolina 28405
910.796.7215

Book 6434 Page 1468
BK: RB 6434
PG: 14f18 -1470
SIG �k7e.m
2021017522
RECOND'C
NEW HANOVER COUNTY,
04108/2021
TAMMY THEUSCH PIVER
03:28:42 PM
EXTX$0.00
REGISTER OF oeEos
6Y: STFSNANIE PERQ
DEPUTY ELECTRONICALLY RECORDED
Pe,ra-d by
I C Hearne, 11
PmWtra of this document has made no tine
examtnanon and makes no mpresentatia
Rewm to:
J. C. Hearne, ll
or eemfimti-m ss to any maven atTwiug title
Eune I'".
Soo()
N.d tdennfie,No - 1105207-002-051-a00
If initialed, the property includes the primary residence of at least one of the Grantors,
otherwise tote as NIA. (per .NC GS § 105-317.2j
Brief description for the index:
Lot 4, Seetbo 10, Prune F.igbt 41mmd
NORTH CAROLINA QUITCLAIM DEED
GRANTOR
GRANTEE
GEORGE H. JORDAN, III
WALTER JORDAN
Trustee of the Gussenhoven
GUSSENHOVEN
Nortbwoods Properties Trust Dated
and wife,
October 27, 2008
AMY PONTON GUSSENHOVEN
Mailing Add.m.
Neineny Addreu. Mailing Address'
PO. a,w 4422
4 Skimmer Rued P.O. Boa 4422
Cary, NC 27511
W dmingtm, NC 24411 Cap•. NC: 27511
The designation Grantor and Grantee as used herein shall include said parties, their
heirs, successors, and assigns, and Shall include singular, plural, masculine, feminine or
neuter as required by context.
WITNESSETH:
NOW, THEREFORE Grantor, for a valuable consideration paid by the Grantee, the
receipt of which is hereby acknowledged, has and by these presents does grant, bargain,
sell and convey unto the Grantee in fee simple, al I that certain lot or parcel of land situated
in New Hanover County, North Carolina and mom particularly described as follows:
See Exhibit "A" which is attached hereto and incorporated
herein by reference.
The property hereinabove described was acquired by Grantor by instrument
recorded in Rook 5556 at Page 2654-26.57.
t\EVEI V EL".
DCM WILMINGTON, NC
Submitted electronically by "3.C. Hearne, Id, Attorney at Law"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the New Hanover county Register of Deeds,

Book 6434 Page 1469
If any, by acceptance of this Deed, Grantee shall be a member of the Owners
Association, and shall abide by all rules and regulations of the Association specifically
including payment of all assessments when due. Failure to pay such dues may result
in liens being placed against the property and could result in foreclosure.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges
and appurtenances thereto belonging to the Grantee in fee simple.
The Grantor makes no warranty, express or implied, as to title to the property
hereinabove described.
Title to the property hereinabove described is subject to the following
exceptions:
1. Rights of way and easements of recvrrd, if any.
2. 7oning and/or subdivision ordinances and regulations. if any.
3. Restrictive covenants of record. if any.
4. Ad valorem taxes for 2021 and subsequent years.
IN WITNESS W HEREOF, the Grantor has hereunto set his hand and seal, or ifcorpnrate,
has caused this instrument to be signed in its corporate name by its duly authorized officer by
authority of its Board of Directors. the day and year first above written.
t� F CEIVED
(Seal)
INN 21 n21 Geoite 11. Jor•/ a, 111, Trustee of the
Gussenhoven Nonhwoods Properties
Trusted Dated October 27, 2008
1wi-�IHD CITY
STATE OF NORTH CAROLINA
COUNTY OF NEW HANOVER
1, a Notary PuNic of County and State aforesaid, certify, that George 11. Jordan, III, Trustee
of the Gussenhoven Notthwoods Properties Trust. Gtattor ft personalty appeared before me this
day and acknowledged the due execution offfie foregoing instrument.
Witness my hand and official stamp or seal, this Z�L day of March, 2021.
yttlt t lrrrr
sss t.0 JAR,y44
:
� ^
NOTARY
qf oraryPublle
PUBLIC
' �e� _
,
V'tkk; 3-0-rMa rl
My Cogs. F=
Notary's printed or typed name
Nov 11 2025
o %A*C00\�p`�
My commission expires: 2 025
( c%
CAA
t�
RECEIVED
AIN 0 9 201
DCM WILMINGTON, NC

Book 6434 Page 1470
ExIHRIT'' X`
Being aV of Lot 4, Section 10, of the property of The Figure Eight
Island Company, as shown by map thereof recorded in Map Book
13 at Page 47 of the New Hanover County Registry.
Subject to all terms and conditions contained in restrictive covenants
recorded by The Figure Eight Island Company in Book 933 at Page
286 of the New Hanover County Registry, reference to which as well
as the map hereinabove referred to is hereby made. In accordance
with Restriction #5 of the Restrictions heminabove referred to, the
minimum square foot requirement of any house constructed on the
tract shall be 1400 square feet. Together with a right-of-way in
common with others over, through, or upon streets and walks shown
on the above referenced map, and any and all existing streets and
walks providing access to this tract.
RECEIVED
JUN 212021
)CM-MHD CITY
RECEIVED
JUN 0 9 ..
DCM WILMINGTON, NC

