18461_BEAUFORT INN_19971003

O
CAMA AND DREDGE AND A FILL d
GENERAL
PERMIT 1',:,� -
y
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 . -°? f'
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH I f}
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
4 & r
,-Z I
tJ
Pr/ Ar
'r7IN(
e
Cl
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.
(SCALE: )
r X F
4i
applicant's signature
This permit must be on the project site and accessible to the permit officer's signature
it 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 issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments j
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

B. pnspcunrtypuAposE%-tHl9,p0qUMlCladPAIWING1 i E UORMANDAN AR IFICIA LWATERMA KC ,THE E ER8E4 0 .
BEAUFORT INN
101 ANN STREET
BEAUFORT, N.C. 28516-2101
TELEPHONE: [phone]
EXPLANATION AMOUNT
PAY tv`'
AMOUNT ��/ [ " SI
AM
DATE
TO THE ORDER OF
CHECK
ER
1/NNU[.)M�B
66-112/531
6026
CHECK
AMOUNT
$I so.oc�
BEAUFORTINN
BB&T BB&T BRANCH BANKING &TRUST CO.
BEAUFORT, N.C. 28516 F4=1E'
BR E ETHRIDGE ry1'
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11100602GII■ 1:053LOLL20:SLL3L973090

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ADJACWT RIPARTA4 PROPF.RTY 0WIR-57 STATFMIT
I hereby certify th t I own property adjacent to
—Is property located at
n'_operty OwncrF
vloA, Road, (I,
Oil
j. tN Q V7 N.C.
(To-wa alldl6r COUntY)
fie leas desci.lbod to me, as shot -in below, the development 11-0 is
proposing at that location, and, i ha,,,e no objections to his
proposal.
DESCRIPTICH AND/OR DRAWING OF PROPOSED DEVELOPHENT:
judividual proposing develo,
Alt
Y-i �a Mu-ife-r'
PJL �i lit6 at
ft -f-r
Pe tl'ulie
7
Telephone Number

©1I0211995 10:16 910-962-3914 SPTDC AT Utla,J FADE 61
ADJACMNT RIPARXAN._ PROPZIZTy Cr�ER STATEM24T'
Z hereby certify that, i own property adjacent to
�•%��: PrOPOrty located at
(�/r�"rc�ps�rty (7wn�r
i f 1
(Dot, Block, Koad,^
dR � . �� AEI , in C QF--0 RT N . C .
( t r �t7cAjj) UTOW71 atad or Caju-nty)
He- has described to me, 88 shown below, the development he is
prOnosi.ng at that location, and, I have rno objections to his
proposal.
DESCRUT10t4
OCT 11997
Of PROPOSED DEVELOPMENT
du Tpropo3in-4 -Pvelopm��Yt)
I M
100
Signatuze
Print oz Type Name
p- Number