85518D - Golob

3�°`°�rktP1CAMA I DREDGE & FILL ITT° 85518 A B C D`
z 1 GENERAL PERMIT
a Previous permit
Date previous permit issued
[ .New I I Modification Complete Reissue Partial Reissue
As authorized by theState of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
ISA NCAC , i
/ t a t I"'b 4,, I I Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name riloyt :.:'i ,-'t : ':,_a Authorized Agent 'R ' 3 r
Address (.Q ) i 5 t C+ ` iA Osi Project Location(County): R/'' .rS`ki C k:_
City 0/0� \q 41.a'f e ! -\(_. ZIP ''� `i c�' "s Street Address/State Road/Lot#(s)
Phone#( _0) 3 h C1
Email G ,f (Weil-(tYY''l/ Subdivision
_ City ---.. ZIP +?�(
^
Affected CW EW PTA I I ES PTS Adj.Wtr.Body i LL f�i nan/unk)
AEC(s): OEA I I IHA I I UW I I SPIMA I PWS Closest Maj.Wtr.Body ie" 1 ((9 71
7RW:yes7h) PNA:yes/F
0
ype of Project/Activity ,Y?'pc ti.1 f,G�` C.77ii1dt �' ai f 1 Y1 9I!- ; 1 �`ee '
7 1 h
(Scale
shoreline Length \\ccess Length ii_--I—
;
I
'ier(dock)length I
:bating
Platform(s) i 6 . t
l
_
afing Platform(s) House
6-, 7 . 1-
inger pier(s)
_Ltbi' Approximate distance to i
btal Platform area \ , house structure/pilings l I
+
iroin len h # iI / —a
Iulkhead/Riprap length }— --- Landward extent of beach bulldozing/dune alignmertt ---- — I
ivg distance offshore ��_ _ _
Ireakwater/Sill ? Width of I
ro LplJ
Aax distance/length 1 property:Y� �v
Iasin,channel
:ubicyards --•___._...
r
oat ramp ( Approx distance to NLW '2(V i - --`
i
Igathouse/Boatlift �r/ \A/ 1
each Bulldozing 5i x.. t X i• f w
tiTier
f +--- - - -
AV observed: yes no ) ) K,,_
Atlantic Ocean
'loratorium: n/a yes no + i ,.-
ite Photos: yes no . I I ( i {
iparian Waiver Attached: yes no i 1 ! I I1 i i
"'7 /
building permit/zoning permit may be required by: (.J zL / h C fit.
ermit Conditions7. f r . No. it ff,',-C,0 'r_S a'1 /ff5(iS ,R(M, TAR/PAM/NEUSE/BUFFER(circle one)
Lj • .'/'7s7 A tiv`'' '''r ('" r1 tL,-,(7 cr 'Al? c f`al- I I See note on back regarding River Basin rules
.'✓1 tn.' -f_pt j ,t„ •'.trot.. J ''(^ G,�:.t/,0 S� v;r,# !.,
1 �^ ' r See additional notes/conditions on back
M `li $Qt f!!i('.'KI n a 7`, ,i' ) fir, : -,-Jf?J Aea / ;Pi,5,-
AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
i tt '� , d
! dl CA.h', ( L 1-2172
t orApplicant PRINTED Name Permit Officer4.P D Nair! ...
)

Zoho Sign Document ID:MYBAWBJ76CFRW8-UHIRZA3TI7ZYMHOKMOYCBH6NCQEQ
ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION/WAIVER STATEMENT IN COMPLIANCE
WITH CAMA REGULATION 15A NCAC 7J.0204(b)(5)
Pursuant to the North Carolina Division of Coast Management, including but not limited to the
Adjacent Riparian Property Owner Notification/Waiver requirement, by signing below I agree
that, effective January 14, 2022: (1) I am a property owner on West Beach in Oak Island, NC and
am seeking a permit to push sand in the January/February 2022 timeframe and have applied for a
permit with DCM to do same; and/or(2) I am on notice of one or both adjacent riparian property
owner(s) seeking to obtain a permit to push sand in the January/February 2022 timeframe; I
understand the scope of the permit request and work to be done; and I have no objection to this
proposal or work being done. The effective date of this document is January 18, 2022.
r 1- Q ZZZ
Skip Smart
6335 West Beach Drive
I0+ m
Bill Hancock
6341 West Beach Drive
Mco-k fir, el
Mark Engel
6601 West Beach Drive
Adjacent Riparian Property Owner
Notification/Waiver Statement
West Beach Properties
1

