HomeMy WebLinkAboutBeasley, Robert 77080CCAMA / DREDGE & FILL N9 77080 A B YC p
ENE L PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue r❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality n t
and the Coas4Rec:�s�cc mmiss'n 'n a rea of environ ental concern pursuant to 15A NCAC /tan
ules atApplicant NProject Location: County
Address mwv Street Ad ss/ State Roa / L #(
City St e ZIP �r ry �/
i
Phone # -Mail
Authorized Agent
Affected F,W �'�EW PTA 'pES Cl
AEC(s): '-' "EA ❑ HHF ❑ IH 9 UBA ❑ N/A
ORW: (&/ no PNA
Type of Project/ Activity _
Pier (dock) length
Fixed Platform(s) "�—
Floating Platform(s}�
Finger pier(s)
Groin length
avg distance offshore 0 r
max distance offshore
Basin, channel �,_
cubic yards'
Boat ramp
Boathouse/ Boatlift ^�
Beac
OthE
Shor
SAV: not sure
Moratorium: n/a
Photos:
Waiver Attac
A building p mitNy
( Note Local Planning
yes no
yes no
no
City f Vu
Phone # (q�
Adj. Wtr. Body_
Closest Maj. Wtr.
River
❑ See note on back
ZIP
(Scale:)
Signature *'*�leread compliance statement ck ermit •*
LirVIVV._v_ II�C�
Date
tt*1 !
Name of Property Owmr Requesting Permit 11�.irr' �,1•.
Mailing Address
Phone Number:
Email Address: �/�jastPy_ a�`4'CYrcr, ).
t�
I certify that I have authorized l""A i
Agent V Contrerior
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development
at my property located at jpi'. 6 7-1."Ili 'a.�,� /� �r%� + ��,. �,tp, -' _
in 071Z-1-60-7—
County
I furthermore certify that 1 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 Informatlon;
DWA
This owffloation is valid through � t/9 ;, 4747-/
,,r49
a �� CERTI IE� MAt�'` R 'iURN RECEIPT REQUEST
DIVISION Of COASTAL MANAQEMEN7
RIPARIAN PROPERTY OWNER NOTIhICATIONIWAIVEN f f i+rt
of Propelty ti.issrikr 496,ei ! gAelLdr
Aftassat i'rapenr C'( �T T Ylo/I RonP Nl-�f# i /t/c 2ttmci
., nl s;'atn •Pt y ;,ltrri .0 Fh,dri ".air F.,ewut t,
agent s Name v 1444 N4 a:P A0t,?—,
grntspu,avtf+x 'LSZ (GS 4!31R /1X/✓ /3E,�v N� Zes
hereby Certify that I own prope'ty a'Jlatxnt tU it* abOve t0ererx,ea prr,,( rty`
ap lying for thas permit has described to me as shown on ttip Eattacrnett urowfr,3 ^ri; JF rF .,;,
they are proposing A dear7iotian dra�:Nv+ a th dimgp}e<> rs must air v+deC ra_th i s r.,r,
hat' rip vvbi«Uons ttr this ro ,sal hr
if you have MJ"Vona to what is fWngpropnsed, you must notify the Division of Coasri/ Adana yerrtrnt
(pCAQ in wrkfntt within i0 days of raeaipt of this nottco. Contact information for MA officr-s e5
avaffaDteatftttra'.•wrshvr_ rcGt1tj3jLfLnrt+cowetrcrr,ti-lrsr,fi:,ort:ycaurngi988IE;CDast
NO ras»wuo it CtNtelr(eroA an -- ---"---.. .. _ =
WAIVER SECTION
understand that a pier, dock mooring pilings boat ramp. breakwater boathouse a± oft rrAust
be set back a minimum distance of 15' from my area of riparian access unless waived ny ire
y041 wish to waive the setback, you MKI initial the appropriate blank below t '
— I do wash to waive the IS' setback requirement
ttkf1ow
I do not wish to waive the 15' setback require
ilarcrpertxr Owner Information}
.trrafutre ci
t�k air
Allfift ACk;kW
�]eirZtn �ry
w xtxtrbr b�n.tr AdaNre1,. ,
Dow
Owner Infomiation)
(r9WVrxWAW a014)
't✓'
T FLED MAI -RETURN RECEIPT RE UE5TED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMtA1VERFOrtM
Nam of Property 0"ar ��c di t--
Address of Property c
(Lot or Slteet #. street or Road. Crty & County)
Agents Name# ' ''• CJ> MadingAddress
Agent's phone #
adjacent to the above referenced property. The tndwrdual
i hereby for certify that I own property } the development
applying for this permit has described to me as shown on the attached drawing -the
they are proposing. A de�..�obon a drawirw with dimensi°ns must be erovide�' "'`h hi t tier
c ohjectionti to this pnipu,al
�51 X _ I have no objections to this proposal
I ha�
'N fiyou have obJeections to what is beingproposed, you must noft the Division of Coastal Management
(DCM) in writing within 10 days of recelpt of this notici, Contact informafipn for
888 RCOAST
available at htm avnvty nccoastalmanaAen^e^i r e cr verbeenonoUffed br by y Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat araotmo . an accessbun unless waived thouse, or �by rneft t (if
be set back a minimum distance of 16 from mMjnai�a the appropriate blank below.)
you wish to waive the setback, you MARX
1 do wish to waive the 19 setback requirement.
^�ttitt t
� ,(S I do not wish to waive the 15 setback requirement.
4S'
s
(Riparian property Owner Information)
Signaiure
WILLIA/1 it �rll cti/
Prhrt or Type Name
19 N4?1 L 7E2 lU
MailingAddress
e 0 i- pf N c �� 7 -L3 5—
CNylSfateOp
relephon8 Nrimber l Email Address
Date
(Revlead Aug. 2014)
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