86331A - Beasley, William & Kaye

�`°" VCAMA ElDREDGE & FALL �1 v NI? 86331 � B c D
to GENERAL PERMIT Previous permit �/�1/4
Date previous permit issued s- irs'-2r)
ew ❑ Modification ❑ Complete Reissue []Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coas I Resources Commission in an area of environmental concern pursuant to:
I SA Wk. ��I . 1`Z 00 ❑ Rules attached. Genera) Permit Rules available at the following link: vrnw.deq.nc goy/CAMArules
Applicant Name DZ .1,UoM. -t i�.q�� IYr c^� ley
Address li>I
city -I'I . _ C 1'` i State �� ZIP '2-
Phone # (2�94 C2L (
Email I'.J i I I .`.. �ley &' A ,— a - S . Colh-
Authorized Agent
Project Location (County): ft .-4:2
Street Address/State Road/Lot #(s) - 153 Jj (Lz_
(Z.oQla �
Subdivision _
City-LD. A"
2?JD 3
Affected 0CW EW PTA J4 P-"-' PTS Adj. Wtr. Body C.rufr.'±(,C (4 Got,. Ck (( nadt6n1unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW SPIMA ❑ PWS Closest Ma). Wtr. Body .Si I `'} a G k, W6,,,6
ORW: yes/?o� PNA: yes/&
Type of Project/Activity AAP,4J 6'It' ur. P;Cf
(Scaie:M-T,5 )
Shoreline Length k 1 Qa
Access Length
'.. '• (
Pier (dock) length C41 r k 6 r ..--! t-s--�.* :' :.' . ...f.. _ :�... �.. 1 .: �... I . {.. 1' - f
°. 1 { .
Fixed Platform(s) 16 k.I C ; i {_.rOifi ! # I . itiy ..{ _ <
k
Floating Platfo ()
rms,
I
Finger piers) I i I
tt
Total Platform area `�S f: Sir J ;. .+� t� • ).. a .Ix_vc.- . r
Groin length/g .I i I i i. _ { -
Bulkhead/ Rlpraplength i ! �• i 1{ j i
Avg distance offshore
Breakwater/Sill
T... i..
Max distance/ length !' i . .r i ; . . t 1 ... ; _..1..y.. 4... ..
Basin, channel , .� I i t_. S: , .:; . ).. (. `% 1...' '......�, i _ _ I ) •.'
Cubic yards i I j I ; ) = : f t 1(' + �... i-
Boat ramp
Boathouse/ Boatlift
Beach Bulldozin
8 i
Other
• l t i I�> +i 3 .I
SAV observed: yes Lod ; i ! 1 . i .. r y - .;r•.; _ �.. i. .
Moratorium: n/a s no-rh�� .---- ; { ` ' i• ! w._._.t._i i..k : Nj
Site Photos: e� o i : i i- • r
t i ;..
Riparian Wah+erAttached: yes nc� U'16C'i .�tr. _ I [ A. i.. _... .`' . t._... i.. i I .. 1 _ . i. 'i.__ . .....•
A building permit/zoning permit may be required 6y: _ Cm f . +tnG a!ii C
Permit Conditions TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THiS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
(Please Initial)
�Jfbc`H—
A�htgr App PRINTED I�me
Na
7��ED
Signature readcompliance statement on back of
permit*'
Signature
IDLX,03
a1011�--
4'- ,,t-��
Application Feels)
Check P/Money Order
Issuing Date
Expiration Date

