85846D-GOSNELL

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X-0`°"rk c❑CAMA ❑ DREDGE & FILL U M� /' 1140 85846 A B C (P
�' GENERAL PERMIT - (/ Previous permit
--Qate Dreviouypermi� issued
U New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of N+ortth �Caar�olilina, Department of Environmental Quality and the Coastal Resources Commission in an ar of en ' onmental concern pursuant to:
15A NCAC b11 1 z-�`^� ❑Rules attached. ❑General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name ( :i�,A -
Address
City r l'"fjc - State ZIP 21 Z�
Phone # (Z,) �) -73
Authorized Agent �A, ` a
Project Location (County): / A
Street Address/State Road/Lot #(s) ! (;2 . E
Email C le s (2 C L!c Subdivision
City ' I c �. ZIP
Affected ❑ eW EW PTA ❑ ES ❑ PTS Adj. Wtr. Body
AEC(s): ❑ IDEA IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body !"`' �% ' ���✓✓✓✓
ORW: yes/. PNA: yes/no,,+`
Type of Project/ Activity
Total Platform area 110041L-
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
CenI1,J Ar._j \ A
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes o
A building permit/zoning permit may be required byal�
^t `co C
Permit Conditions `. ' ' r lc. A 0f-
1 \ v\-.J--
I AM AWARE OF STATUTES, CRC RULES AND
Agent or Applicant PRINTED Name
Permit Office 'PRI1V7� Nam
(Scale: N T'�)
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
,t— lI \ \ —
Initial)
Signature **Please read compliance statement on back of permit,** Signature
Application Fee(S) 4 Check #/Money Order Issuing 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:
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

°`°M`'• CAMA ❑ DREDGE & FILL U rnhc� CIO 85846 A 8 C Q
ti �:
Previous permit
GENERAL PERMIT
Date previous permit issued
Asf2New ❑ Modification ElComplete )Reissue ❑ Partial Reissue
y the Sate of North'Carolim. Department of EnAwli mental Quality and the Coastal Resources Commission i, an area of environmental concern pursuant to:
I SA NCAC _ d (L-�/ ❑ Rules attached. General paTnit Rules arailable at the foRowhg i&
Appli-m Name 1' 'YI e. A Awrized Agent Vim.5
Address z Project Location (County):
city sate ZIP Street Addres&#Stm RoaaLot
Phone #)-�—
EmaR __C�,_I, s i� c l.� I c r iU X h.l ,.[ S. [ G . , subdivision
City ( e ZIP
Affected Elm EW 6PTA ❑ ES ❑ PTS Acj• Wtr. Body C C\ , / )
AEC(s): ❑ OEA INA uW ❑ sPiMA ❑ PWs ci.., Maj. Wtr. Body
ORW: yes/0 PNA: yes r(Q
Type of Project/ Activity
Shoreline length -E /b o I
Access length )C(p t I
Pier (dock) length --/—
Fixed Platform(:)
Z 0r r`
Floating Platform(:) 4q Y 20 /J
! c
Finger pier(s) �V
Total Platform area
J O
(Scale:
1
Groin length/f►
t I l
Bulkhead/ Riprap length
Avg distance offshore I - i
Breakwater/Sill
Max distance/length .- ._� .. '.) - -��mo co'51. h-
Basin, channel " APf �'� R V- \-J
Cubic yards —
Boat ramp i
Boathouse/ Boatlift 1- -
Beach Bulldozing - _. , I " I
Other�Xs 1 j (�•r,
A
- Sc
SAV observed: yes It
Moratorium: n/a yesSite Photos: yesRiparian Waiver Attached: yes
A building permit/zoning permit may be required by: ^ `�� C- , Jet�C h
Permit Conditions ' t �� -� r n e (r tl.a a ❑ TA&PAM/NEUSE/BUFFER (circle one)
�� L ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REWED ANCE STATEMENT. ItIkIil) CF
EVI
,._._.Charles Fox .�
Agent or Applicant RINTED Name Permit OfficcPR1NTE Nam
/cc� ��-
Signature'•P a se read compliance stat meet on back of permit' Signature
7o2sco z zZ
Application Fee (11 Check #/Money Order Issuing Oate EKP!ra&m ate
Scanned with CamScanner

