79986D - Garmon

eE CAMA / ❑DREDGE & FILL N° 79986 A B C
GENERAL PERMIT Previous permit#
��-' LNew ❑Modification ❑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 I SA NCAC b 7 N• AApd
rr,�, pp ❑Rules attached.
Applicant Name SO++ GG(r v)04 Project Location: County &li 1.Sw ;; (L
Address 4 911 W t%VJf0"d 0 Street Address/State Road/Lot#(s)
City tkQi(IS 9ii , State AL ZIP *qD 0?5 ;d/10 002ari T3I Lid West
Phone#(704) 4 .?'E E-mail S(n-NeJ a rMon ailicOAlp41 Subdivision
Authorized Agent giteikiAler f'IAiiJxf "-"M City IL�d i? ZIP 26116
Affected ❑CW ®EW 4 PTA ❑ES ❑PTS Phone# ( ) River Basin G(,c-M �<i"
AEC(s): oEA ❑HHF ❑IH ❑UBA ❑WA Adj.Wtr. Body bvG!/V (1 /man /unkr
❑ PWS:
ORW: yes /a) PNA yes / Closest Maj.Wtr. Body t ('/k/
Type of Project/Activity RrbP4s,� -i IY (C''1 St ..c/, r,Ve 4// rrh(f/Yr� /f
mill 'Wet ere, 7A.?C� p/af.i-1 L ,'lc' I oe�h (IG C� �,/ (Scale: )
Pier(dock)length /39'r4 i ' + J C_JL' n
Fixed Platform(s)9k/J,6x 6,'�Y 3' n(0442 i ut �, Erg s 7 / ,
Floating Platform(s) fr is 12 W A-fto, �1 r i t }r ,�
41 F N ,ts- I , j --� - .. All* -
Finger pier(s) , ' r
Groin length //' (/ Si
number i — ;. —
Cdri
Bulkhead/Riprap I. gth 4 1 I '
avg distance o shore �i tk, lc b I �f j q,4„Q !.__ prthrt)
max distance o hore I ` I
r
Basin,channel I I V
cubic yards J„' ii f 1
Boat ramp i
Boathouse/Boatlift —
-1—_1_r :._.......__ i— .....t
i
Beach Bulldozing i I — -
>r
Other t 0►M^ • f j
i ._,
r5 +
Shoreline Length e� I
SAV: not sure yes no _.____..... _.. l
i i -I-
Moratorium: n/a yes no i 2 1_ 1 y 1 ABC►+ M� _ _
Photos: yes no
Waiver Attached: yes no t rill-W °� .�
A building permit may be required by: ' 7 /i ,4 (4'r ilea i ( . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) //' �}
Notes/Special Conditions /, (/44 7y f2c
----0.-it a"--e
r la-Fn c I� , c.a
I aAgent or Applic t Pr$A d Name Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** ignature , i

