13871_TOWN OF ATLANTIC BEACH_19941129

CAMA AND DREDGE AND FILL
GENERAL"�-
PERMIT
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 15A NCAC
Applicant Name kew� f � • Phone Number
Address -S' '
City /:•,. " .;� :` State A • Zip > ��
Project Location (County, State Road, Water Body, etc.)N �r.' , ` `�/ "'�%� ?"� �`.•'/
Type of Project Activity .�c• I {t, �, ,e, .. r rr ; a�:�%i �r�:,
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PROJECT•
Pier (dock) length
Groini�i
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,
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■
■■number
■■■■■■■
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max. distance offshore
Basin. channel dimensions
cubic yards.
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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.
i applicant's signature
l f�
1 permit officer's signature
issuing date
attachments .)qf-/• �`' Qp
V
expiration date
In issuing this permit the State of North Carolina certifies that f
this project is consistent with the North Carolina Coastal application fee r^�rr'�C
Management Program.

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. . . . . . . . . . . . . . . . . . . . . 20202
PROVISION FOR THE PAYMENT
... HA�, BEEN MADE
....... ... IS DELIVERED IN OF THIS CHECK
THIS CHECK' COUNT (SI OF BY AN APPROPRIATION DULY MADE 66-301531
CONNECTION WITH THE FOLLOWING A A1011y TOWN ATLANTIC BEACH PURSUANT TO THE LOCAL
DATE
ATLANTIC BEACH, NC 28512 GOVERNMENT BLIDGACT ET AND
FISCAL CONTROL FOR:
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PAY TO THE r
ORDER OF I Ul 'i, I"' DOLLARS
4:
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i no AFTER 90 DAYS. I
MAYOR
FIRST CITIZENS 133
fifiI.Cituani 100 & 111�1112COMPcny
BANK Ajjcjnjj, jsach. NC 24 CLEI:11�
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FOR DS3100300': 13 1 SCI Ja 2 18118
111000 20 20 21"

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to the Pond in
Atlantic Beach, in Carteret County, North Carolina. I understand
that the Town proposes to conduct maintenance excavation in several
areas along the access channel into the Pond, and I have no
objections to their proposal.
Signature
Print or Type Name
Date
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to the Pond in
Atlantic Beach, in Carteret County, North Carolina. I understand
that the Town proposes to conduct maintenance excavation in several
areas along the access channel into the Pond, and I have no
objections to their proposal.
/ - �J
Signature
IM zy-'5' e 'P/
Print or ype Name
Dat
y/ 9 �',2-1 /, e 9-k�
Telephone Number
)C/

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 3
I hereby certify that I own property adjacent to the Pond in
Atlantic Beach, in Carteret County, North Carolina. I understand
that the Town proposes to conduct maintenance excavation in several
areas along the access channel into the Pond, and I have no
objections to their proposal.
Print or Type Name
Date
Telephone Number
q( per_ I-S t-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to the Pond in
Atlantic Beach, in Carteret County, North Carolina. I understand
that the Town proposes to conduct maintenance excavation in several
areas along the access channel into the Pond, and I have no
objections to their proposal.
�rwv�•- �%�ZP��
Si ature
Print or Type Name
//- -1 8-9 `f
Date
9/ 9- d- Y-7- d--S- 8 9
Telephone Number

s
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to the Pond in
Atlantic Beach, in Carteret County, North Carolina. I understand
that the Town proposes to conduct maintenance excavation in several
areas along the access channel into the Pond, and I have no
objections to their proposal.
�'� � iSignature
Print or Type Name
Date
7�u-''7374
Telephone Number
1JMd -Z)k

W
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to the Pond in
Atlantic Beach, in Carteret County, North Carolina. I understand
that the Town proposes to conduct maintenance excavation in several
areas along the access channel into the Pond, and I have no
objections to their proposal.
J
Signature
S
Print or Type Name
Date
Telephone umber