85968D - Goldsmith

°10V` CAMA ❑ DREDGE & FILL NO 85968 A B C@
Iffif GENERAL PERMIT DDae previous 1pertnitissued
New ❑Modification ❑Complete Reissue ❑Partial Reissue
As audtwbed the State of North Carolina, Department of Ermrortmentsl Quality and the Coastal Resource Commission to an area of emtronmental concern pursuant m:
1 SA NCAC e} lili_rloo DRuin attached. 1% General term@ Wdes avallable at the following Ink:.- " dee M SOXICAMAndel
Appiicant Name % N — 7
City ( state hf 21P 7,V4(,a-
Phone N
Email. na�4, �%L. �' (C�t CO.•+
Authorized Agent
Project Lornlon (County): f a,
Street AddressfStamlWNLot M(s) '16,51 (^nn
SubdMsion c
City Sh, I1• ZIP
Affected yCW V)EW RPTA DES ❑PIS Adj. WW.. Body L1114110 roe Ie I✓y
L
AEC(s): MI
❑INA ❑UW ❑SPIMA ❑PINS Close, Maj. W, Body 54 QI�U
Shoreline Length C) • 1 -
Access Length env1�t
Pier (clock) length -/ Y I\y' JaF A SI4
Fixed Platform(s) /ts'/Z 0 OI
x
Floating Platforms)
Finger pier(s)
Total Platform area
Groin length/e
Bulkhead/ Riprap length
Avg distance offshore
Breakmter/Slll
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/Boatlih _
Beach Bulldozing
Other Jwsn\ nlg 'r.w w S5
@ 18" YYZD
o�
SAV observed: yes S al
4
Moratorium: n/a yeses n 6on �t In
Site Photos: yn
Riparian Waivkr Attached: oCKI ( no
F i r S A building permiVzoning permit may be required Y: L
Permit Conditions © S�\.s,r. P1. "g..\\ !Ltr
Douglas Goldsmith
Agent or Appticant PRINTED Name
Douglas V Goldsmith
;ignaturltoPlease read compliance statement on back of perm t" I uEQ 2
z ea"d V
Apphcan nFee(s) (heck p/Money Order
A
Slia%s @ t$"Sb� & Aa\lirAle,
er OIAF
s.
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bok�s,.F1.
4to5$.Goose ex,
a
IFd66c
4bH4 Vim.
LN
i
G TAR/PAP1/NEUSEIBUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initial)
Signature ^ ejI ZZ �I� I2�
Issuing Date -1 Expiraho Oatt
Scanned with CamScanner

,icWtt CAMA ❑ DREDGE & FILL N° 85968 A B cog./
GENERAL PERMIT Previous permit /t
Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorizedi the Stare of North Carolina, Department of Environmental Quality and the
r�Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC O�)-I a00 ❑ Rules attached. ' -A General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules
Applicant
city C r'i cl).~c`n State N t' zip ZYtiV'4-
Phone # (�) q
Email
Affected � t:W 0 Ew ® PTA
AEC(s): OEA ❑INA ❑UW
ORW: yes/P PNA: yes/®
Type of Project/ Activity 14 S
t+ nc
Ph'i o c c) S'I O-r J
w :.
Shoreline Length 7,0 O ` r
Access Length v
L
Pier (dock) length -I) f t4Ri r
is
Fixed Platform(s) / Z v / 2
1:
Floating Platforms)
Finger
Total Platform area
U -,
Groin length/#
Bulkhead/ Riprap length
"
Avg distance offshore
f'
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other f—.r 'JfA a/M�/Y
1�S° 91Jz0
SAV observed:
yes
Moratorium: n/a
yes
Site Photos:
yeses
Riparian Waiver Attached:
yS ( no
t
f
permi t/zog permit may be required+
A buildingnin
Permit Conditionst-
1'i 'I< ...