CAMA/ '—I DREDGE & FILL No 79986
GENERAL PERMIT 1�t Previous permit# A B C �D
QHNew r1Modifcation _iComplete 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 b 7k, L j2O
�"t Gar/vain d�idesattached.
Applicant Name_ /,�,� --- Project Location: County ���5i✓��
Q
Address 496 f W,� !✓` Street Address/State Road/Lot#(s)
City_ State N _ZIP 1_ 20... GCS LjlUd f_�
Phone#( ) 3796 E-mail 491,45/1.(illa Subdivision --.._.
Authorized Agent y(�r / '7! -_//--_�, st .---
City > rg�T/ __ -- ZIPV140 R.
Affected 0 CW KEW *PTA I]ES Li PTS Phone# (—__) _ --- River Basin 40414a/
5 : DOPA [Si HHF G IN t.l URA CJ N/A
AEL��,,_.
� ) 0 PWS: �1
Adj.Wtr.Body *dying,' ,/SL9lr l
ORW: yes /® PNA yes I Closest MaJ.Wtr.Body tI"� --- -_
Type of Project/Activity IbpdS5aJ -, 'y IC. 0st tY447 rierl „ kr Z
wwill "f!r}'P_d 1>Pr/ / f 4 )k1 > l 4'1'►/`- 4 ` � (Scale: • )
Pier(dock)length /31'
Fixed`Platform(s){ 1x -5vi• 4.. sras�� ( �
Floating Phrtfortn(s) r<t 2t /.Z t _ . _.` __,._ -� .� t } S Ash. rig, ' 441 i t s r _ F 1 __ c 1._"..... .' _
F Pier(s) —+ i 1 J w • . ' �li11ir lilk+ IY 1"1 � _ -..-` t
1 $ , -ii-a ass a A0 f- . • i ,
Groin �_ ___, rs�/�,s!�aliilliillrea.e�� � f
trlii
number ,r-±-- + -- �"�, �ieM3r
,e.• 1 i
Bulkheadr Riprap I gth -- ,... ._.1_ .-
avg distance o shore , , 1aA i'!' -
max distance o hore ! • i , i. j4. . NO - 1 i
Basin,channel , .;. '
___ ___ I
cable yud:--- r --j-- s"- ..�..� _r ' 1 �T !
iiiiii
......2 isiosi im6. mi , ___,__ _...,
Boathouse!Boat ft .l ! t _._--_---4 , i i J + -t—
{
Beach Bulldozing_ _ r - j _ . ... 1--. _ _ i . ._�_._._
Other. I �rt)1 --.- ___ 1 ` t
t ,
(tf
• ,
r - ( r
1r__, i ---r I I
Shoreline Length �--- -�I+ j t , f l.. ( .i�- .--•
SAV: not sure yes no .i-r- a _ - }._ -J.--k- . +.. r j _-_ -t-. _. _-s__
I � 1
Moratorium: rya yes no 1_. - 1 4---1--+ } .. , 1 }-
I a
Phatoc: yes no , r 1 , • dM L_ •
Waiver Attached- yes no -_ �._ t.(/d,t� • -i yu
� , _ . _ ' , i
}
A building permit may be required by: 44'n ftcx . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 6 O4 Ito?
--Tici. -k-t.ilY\`) rirfri tie— Atyl (cis
Agent or ApplanZted Name PermitOificer s Printed Name
- )&(( 9 �--
Signature e'Please read compliance statement on back of permit" ,�
ignature

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Scott Garmon
Mailing Address: 4917 Wynford Ct
Harrisburg NC 28075
Phone Number: 704-309-3996
[e-mail]
Email Address:
I certify that I have authorized Ted Helms Backwater of NC
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Dock repair and floating dock
at my property located at 1220 Ocean Blvd West, Supply, NC 28462
in Brunswick County.
I 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 er Information:
Signatu
Scott Garmon
Print or Type Name
Property Owner
Title
5 / 4 / 2021
Date
This certification is valid through I I