Date
Received
Date
Deposited
Check From
Name of
Permit Holder
Vendor
Check
Number
Check
amount
Permit
Number/Comments
Rct. #
6/21/2021
Pippin Marine
Construction LLC
Jordan
Gussenhoven
Wells
Fargo
5830
$250.00
major fee, 4 Skimmer Rd,
Wilmington (Fig 8 Island) NHCo
KE rct.
12858
NO Split
r
c�
z
N'd
o
m
m
m
N
0
J�

Major Permit Fee Schedule
Project Name:&W �St*,kol County: rQ u^.) Check No & Amount:
dock- 4')CPGv%S1'0'-1 Hai ovw SS3u /o-so
Development Type
Fee
DCM %
DWQ %
(14300160143510009316256253)
(2430016024351000952341)
I. Pnvate, non-commercial development
that does not involve the filling or
$250
100% ($250)
0% ($0)
excavation of any wetlands or
open water areas
II Public or commercial development that
does not involve the filling or excavation
$400
100% ($400)
0% ($0)
Of any wetlands or open water areas:
III. For development that involves the
filling and/or excavation of up to 1 acre
of wetlands and/or open water areas,
determine if A,B, C, or D below applies
III(A). Private, non-commercial
development, if General Water Quality
$250
100% ($250)
0% ($0)
Certification No. 4175 can be applied:
III(8). Public or commercial development,
if General Water Quality Certification
$400
100% ($400)
0% ($0)
No. 4175 can be applied:
III(C). If General Water Quality
Certification No. 4175 could be applied.
but DCM staff determined that additional
$400
60% ($240)
40% ($160 )
review and written DWQ concurrence is
needed because of concems related to
water quality or aquatic life:
III(D). If General Water Quality
$400
60% ($240)
40% ($160)
Certification No. 4175 cannot be applied.
IV Development that involves the filling
and/or excavation of more than one acre
$475
60% ($285)
40% ($190)
of wetlands and/or open water areas.
RECEIVED
JUN 21 2021
DCM-MHD CITY

NC Division of Coastal Management
Major Permit Application Computer Sheet
[anal
AI=_c: Q
Fee: $ v o #
CDAITS _ MHC cc _
Applicant: WA0%y%
Agent(Contractoc �f
1 \
Project Site County -
— —
Staff:
p��
District: Wilmington
Project Name: ! o �
�k n Rover File: n/a River Basin:
Initial date of application submittal: (0
q ' ;L e } I
Date application "received as complete° in the Field office:
6a
SITE DESCRIPTION/PERMIT INFORMATION
ORW: es No PNA: ❑Yes Rf No
Photos Taken: Yes No❑
Setback Required (riparian): es ❑No
Critical Habitat: ❑Yes [)dNo ❑Not Sure
15 foot waiver obtained: ❑Yes o
Hazard Notification Returned:
❑Yes [jtNo
SAV: ❑ Not Sure
Shell Bottom: Dyes (dNo ❑ Not
TemporaryImpacts: ❑Yes o
Sure
Sandbags. ❑Yes Wo ❑ Not Sure
Oid the land use classification come
Mitigation Required (optional):
from county LLIP: RlYes ❑No
❑Yes [,So
Moratorium Conditions:
Environmental Assessment Done.
Length of Shoreline:
❑® Yes jfNc
Dyes❑No OA
� ( --H?' FT
Shellfish Area Designation.
Project Description: (code)
Development Area: (code)
5p -Op -or- Closed
1�
' 2g Ply
SECONDARY WATER CLASSIFICATION — OPTIONAL (choose MAX of 4)
❑ Future water Supply (FWS)
❑ Nutrient Sensitive Waters (NSW)
❑ Swamp Waters (SW)
El High Quality Waters (HOW)
Outstanding Resource Waters (ORW)
WETLANDSIMPACTED
❑ (404) Corp. of Engineers (Jurisdictional
❑ (LS) Sea lavender (Limonium sp.)
❑ (SS) Glasswort (Salicornia sp.)
wetlands)
❑ (CJ) Saw grass (Cladium jamaicense)
❑ (SA) Saft marsh cordgmss (Spartina
El (SY) Salt reed grass (Spartina
altemiflora)
cynosuroides)
❑ PS) Saft Or spike grass (Distirhlis
❑ (SC) Bullrush or three square (Scirpus
❑ (TY) Cattail (Typha sp.)
spicata)
SO
❑ (JR) Black needlewsh (Juncos
❑ (SP) SaWmeadow grass (Spartina
-
roemerianus)
patens)
APPLICATION FEE
No fee required - $0.00
❑ III(A) Private w/ D&F up to 1 acre; 3490
❑ III(D) Priv. public or Comm w/ D&F to 1
can be applied - $250
acre; 4144 can't be applied - $400
❑ Minor Modification to a CAMA Major
❑ Major Modfication to a CAMA Major
❑ IV Any development involving D&F of
permit - $100
permit - $250
more than 1 acre - $475
❑ Permit Transfer - $100
❑ Ill(B) Public or commercial w/ D&F to 1
❑ Express Permit - $2000
acre; 4144 can be applied - $400
❑ Major development extension request -
U 11. Public or commercial/no dredge
RECEI
$100
and/or fill - $400
I. Private no dredge and/or fill - $250
❑ III(C) Priv. public or Comm w /D&F to 1
acre; 4144 can be applied; DCM needs
JUN 212021
DWO agreement - $400
DCM-Mmu VI I i

