Garrett, Johnny 78397C

CAMA / ❑DREDGE &FILL
1 N 9 '78397 A B
� D
ENERAL PERMIT
42awthbnzecl
Previous permit#
New ❑Modification ❑Complete Reissue
❑Partial Reissue Date previous permit issued
As by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an a of environmental
concern pursuant to 15A NCAC
d.
(6AA
es attac
Applicant Name I�
Project Location: County
Address
Street Addr Ss/ State d/ Lot #(s)
City State_t ZIP
Phone #qV)
E-Mai
Subdivi 'o
M�
Authorized Agent I)
City
��/�
❑ CW " W I TA ❑ ES ❑ TS
Phone #
Affected
AEC(s); ❑ OEA ❑ HHF ❑ tH ❑ UBA ❑ N/A
Adj. Wtr. Bod
nkn)❑
PWS:ORW: yes/ PNA yes / n( /
.
Closest Maj. W*Vona
Type of Project/ Activity 'i4liilm
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) - —
Groin length —
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific 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 I) 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 or certified mail return receipt has been obtained from the adjacent riparian
landowner(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:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ 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. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 1 ) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

North Carolina Division of Coastal Management
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RECEIVED
FEB 0 3 2021
DCM-MHD CITY

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AGENT AUTHORIZATION FOR LAMA PERMIT. APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: 3 c^ �
Phone Number:
Email Address:
-i-I C 1k C 111 C L^
III _ �g v c-
I certify that I have authorized x Ch
�— gent /Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA pert -nits
necessary for the following proposed development: j��iv, �C� P, x_ _5_�� Qd(
at my property located at
in �� i�P_f e F County.
1 furthermore certify" that 1 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
1, Vk C" 9 s
Print or Type Name /
Title
2
Date
This certification is valid through 0
RECEIVED
FEB 0 3 2021
DCM-MHD CITY

4

CERTIFIED MAIL. - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
-- ADJACENT-RIPAWA,NNPROPERTY OWNER-NOf/TIIFIGAATIONIWAIVER.�FORM.
Name of Property Owrier: V U G' �V ee
Address of Property: � � 3 &D WG 5/r,c ' f ► ,At
(Lot or Street #, Street or Road, Cky 8 County)
Agent's Name #: . C l�J i' e,k'1
Agent's phone #:
Mailing Address:
®a a,
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 drawin the develo ment
they are proposing. {
I have no objections to this proposal. I have objections to this proposal..
If you have objections to what is being proposed, you m ust not(fythe gMslon of Coastal Management
(DCO) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400
Commerce Ave,; Morehead City, NC, 28557. DCM representatives can also be contacted at (262) 808-
2608. No res onse is considered the same as no objection If youhavebeen notiiled b CerfffledNlail.
WAIVER SECTION
I understand thet a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of I5' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial.the appropriate blank below.)
I do wish to waive the 15' setback regpirement,
I -do not wish to waive the 15- setback requirement.
(Prop y Owne Information)
,. nature
Print
or Type Name
l r 7 )g 0 tWe4l qN�
Marling Address
Citylstatelzip
6oS, 34*o
Telephone Number
Date
(Adjacent Property Owner Information)
Signature
Print orType Name
Mailing Address j n
ft � l�/l fir, �Pcr/I 1►����
CitylStatelzrp
Telephone Number
Date
Revised 6/16/2012

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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT -RIPARIAN PROPERTY OWNER-NOTIFICATIONIWAIVERFORM
Name of Property Owner: r49 � CA- C. 6� Y✓ —'" t
Address of Property: /
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #: 411 ON
Mailing Address:
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
qya;'tb �.,:4: iF.c� �S TS'.as,...-:`'".v`t
they are proposing. A;desciptron�or�`�ayirthrnens�ans5ffjerivrdedxiithrktisteter-
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notifythe Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400
Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be contacted at (252) 808-
2808 No response is considered the same as no objection ifyouhave been notified by Certified 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 setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setbac-K requirement.
I do not wish to waive the 15' setback requirement.
(Property caner I ormation)
G�
Sig• lure _
Print or Type Name
/Y3 6ovj em Sf're
Mailing Address
91,d, All
City/StatelZip
` 0- 605-3600
Telephone Number
-;1G w .zv
Date � ____
Nnnt or iyoe Name
Mail ng Address
Rai! C.
City/Stale2ip
G /oi-
Telephone Number
Date
Revised 6/16/2012

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