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NC Division of Coastal Mgt. Habitat Impact Comp
Applicant: Cam
Date: t( (Z'V jZCC �r
Describe below the HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FIN
(Applied for.
(Anticipated final
(Applied for.
(Ant
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dish
Habitat Name
Choose One
includes any
Excludes any
total includes
Excl
anticipated
restoration
any anticipated
rests
restoration or
and/or temp
restoration or
teml
temp
impact amount
temp impacts).._amc
`pimpacts)
�v
Dredge ElFill [IBoth ElOther
O
L
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

Payment Proccessing Confirmation
Date Received 11/16/2016
Check From (Name) Charles Fox Homes LTD
Name of Permit Holder Tracy L. & Leigh Ann Coats
Vendor Branch Banking and Trust Company
Check Number 21855
Check amount $200.00
Multiple Permits No
Major/Minor
Permit Number/Comments GP 67930D
Receipt or Refund/Reallocated SF/2842D

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Dame of Property Owner Applying for Permit: Tracy L & Leigh Ann Coats
Mailing address: 1 79-Townsend Lane
Clayton, NC 27527-5221
Phone Number: 4/�-�3�
l certify that I have authorized Charles Fox Homes, Ltd.
Agent 1 Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of 19 Craven Street
at my property located at
in Brunswick
This certification is valid through
©ate
(Property Owner Informatloi , . ^..
s6nature
Tracy Coats
Print or Type Name
Title
/� 13 Ile,

Certified - Return Receipt Requested
October 13, 2016
Barry M. Goodwin
4820 Fox Branch Court
Raleigh, NC 27614
Re: CAMA Residence, Elevator, Pool, Add Dock and Boat Lift to
Existing Pier
Dear Mr. Goodwin:
This letter is to inform you that I have applied for a CAMA residence,
elevator, pool and dock permit for the property located at L-9R, B-13B, S-
A&B, 17 Craven Street, Ocean Isle Beach, NC. CAMA regulations require
me to notify you of my intentions. I have enclosed a copy of my permit
application and a copy of the drawing of my proposed project.
Should you have any questions or require further information, please
contact our office at [phone].
Sincerely,
0464Xze"ll '�V
Charles W. Fox, III
�/777/,,1,5Lz-

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Certified - Return Receipt Requested
October 13, 2016
Mr. & Mrs. Ralph Patterson, Jr.
101 Arrowood Lane
Laurens, SC 29360
Re: CAMA Residence, Elevator, Pool, Add Dock and Boat Lift to
Existing Pier
Dear Mr. & Mrs. Patterson:
This letter is to inform you that I have applied for a CAMA residence,
elevator, pool and dock permit for the property located at L-9R, B-13B, S-
A&B, 17 Craven Street, Ocean Isle Beach, NC. CAMA regulations require
me to notify you of my intentions. I have enclosed a copy of my permit
application and a copy of the drawing of my proposed project.
Should you have any questions or require further information, please
contact Keith Dycus, the local CAMA LPO for Ocean Isle Beach, at (910)
579-3469.
Sincerely, l

Certified - Return Receipt Requested
October 13, 2016
Tracy L. & Leigh Ann Coats
179 Townsend Drive
Clayton, NC 27527
Re: CAMA Residence, Elevator, Pool, Add Dock and Boat Lift to
Existing Pier
Dear Mr. & Mrs. Coats:
This letter is to inform you that I have applied for a CAMA residence,
elevator, pool, and dock permit for the property located at L 9R, B-13B, S-
A&B, 17 Craven Street, Ocean Isle Beach, NC. CAMA regulations require
me to notify you of my intentions. I have enclosed a copy of my permit
application and a copy of my proposed project along with copies of
notification letters to your neighbors.
Should you have any questions or require further information, please
contact our office at [phone].
Sincerely,
LaLAVJ�' )�'- 6)'tfk -ji-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 [ssed to:
A. Signature
❑ Agent
M ► �� Addressee
���ed by (Printed Name)/ C. Date of Delivery
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
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❑ rtified Mail Restricted Delivery
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❑ Collect on Delivery
Merchandise
2. Article Number (Transfer from service label)
❑ Collect on Delivery Restricted Delivery
'Mail
❑ Signature Confirmation -
❑ Signature Confirmation
7 01, 5 0640 0003 6 0 0 7 6236
MO)il Restricted Delivery
Restricted Delivery
PS Form 3811, April 2015 PSN 7530-02-000-9053
Domestic Return Receipt
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■ 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:
/o� �,E,Coc000d �9ti�E
A. Signature
Received by
❑ Agent
❑ Addressee
C. Date of Delivery
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se Type
❑ Priority Mail Express®
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❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
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Certified Mail®
❑ Certified Mall Restricted Delivery
Delivery
(,Return Receipt for
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
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Merchandise
❑ Signature Confirmation-
❑ Signature Confirmation
2. Article Number (Transfer from service label)
7015 0640 0003 6007 6243
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t ail RestAiJ Delivery
Restricted Delivery
PS Form 3811, April 2015 PSN 7530-02-000-9053
Domestic Return Receipt

■ 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:
A. Signatur
❑ Agent
X Addressee
B. Re� by (Prl Name) Date f Del'v ry
GCA-75 V
D. Is delivery ad ress different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority d Express®
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❑ Adult Signature
❑Registerered MaiIT'"
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted!
9590 9403 0235 5146 9696 25
t�C alfied Mail®
❑ Certified Mall Restricted Delivery
O Collect on Delivery
❑ Collect on Delivery Restricted Delivery
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Mail Restricted Delivery
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Delivery
Return Receipt for
Merchandise
Signature Confirmation T^
❑ Signature Confirmation
Restr clad Delivery
2. Article Number (transfer from service label)
,' 0 1 5 0 6 4 0 0 0 0 3 6 0 0 7 6 2 2 9
,✓S Form 3811, April 2015 PSN 7530-02-000-9053
Domestic Return Receipt

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