76113D - Beck

C CAMA / DREDGE & FILL NO. 76113 A B CO
GENERAL PERMIT Previous permit#
)),New �:] Modification ❑ 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 15A NCAC
❑ Rules attached.
Applicant Name c'
Addressd
City-�� 51 State_(_ ZIP
Phone # — 10) 941E-Mail
Authorized Agentc_
Affected ❑ CW EOW EIMA ❑ ES ❑ PTS
AEC(s): ElOEA ElHHF ElIH ❑ USA ElN/A
❑ PWS:
ORW: yes / C' % PNA es / no
Project Location: County / v-% v-. L1(
Street Address/ State Road/ Lot #(s)
Subdivision
City �U`�- \ z : c� ZIP (o
Phone # ( ) River Basin ��^'`� _
Adj. Wtr. Body U AA nn_. S j w man unkn
Closest Maj. Wtr. Body A "w VJJ
Type of Project/ Activity 1 � y� t��-k L� n � � An (c , � }�. c k I � �l 1.� � � I M & L c�
-►r \ u- \-, ^ 3 ciy c <- (Scale: IIJ )
Pier (
Fixed
Float
Finge
Groi
Bulk
Basin
Boat
Boat
Beac
Othe
Shor
SAV:
Mo
Phot
MIS
U�.��■.����������■■■■■■■■■■■■■■�■■■
-
fit■■MM■■■■11■■■■MM■■■■■■■■■■■■■�■■■■■■■
-
SEES■■■■■11■■■■■■■■■q■■■■q■■■E■■■■q■
■■■■■■■■■■11■■■■■■■■■■■■■■■■■■�■■SEMEN
■■SEEM■■MI
I■EM■■iMEE■MMNNM■MM■■■SMMMMM
■■■■■■■■wn!�■■■■■■■■■��w■w►�■�■■■■■■■■■■cubic
EMS■■■■EVi�IM■M■MEM■M■■MCaM■■■■■■NNM■M
yards
■M■■■MMMEI
H■NMN■■■EMM■MMMMEM�MMMM■M
ramp
■■M■EMM■■NI
HEM■N�MEMENMGIMME■■MGM■■NM■M
■■SM■■■■■MI
1■■■■■MM■■■■■■11J■■■■■�■■■BEM/
M.
MM�■■1H�L��■■=■t�
IMEAMILPPA
M
■■
mom
l�!■Mq!fl
■■MM
Bulldozing
ES■
■■■■SMI�I�it1ENll��S■■Gij■■
`
�.:N■ME■S■M
MOM
N■■■■&It�!'�'■
Nine Length
not sure yes
Nwil
1
SEMEN
■BI�rarO&EV
M
M■■E\
SE■ME
M�:iiiNE■MM■■MM�tiili■■ESA
■■■■SSMI�
M
la[�11■MM■M■■MM■■M�Ii7fMl7!!�II:�■MMMMM■�M■■1�■■
Ds: yes
Ec7��■MEMEME■EE■■
MOM
11MM-
OW"
IMM
M�INN
Waiv
A building permit may be required byy_�.V,
( Note Local Planning jurisdiction)
Notes/ Special Conditions �11
Sc - AT-t,-�cfic 1
Agent or Applicant Printed Name
Signature ease read compliance statement on b k of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
1 ) (L„da.r.
Permit 6fjted Name __�
Signatur
12,02-0 k 12,0 za
Issuinj ate I Wiratlon Date

Mail - Brock, Brendan O - Outlook
f-CAIb A f DAEOCE 86 F3t_t,
GENERAL PERMIT"
tvPe hlpc!�tssact�t C U;t: l4etr: ''1R, 4 6' 4 e ;;SaN C}At pr^7p�a vas t^trr ♦,F s"4
As autSonmd h! the Staete of Nord+ C.stOhA ChV&t0w* a c ' a f ,� /'�
And the Coa%nl �+nraa >r^c t'n•n ,, cc�, rs •? an ur•a at rw.tr,,t.,♦ << -' 1 G J
— ---•- -
07
At#�rr_s� ��� �1 u rxr�'iv .-. rtrpr•t AalEtrr'vc' Stagy+ • ' ip ,r f ��l'"t�
'r—r
P*f nr #-
Authonzed Agent r� Alt • kt— 1 � k City ,G g e ' I i'
r Cw AW frTA rPTS rF:onr * K r{+- fi;4- a � V rr.iJ'ar :
A.IC:.tC�
IA[. C `s' aE.A t410 I N 4 tS ; Id:'A ',Ntr '� ` 1 _.
r� -
rws _
A ,.,.'a,J.j
CiRW lea .ram fh1A 5yf n� CHJS?it "1d1 Wtr. Brr j+ t�
Typr of Proj*CV Actwi of
h .. _ ::�r _ �T--..k..._._
1%J ,
iixcd Patirnrr a; uI' J� +
-----------------
ss Astr<v�a artatrFxR � ..... -
,
t
t30atra4rtill �Qii'::� a. } ,. - i 4 .. s ♦ � - '.
_ W
}
4 ! v1 Ali%.
Ec,c+s 8wrao: rt ..a. l t 3 ii..�
t
r"CXLttMUM1'4'a xti
a�
t -
j r
rw
A wiling ptt't may be req4vrcC isy �% !, S" rife to b*0k rt(xJ.nc FWff aasrr rtks,
( hate Lotai Ptmnmp jurndctic-� h
t4ates/ SpeecW C 4w%%dam , k�.t t . _.sa: 1. tt ��'»"1 ^�t `�` r _C } 5. r-O •,S�4--
Ate
/7777761,
easrrrTjcorn{Skatl±tmcefnerxaa kc�pc►mrt••
M
oa,rna ,C 14'ar-e _n
q77i402-o
Date _
https://outlook.office365.com/mail/inbox/id/AAQkADVjMzg3NTMyLTlIMTMtNGM5Yyl hNzQ4LThiOWM2NWZhNjc5YwAQABSUSYR6ehJOsAgh6l534P.. 2/3

