HomeMy WebLinkAbout72719D - BeasleyLAMA /DREDGE`& FILL
GENERAL PERMIT
New ❑Modification ❑Complete Reissue ❑Partial Reissue
A B C D�
Previous permit #
Date previous permit issued
No. 72719
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 0 7 H . I I C: O
,�� pp ❑ Rules attached.
Applicant Name I E izcRy C ASt r_ y Project Location: County Fy u '!c u ► " K
Address (0 3 04 (?U WwD s Z . Street Address/ State Road/ Lot #(s)
City R AgLr_ I U►-1 State VC _ ZIP 27(r 13 Ni oN►z S -T
Phone # (11 ) 601- 5031 E-Mail *0015& be 11ko-ikne}Subdivision ^/1A
Authorized Agent JtM Ko,.l . c oMER-Y City Orr^^J ter- i?F-AcN ZIP 2d 4 y
Affected )(CW ❑ EW ❑ PTA Dj(ES )(PTS ��� Phone # ( q I o) 4'1 u - COU(o River Basin /-u M V F R
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body C ANA t_ (nat man /unkn)
❑ PWS:
ORW: yes / l"=: PNA yes QlDo
Closest Maj. Wtr. Body
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Agent or Applican rim
Signature '� 7 Please
4b
Application Fee(s)
MG6�u►2E
Permit Officer's Printed Name
//._/` ""'( e
statement on back of permit * Signature
228 �/28/2o(I 5/zg oI9
Check # Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Terry and Donis Beasley
Mailing Address:
Phone Number:
Email Address:
10304 Byrum Woods Drive
Raleigh, NC 27613
919-801-5031
dbpoolside@bellsouth.net
I certify that I have authorized Jim Montgomery / MONTCO
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Install a Redi-Rock retaining wall along the canal shoreline
at my property located at 48 Monroe Street, Ocean Isle Beach, NC 28468
in Brunswick
County.
I furthermore certify that l 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
f l
V Print or Type Name
Property Owner
Title
I I
Date
This certification is valid through / /
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Charles Tilson
I
property located at
46 Monroe Street (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on Canal Shoreline in Ocean Isle Beach, Brunswick County, , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
lw,ation.
I have no objection to this proposal.
0_9�- I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
VlIVNIM. aINl.l.l
1 1
I 1
1 1
Lot 46 LoL48 Lot 50 !
! 1 irry and Mmin lk-a l.y !
I 1
1 1
1 1
1 1
1 1
1 1
I 1
1 1
1 !
1 !
I 1
--------------------.—.—.—.—.—.—.—.—.—.—
,\1
p.l
( N:11, — 1R,di-& ai Rn"�N'a::
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, y must initial t e appropriate blank below.)
I do wish to waive the 15' setback -requirement.
VI do not wish to waive the 15' setback requirement.
(Property Owner Info tion)
Signature
TTerrtyQand Donis Beasley
16904 prrurn o 6ods Drive
Mailing Address
Raleigh, NC 27613
��t9 tWf1 t I / dbpoolside@bellsouth.net
Telephone Number/email address
Date
nt
Signature*
Charles Tilson
Print or Type Name
22401 Torrence Chapel Road
MF'ling )4 , ess
NC 28031
orne1tus
City/State/Zip
704-458-0586 / cts22401@gtnailxom
Telephone Number/email address
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*
Dow
odon
I hereby certify that I own property adjacent to 1 ' (ftI s
(Name of Property ner)
property located at
50 Monroe Street
(Address, Lot, Block, Road, etc.)
on Canal Shoreline in Ocean Isle Beach, Brunswick County, , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location. i
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
;
;
; I
! L,x dN ( Lut 50
Lot 46 Tenti aixi �Ami. Reader
i !
;
i
,
i�._._._._.- - - - - -----------------------
t,...
WAIVER SECTION
I understand that a 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. (If 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 Inform�tlon) *Adentoperty w er Information)
Signature 'Terry and DonisBeasley YPrint or Type Name a t �e
10304 Byrum Woods Drive � 0
Mailing Address M M d
Tt/a e2ip City/State,%q - 3 && - 5 $ � 1 a
01-5031 / dbpoolside(a�bellsouth.nct Telephone (Number/email address
Telephone Number/email address
Date Date* --
(Revised Aug. 2014)
*Valid for one calendar year after signature'
Check
Check
Date Recehnd
Date Deposited Check From ame
Name ofPWMN Holdat
Vend-
Number
amoum
P.—I Number/Commenfs
t" Re/undMeaffmated
_+__RecN
Columnt
_ _ Column Y Coke 3
CohMM4
Columns
Column6
Col-7
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1/30/2019
James Mont ome /DBA Montco
Terry and Doris Beasley CresCom Bank
2289
$ 400.00 GP #72719D
TMc rct. 7733D