74832D - Regency

9 CAMA / is 1 DREDGE & FILL NO. 74832 A B C
"IdENERAL PERMIT Previous permit#
New _JModification ❑Complete Reissue CPartial Reissue Date previous permit issued
As aut orized 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 0-IN
_ ` ❑Rules attached.
Applicant Name �� J•+ p, �, 11OA Project Location: County �2 r wt c
Address Vs
I /�Oc , Vt
City J C S 4- C C, State_ Zl
Phone # ('JU S IP(V E-Mail 'r-
yy�
Authorized Agent C� f� .0 h ��•
ElCW K EW LXPTA
Affected ElOEA ❑ HHF ElIH
AEC(s):
❑ PWS:
ORW: yes PNA es , no
Type of Project/ Activity
Street Address/ State Road/ Lot #(s) (7(5
S irt�i^e�I J4 WIC-S+
Subdivision
City ) J•�Sr� Q2ac. i1 ZIP 2J Ll I0
❑ ES ❑ PTS Al—1 Phone # (IO ) -7-H I f'`
O 4.. S River Basin (�, A,..LX,,.-
❑ UBA ❑ N/A Adj. Wtr. Body 'A�W W 662� )
man /unkn
Closest Maj. Wtr. Body A�W "-J
(Scale: N %f
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Un-
number
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Groin length
■■■■■■■■■■■■■■■■■■■■■■■■■■�fi■■j■■■■■■
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore
Basin, channel
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■■■■■■n■,n�■�■■■■�_ ■_ ■_■_ ■■■■■■■■■■■■■■■■■■■■
■rTTIMITcubic yards ENIMM.M.
Boathouse/ Boatlift
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Boat ramp
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Beach Bulldozing
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■■■■■■�'�'�� saiii����■ii�■ii■■■■■■■■■M�■■■■MEN
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OMMU Eft ME
Agent or Applicant `Printed N e
Signature " lease read COMIDliance statement on back of permit
Application Fee Check #
Permitint �Name�
Signature
12,-11-19 1-) I -ace
Issuing Date Expiration Date

5
A#7A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrary Braxton C. Davis John E. Skvarla, III
Governor Dkecbr Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FuKm
Date: /,0�/
Name of Property Owner Applying for Permit: / N'r�me of Authorized Agent for this project:
Owner's Mailing Address:
ltN/r" /Z /
<5tvAJ5-�°' r �� n C//, IIc 2> R
Phone Number (,9,o) f- ;S-, ?-ej'6
Agent's Mailing Address:
W% �C l ) (— si
Phone Number(
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining CAM`A Permits necessary to install or construct the following (activity):
�uCl F a—.
Formy property located at Z-AoQlVt
This certn is valid thru (date) 6\0
Property Owner Signature Date
127 Cardinal Drive Ext., IMmington, NC 28405
Phone: [phone] FAX: [phone]ntemet: www.nccoastalman agement.net
A.n cq:L�. !�tn` wfy '. n(finnatieP L;;i:rE«atir�yrr

I
61-h1-11

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT - --
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 1� L4 C�j_G 3k{ n:50- Bk)(tr-h
Address of Property: e j�- 3qq5l�- )�*(tCh 01(o$-
(Lot or Street #, Street or Road, City & County) -
Agents Name X—rict �S�i'l�(��I V�1 Mailing Address:lDtfti{� BV46) '
Agent's phone #: ` 0- S-n'Cid9$ &Qr1:3�51Q �X" N( Z14W
I hereby certify that I own property ddjacent to the above referenced property. The individual applying for
this permit has described to as shown on the attached qqrswing_the development they are proposing.
Cr
I 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 Divi n of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Cor a fhould be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represent w also be
contacted at [phone]. No response Is considered the some as no objection 1f Aeen
notif/ed by Certlfled Mail.
.•r - rrrrr+.
q� WAIVER SECTION
V1 I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
Nminimum 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.)
IV — I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
��A
Signature
� i4
Print or T e Namle
y IS 5hu te I i(\4 D- We --
Mailing Address
&u d
iity/State2ip
%0 Z$3
Telephone Number
Date
(A , cent Prop ner Information)
Sign re
614r13 ji Ti rO w,✓ J PSil*,( r olm-
Print or Typ Name
Mailing Address
SvN�-> 04- o- Nc
City/State/Zip
t1o/ 5-4, 6a 9;e
Telephone Number
Date
Revised 611 WO12

CERTIFIED MAIL. • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMIAIVER FORM
Name of Property Owner: 1 ACO r3k)(..h
Address of Property: (Ab t�h6r0 1 n Q-
(Lot or Street #, Street or Road, City & County)...--- unty)..--
Agent's Name #: n�r icy. C���-ruL�iuc� Mailing Address:6611 �1
Agent's phone #: [phone]b95 Qer�,� 1� � 4( 2-046u
I hereby certify that I own property ddjacent to the above referenced property. The individual applying for
C this klllilhmlpermit has described to me as shown on the attached drawin the development they are proposing.
_CF
.J I have no objections to this proposal. ---.I have objections to this proposal.
H you have objections to what is being proposed, you must notify the Divl n of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Corral fhould be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM repress also be
contacted at (910) 796-721& No response is considered the same as no objection n
notified by Certifled Mail.
�' WAIVER 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
se tb k, 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.
(Property Owner Information) (Adjacent Property Owner Information)
Srg►rature r— `"��• �� Du
SignaturI -
Print or Na
`)hu t-9, I i r�A D7 Wex-, f
Mailing Address
)V(Z
ity/Starwip
Telephone 11Tumber
Date
jArc,. 5. Le.�t I L
PN t or Type N me
Mailing Address
�-?4 —> >
CiWstatealp
�11�i-331- c,�9
Telephone Number
Date
Revised 611812012

Dab Ra..h d
Dab DNm~
Check Frwn Name
Name of Parm/t HOWW
Vendor
Check Number
Check
Dent
Permit Number/Commend
R—Wj t or Refund/Rea l cated
Coaarml
CokxmR
Cotumn3
Column4
Columns
Caearara
Cotumn7
C.1-8
COlumn9
/2/122019
Harold and Sandra Garrett
Town of Sunset Beach
WllieClarence RlchardsoelRichard5MCon
Rusty Garrett 8 Eddie Julian _
Town of Sunset Beach _ _
S.F. Ervin
PNC Bank _
First Citizens Bank
BUT _
BBdT _ _.. _
86T
999
f 200.00
GP #74586D _ _ _
GP #74833D - _
GP#74799D_ _.
GP,#74832D _ _ _ _
GP #71850D
TMc rd. 9510
BB rct. NOW _
BBrct9462 _
BB rct 9181 _
Tmac rcl. 9091
12/122019
195W
S 400.00
12JI22019
7592
S 200.00
12H22019
Grice Construction of Bmnswich CountyInc.
The Regen Stmaet Beach HOA
13484
200.00
1 122019
Miles Cannichael Ma ueen
P ress E
7609841
200.00