74646D - Beacham

�CAMA / DREDGE & FILL No. 74646 A B C D
GENERAL Plolina,
R M I T Previous permit #
New L1 Modification omplete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Ca Department of Environmental Quality —1 ( j I 1 �l
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �[ V V
❑ Rules attached.
Applicant Name \C Project Location: County V0A-(--->V/ J
Address 4 Street Address/ State Road/ Lott##(s)
CityStatet V— ZIP 1 __c
Phone Al 6 ) Mail Subdivision
Authorized Agent 1 V\ r City ZIPQ(_� LV
Affected AW
'�47A ❑ ES ❑ PTS Phone # ( _ ____) __ River Basin
AEC(s): ❑ OEA ❑ HHF C IH ❑ UBA ❑ N/A Adj. Wtr. Body Anwv\j nat man unkn)
❑ PWS:
—� Chsest Mai- Wtr- Bodv A-\ w V V -
ORW: yes / no PNA yes no
Type of Project/ Activity
Pier i
Fixec
Float
Finge
Groh
Bulk[
Basir
Boat
Boat
Beac
Othe
Shor
SAV
Mon
Phoi
Wain
1m.
(Scale:' Ic )
length
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14,
1111i,
A bu c r
( Note Local Planning jurisdiction) +
Notes/ Special; Conditions
- V
Agent or Applicant Printed am
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Signature — ** Ple a c mpliance stater}aef(i on back of permit''*
p[ication Fee(s) Check #
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3�� "'�� . 'bt8 ac n '�`.a..r'f'" b..,��ke,4'.,,��^'�,"� $T'a+,g�i-s � 9 � r � -. s a± �✓
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Noma of Indvidual Applying For POrMit I
Address of Property
o Vl e_ S �—
or Street i, i—vcez or Road)
5 n Cl- - ern U�W-e--
-r 1Zmn5 wiC-K
S � N�InQG_ - _
'Cinr and Covnty)
hereby certify that I own property adjacent to the above -referenced prapt; TM individusi
applying for this parrnit has described to me as shown oath awched drawing the dev logrotathey
are pto". sing. A description or drawing, with dimeaaions, should be cro-vided nrrth this ltgt'r
_ ' have no objections to this propOsa.
if you have Objections to what is b4ing prapvsss£, please carat the Di.-Islun of C96*4�-
Msasgement, 12, Cardinal Drivo EAtaasion, )NUminbtan, NC 28405 or calf 915 T96.721S
within 14 days of receipt of this notice- No response is considered the same as no objeed6nif
you have been notified by Certified Mail.
WAMR SECTION
I understand that a pier, dock, amring pilinf,,• breakwater, bout house or boa: tiff oaast be set
bcka minimum distance of 15' from my area of riparian access - uniess w2i. ed b-. n*. (if you
�4isb to waive the setback, you must initial the appropriate blank below
do wish to waive the 1:' Setback reaLire^-t�
i ao n a ish to ,.vnivt tht 13' setbacl: �ta_--r'
li
r5t �,ta
gn ! D U to ice%'
Pent Name
rU f Y� NCDENR
Telephone Number with Area Cock .'""`". COP-M.
Sp—j NC 2 qq t

!` &MO 0f 106fidual Applying For PeftWtr E. r t e . R CIS 3tY�
Address of Property
o w, e..: S �-- V
(tot or $treat 4, Street or Raid)
!Cite end Cowr -
hereby certify that i own property adjacm to the abovrrcefemced prop=i'y. The indir4JO
aftpl�ttg kt this permit h&S described t4 me as shown on the aambed dmwsu$ the dtvrio t"
are ptmposing. A descrivdan or drawing, with dimensions, should be cro-Oded with tiffs ceder
i
have no objections to this propose;
tf you have objections to what is being proposed, please wrtre the Di%isfun of CoG$ibi.
h+isaa;etaesrt, 121 C3rdinai Drive EstmWa, Wilmington, NC :8405 or call 911?96-7115
within 10 days of receipt of this tlotiee, No response is considered the some as no ob1eCtioni f
you hove been notilsed by Certiflod Moil.
W AMR SE CTIO N'
i understand that a pier, dock, ntocriug pilings, brukwater, boat Crouse or boat lift *%%Rbes&
bck a minimum distance of 14*' from my area of riparian access - unless %vaived bt the. tlftrou
Wish to waive the setback, you must initial the appropriate blank below ;
— d-1W
do wish to waive the 1 i' setback renuirem"—.
i 42-wish W waive the 13' setbacf;
r
Dato
—T)e�VQe
ariat Nan
-.
33 331�1-7971
Telephone Number with Aria
ft e.ose ' i t`
S fly" N C_ -.-6 y 61
NCDENR
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MacPherson, Tara
From: Eric Beacham <[e-mail]>
Sent: Monday, January 28, 2019 12:00 PM
To: MacPherson, Tara
Subject: [External]
Hi
Tommy Perry said I could email you my consent to act on my behalf. So this is it.
Thanks
Eric Beacham

Date Received
Dare De sited Check From Name
Name of Permit Holder
Vendor
Check Number
Check
amount Permit NumberIComments
Receipt or Refund/Reallocated
Columni
Column2 Column3
Columns
Column5
Columns
Column7
ColumnS
Column9
M/2019 Amencan Manne Con n Irc. ham Rml CWem Ba,k 88661 00 00 GP #746460 Tmac ml 8463