Agent or Applicant PRINTED Name
❑ ES ❑ PTS
❑ SPIMA ❑ Pws
7;;h
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s) Il o u S e
Subdivision
City Sh,11• / zip
Adj. Wtr. Body �:n r" / o (¢t ' *. / � nan/unk)
Closest Maj. Wtr. Body 5 � ' / /Af !.. r
,-I S/r/%S
(scale: f✓ ' Sj
SIO
❑ TAVIRAM/NEUSE/BUFFER(circle one)
(. `;� r c f. t <. t. ❑ See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initial)
oi,(--
SignaturQl"'Please read compliance statement on back of permjt
Appli�catt' FCheck
{li} 2 0 ` � #, I V
Fie(s) Check#/Money Order
Signature
C 1 2�►
Issuing Date Expimtioh Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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: 1) 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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
ElNeuse 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Manaeement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover and Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

CERTIFIED MAIL - !%LU N RF&gj?j BgQVESTED
DBASION OF COASTAL, MANAGEMENT
ADJACENT RIPARMN PROPERTY OWNER NOT FORM
Na!yl� Eli Prooefty OWiltr;
hds,ft
Address of Pfopcfty;
(Left OrSlr it, SVeW tw RCW, Cny & Counly)
Agent's Name#,
Aoeti�'& ptw-c #A, K-4-1 �1151
4 �019by rortity 01ai i own P(operty adjacent to they above retetencod pfoperty. The individuall
a-piAying tit' this pefimil has desc(sbod to nw as shown on brie attaches} (irawit)iLthe dovatopnwnt
mey ;re pmposmg,'A tz LO—AqLo, al ka movidedis er.
A --
Pave 1 rol ohjmciops w 01is 11 ;PrMsal. 1 hwx 01�.jcctlons to this priop mi.
Ify,cw 4&;.* obpcdons to wtWisbihVpmpozod, you mmrr*d(ytt*Dh4%i*n0f C0"WU*f"P0mnt
(OCR in wd0bg whiun 10 days 01 W00t Of d* 00&* 00OW1 k*rmmOon W DOW oft" Is
a v*a*b#o at Clr by c**V IW"RCOAST..
WAWER SECTION
AndersiafW MAt a Ovi, dOck. nXIMM, piitnq--. bmlt rtimp, b(cakwater, boathouse, Of lift must
of m -15'tromy.?rpacif tip0anac4ess unless W3Wed by me. (if
pe appiopriste biank t>ekrw.)
yov 4.wai,, tt� m, eva ftte 5aqlmwdk, YO
14 -A A'- $$NOW 1 d6 wish to waivO top I requirenwnt.
v scibaic* requirementi
do not wish to W"'I've the 'll
(RIP40SA PfOPOdY owner Informsti6n)
(Pmpom 0WqW
.4 - .
7�wl ot Type N,
;1 4
it
A4j.Aitig AcW#33
-7-
J
Ad**$$
&nM Ad""
2014)

gERT1FILQ MAIL • �t�N, RECEIPT REQUESTED
DPASION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER HOnFtCAMONIWAtVER'FORM
Man* of Pgny 0%mrff: r 4" (o G 10 4,� ri-IN
Adder of Property: T ,za :x► .,
(Lot Of afoet 1t. Stfa or Row. City & Couitty)
A nt's t artlt Ma i�g Addre
1 hemb r amity that. k own p'operty adlacent to Vie ahoyp ra femnct>d propeAy. The ndWidctal
ap*i 9 for fts pamut tts dot ed to me as sfvo" on the ached drawing tho deuelopm nt
it'et3y-we ;xoposino.. A mi h 1 tQW#
Imvc Oil qhjections to this �rs�;sa� at � ! twr�� cti�f ect�ntt4 ro thss propo�at
if yrw ftavw o6�wOD4,vx to wfw is boot proposod you must nob y the Dh*ian of Coasts! UanagiaP@"t
10CMj in weft *Von 14 days of reco" of titer notfcs. Go(rlact ktlafmd0Qn for W-9 ollkas is
"afifbia at tfmzjtm1#statrr}srantrrstrew+rtsicrrsWfi Miff or byc4ohV i-U&4O OAST
AW as is idwvd o* same as no tf You 1*" b~ .r*oNf1+d Camrt/f d Afitll
WAVER StEC' IO"
1 ur4wStartd that a pier, cock, Ong pa", boat ramp, breal(wai', boathouse, or 0 niust
ba set bade a! rrnrumtjm dish Of 15 from my,arect of ripamn'accesa unless waived by me. (if
you wcc li, to wawa the s:% 4 v appropriater Nan); 6elow.)
