74708D - Garratt

, *�+CAMA / r i DREDGE & FILL No. 74708 A B C
6JGENERAL
PERMIT Previous permit #
,KNew i-iModification Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
/ ❑ Rules attached.
►\ Applicant Name ej"k :TP✓tSA \7u/ra Project Location: County_R—r�AS..y� ��--
Address 6nCC.;e S� Street Address/ State Road/ Lot #(s) 02
City, �__o Apo,-. State �� ZIP
Phone # E-Mail C), Subdivision
Authorized Agent c i 0 n 1 car+ S, k` City \(o .� ( S4 ZIP a Ll br1
❑ CW �4EW ,t�PTA ❑ ES ❑ PT il r,,,� Phone # (� (c�) `� b "ab%�1 River Basin L
Affected ❑ OEA ElHHF ❑ IH ❑ UBA ❑ N/A ' ,a _
AEC(s): Adj. Wtr. Body C.,. (nat ��nDb-1 n
❑ PWS: A \ W W
ORW: yes / r� PNA yes / dV Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length_
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshor
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length !�;70
SAV: not sure yes P''
Moratorium: n/a yes no
Photos: yes
Waiver Attached: no
t-14X,1.
A building permit may be r quired by: 1(i4 o o F OCEM-+ I � LC 4D*AC%k
( Note Local Planning jurisdiction)
Notes/ Special Conditions (�) �« •t �sr.,. �+� `��\\ bt ��►��
Agent or Applicant Printed Name
Signature "Please rea con7pHance statement on back of permit * �
Appli ion Fee(s) Check # (J
(Scale: / � �- Z O )
❑ See note on back regarding River Basin rules.
e •. .,r K.
PermitOffic e
Signature
10 - Ap- iq
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: � t I a, -—
Mailing Address: I co --Card sr
D c .sc� f� .G, � C. a q( tj
Phone Number: _ °l i q - (2p Q - 3 & q 4
Email Address:
1 certify that I have authorized n S i (e- r ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: RILM"Y_ 0W.-k r2 btkt 1d.
4 X I (o wauk_44e ZhSfa-Aprrzb(4ra
at my property located at �% �� Gpr� (� l Iq Af e ,
in /cJrUr5W (Gk County.
1 furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
N� / L e� 4-rz /z %;-/—j
Print or Type Name
MA
Title
( 1 12 12c-/cl
Date
This certification is valid through

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U.S. Postal Service -
CERTIFIED MAIL- RECEIPT
uj mestic Mail Only
For delivery information, visit our viebsite at rnnausps.com'.
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PS Form 3800, April2015 = •' _._ -:- _ --
See Reverse for instructicrs
Postal
CERTIFIED MAIL RECEIPT
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CERTIFIED MAIL-- RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIOWWAIVER FORM
Name of Property Owner.
-LTrP_ V,
Address of Property. of 3 67n co rcL. S T
(Lot or Street #, Street or City & County)
Agent's Name t _-"� Si iI Mailing Address: P. O, Aox,- (o 4 yff
Agent's phone #: 9 /D - �9�P-sue si n cCA&. r e-a Accra( a ti"rf b'f
1 hereby certify that I own properly adjacent to the above referenced property. The individual
aPPMng for this permit has described to me as shown on the attached drawing_the devektpment
they are proposing- A desctiotion or drawing with dimensions must be Provided with this letter.
14 I have no objections to this proposal. I have objections to this proposal.
rf you have o vcbans to what is being p oposed. Yw w st oozy the Dmsmm of Coasts NAnggwww (Wm in
wrift whin 10 days of rerei * of this notice Correspondence shmid he marled eu 127 Ca z%W Div. ,Ekt,
N'Orinyaon, KC. 2840538W DCH Mresenta6ves can also be conbcbd at Mf0) 796-7215. No nmpoase is
considered tlw sa a as no objec6on ff you hate been no~ by Certdied AW
WAIVER SECTION
I wxlerstand that a pier. dock. mooring Pilings. breakwater, boathouse. tit or groin must be set
back a minimum distance of 1 S from my area of riparian access unless waived by me. (if you
wish to waive the setback, you mufst initial the appropriate blank below.)
I do wish to waive the 15' setback requirement -
do not wish to waive the 15' setbadc requirement
(Property Owner Inbffnation)
Signature
Pbirrt or Type Name
4metbrd S�
Mar]w Address
Oct&r -I stE l/C o-1FEG g
cily/smftoo
T�9-Goa-36sf�f
Telephom Number
t���2 ZoIV
.tide
(Ad- Pro r Information)
Signature � �� /�
P►mt or Type Name
go s- SP'A` hurt_ IUo,4&
tJoelYn msrilk
CitylStaWAD
alo ` ?� o�
Tekplone Nwnber
Date
Revised 6 la,2012

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner. —A�,BC (e n L L G
Address of Property l 9 Con CosraC :57' ocdA.,.
(Lot or Street #, Street or Road, City & County)
Agent's Name* �, > . I
Agent's phone #: 9/19- . 18- 65�
Mailing Address: Pam, i3 Y (o iviQ
6UA,P- Ssc.E Se"Al 1fC . Q RY6q
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 roposing. A description or drawingwith dimensions must be Provided with this letter.
1 have no objections to this proposal. I have objections to this proposal_
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
Wiling within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext,
W imington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if ya, have been notified by Certified Mail
WAVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
11(A -C I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
aZi C41)60rA ST
Mailing Address
Jrsc.e0
City/StateQip
9r4—Goa- 3G��
Telephone Number
0-1 /1Z 2Uf �l
Date
(Adjacent Property Owner t nation)
Signature
b ;S
Print or Type Name
1S/3R
Mading Address
u, 1-b-a � sc a 9so6 - o s8
City/SiatelAp
Telephone Number
ct1u���
Date
Revised 611812012

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Go gle MapS 21 Concord St
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21 Concord St
Ocean Isle Beach, NC 28469
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Date Received
Dafe Deposited _ Check From Name
Name or Permit Holder
Vendor
Check Number
Check
amount
PoMif NumberlCommenfs
Recalpt or Re fundIRwilocated
Cdumnl
Column2 Column3
Col,—
Columns
Columns
Column'
Column8
Cdumn9
10/18/2019 Dean G Siler/Deans Home Improvements Neal and Teresa Garratt BBBT 5210 $ 200.00 GP 74708D BB rct. 9123D