DocuSign Envelope ID: EF2D614A-08F5-4E63-9BEF-OD9D057CA92C
'roam�.:ot:�?nop,�r.�oHmer.: 11VT
Addr�ss:aforty : S - S. C Q.
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DIVISION OF COASTAL MANAGEMENT
CE
ADJACENT :RIPARIAN. PROPERTY OWNER.NOTIFICATION/WAIVER FORM
RTIFIED tutp�t Rc�u" ��-RECEIPT R�ru ir`c.TM'. _ :_ _ __
Name of Property Owner:
Address of Property: I
Agent's Nam$.#:
Agent's phone#c
rTY f,
LLfIL72 /. RL N�-
f%
- G4�%
(Lot or Street #, Street or Road, City & County)
Mailing Address:
/ c -9-11 J
—�
i hereby Cert[fy .that I own propel
applying for this,permit has described tome as shown on the atka h d
thjaro ibe Property.. The individual
posing._ _ d' ri io . draws the level
h dirnenment
s' n ,.
t.
I have no: ob'ecti .. nns to this .proposal. I have objections to this Proposal....
p..P .
ffyorr hairs 0.4%Wons to what is berg proJnosed, lror► must no
i��MJ.In wilting within to gra ys of Y Wvlslon of Coastal Ailey e
�11►A�ntS�tee�At of this rlotice_ CorhgsP9ndence should be m$Jled to 401 g
P,_EJ(sabsth CRY,
380t.No onaeJs 'NC.�7809: DCINnapnsse�*". scane/sOGe.contactedat 25? 284.
awralderec►:Nw me -no don i )
a hays been notlfled b .Gertti%d Mall.
1 understand, that a pier, dock; mooring p�g$ boar�atmpNbreakw8ter
must be set bpo* a minimum distance .of 1. , boattaouas, lift, or groin
m@. If from my area of riparian access .unlesa:watved by
yet wish .to waive the setback, you UplJOW
the appropriate blank belovir.j
Wish: toy�reive the 15';setback requirement.
—,X-._.. cb +aot:wish. to waivee i5' setback requirement.
(Propert OiAi+t r Nifor ation)
(AcQ cent Pr+�perty.OW nformatton) Q�.
Slgriceture W i�t�'(J�
Signature*
icy, �
Print or -Type Na
�-
Pdni or:Fype Name.
Mallfirgi Addres$
C� A9ngAddiess
��
. .
v► l N a�� i
City/$.
Telephone Number/fmnNAdd►esa . v � �v ^ 350! 1ro i�.4 "1
Telephone Number/Emall Adarress
Date
"Yalld.for.one calendar. ratters Date' — —
Y tgnature' Revised Jan. 2017

STRi1CWRAL NOTM
OWN —g—Fter
ULV
l I
j r� �. .: ,a.rmS:S • :Masi«�°�'��,^��-,.
CONNEG710N DETAIL A GONNECTiON OETAL B
tt...0 �
4 C . �t
IA­
r BEFORE YOU DIOi
- Caro in
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Pt.AN VIEW 1—A —r SI
� I R G, P.C.
NOMA01mt /dN ! . T.FIYM
15O 1
NCO 900[.1•
A}}T' e�G#)LNA SAK
w
PrOPOW pier with Platform
hm
Bill Beasley
im••r PmpeayLonrioa:
153 & WAtaIDy PA
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Currituck County GIS Online Mapping
'a197.36
fifiak,
5 AC
153
y_
3.24
t
Currituck County GIS
[phone]
www.co.currituck.nc.us/Geographic-Information-Services.cfm
Addresses
r Communities
•i
Aydlett
Barco
Cot njock
Corolla
• - Currituck
Gibbs 'Afoods
11N, j Grandy
't a Harbinger
i Ja rvisbu rg
Knotts Island
ple
Mo
Point
ck
Point Harbor
Poplar Branch
Pmvells Point
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z yR iSligo
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� — Count;
Streets
Major Streets
—Artenal_Principal
b - -- Arterial_Major
— Collector_Ivlajor
Parcel Land Hooks
Parcels
Currituck County
■+.. _
k Aerial Photography (2016
.�
Red: Band_1
Green: Band-2
Blue: Band-3
r
is map should be used for general reference purposes only.
urrituck County assumes no legal liability for the information
own on this map.

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