16321_BEAUFORT INN_19960621

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CAMA AND DREDGE AND FILL
GENERAL
016321
PERMIT
as authorized by the State of North Carolina rs
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 1 f 1
Applicant Name ,J s A ca "7 Phone Number qj y '29 )g ti 0
Address le l
City+"` State Zip
Project Location (County, State Road, Water Body, etc.) �r —+ 2f
Type of Project Activity —� J '� `P'y i" `iQ t 6 x <.' iri+ 1 !J n. �jl �/ % r k'' i• " �%
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
SKETCH :t (� ��/'.A o/
Basin, channel dimensions
t
�
cubit' yards
t�
1
Boat rAmp dimensions
Other
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
— tly
n
a applicant's signature
permit officer's signature
17
issuing date expiration date
attachments /&-- c c 7 / / / 7 /, ,J'
In issuing this permit the State of North Carolina certifies that Or����
this project is consistent with the North Carolina Coastal application fee �0,o P dG
Management Program.

FOR SEC RP PUO9FJ bCU ENT CONTAINS MICROPRINTINO IN IF A E BORDER AND AN ARTMARN.O p V RS 8106i O AT LB. OOVIEW :t:<.4n
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••T, N.C. 28516-2101 4006
PAY NO
AMOUNTFj ��• DOLLARS
OF
DATE
TO THE ORDER OF
CHECK
NUMBER
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AMOUNT
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FOpSECURITVPURP08Ee TN1800CUMENT CONIAINB MICf10PRINtINO IN tHE 80RbER ANDANARTIFICIAL WATERMARNONTNEREVER8E9IOE•NOLb At AN ANGLE TO VIEW -Nil-
000400611' l:05310112L,:5LL3L9730911'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that
CAURDR-F D40
(Name of Property Owner
I own property adjacent to
's property located at
(Lot, Block, Road, etc.)
on ��,..hl` S C11410LL in ?DIJ\QF FORT N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is
proposing at that location, and, I have no objections to his
proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
` ° f q M n t VArtL Nn KE
DRv-- IWG I �'
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Signature-' l --�-
YI
Print or Type Name
Telephone Number
i
UUN 2 0 1996

ADJACENT nipxRIAN Pno).''aR'1'Y 0WN n MATRM"' T
I hereby c�e`'rtify thtat I own property adjacent to
rt
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(Naue of Property 0vnPr )
OM ANP
(Lot, Block, Road, etc.):
ern C--'�f. ,S C oL. , , in N.
Wntr.rbcx]y) (Town and/or County)
He has deser ibed L-o ruG t as siicwn below f the developmeriL lie is
PLUPUt;I,iy fLL LIIAL IVQULIVII, :xltcl, T havu ItV vbjuvUvI4!� Lu l,je;
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0
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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ID 6
4
$ignatura
Michael P. Bradley
Print or 'i'ype Name
�� 910-7t63-3366
TU N 2 0 7 TC 1Ctl[LV 11C %�1A1�=1
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