89920A - Garrett

�CAMA ❑DREDGE & FILL N9 89920 (LiL (A) B C
GENERAL PERMIT Previous permit
Date previous permit issued
New ❑Modification ❑ Complete Reissue [:]Partial Reissue
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. 0 General Permit Rules available at the following link: www.deq.nagov/CAMArules
Applicant Name (n :x r r r'.'H
Address 1
City _ f i State ZIP
Phone # ( )
Email d t g S Y
Authorized Agent (J.) i 1 I ICI. Nth. Cam; r`-' I-
1
Project Location (County): _ (, o r r- t i) r' k.
Street Address/State Road/Lot #(s) 1 2. i ( J i , ) ,, P. ,"-->
Subdivision
. City i'- ZIP '2_`7 <-I 4 1
Affected ❑ CW 10 EW [Y PTA ❑ ES ❑ PTS Adj. War. Body A.1 17.,1- tt-ira r I t, _;,� n w �(n man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ I Body A vrt r' V(nt-1
PWS Closest Ma'. Wtr. 14 : <' . "- ' _11
Y c `�x�
ORW: yes/64% PNA: yet/nq) y
Type of Project/Activity fF ice'
Shoreline l meth
m
(Scale: )' 51)
Access Length
1
Pier (dock) length
Fixed Platform(s)—
/
r
-
7
)
'
_
Floating Platform(s)-
p
Finger piers)
I
_
Total Platform area-;---
Groinlength/q
r
—__-T
-
Bulkhead/ Riprap length--i
Avgdistanceoffshore
+.
4--
--
I
Breakwater/Sill
-
—I—
-
Max distance/ len
__.
_
_-.--—
�t:i
'..
Basin, channel
t
-
----_--"-
Cubic yards
Boatramp
-
I
:
-
Boathouso Boatlift
Beach Bulldozing
i
-
_
Other
G
SAV observed: yes
Moratorium: .n/a yes no
-!
--,1
Site Photos: . - yes no
-
r
-
Riparian Waiver Attached: yes no
_
....
A building permit/zoning permit may be required by:
Permit Conditions `;.. I; ft.
❑ TARMAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
I �
Signature "Please read compliance statement on back of permit** Signature
44
Application Fee(s) Check JJ/Money Order Issuing Date Expiration DJate

I

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: David & Michelle Garrett
Mailing Address:
Phone Number:
Email Address:
121 Owens Beach Road Ext
Harbinger, NC 27941
[e-mail]
I certify that I have authorized Affordable Bill's/William
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
new dock in existing footprint. Install one 10k boatlift.
at my property located at 121 Owens Beach Road Ext
in Currituck
County.
Remove existing dock and install
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 Owner Information:
Signature
David or Michelle Garrett
Owner
Print or Type Name
Title
20L 3
Date
This certification is valid through

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL. RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: David & Michelle Garrett
Address of Property: 121 Owens Beach Road Ext, Harbinger, NC 27941
Mailing Address of Owner: 121 Owens Beach Road Ext, Harbinger, NC 27941
Owner's email: [e-mail] Owners Phone#:
Agent's Name: Affordable Bill'slWilliam Eger 252-489-9555
Agent Phone#:
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. Ths individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawino. with dimencinnc m,.-# k a_ ...,. ...
1 DO NOT have objections to this proposal. I DO have objections to this proposal.
If you nave oo/ecttons to what Is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail,
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprop revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of/ /lacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Joseph or Mii
017 Owens Bch Rd Ext)
Mailing Address of ARPO; 2197 Cherry Cove Ct. Maryland Heights, MO 63043
ARPO's email: l o-[j. & r<*il i slim ARPO's Phone#: �7 (y�- `% � � (3 q %
y
�'�1 �/ail net.,
Date: T— waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

N.G. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: David & Michelle Garrett
Address of Property: 121 Owens Beach Road Ext, Harbinger, NC 27941
Mailing Address of Owner: 121 Owens Beach Road Ext, Harbinger, NC 27941
Owners email: [e-mail]
Agent's Name: Affordable Bill's/William Eger
Agent's Email: [e-mail]
Owner's Phone#:
Agent Phone#: [phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at (252) 264-390C No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback 1
iro
Signature of ,jacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Joseph or
(117 Owens Bch Rd Ext)
Mailing Address of ARPO: 2197 Cherry Cove Ct. Maryland Heights, MO 63043
ARPO's email: d * ✓1& ,s d t yu o 5L (a ri ARPO's Phone#: 3 j y A Y it (3 141
"el -
Date: 4 jl� 2 3 `Waiver is valid for up to one year from ARPO's Signature'
Revised May 2021