32302_BEASON, TOM AND KIM_20020805

O,CAMA / ❑ DREDGE & FILLS
GENERAL PERMIT
Previous permit #
ENew JModification ❑Complete Reissue [-]Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Q Rules attached.
Applicant Name
Address
City_
Phone # O_
Authorized Agent
❑ CW
Affected
AEC(s):
❑ OEA
:1 PWS:
ORW:
yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
HHF ❑ IH ❑ UBA ^ N/A
❑ FC:
PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boatho se/ Boatlift J \
Beach Bulldozing
Other
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale:
Shoreline Length - - - ---
SAM not sure
Sandbags: not sure yes I - / J , -
Moratorium: n a es a
y `
Photos: n
Waiver Attached: yes o
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
i
Application Fee(s) Check #
N
Permit Officer's Signature
Issuing Date Expiration Date
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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
15 I -B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 10/05/01

Sent By: McLEAN REAL ESTATE; 252 393 2463; Jul-9-02 8:17AM; Page 4/4
• May. 16 2001 05:12PM P4
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Sent By: McLEAN REAL ESTATE;
FROM
252 393 2463; Jul-9-02 8:17AM; Page 3/4
FAX NO. May. 16 2001 e5: 12PM P3
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07/08/2002 09:45 252-756-7460 PRU PRIME PROPERTIES PAGE 02
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to �/� Fja"e. �-S
(Na a of Property Owner) J
property located at
(Lot, Block, Road, etc.)
on in514rei , NC.
(Waterbody) (Town and/or nty)
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/uncovered boat lift must be set
back at a minimum of fifteen (IS') from my area of riparian access unless waived by me.
I d2 nit wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To b filled in by individual prop sing development)
11"P.
Signature
�954- 3377
Telephone Number
3 5 1; - -;r / /'F (Y"KC)
CAS i-R 1'4 . EV u/7+�
Print or Type Name
7/9 /o-2�
Date r
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Sent By: McLEAN REAL ESTATE; 252 393 2463; Jul-9-02 B:16AM; Page 2/4
S I I
FAX N❑. : May. 16 2001 05:1.2PM P2
FRflhl
JU� U� ?UU2 TUE 04;42 PM NC DIV F COASTAL MGMNT FAX NO. 4 P. 01
ADJACIEti S' —Q PRO PERTY O WNTR
(FOR A PfFR/MC,1nRtN6 P11IN ;.S180ATZIFTi$0A7`NOC'SE)
I hereby caruFy thzt I QWn prvpP^ty adiacent to m ,816%%_ _____,'S
(Name of Property O,rrer)
(L t, Block,, Road, at(;.)
1
nn I�� . in C�i�1� �."I 62#tO N.C.
Waterbodv) (Town and/ County
has den,ibC.i to MQ 2� e�,own Wow, a-..- dave'.00me nt Fe 4 oracos:'z . t:�ac Incadon,
and, I hxvn no objecdors co his piopo�=I. I ur`
pilitT �,� �lifrfGaarhou�,: mustbz -:bacx a minimurn di-rc mce of Uuen fe`: (:5') f�cn my area
of c�p�i:2� access t:nlGss waived by na.
_.1//' X do D—nt wish to
X .dn c:-istt to w
DESCRIPTION AND/
(To b e fWA
the sz:back «uirz r,t!:u.
vttbac1 r�cuire,,,ent.
R DRAWENG OF PROPOSED DEVELOP%CE`7:
i : by proposir. /Y y ,
z 6 Ae cl
Y,
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