I
KORUDA i
Reeldencei
11
I

■ 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 the mailpiece,
or on the front if space permits.
1. Article Addressed to
P
.1�41i`t ..-..�-lid I�'���;,` I• � l %�/
9 590 9402 45 7 8 82.78 2726 88
2. Article; `.ltJ' Number (t`ranf'sfer from service label)
�
Ut:
r0640 UOU3 6U® (t f `t V!
PS Form 3811, July 2015 PSN 75302=t7ab-9053:::
■ 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 the mailpiece,
or on the front if space permits.
1. Article Addressed to: % t:
F �(-t ti I7CY ► � �, - - FCC � L ; �-�'.r,
,tt �. ► I , ti Zf 4
A.
i3
Agent
❑ Addresse
B. Received by (Printed Name) Die of Deliver
.1
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
El Adult Signature
❑ Adult Signature Restricted Delivery
Certified Mail(D
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
Mail
Mail Restricted Delivery
UM
❑ Priority Mail Fxpress©
❑ Registered MatlTM
D Registered Mail Restrict
Delivery
13 Return Receipt for
Merchandise
❑ Signature Confirmation'
❑ Signature Confirmation
Restricted Delivery
A. Signature
X.� " — ❑ Agent
❑ Addresse
B. Received by (Printed Name) C. Date of Deliver
D. IS delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type ❑ Priority Mail Express©
i III If ( 1I 1j C1 Adult Signature ❑Registered MailTM
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restrict
9590 9402 4578 8278 2T26 71 ❑ Certified Mail@ Delivery
0 Certified Mail Restricted Delivery ❑ Return Receipt for
❑ Collect on Delivery Merchandise
2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery 0 Signature Conlinnation'
-_. Mail ❑ Signature Confirmation
'' f�t u 15 0640 0003 6007 7486 Moil Restricted Delivery Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receip

AGENT AUTHORIZATION !`CAR CA MA -PERMIT APPLICATION
Name of Property Owner Applying for Perm[17
GOSNELL GUY RANDALL ETUX
GOSNELL TRICIA ABERNETHY
Melling .address: 9220 Whispering Wind Drive
Phone Number:
I certry that I have authorized
Charlotte NC 28277
704-737-5538
Charles Fox III/Charles Fox Homes, Ltd
Agent I CantmtM
to act on my behalf, for the purpose of applying ,and ohtalning all LAMA permits
necessary for the proposed development of new single-family residence with elevator, dock and pool
L-30R TR-CANAL 6 OCEAN ISLE BEACH
167 E Second St OIB NC 28469 PL-136/67 r
at nay properly located at------
�S I!yk•.
In Brunswick y ,•,• °;ounty.
Tills cer ification is valid throw 12/31/2023
4 Date
(Property Owner Info matio: i)
` Stgnatur
Guy Randall Gosnell
Frint or Type Name
Owner
I rfle
08/25/2022
Date
704-737-5538 .
PFtone !Number
[e-mail]
Email Address

Date Received
Date De Ited
Flom Na
Check me)
Name ofPermh Holder
Vendar
Check number
Check
amount
Permlt NumbedComments
Recd for Refund/Reallocated
Ca/amnl
Co1umn2
C.1-3
Cd mn0
Calumn5
Wells Faro
Columns
6897
Co1umn7
$ 600.00
Columns
GP #85960D
Calumn9
PA rct. 18633
12/13/2022
James Helmick
same
Bank of America
131
$ 600.00
GP #87644D
BH rct. 19892
12/13l2022
Donald Reames
same
Truist
1189
$ 200.00
GP #86060D
BH rct. 198 94
12/13/2022
North End Builders NC LLC
Newpol
Wells Fargo
27464060
$ 400.00_
GP #87539D
BH rct. 19882
12/13/2022
12/13/2022
Coastline Thera Group, LLC
McPherson Marine Services, LLC
Bageant
JMSM Holdings, LLC
First Citizens Bank
5702
$ . 200.00
GP #87680D
Tmac rct. 17809
12/13/2022
Chades Fox Homes, LTD
Gosnell
Branch Banking and Trust
30256
$ 200.00
GP #85846D
BB rct. 18699
12/13/2022
Devane Family LLC
same
First Bank
1531
$ 200.00
GP #85843D
BB rct. 18696
12/13/2022
Harbor Marine Construction, Inc.
Sarbone
Bank of America
1399
$ 200.00
GP #85809D
JD rct. 17872
12/13/2022
Womack Electrical Contractor LLC
same
South State Bank
1493
$ 200.00
GP #87582D
TP for BH rct. 17829
12l13/2022
Willard Famil Farm LLC
same
South State Bank
1843
$ 200.00
GP #85853D
BH rct. 19895