Applicant (Iussc"YWZ4'l
Date:
Describe below the ACTIVITIES that have been applied for. All values should match the dimension order, and units of
measurement found in your Activities code sheet.
Activity Name
Number
TYPE
Choose
One
REPLACE
Choose
One
Dimension t
Dimension 2
Dimension 3
Dimension 4
1
New Work
Maint ❑
Replace
❑ Y [;TN
$
Lo
New Work ❑
Maint ❑
Replace
❑ Y [IN
New Wodr ❑
Maint ❑
Replace
❑ Y ❑ N
New Work
Maint ❑
Replace
❑ Y ❑ N
New Work ❑
Maint ❑
Replace
❑ Y ❑ N
New Work Lj
Maint ❑
Replace
❑ Y ❑ N
New Work
Main/ ❑
Replace
❑ Y ❑ N
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found
in your Habitat code sheet.
TOTAL Sq. FL
FINAL Sq. Ft.
TOTAL Faet
FINAL Feet
(Applied for
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)__
impact amount)
temp im acts
amount
60
Dredge FBoth Other 9
El ❑ [I.
1 a g y T2
1 a 2-
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
R
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
DCM-IMHD CITY
919-733.2293 :: 1-888-4RCOAST n w .nccoastaimanaaement.no revised: 0212611a

DCM Coordinator: Gregg Bodnar
County:
0-
WIRO E-MAIL DISTRIBUTION SHEET
Circle e: Bio Rep ! Permit for:
Oversi P ent:
Permit p:
DCM Offices:
Morehead City: PT (if oversize) via Courier _
'cc Gregg & Amanda on group email w/ bio.narr.app.drawings, deed, comment sheet _
'MHC documents (Gregg & Amanda)_
Wilmington: Original hard -copy
ONLY USACE & DWR (mm): Recommendations, PN, Letter w/site Card, Fee Chart and Agent Authorization
USACE Wilmington: ender & Carteret Co): PN, CL, Reports, Split Sheet _
use both [e-mail] (NH/BR): PN, CL, Reports, Split Sheet
eg Currey (NH/BR: PN, CL, Reports, Split Sheet _
Div of Water Resources: olley Snider - 401 (BR/NH): PN, CL, Reports, Split Sheet
Snider-401 (PN/ON): PN, CL, Reports, Split Sheet_
Div of Water Resources: Aheri Montalvo for Karen Higgins: PN, CL, Reports, Split Sheet
Marine Fisheries:
m Harding_
DCM Planner/WiRO:
Mike Christenbury
Cultural Resources:
Reenee Gledhill -Earley Environmental. ReviewOncdenraov
Natural Heritage Prog.
14ney Butler
DCA-Rural Eco. Dev:
mark Ziegler
NC DOT:
l,Havid Harris _
Wildlife Resources:
ViNaria Dunn w/Reports
State Property Office:
Walton: DEED
i)Fe Moser_
.Wranda Hilliard, Real Property Agent (Bio Reports only)
Shellfish Sanitation:
�serr My Humphrey (Bio) / Shannon Jenkins (Py
6//Karon Gupton, Admin. _
DEMLR:
stine Hall - Stormwater Section
an Sams - Land Quality Section _
Public Water Supply:
Widi Cox
City of Wilmington:
—KatMf n fi Ur3Mn _
Y"y`��
Enforcement:
V/Field RRep::j RECEIVED
Co. LPO
,
✓✓/ JuN 212021
Agent:
DCM-MHD CITY
DISTRIBUTED:
n n
Updated S'W I CAMA/Shaun majors docs/e'Agency List

ROY COOPER
Governor
JOHN NICHOLSON
interim Secretary
BRAXTON DAVIS
Director
June 21, 2021
NORTH CAROLINA
Envi onmenta/Quality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Avenue, Morehead City, NC 28557
Fax: [phone] (Courier 11-12-09)
oreaa. bodnar(cDNCDEN R.aov
SUBJECT: CAMA
Applicant: Jordan Gussenhoven
Project Location: 4 Skimmer Rd, ad/. to a Figure Eight Island Canal, Wilmington, New Hanover
County.
Proposed Project: Proposal to add a new 8' x 16' floating dock for a total of three (3) slips.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Gregg Bodnar at the address above by July 16, 2021. If you have any questions
regarding the proposed project, contact Katharine Elks at [phone] when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project.
PRINT NAM
AGENCY
61[cl`J_\ILI].1A
DATE
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
RECEIVED
JUN 212021
DCM-MHD CITY
North Carolina Department of Environmental Quality I Division of Coastal Management
Wilmington Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 28405
910.7%.7215