87683D-GOSS

,o1*di(M",N❑CAMA ❑ DREDGE & FILL N9 87683 A B c . b
�v r permit
ermit
-GENERAL PERMIT J : �f �f ate previou permit issued
New ❑ Modification ❑ Complete Reissue Partial Reissu
� L�
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an ea of environmental concern pursuant to:
15A NCAC Rules attached. (❑'`General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name L )t #70
Address ,7 1 C
City IVY VV State AIC ZIP
Phone # ( j
Email
.r
Affected ❑ CW
AEC(s): ❑ OEA
ORW: yes/no,
❑ EW
❑ IH
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
❑ PTA
A ❑ uW
PNA: yes/�9
Total Platform area
Groin ngth/#
_ je: d Wiw. ,rigth L
Avg distance offshore IJ VM
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards —�
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning6
Perrryt Conditions Af v'
yes
yes
yeS
yes
nit may by required by:
I
©ES 0 PTS
❑ SPIMA ❑ PWS
Authorized Agent /
Project Location (County):
nC (� / , •'
Street AAdddreess//SStatte�Roaad/Lot #(s) 0 �i / 'y L jy C
OA N
Subdivision L
city 00 t ---Unc ZIP i5 S
Adj. Wtr. Body A I MI W All unk)
Closest Maj. Wtr. Body 1 my
tab1c: J v , -) ►
W,1 ❑ TAR/PAM/NEUSE/BUFFER (circle one)
I ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS T tT APPLY TO TyIS PROJEQ AND REVIEWED CO�LIANCE STATEMENT. - (Please Initial)
—A iff
Agent or Applicant PRINTED Nam v
Signature "Please e, compl ce statement on back of permit"
�j �- -- W)
Application Fee(s) Check #/Money Order
Officer's PRIM ED N
Signature +.
Issuing Expiration Date

Statement of Compliance and Consistency
t
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:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 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. 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 Management 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 Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

!�''`au'ti t CAMA DREDGE & FILL N9 87683 6CM
3.1 i .-
GENERAL PERMIT Date previous
Date previous permit Issued
C New , j Modification j Complete Reissue j Partial Reissue
As authorized bV the State of North Car Onrt, peps, tment of Environmental Quairty and the Coastal Itnsources Cur ,missvon in an area of environmental concern pursuant TO
15A NCAC (-, ��• (1 ,r(� f
___.__ _..-,— Rulesattached General Permit tiles ava.6tbte at the following Ink vnr+i dM-. v'C%tMArulr'.
APPkcant Name yJ AI -1h J� �_ Awhonted Age ` /•l. _ — _. .
Address �V J (� � f LEI .__ 1(f(l-y� __ _ Protect Location fCounryl y�
.r1<�: -
City-._ -. f�Lx�_lLdrY.-_ _.State...ii(C?�� / Street Address5tateRoadrLotN(s) JIle _.
Phone
Email -- - - ---
Subdivision
Affected l_.JCW EW PTA ES PTS Adl Wtr Body .. 1�i vu
n'arvunk)
r,a lJll
AEC(s): OEA IHA I,_1 UW SPIMA {A�
(-� ❑ rJ PWS Closest Mal Wtr Body r v
ORW yes�0 PNA yes/0
Type of Project/ Activity _
Shoreline I v%i
Access Length
Pier (dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area _
Groin ngth/iz
ulkheaci . fMpntp tength
Avg distance offshore�.��/
Breakwater/Silt
Max distance/ length
Basin, channel
Cubic yards
Boat ramp —
Boathouse/ Boatlift
Beach Bulldozing
Other
`LFlf
r ' rl �
rA
IT
•�, v ,y % .ram �;-2x>>�t� l tl��hb t� i11� /
j ti3o S' •�
(Scale: All) )
SAV observed yes ® { ( 64 L 16(/4 i
Moratorium n/a yes d>
Site Photos yes �
Riparian Waiver Attached. yes //
A budding permit/zoning it may b required by _ A0 —ai Z54' 'qC� I
Pern i Conditions -_ �J�w isr�r+ �7� r L d ._ IIIII El TAWPAM'NEUSE'BUFFER (circle one)
- ,,�'
/�/]�w l �(..L_._ _.__..'_._ See note on back regarding River Basin rules
L] See additional notes/condition, on back
I AM AWARE OF STATUTES, CRC_RULE_S AND CONDITIONS THAT APPLY TO THIS PROJECT AND Wre
ENT.Pleas, Initial{ . N
AjIaA Grec _ -- —�-- -
-----Agentor pliantPRINTEDName Per_Signature •'Porea compliance statement onback of permit•• Sig
Application fec(s) Check a/Money Order Issuing Date ._
Expiration Date