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Tracking Number: 70202450000035782825 O "tiow.111.0ipt(`lectio l“) s- t�fe
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Your item was delivered at 3:41 pm on April 16, 2021 in BOONE, NC 28607. sa,,r,,•
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April 16, 2021 at 3:41 pm PS Form 3800,Apr 2015 753 >. See Reverse for Instructions
BOONS, NC 28607
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•
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: SCJ) CiarlIYK)(1
Address of Property: N C O ta(l '21Vd \
.-{ (Lot or Street#. Street or Road. City& County)
Agent's Name #: 1A I'U (ealliAZJA4ailing Address: 50j' hicf1 L •
Agent's phone #: CPO- 73 L, Y 016 , oc o2 /V4
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 proposing. A description or drawing, with dimensions, must be provided with this letter.
tit)��� , 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 writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at htto://www.nccoastalmanaaement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I 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
061
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 to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property ner Information)
le-1/44(46—' (0400(5r) OWtii Fa
Signature Si
Signature � �y 1
.r-?(I ifYI tAki\itsV\f‘k\ , s%otE
Print or Type Name Print or Type Name
a 5i Beath toe l,4 pW R<<
Mailing Address Mailing Address
ei fS , IBC o?8q(ci 11, ,� �JC. 1519
City/State/Zip City/State/Zip
coo, 0y3 '41g1( Nig) -s3
Telephone Number/Email Address "Telephone Number/Email Address
4v ds- 1
Ikik' Dare
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner. 5(bff E n ---
Address of Property: IA20 wn 'PA W E
Lot or Street U. Street or Road, City&County)
Agent's Name t tb4p$14„)Mailing Address: 5 31 1ka !
Agent's phone t: qa't�- 1j413- M 015, NC c2W4G,C(
I hereby certify that I own property adjacent to the above referenced property. The individJal
applying for this permit nas described to me as shown on the attached drawing_the development
they are proposing. A description or drawing.with dimensions. must be provided with this letter
t1 I have no objections to this proposal I have objections to this proposal.
11
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices Is
available at fittx:/Neww.nccoastalmemaaernentnet/wgbicm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I Jnderstand 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 sy me. (If
1.t you wish to waive the setback, you must initial the approprate blank below.)
4(j,T0..1 _ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Ripari perty Owner Information)
�---- (AS ) -# i'
signaturt' attire ram, L
-CiAlkitQA/
Print or Type Name Print or Typo Name
3E51 n/ A At*.
Marling Address Marling Address
016 NC. I C9SI i' Crit.47A� NC 2i`lp�
City/State/Zip Crfy/Statei214 -�
Telephone Number i Email Address Telephcne Iv.tuber.'T' mil!Address
—
ur, / ire 12191(254r----*-7—
(Revised Aug. 2014)

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Check
Date Received Data Deposited Check From(Name) Name of Permit Holder Vendor Chuck numbar amount Permit Number/Comments Receipt or Refund/Reallocated
Column) Column2 Column3 Column) Calomel Columne CMim7 Column8 Column!
5/20/2021 Lighthouse Marine Construction William Uzzell Coastal Bank and Trust 3759 $ 200.00 GP#80170D JD rct.14139
5/20/2021 Lighthouse Marine Constructiopn Marilyn Thomas Coastal Bank and Trust 3765 $ 200.00 GP#73593D JD rct.14138
5/20/2021 Backwater Marine Construction Scott Garmon BB&T t 1304'$ 200.00 GP#79986D PA rct.12782 _
5/20/2021 CLTMC,Inc. Brenda Bowling First Citizens Bank 1186 $ 400.00 GP#80294D IPA rct.12781
5/20/2021 ,Cynthia G.Clark _ same Coastal Credit Union 4346 $ 200.00 GP#79926D PA rct.12779 _
5/20/2021 Ralph D Evans Dean and Judith Evans BB&T 1214 $ 200.00 GP#79995D PA rct.12778 _
5/20/2021 Jerry Mills Construction Grace Summersett First Bank 3094 $ 400.00 GP#79996D BB rct.14932
5/20/2021 Warren White Jr. Warren and Gayle White Piedmont Advantage CU 6773 $ 200.00 GP#80104D BB rct.14931 _ _
5/20/2021 Grice Construction •John,Cynthia Jones BB&T 14600 $ 200.00 GP#80208D BB rct.13123
5/20/2021 Backwater Marine o1 NC LLC James,Elizabeth Gibson BB&T 1306 $ 200.00 GP#79952D BB rct.14930
5/20/2021 Jogh Debell Jr John.Pamela Debell BB&T 8762 $ 200.00 GP#80102D BB rct.14929
5/20/2021 Logan Marine,LLC Keith Batten BB&T 7378 $ 200.00 GP#80101 D BB rct.14928
- 6190 $ 400.00 GP 07995.3D BB rct.14926
5/20/20211 Patrick Antinori Mary Grumpier First Citizens Bank
5/20/2021, __ Waterbridge Contractors Sports Endeavors Investments,LL South State Bank ', 1099 $ 600.00 GP#77745D JD rct.14076