Zoho Sign Document ID:MYBAWBJ76CFRW8-UHIRZA3TI7ZYMHOKMOYCBH6NCQEQ
John Stewart
6605 West Beach Drive
Nancy McMurray
6607 West Beach Drive
1
Ashley Harbin
6609 West Beach Drive
• I Lv 4e.
Cathy Lovejoy (LCI Properties)
6613 West Beach Drive
Barry/Shari Golob
6615 West Beach Drive
'rj—C)4—
Mark Davenport
6617 West Beach Drive
Bianca Briola
6621 West Beach Drive
Adjacent Riparian Property Owner
Notification/Waiver Statement
West Beach Properties
2

Zoho Sign Document ID:MYBAWBJ76CFRW8-UHIRZA3TI7ZYMHOKMOYCBH6NCQEQ
O"'r's'T e't
Mike Ouimet
6623 West Beach Drive
Jeff Powell
6701 West Beach Drive
�per��l�Y�nV1l��j
Bob Bomholt
6703 West Beach Drive
ILYYAnGs
Thomas Garcia
6705 West Beach Drive
Barry/Seena Gudelsky
6713 West Beach Drive
Morty Sjoquist
6715 West Beach Drive
Kelly Coy
Adjacent Riparian Property Owner
Notification/Waiver Statement
West Beach Properties
3

Zoho Sign Document ID:MYBAWBJ76CFRWS-UHIRZA3TI7ZYMHOKMOYCBH6NCQEQ
6719 West Beach Drive
MatAr
Mary Ann Cost
6721 West Beach Drive
tl�t�Y D. s otAlos
Arthur Anastopoulos
6901 West Beach Drive
Chip Oury
6903 West Beach Drive
Robert Hurst
6909 West Beach Drive
Adjacent Riparian Property Owner
Notification/Waiver Statement
West Beach Properties
4

Cheek
Dived Date Deposited Check From(Name) Name of Permit Holder Vendor Check number amount Permit Number/Comments Receipt orRefundROIH0Cated
el Column2 Column3 Column4 Column6 Column. Cokamn7 Column! Column!
2022 J.Scott McMurray Nancy Ray McMurray Coastal Federal CU 4219 $ 400.00 GP#85514D _ PA rct.16540
2022 J.Scott McMurray John Stewart Coastal Federal CU 4220 $ 400.00 GP#85613D PA rct.16539
2022 Ashley Harbin same Bank of America 251 $ 400.00 GP 1085553D PA rct.16538
2022 Michael Ouimet LCI Properties/Kathy Lovejoy Wells Fargo 2264 $ 400.00 GP#85513D PA rct.16537
2022 Bang Gobb same Layfayette Federal CU 191 $ 400.00 GP#185518D PA rct.16536
2022 Barry Golob Mark Davenport Layfayette Federal CU 192 $ 400.00 GP#85610D PA rct.16535
2022 Blanca Briola same State Employees CU 192 $ 400.00 GP S85614D PA rot.16534
2022 Michael Ouimet same Wells Fargo 2263 $ 400.00 GP f85515D PA rct.16533
2022 Cohen Construction,Inc. Joe Callahan Uwharrie Bank _ 21669 $ 200.00 GP S85348D PA rct.15671
2022 John McClure Lorick Atkinson Twist 755 $ 400.00 GP S85454D PA rct.16532
2022 Michael Shannon same Wells Fargo _ 1634 $ 200.00 GP#85556D JD rct.16810
2022 G Bradley Fields same Truist 1247 $ 200.00 GP#85562D KE rat.16586