28100_BALARA, RANDY_20010622

CAMA and DREDGE AND FILL J
G E N E R A L ho-`�
PERM I T
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 15 NCAC
Applicant Name Phone Number
Address
City i State zip
Project Location (County, State Road, Water Body, etc.) ' c(:-
`i
2
Type of Project Activity I,„ ,.1: •,,. j " ' a �i '�
f,
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PROJECT DESCRIPTION SKETCH 1 rr , i (SCALE: t.i r
Pier (dock) Length a I t '
Groin Length . ' t^
number (n c ! t
Bulkhead Length
max. distance offshore M `:, i
Basin, channel dimensions
cubic yards
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
applicant's signature
permit officer's signature
77 If
issuing date expiration date
attachments
application fee

ING, INC.
MUD BUCKET DREDG N& 8039839
ATLANTIC BE CAUSEW 726 2191
p0 BOX 3355 PH(252)
ATLANTIC BEACH NC 28512
to the
P(a
—— 2718
66-301133
Date4�
$
_Dollars
GITIZE1vS Trosstt
Company
Atlafrtiog adi,N C. 21512
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For L � � 606731I' p
OUA1101ANW SAFEiY OBE WDiK
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5 3 100 3p01-O0 3 — - -
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certif,, that I own property adjacent to
's property
located at ���N�� _ on
(Lot, Block, Road, etc.)
&)qOE SDuuf�q ('Q/"l� �C� N.C.
A Qc E�S �. ;k4- 4 �-- in
(Water Body) (Town aid/or County) %BrIZ-
He has described to me as indicate: below the development
he is proposing at that location and 7 have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of: fifteen feet
(15') "from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
I do wish t•D waive that setba,..' requirement.
Description a.-d/or drawing of pr:�posed development:
(To be filled in by individual pr000sing development.)
1NS f LLl�. ( OA(
OF 36a r 'L, r;
r 6iA� Or 24 C?v•+y'S.
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Date
Signature
Prirt Name
Phone Number

ADJACENT RIPARIAN PROPERTY 0'7NER STATEMENT
I hereby certify that I own property adjacent to
's property
located at _ ��3 '3W�`� . on
(Lot, Block, Road, etc.)
AQ�'ES� eP.i(.4�- in (r�7�h'�C� Jli��cS N.C.
(Water Body) (Town and/or County) ZBS(v
He has described ro me as indicate: 'below the development
he is proposing at that location and J have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum d-.•stance of: fifteen feet
(15') from my area of riparian access i.inless waived by me.
I do not wish to waive that sEtback requirement.
I do wish to waive that setba(i: requirement.
Description and/or drawing of proposed development:
(To be filled in )>y individual pr;,?o:>ing development.)
1N� � ��-Lr�• � i Dhi pF �o�('i L� �� /.-�i��D �'�.GI i/•/`i�'a/.,�F�:1C� ��'EJ��NY�
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Date
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Si r atur V
on CL>
Prir Name
Phoi Number

MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITI'EE'SNAME: PIA, &661 PERMIT# 2blo0-C
LOCATION: (33 8ft4vjpcd
PK2 65t L
PHONE: 20 - 7 v 13
FIELD REP. S4avt/
DATE REPORTEDLY COMPLETE: elz?-1o/
1) Do the cured dimensions of the development differ from those indicated in the permit and workplat?
YES/ Ocircle one].
COMMENT:
2)
3)
SEDIMENTATION OSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized
all disturbed areas? Y NO [circle one]
COMMENT:
FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement
action needed? YES/ O ircle one].
COMMENT: