19663_BEAN, JOHN_19980917

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 15A NCAC
Applicant Name T) A °Z) ` "' �" Phone Number
Address r3i > ter, >rr ><� -7 + L-G.
City State Zip
Project Location' County, State Road, Water Body, etc.) <� ' `�' S '/ ; Wit` L. ell �<
i 1
Type of Project Activity d ,I- !
PROJECT DESCRIPTION SKETCH "� � !' (SCALE:
Pier (dock) length
Groin length
number �C k / 5 t
Bulkhead length
max. distance offshore 4 q 0
Basin, channel dimensions
J
cubic yards --_—
Boat ramp dimensions
T
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.
applicant's signature
(/ permit officer's signature
i7_9f
--�
issuing date
attachments It- c /) ) /"
expiration date
In issuing this permit the State of North Carolina certifies that , �..,
this project is consistent with the North Carolina Coastal application fee G U , l/
Management Program.

JOHN W. BEAN
PHYLLIS F. BEAN 4701
594 SEAGATE DR 66-152/531 CC
NEWPORT, NC 28570
Pay To The
Order Of �� Ci ���` 5� 0 •�t1
Dollars
TACHOVIA
Wachuvia Bank, N.A.
Iknufom. NC 28516
Memo Q 2tU� kjNtN -,� A ,, 011Vp -C- � ILK�ti �-
1:0531015 291: 5460 36 1389u' 4 1
H LMD 1992

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOAILIFT/BOATHOUSE)
I hereby certify that I own property adjacent to -�,Q.aXA s
(Name of Property Owner)
property located at S q4 Si -a C,inst- 30�- l Los `ay
(Lot, Block, Road, etc.)
on � cail�tc ZC W , in �J V c V V , 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. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
S
0 LIT �
M RAFAIWAIAWA
Signature
V\ A
Print or ype Name
Telephone Number
Date: 9 - N -'�> - C\%

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOAYLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to --7Sz\,An t,� - C. t'aws
(Name of Proj4rty Owner)
property located at 5l�q t !�'C\ -k
(Lot, Block, Road, etc.)
on P Cx &\' "-' YCW , in iSCW o�t"y , 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. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
✓ I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
1) rVrA CA k -VVI\M �-A� �vn
ca� ex'.
Signature
Print or Type Name
4, - -1�SS- 5gLk Y
Telephone Number
Date: 4y , 10�0(`y