18568_BEAUFORT INN_19980120 (2)

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CAMA AND DREDGE AND FILL
GENERAL
N° 018568
PERMIT -C
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal R sources Commission
in an area of environmental concern pursuant to 15A NCAC '7 iSOr`'
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Applicant Name / efPhone Number jkt
Address �D C'/
City /9 'rf State
Project Location (County, State Road, Water Body, etc.)
ype of Project Activity Z
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PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
3 0 ' J-14 A'
cu�c yards
Boat ramp dimensions
Other
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SKETCH �/,y A (SCALE:
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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
diarent riparian landowners certifying that that' have nn
-ahiections 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.
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applicant's signature
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permit officer's signature
issuing date expiration date
attachments �/ !i C C / / /
application fee l

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BEAUFORT INN
101 ANN STREET
BEAUFORT, N.C. 28516-2101
TELEPHONE: [phone]
EXPLANATION AMOUNT
PAY
AMOUNT
OF DOLLARS
DATE
TO THE ORDER OF
CHECK
NUMBER
BEAUFORTINN
66-112/531
6462
CHECK
AMOUNT
BB&T BB&T BRANCH BANKING & TRUST CO. rl f ! 1 kn 9 �
BEAUFORT, N.C. 28516 �C� I Q h % KATIE OR UCE ETHRIDGE
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