79231A_Beidelman, Ralph_20210503 (2)

t
�$CAIVIA / DREDGE & FILL W 79231 B C D
9 E NERAL PERMIT Previous permit #
ew odification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / �� �/ a O -lr-
Rules attached.
Applicant Name IRa-I f 1 a e i_ci, e-' m a n_ Project Location: County �a{�
Address io Y toS V� ( Street Address/ State Road/ Lot #(s) s (� / �i2 Eo- ••f
7- --
City _c-/�clCs_vi_il - - State M-QZIP .2(02� ' Z&4`� 2�>L-� ✓�
Phone # (3J%) 7 / E-mail b6 A` Subdivision
Authorized Agent A C tro��a (� 8 i City Ave. ^ _ ZIP Z 7 7 /S
Affected
CW 1 W V-ETA �ZS yPrS Phone # ( — ) ' River Basin P4 S U a f t
HHF IH USA N/A
AEC(s): OEA Adj. Wtr. Body PWS: ,$oun ��glman_/unkn)
-
ORW: yes / no PNA yes / no Closest Maj. Wtr. Body A ^` h cA S 4`A4 -
Type of Project/ Activity
rr � e- X i S 1'► n u I IC
Pier (dock) length r� r.'
a
Fixed Platform(s) r (o
Floating Platform(s)
Finger pier(s)___
Groin length
nu ;D-gth
p'S
Bulkhea
avg distance offshore / O
max distance offshore /o
Basin, channel ^
cubic yards
Boat ramp
Boathouse/ Boatlift
/_ y o 1 W , IV V
9 W w J' �c (v1/ (Scale:
,# j 0 AX
-� r
Beach Bulldozing
6a S .56K
Other X y kA f J4ncif `
6c.2 ocK
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes no 1 8 E/ pi! Llw A
Photos: yes s�� I
Waiver Attached: yes no P4
A building permit may be required by: cfJ C
( Note Local Planning Jurisdiction
Notes/ Special Conditions /h (_ I "� i'%C' A c t
nt.) c!_W-0-4A'XLA LS 1T1
Q.)41J44^4 t„,/Kti
Affordable Bill's/William Eger
Agent
%or Applicant Printed Name
Signature *e Please rea- d compliance statement on back of permit"
Application Fee(s) Check #
Af V .,pe/a' rI rorfAr",
7 71 r{t Y A/4 r' /044-"EP)
v v' fStnL,rN�t•�
See note on back regarding River Basin
0. tom. +-tl o.r' -1 7- -4 4�& C- *4' +t
Q
Yv6 g- C,04--�
PermitOfficer's Printed Name
Si ure
Issuing Date
9 /-3/21
Expiration Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Ralph Beidelman
Address of Property: 40004 Reef Dr. Avon, NC, Dare County
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Affordable Bill'sANilliam Eger Mailing Address:
Agent's phone #: [phone]
300 W Albemarle Dr
Nags Head, NC 27959
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions, must be provided with this letter.
w I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 1367 US
17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at [phone]. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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 initials the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Ralph Beidelman
Print or Type Name
6465 Onward Trail
Mailing Address
Clarksville, MD 20129
City/State/Zip
5bI-461
Telephone Number
Date
(Riparian Property Owner Information)
Signature
Natalie Trunow - 40548 McMullen Rd
Print or Type Name
4015 Thornapple Street
Mailing Address
Chevy Chase, MD 20815
City/StatelZip
Telephone Number
-5— Z--i _
Date