10801_General Permit_19920518

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CAMA AND DREDGE AND FILL
GENERAL
�e
PERMIT NTa 10801 �...
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 15 NCAC -1 - g
Applicant Name `e171%.41 >tic Phone Number d `!
Address.. I CLLv�
c- f a +}
City '� State Zip_,4. � _. 1
Pro)e�t LgFatjon (Cpyunty �ta Road, Water Body, etc.)
Type of Project Activity
t.ii
73
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length;
max. distance offshore
Basin, channel dimensions
cubic yards���
D
Boat ramp dimensions
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
N/A .ti.
. � �_2 C` ,.
/ J
(SCALE
i
Ai
Ail
U CND ;,�
/111applicant's signature
—� permit officer's signature
issuingg date `� expi n date
attachments V 2
application fee

BEAUFORT INN
101 ANN STREET
BEAUFORT, N.C. 28516-2101
TELEPHONE: [phone]
PAY r`30
AMOUNT
OF
DATE TO THE ORDER OF
IIIUIh, 1II1 �I_HII M111" u, NCNB - National Bank of North Carolina
u�I�y, 41 „II Hsu 1IIn JACKSONVILLE, N.C.
W'Mnnw �fluuw .....111 ... Ih
77MAMOUNT 66-25/531
7195
uV LLMr[D I CHECK
CHECK AMOUNT
DESCRIPTION NUMBER
Pd\kv7/$ -501
BEAUFORT INN
KATIE OR BRUCE ET RIDGE
11'007L9511' i:0531002581: 821014438110

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
� I h,�e�reby certify that I own property adjacent to
13 RD R-F -LVA0 's property located at
(Name of Property Owner)
o) A"N '5wme
(Lot, Block, Road, etc.)
on GAl LA,4Ts in � .� - 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
b i - �A M V4TIcN"C ,
S gnature
Win. /I • V�-rer'L
Print or Type Name
Id- $'3/(0/
Telephone Number
L°d r ?fie,. q 4 -' k Fy e e-2 y� 1

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
BGNR:)(Z7—...T4,irAI's property located at
(Name of Property Owner)
--101 Ai-40 �`Tz
( Lot, Block, Road,
A'. etc.) �y
on �LC./►TS �%IJNL inflf"'� 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.
0
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
d 'q k �GC "•
Signature /✓�
�/ L i�i2 / ,
Print or Type Name
Telephone Number