_ 40 :'71
To 14 0, 4'-- 1 do wish to wajvo hi is' Sawa re+qutrerr m
0".4c 0 -aff
do not tivrah to waive tin `t 5' setback ri.Kiuircnt•
(Propody)OwrW;ftfor n a m)
S�p�,nuri►� • J t
#ijtt ar ypo mar"
s, * NWrmw I EmW Ad **W
tikiparisn Property Uwmr Informal ")
Fit T N" -
� Add�sx
C.tyfS
MmlvwaEmjW A►sx

NOTES
1. GLCUTAt£D BY COORDBUTE MEnbO.
z ALL ELEVATIONBARE NAwn6
a PORrpN60FTNETNE suslEervARc¢AREIncATEOW
FLOW ID�w nAss N10YFEMA VANa N11103FR
wTe000t BRUN6wICK000NttWRHAN fFFECINE
oFwcusrzs mm
a. upuTlESAs snowWARE VLOTTEOFROM o+FDRMATroN
VWBIE W THE FlElDNO FROM INFOPNA110NPROVDED
INORIMCOMPANIEO.ADW11aNI1ui6111Es Nor 6H MAY ¢UBT. TNe APPROP W HTE UiprrY OOMPAN4-5 5, NU,O
eE WNTACTEo vruoRroL.woOI6roReWGACrNDIEs
s TNI6 LOTls suaEnrouLunnrEASEMENTs.
FasrRxnarvs, oR ewerrW Ts of REcoRo.
CONrOURINTfRVALE•1'
T. FIELDWORHWM0.ETEDONOXeL3033.
& LONMRACTOR TO PROVIDE Po51iNEDMNAGEAWAV
FRo HWseTowums RfARof PAPCEL,
ALL OUTTERBWWrvGPWrOTOOWECT WATFAROWTO
P• LERABID PoOHr 90EOFPROR M
I& WNfMCTOR rOGRA0EF0RPOSONEORAWAGETO C
PHDPWED 6OE 6WALFS
KGNG-EYARO ¢OPETo DRAWAtiE
EABEMEM.
ri WLMUOF=EOR0 DSELTINGROOFORAN
6TORNWATERCONTRACTgi—RERACE—
DRA,EBUBBLEROENCESWHLEOWfCfWo6MFAOE
9TOWPNATER FLWlIOWARDB6THEET.
,a. � E�� ALLSNTfENCEMCUNO PERNTTFAOF
. s�ryoEmeoac.n, vAce we REWWFDweRUxswICK
coftunuR easfMErrrs.
10. eEIeACICS TAIONN FROM BRLWSWxx CWNNMBIDNWa
6or DATA
ARI0.3MEEWa
PLV:1pssOr083361
POORESs:.OT] OOO6E UNE (LOT. n N
OWNER: Wuousvv+cwra TNERESE LawsaGmsMrm
20NWO:ftT9
DEED: DB]B,a.Po 1arB -
FIAT:MCIX,Po.9
LDTLFA • 00,013
umfmnous suftvncewEA FOR THIS Lor..ssl:so. R.
HOU6E-3,TODt Sa R.
CONCRETE OW cnsIOEWALI(�r.L. R.
fsarvT PoRansTevs-3rpi sa R.
