55332_BECKHAM, HARVEY_20100414

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.I❑CAMA / ❑ DREDGE & FILL lr�
GENERAL PERMIT Previous permit# 3
❑New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resourc s L'
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A N AC
n Rules attached -
Applicant Name
Address f L.,E*
City fl1. K 1)r rn f 'State ZIP
Phone # Fax # O-
Authorized Agent /Vl! I l
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s) r '
Subdivision
City ZIP
Phone # ( ) River Basin
C?
Adj. Wtr. Body ' .Y7 /? (nat "'an Zunkn)
Closest Maj. Wtr. Body'�'�
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ram P
Boathouse/ Boatlift
Beach Bulldozing
OtherC-
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Shoreline Length_-_-
SAV: not sure yes Sandbags: not sure yes Inn:
Moratorium: n/a yes no
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Photos: yes no
Waiver
Waiver Attached: yes no
permit a be required b :
A building per t may q y 1
Notes/ Special Conditions
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❑ See note
on back regarding
S.
S River
Basin
ules.
Agent or Applicant Printed Name
Signature Please read compliance statement on back of pei�
Application Fee(s) Check #
Perm f Of ricer's Sfgnature Xt
/
IssuingDate Ex iration Date
P��'
Local Planning Jurisdiction Rover File Name

Statement of Compliance and Consistency
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 or criminal or civil action; and may cause the permit to become
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) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to IAAP"� c-v G &<(<L, 1-.Y1 's
(Name d Property Owner)
property located at 0 t- 1
(Lot, Block, Road, etc.)
on C J r- Y4 L. , in ( K S . N.C.
(Waterbody)
2Sz Zz y�i5o
Applicant's phone #: �
(Town and/or County)
Mailing Address: l O 3 c h c s -:T - )4
T1CS ki,C.
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. 1 understand that a pier/mooring pilings / boat]ift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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d
.z S
-----------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
i 03 C-- V, F--: -�t, T „
Mailing Address / Signature
PI !.l C- -Z 16 >) 2,
City/State/Zip
..25 Z G2.Z L4C1 50
Telephone Number
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Signature
Date
Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to N,4r" C-v G &C.t<4 a-/Y1 's
(Name ot Property Owner)
property located at 03 G 1, J.-<,-- ,; j C o , ,2
(Lot, Block, Road, etc.)
on C Q vs L in P K S , N.C.
(Waterbody)
2S Z
Applicant's phone #: Z z y `i' S o
(Town and/or County)
Mailing Address: )O3 C- hc5 4--,L-F C -►zl
T1-5 IJ,C.
He has described to me, as shown below, the development he is proposing at that location, and, 1
have no objections to his proposal. 1 understand that a pier/mooring pilings / boatiift % boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
1 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
d
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U IDCDC K
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(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
2 S" Z G 'Z Z
Telephone Number
Signature
5 >7 0 ►� 2�SS 1 Z.
So
Date
(Riparian Property Owner Information)
-Siianature
2L4-
-TKA i ree. fro r Print or Type Name
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Telephone Number
Date

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date `y .. `i t 0
Applicant Name
Mailing Address
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
1
install or construct (activity)
at (location) / O 3 Z-V�
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Harvey Beckham
Date: April 14, 2010
General Permit #: 55332C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
OW
Dredge ❑ Fill ❑ Both ❑ Other O
—impact
125
125
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10

MUD BUCKET DREDGING INC
507 HEDRICK BLVD
MOREHEAD CITY, NC 28557-3045
Puy to ",
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BRANCH BANKING AND TRUST COMPA6 ,� ✓ 3-;�
-^8W-BANK BBT BBT.eom
11800004 27611% 1:053 LO L L 2 L1:0005 293 2 L834 L11'
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4276
66-112/531
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$ 400
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Beck.