27549_BEOMAN, JUDY_20010223

CAMA and DREDGE AND FILL"�4
G E N E R A L ,i „r F�
PERMIT
as authorized by the State of North Carolina P J 1 "7 " I
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 State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH /t T
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
i i (SCALE: Al �'' )
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.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512
geP DRSI' CITIZE, NS 133
BANKA First-Cilizons Bank 8 Trust Company
J�ru � f� Allerttic Be eh, N.C. 28512
(p#a BSc �P1ka,5`E1
For
11:053 4003001:00 L3 L 2 L60673110
2562
Date r 'r % /� 66 30 133
02562
Dollars 8
GUARDIANWSAFETY BLUE WDBL

4
ADJACENT RIPARIAN PROPERTY O'K:i',!ER STATEMENT t f2� t��MI,01-OAI Q2
qz675�"o r/-z ,� e
I hereby
yccertify that I own property adjacent to
s property�/g-3z/
located at ��`� KIon
(Lot, Block, Road, etc.)
AeeE 5S L' kF-f A441Z:L in —
(Water Body) (Town and/or County) 29SlZ—
He has described to me as indicates' below the development
he is proposing at that location and I have no objections
l
to his proposal. I understand that a pier, pilings
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 to waive that setback requirement.
_Description and/or drawing of proposed develo mp ent:
(To be filled in by individual prctposing development.)
i�IStG4Cta�loti( DF & O' OF i�IH yL S'g4j/,�LC.
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Date
I R�
Sii<J� ature
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PF-nt Name ,lam
Pf c,r e Numbe ,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT q2� i<�Cmcprati
I hereby certify that I own property adjacent to Z-52�
Is property
located at _� on
(Lot, Block, Road,
Ao-eE SS in ��L�/�T f '_ +'-f N.C.
(water Body) (Town an0/or County) 09S/z—
He has described to me as indicated below the development
he is proposing at that location and I have no objections.,
to his proposal. I understand that a pier, pilings and
dredging must be set: back a minumum di:-:ance of fifteen feet
(151) from my area of riparian access, -.less waived by me.
I do not wish to waive that se' -.back requirement.
I do wish to waive that setbac}: requirement.
Description and/or drawing of Pr) used develo mp ent:
(To be filled i:i by individual proposing development.)
i�f s��c.ia��oHl of &o' <)r- Jr'HyL-
Tn ✓Z ��� �t rD1--r6 ,0- r oa.4-r(E
i
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ell
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Pri :t Name
Date
Pho ie Number

MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME: *Tt. 4!, BM AAA h PERMIT # Z ?S Yf - 4C
LOCATION: SIT k in34yr Ave FIELD REP, ✓
4Ito w h-C 2CaJ
PHONE: Z Y� • 2q �' �'
DATE REPORTEDLY COMPLETE:
T_Vts?mod = ytz5t4o (
1) Do th sured dimensions of the development differ from those indicated in the permit and workplat?
O ircle one].
COMMENT:
2) SEDIMENTATION & EROSLON CONTROL: Has Permittee seeded, grassed, or otherwise stabilized
all disturbed areas? Y VO circle one]
3)
COMMENT:
action needed?
COMMENT:
[circle one].
� xo- 4 —arR o iJ
Is further investigation or enforcement