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: O, i3o'y 3 S�
c�� k �.sc.►g � Jy� a ��c s
Phone Number: y,3 — 6
Email Address: 1'}�
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Cj 2ct l9 ✓l t LG��ng
at my property located at
in R Y'yr4f'j 1�Ct- County.
I furthermore certify that I 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:
6,,-z-
Sigdature
�Ia K4
Print or Type Name
Title
Date
This certification is valid through /.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit..�nl��
Address of Property: I C7 5 UQ � 4 [ cc
(Lot or Street #, Street or
(City and County)
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, should be provided with this letter.
---1A j1'4' _ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
set bck 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.
Ift
- t'( i I do not wish to waive the 15' setback requirement.
Sign,.Naz�ie Date
Li
Print Name
kiG)
Telephone Number with Area Code
S:\cama\shells\riparianproperty.frm
L
NCDENR
Name C ROUNA DErARTNENT or
ENVIRONMENT AND NRURAL RLSOURcri

Cif
O
N
O
N
S ^�k
pFor delivery informatiol,
visit our -� •
gr
Corti
y
pe.d4 . . 1 1, C
Mail Fee
E tr Services Fe (chock box, adcf t� as �p xF �
�.
} i st;j Receipt (h copy) $
Rft.tii i-l.i�i'i i a.
(etectronic)
P o tmark
�] Ceriifiedi Mail Restricted DeiiVery (�t,�
....:�x.r..... A
t 4
Adult Signaturo Requited
Adult SE mature Restricted Delivery
Orr. r:3 Page
.J
tT
tr
Ano
�,d ,v,� �.wry+kwwwwuiran+wi�+�..:,w.r.•+-..,.
e re 1 ' f,' T a , (3,r i,! ? Y it's . -
AM e
0
_ZI,
a

Date Received
Date Depoeftd Cheek From Nama
Name of Hermit Holder
Vendor
Check Number
Check
amount
Permit Numb c—manfa
R or RafunC/Raallocafed
Column!
CWum_n_2 CaJum 13
C.1-4
col-6
Cdumnb
Column?
Columns
Co1umn9
4/14/2020
_
McPherson Marine Services, LLC Jackie Ga_w_ ron
Neal and Katherine Forney ,same
F and S Marine Contractors, Inc. Mark Chesson
Grice Construction of Brunswick County In John Acton
B and B Coastal Construction Corp Palm Cove Hokks LLC
B and B Coastal Construction Corp_ Benjamin and _C di Levine
B and B Coastal Construction Corp Ann Morales
Donna and William Beck same
Willie Clarence Richardson/Richardson Cc Billy and Laura_Sutton
Overbeck Marine Const./Daniel ShirleyGlen Harbeck
First Citizens Bank 2987
State Employees Credit Union 1391'
PNC Bank 8521
OB&T 13704
Wells Fargo 1117
Weis Fargo 1116
Weis Fargo 1118
BBBT 6342
BBdT 7677
SunT st 5
$ 200.00
$ _ 200.00
S MAO
GP *7586.5D Bbrink rct. 10413
GP#74855D Bbrink rct. 10414
GP #75817D _ _ Bbrink rct. 10412
1 GP i76108D BB rct. 10855
IGP#75849D BB rct. 10863
GP i75S 8D BB rct. 10862
GP*7WWD BB rct. 10864
GPf76113O BB rct. 10861
GPf76112D— BB rct. 10859
GP/76124D BB ret. 9745
4/142020
4/14/2020
4114/20201
t 200.00
4/142020
S 400.00
4/142020
S 400.00
4/142020
$ 400.00
4/142020
$ 200.00
4/142020
S 400.00
4/142020
200.00