16120_BROWN, HARRY_19960426 (2)

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CAMA AND DREDGE AND FILL �`� p �° w; 016120
GENERAL �d1
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
SKETCH
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(SCALE:
Pier (dock) length
Groin length
number
Bulkhead ength
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`
max. distance offshore
/ +
Basin, channel dimensions
cubic yards
Boat ramp dimensions
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Other
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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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
attachments a
application fee
applicant's signature
permit officer's signature
issuing date expiration date

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JOE C. BEAM JR NC 5514917 721
TRACY C. BEAM NC 5159251
631 WHITE OAK CROSSING PH 910-326-2121 66-1521531 CC
SWANSBORO, NC 28584
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Pav To The [ p o
Order Of ZD E /7 � I
Dollars
�TACHOVIA
Wachovia Bank of N4rth
Beaufort, NC 28516f�?•I�IY�j
i:053L0L5291: 5464 L205�P4110 072L

ADJACENT RIPARIAN PROPERTY OMNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at
/ (Lot, Block, Road, etc.)
on �iy �l ,,7� 6� �Y� , in A41/ l 2 �1e Sl� �/Yv� , 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)
Z7�n
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Signature
Print or Type Name
Telephone Number
Date:

• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 104k4gl' °S "/Xc
(Name of PropertyOwner)
property located at
(Lot, Block, Road, etc.)
on aC& zV , in �& 45`7?LJ� , 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)
Signature
ML% /'
Print or Type Name
Telephone Number
Date: `i _ - % J