17067_TOWN OF ATLANTIC BEACH_19970411

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 161,2 1'�J�'��� '< 'Jr �/ Phone Number
Address e�' jam. ,�
City _Ari A.., �r 15/�i State .[/t'_ zip
Project Location (County, State Road, Water Body, etc.)
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions_
cubic yards
Boat ramp dimensions
Other
SKETCH (SCALE:
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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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments F?'
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

FOR
TOWN OF
ATLANTIC BEACH
Al LANTIC BEACH, NC 28512
OF THIS CHECK HAS BEEN MADE
BY AN APPROPRIATION DULY MADE
PURSUANT TO THE LOCAL
GOVERNMENT BUDGET AND
FISCAL CONTROL ACT FOR:
22259
66-30/531
1 191]
PAY TO THE d
ORDER OF J � 4 Q I'Z �� - 0
J
11800022259
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FFOM
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TOWN OF ATLANTIC BEPCH PHONE 1,10. : 919 726 5115 Apr. 09 1997 08:59AM P2
ADJACENT RiPARUN PROPERTY OWNER STA11!*1WqT
I hereby "rdfy that x own property adjacent to
(Name of Property Owner)
property located at - '-t71fU ! l ,
a,ot, Block, hoar], etc.)
on At c i , in AqAtiTv-' � , N.C.
(Waterbody) ('rown andlor C unty)
He has described to me as shown below, the development he is proposing at that tioa,
and, I have no objections to his prolrcr.-al.
DESCR=ON AN DIOR DRAWING OF FROPOSM DEVELOPMENT
(To be filled in by individual proposing development)
l
r
Si a e
A4-?W 6 CAM l✓ l- -
Print or Type Name
Telephone Number
Date: I

FROM : TOWN OF ATLANTIC_: BEACH PHONE NO. : 919 72C. 5115 Apr. 09 1997 08:59API P3
r
ADJACENT RI"AR AN PROPERTY Oice STATTMENT
I hereby certify that I own property adjacent to s
(Name of Property ()wiier)
property located at' L� K
(Let, Black, Road, etc.)
(Waterbody) (Town and/or C ) •
He has described to me as shown below, the development he is }proposing at that location,
and, I have no objections to his proposat-
DESCRIMON AND/OR. DRAWING OF PROPOSED DEV7,L ►]PMENT
(To be ftUed in by in&Wdual praposing development)
q61---
�L'ar-
firy "
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Signature
Print or Type Name
Telephone Number
Date: S f _._