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Home My WebLink About22251_PERSON, GLEN; RAHGLEY BROWN; DICK DOLGAS_19990728�� 4��A|| CAMA ` AND ,^~ ^^..�^^~^^ AND ,^� FILL v �� y- ��r� ^^ ��/\| �� /�/�/�"�JL— ` � i PERMIT p . as authorized by the State ofNorth Carolin a � Department of Environment, Health, and Natural Resources and the Coastal Resources Commission ( inonarea ofenvironmental concern pursuant to15ANCAC | ' Applicant Nama' ' Phone Number Address j City State up Project Location (County, State Road, Water Body, otcj Type of Project Activity | This pcnnh is subject to cmnp|iunou with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the pormittoo to a fine, imprisonment or civil action; and may cause the permit to be- come null and void. This ponni/ 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 l) this pro- ject is consistent with the local }and use plan and all local ordinances, and 2) u written statement has been obtained from adjacent riparian landowners certifying that they have no oh/ocr)nns unthe proposed work. In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal Management Program. .� / applicant's signature permit officer's signature issuing date 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 66-30/531 133 1795 Date -/4 ?ardero Order o Dollars Bo pm ITIZENS 133 Int-Citlz.m Bank Jt Trust C..P.-y W.ntlo Bash. Ng. 28512 For 44ed,PsK+— ':0 5 3 L00 300l:00 L 3 1 2 1606 7 311' 0 179 5 GuARDWa SAFETY BLUE WDBL 0 0 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT PL)oaC N0- _ �)Z(o —6'' I hereby certify that , I own property adjacent to �� L--/1�. �,Zz�.5-e1� ' s property located at _6 d / `f �7/� ` 7. , on $ oo�c.ks 0-4-V-X (Lot, Block, Road, etc.) 30gvc-701'.'0 _ in l //� /��" lZ N.C. (Water Body) (Town and/orCounty) 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 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. m oDescription and/or drawing of proposed development: ^ S• C (To be filled in by individual proposing development.) rJ �,u �s r� r r tilc5 . roTll r p ! qo TJ WAS W��L l20 ' I 37 " zv Signature _ oc!1 W Print Name .Date Phone Number 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to located at 3 /% zL11C/� St'oc�Je_.ks GR�tC (Lot, Block, 3Aoq v F so Sao (Water Body) 's property aa, etc.) on in � - A , / I— , N.C. (Town and/or County) 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 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 I do wish Description to waive that setback requirement. and/or drawing of proposed development: m A (To be filled in by individual proposing development.) I �C�C4c'�yN�jli o� �EQE2�UC'4'i�vJ S�d�,J/�LL itJ�TN, c�uNyL �'E41r4�L ' 0 Al . a oTA t � b O 5 � (W iNGj S .AIJAL (20' 0 37 ' Date 1 STI.40� �aqT �OC {� 0 Signature Print Name Phone Number AVA ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 707 Wy Z4 , IJ64) PO�f , ae- �S 70 I hereby certify that I own property adjacent to iv 2-7 is property located at _ .�Z� eyc-6& on (Lot, Block, Road, etc.) ,/6aa 044��7CJ:::: i n /�7d 1� �� T� N.C. (water Body) (Town and/or County) He has described to me as indicated below the development he is proposing at that location and I have no objectionz 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 setback requirement. I do wish to waive that setback requirement. Description and/or drawing of proposed development: (To be filled in by individual proposing development.) 12&�'LA C A�rE� { r o r '-D er 10 60 SC- 4 ed4 (-L- 4J ('-kt C,)i.uyZ S'64ee),d-e- SjI6-E1- �1'rur./c . �0TR4- a r3a L,11V ;A,e FE, C.'oZISrec/CT,aA/ OF A !o 'X Zo JOAT- ,aNd -f4-7T Ffaq o r- Tea 130AT' �Et !lee /6 - 9 Date 0 Z� �)' e, /�' 4 Signa' ire 1 Print Name _ '7 Z-6 -- Phone Number SUNDOWNERMOTEL&MUDBUCKET 919 726 6112 P.01 r uRtil <,Y -Z.Sx AOJACEN,' R1PAR-TA1V M "'OP;JER STATEMENT y� _.. E��X _ .-.QW_._...__.._... _._.. 7p-2 A,/G I h�•rcj.)y coc t i ly thst 1 �.;,, r�CCi'�Qr_Y s6]at::�?!,t Lo �,---- - - -_ ------ ' s o r o p 3 r t y on (b+dtrr i3C�CIY1 -- I(,t; a,nd/or County) ' ijCP ll�i: desci ibcd Lo fie aS 1r1d:r.AtCO bc10w the development he 1.5 Pt017105i11,) at tact IO:t,t;Qil nave >\C O%jcctl(>1'; tt1 f,t.: propor—l" I Unri.^i'.rnr,:. ti•.r.l C': p.ili'llyL, 'Ind dred_aing must E.fteen feet (15' l fS by mc do not wlsi: to - �•:��air�mer.t. — L do Wish Lo WiIlvC ..r• ii.. 3Ct17 iCK rcCr'J•.['cmcilt Ces�ri .lion ... . _.can_.—_ i3/c�: ir�:,ln_� of ^ro:._ _ osed c;C. n _1�..__.._...... _. ___ velonnel: (To bQ filled in by lnc?5v:uuaI prcr�osir,q cieveloE;rnent.) r- 12i ✓'LaC'�ti-rt�il`� Oe S7644d4LL_ 4Jr7-H -Al. mr Ccr '?IL.I.✓I ion ocl.'rc/Sr¢vcT�nn/ t� -K O 'dn1C 57�JC t_ nr.�t? �L� f ri.Jtj ej fr 7.%r)o (icisl 1' f yyf Kc� ��pQ 1/tI,u J„ i q C- 1 e, eA WA a c- n I T I r o v 0 h � x sv") -- 'I �FsZ o� NLwr