28186_SAWYER, DEE_20010731

CAMA and DREDGE AND FILL.
,.� G E N E R A L
ii l
bdPERMIT
as authorized by the State of North Carolina I ` 5,0$owgi G
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC ,. i L.
Applicant Name Phone Number
Address .
City State r i zip
Project Location (County, State Road, Water Body, etc.) ` e
Type of Project Activity
i
PROJECT DESCRIPTION SKETCH r
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
Ix
cubic yards
Boat ramp dimensions
Other
(SCALE: k/( r. ' )
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and attached general and specific conditions. Any violation of these terms
..r
applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
/
may cause the permit to become null and void.
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This permit must be on the project site and accessible to the permit of-
permit officer's signature
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
issuing expiration iration date
P
land use plan and all local ordinances, and 2) a written statement has
k been obtained from adjacent riparian landowners certifying that they
i have no objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that this project
� !c - ri , ; �' ' •� �' � � � • -J i 4
is consistent with the North Carolina Coastal Management Program.
E
application fee

MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512
Pay to the
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2789
Date D. ZCaj�7 �"(/^
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Dollars 8
66-30/531
133
0 FIRST CITIZENS-
Fi t-Ci Bank Tus2manyn K AtlamicBeach,N.C. 2851tCo
MAr{ha'3agley kc6e,+Sla f�9 Dp�Sauye�
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GUARDIANV SAFETY BLUE WDBL
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ADJACENT RIPARIAN PROPERTY QVIjER STATEMENT
I hereby certify that I own property adjacent to
"D is property
located at l o ff^ �l �--a2/ c��r ?10 &x 6 93, on
(Lot, Ylock, Road, P.tc. )
'2AdA L- in TL/�/-� /C 1z;.eA: (f14 , N.C.
(Water Body) (Town acid/or County)
He has described to me as indicate( below the development
he is proposing at that location and ' have no objections
to his proposal. I understand that a pier, pilings and
dredging must be sE:.t 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 s,�c>>ack requirement.
I do wish to waive that setba(_k requirement.
Description and/or drawing of pi_)posed development:
(To be filled in by individual proposing development.)
^vvla�u-rE, AM�� f,yq AcbWq 3c:AT oveif
"eA �Oo (Ner . u,- , e -!,,7H
of 2%', cr{,�� o� Zg e,, c,,os
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Pr -'it Name
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Date Phone Number

ADJACENT RIPARIAN PROPERTY OV ER STATEMENT
I hereby certify that I own proper'y adjacent to
[DCE ���v��� 's property
located at O �v <%� �—� (c� izqD, &aX 68-0, , on
(Lot, 13lock, Road, etc.)
�-AIVA in
(Water Body) (Town and/or County) /Z
He has described to me as indicate(c below the development
he is proposing at that location and ' 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 s,c>Dack requirement.
I do wish to waive that setba(.k requirement.
Descri tion avid/or drawing of p112posed development:
(To be filled in by individual proposing development.)
�d�uTE�AM�= ���yq Aca�Ig 3o�T poeC
2t; G'u. LtOs
n16� ;o
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Si ,ature J
47
Print Name
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Date Phc r,e Number