11862_PARTLO, A.W_19930521

CAMA AND DREDGE AND FILL
GENERAL_
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 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
Zip
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length �V
Groin length•
number
Bulkhead length
max. distance offshore
Basin, channel dimensions r
cubic yards '
Boat ramp dimensions
Other t
i
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
application fee
issuing date
applicant's signature
permit officer's signature
expiration date

BECK CONSTRUCTION CO. 2117
31 �� RT. 3 BOX 165-DD 919-728-6948
BEAUFORT, NC 28516
66-152/531
PAY OR TO THE 010
OR ( J
DER OF - - - - -- --� s � r G
----- DOLLARS
WL
Wachovia flank of North Carolina, N.A.
Beaufort, NC 28516
11100 2 1 1 WO f:0 5 3 10 1 5 29f: 5468 0 70 1 111'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I h reb certify that I own property adj cent to
l0 property located at
' (water ody)' in
(county)
The Applicant described to me as shown below, the development
he/she is proposing in that location and I have no objections
to this proposal.
Description and/or drawing of proposed development:
Signa e
Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I h reb ertify that I own property ad' cent to
property 1oca ed t v
�,ezuLb�v` (w ter ody) GY i' ' *e r- in
( county) v--e
The Applicant described to me as shown below, the development
he/she is proposing in that location and I have no objections
to this proposal.
9-e Y' f/ 0 o'P- a rn
Description and/or drawing of proposed development:
Signature
Name
q�c --7Z,f- / 7s7
Phone Number

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