GRAPHIC SCALE
8x20 FLOATER
15' RIPARIAN OFFSET
4 20 40 80 160
LIMIT, TYP
RIPARIAN LIMIT, TYP.
( IN FEET )
1 inch = 40 ft.
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PROPERTY LINE, TYP.
SITE PLAN (PAGE 1 OF 1)
WALLACE HOME BUILDERS
1104 E YACHT DRIVE
OAK ISLAND, NC 28465
6/14/2022

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SENDER: COM131-ETE THIS .
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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property OwnerTimothy & Kathy Goss
Address of Property: 1 104 E Yacht Drive, Oak Island, NC; Brunswick County
1o: or Street it. Street or Road, City & Coun"a
Agent's Na-re 4.Sca Dog Marine
Agen: s phone [phone]
Mailing Addressl07 S;"d 9th $tree:
Oak Island, %C 28185
I hereby certify that I own property adjacent to the above referenced property. The individua:•
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing,,wiitt dimensions, must be tarorded with this letter.
'("' I have no objections to this proposal- I have objections u) [his pmlx)sal.
if you have objections to what is beingpnoposeat, you roust notify the Division of Coastal Management
(DCU) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at htW://www. nccaastarmanaQfmrnt. ni t wrrtr�cm'.�La+l-r r.f rr; q or by calling 1-888-4RCOAS T.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
1 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 :o waive the 15 setback mcu'rement.
(Property Owner Information)
S nulure
Timothy & Kathy Goss
Print or Type Name
903 GARISBROOKE LN
hfaknq Address
WAxHAW, NC 28173-6611
Crty/stalelzrp
Telophone Number / Email Address
(Riparian Property yOwner Information)
Si�nururc
Philip Myers
Print or Type Name
1464 GRISWOLD ST
Mairmg Address
STEDMAN, NC 28391-9629
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TPJephone Nurtlbar l Email Adcinas,S
/:fore
(Rowsad AUg. 2114)

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Date Received
Data Deposited
Cheek From Name
Name of Permit Nolder
Vendor
Check number
Check
amount
Permlt NumbedComments
Rece! t or Refund/Realloeated
Columnl
Column2
Column3
Column4
Cofumn5
Column6
Column7
Columns
Co1umn9
8122/2022
John McClure
Stafsh Rental Mqmt LLC
United Bank
1179
$ 200.00
GP #876861)
PA rct. 17972
8/222022
Sea Dog Marina Construction
Bullard
First Bank
1865
$ 400.00
GP #876850
PA rct. 17971
8222022
Sea Dog Marine Construction
Goss
First Bank
1841
$ 400.00
GP #87683D
PA rct. 17970
8/2212022
Gregory Holden
Simpson
United Bank
5565
$ 400.00
GP #85959D
TP for PA rct. 17777
81222022
Logan Marine. LLC
Kraemer
Truist
8080
$ 200.00
GP #87684D
PA rct. 17968
8122/2022
B & J Construction of NC LLC
Cohen
Truist
2547
$ 200.00
GP #87682D
PA rot 17969
8222022
Grice Construction
Oldham
Truist
11300
$ 200.00
GP #87403D
BB rct. 18094
81222022
Jarrod McCracken
same
Coming Federal CU
91
$ 400.00
GP #87406D
BB rct. 18098
8/222022
Permit Pals
Caudle
CresCom Bank
3813
$ 600.00
GP #85775D
PA rct. 17965
8/222022
Michael Kostello
same
Pinnacle
268
$ 200.00
GP #85776D
PA ret. 17966
8/222022
AMW Docks & Marine Construclion
Bopley. LLC
Truist
7339
$ 200.00
GP 987698D
BB rct. 17927
8/222022
John McClure
same
Truist
756
S 200.00
GP #874070
BS rot. 18099