�PORa,•]ea•so.R.
x•ei 6O. R.
IATAPFAWBTR IHn1EAEC • ss,0B1i 6a R.
PW¢MwsPAf wTNEAEe-s:r
PEROEMAGE OFIMPERVpUBARFA WTNEAEC•p80%
LEGEND:
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Date Received
Date Daeoslted
Check F—!Name)
Name of Permit Holder
Vendor
Checknumber
Check
amount
Permtt Number/Comments
Rece/etor Relund/Realloeated
Column!
Column]
Column3
Column4
Co1umn5
Columns
Column?
Colume8
Column9
5/19/2022
John McClure
Dale Ramey III
United Bank
1128
$ 200.00
GP #85904D
BB rct. 17598
5/19/2022
S&ME
New Hanover County
Bank of America
503482
$ 200.00
GP #86043D
BH rct. 17570
5/19/2022
Moose Construction
Krzemien
Truist
2240
$ 200.00
GP #8771 OD
JD rct. 17669
5/19/2022
Richard Penny Construction, LLC
Channel Bent HOA
NAVY Federal CU
2663
$ 200.00
GP #85901 D
JD rct. 17660
5/19/2022
Moose Construction
Lazorik
Truist
2241
$ 200.00
GP #85965D
JD rct. 17657
5/19/2022
Pamela Howze
same
State Employees CU
1123
$ 200.00
GP #85902D
JD rct. 17664
5/19/2022
Logan Marine, LLC
Andrews
BB&T
7923
$ 200.00
GP #85702D
JD rct. 17666
5/19/2022
Steven Farmer
Byrd
Truist
5481
$ 200.00
GP #85928D
BB rct. 17590
5/19/2022
Backwater Marine of NC LLC
Goldsmith
BB&T
1482
$ 200.00
GP #85968D
BB rct. 17588
5/19/2022
Backwater Marine of NC LLC
Woodcock
BB&T
1466
$ 200.00
GP #85907D
BB rct. 17596
5/19/2022
Sea Dog Marine Construction
_
McAnulty
First Bank
1741
$ 200.00
GP #85727D
BB rct. 17594
5/19/2022
Backwater Marine of NC LLC
Scott
BB&T
1481
$ 200.00
GP #85969D
BB rct. 17595
5/19/2022
Town of Ocean Isle Beach
NCWRC
First Bank
9332
$ 200.00
GP #85971 D
BB rct. 17593
5/19/2022
Dominion Land Corporation
SH Village Green, LLC
SunTrust
990753
$ 200.00
GP #85978D
BB rct. 17591
5/19/2022
Vance Morgan Money Order
Lykins Rev Liv Trust
USPS Money Order
2.78E+10
$ 200.00
GP #85970D
BB rct. 17592
5/19/2022
Oyster Bay HOA
same
First Bank
1153
$ 200.00
GP #85418D
BH rct. 17567
5/19/2022
East Coast Sports
Doug Medlin
Coastal Bank and Trust
4904
$ 100.00
Minor Fee, 411 Roland Ave, Surf City PnCo
JD rct. 17667
5/19/2022
B&J Construction of NC, LLC
Silva
BB&T
2497
$ 200.00
GP #85973D
PA rct. 17634
5/19/2022
_
B&K Marine Construction
Ries
BB&T
1723
$ 200.00
GP #86081 D
PA rct. 17636
5/19/2022
Sea Dog Marine Construction
Howell
First Bank
1745
$ 200.00
GP #87718D
PA rct. 17637
5/19/2022
Sea Dog Marine Construction
Swan
First Bank _ _
Fidelity Bank
1722
$ 400.00
GP #86073D
PA rct. 17628
5/19/2022
Red Rock Builders
McFaul
1661
$ 100.00
minor fee, 102 Waterfront Cir (Lot 41) Hampstead
PnCo
JD rct. 17671