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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 !A■■■■■p'!■F-MME■■■►M■■W1/11[■■■IM ..:�Rfc■L.:�(r:Li■■JG�ilsiii:■�� ■■■■■ - ■ ,M�Wwz imm■■■ ■■iV■■■■■■■7T�■�*1�Tfltf!2■MOSINEE==■■■■ ■■■■■■■■■■r■■■■■J�■■■mow ■■N■■■■■■■■■■■■ ■■■■■■■■■■■■■■■F�■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■i■■■���■■■■ice■■ii■■■�■■■■ii■ �:'':.��w■li11t1�J1■■■■�■I�� i■I■■■■■■■■■■�!■■■■M Y■■Al■■■■■■■■■�■■�� I�il �i11■f�■■■■■/!�■i�■■■■■■■ ■ �1 HH �i■■CIF]I�■■■■■■■�'7■I►1.�!!1/1I.►1�' :■■■ ■,am M. WFA I■�r�r..��■■■■■■■11■■■■■■■■■■■ ■■ ■■■■■■■i■ii■■■■■■■■■■■■iii■■■i■■■■■�i■ aww=1■■■112010 ■■ii■■�ii fiww■■■ ■■■■ter_■■■■■■■■�i-:cu�� • 9"AMIl■■■■nt7■■■■ • • • - • - - • - • • I • i - • - :N, lG Y 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 Colurnn8 Columm9 1/30/2019 James Mont ome /DBA Montco Terry and Doris Beasley CresCom Bank 2289 $ 400.00 GP #72719D TMc rct. 7733D