27811_WHELESS, DONALD_20010418

CAMA and DREDGE AND FILL
^� C�
G E N E R A L
P E R M 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
Address
Citv - - - -
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity -
State
Phone Number
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
(SCALE:
Ll
Groin Length
number
Bulkhead Length
max. distance offshore
i
i
Basin, channel dimensions tJ
cubic yards
'
J
,
_.
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
- applicant's signature
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-
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 date expiration date
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.
attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee

MUD BUCKET DREDGING, INC. 2628
ATLANTIC BEACH CAUSEWAY NCDL 8039839 _
PO BOX 3355 PH(252)726-2191 Date I 66-30/531
33
:' •ATLANTIC BEACH, NC 28512
Pay to the'Ch, I Zd?� . 'X
Order of �
/ l ' Dollars000
8
FIRS OTIZENS 133
BANK,.Crt zen Bank a Trust C--
Ma(t c Beach. N.C. 28512
For --1w
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1:053L003001:0013L2L60673u 02628
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ADJACENT RIPARIAN PROPERTY Ol JNER STATEMENT /
,-Do0-,HAX1, 14C' Z77ci5
I hereby certify that I own properly adjacent to
28(0 - 0?'?g
s property
located at _ r Ent< �0�,� on
(Lot, Block, Road, etc.)
00F1--:ivIA9 IAlcL- r
e-1 A L- i n N. C.
�,�
(Water Body) (Town a .d/or County) ?8S12_
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 Hier, pilings and
dredging must be set back a minumum 6:stance 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 p .2posed development:
(To be filled in by individual proposing development.)
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Pr.IrT Name
-
Date'} Phcne Number

ADJACENT RIPARIAN PROPERTY OUNER STATEMENT
'-DvxV4A I , f�C' 277v5
I hereby certify- that I own property adjacent to
s property
located at OU,�zr , on
(Lot, Block, Road, etc.)
L'balA(, �
in i4O2ES N.C.
(water Body) (Town ai..d/or County)
He has described to me as indicate(t 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 d.stance of fifteen feet
(151) 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 cnd/or drawing of proposed development:
(To be filled in by individual proposing development.)
lrylC—GFS'v� rl IZ >< 30 aUi�r
OOA'i `00C<_
Date
OF S�OrLS TO
Sicre
Prirt Name
ci
Pho je Nu ber