22336_BEACONS BEACH_19990629

CAMA AND DREDGE AND FILL LO)
GENERAL IN11 2 336
PERMIT P 0 5
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 % .0 Phone Number
Address r -, r, -(� { A �
City �� 1 State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity 2 f. r -
7 1
PROJECT DESCRIPTION SKETCH "tt PT /4 (SCAALjE: ,)
Pier (dock) length /J�'' t o GGr ; v'?- G �'' ,/ - L! `
Groin length
number j
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions �q
Other
l p,
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- (/ / e , /) / S 6
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application feej / 7
Management Program.

55-30i531 1739
133
(MUD BUCKET DREDGING, INC.
AY
ATLANTIC
BOXC335 AUP�5 )726-22198039839 Date
t
ATLANTIC BEACH, NC 28512
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Pay to the .. _
Order of ollars �"
F,gST CITIZENS
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For �;00 13 12 1C 0O ? u� 0 1? 39
1:0 5 3 100 30 0 ���a

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own proporCy adjacent to
7q7 - 41501 '?
�f./7/. is property
located at 'P' Ci__lox on
(vE �Dv�Q (Lot, Block, Road, etc.)
A e C' i Sn 0 �rv1,v t Lr__.....__� 111 1'I tlt �� OCL �{+a/2 E S -- -. i 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 objections
to his proposal. I understand thzit a pier, pilings and
dredging must be sct beck a InillUmLlin di:;tance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
rI do wish to waive th,iL setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.) -�
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0
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Signatu e Q O )Pt'
Print Name
- 5-AA:9C� �s�J aye-3rosy _---
Date Phone NUrnbel'

v
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own proporLy adjacent to
Zq7- VO/ 9
0
0
's property
located at 0, 1ox 9W , on
(dE Sov�Q (Lot, Block, Road, etc.)
,ACCESS C'�v�uc[r 111 Pwl kCN&z SA'>'QES _-- 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 objections
to his proposal. I understand that a pier, pilings and
dredging must be sci hack a minUML1111 di:;tallcC of fifteen feet
(15') Crom my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
I` _ I do wi;;h to waive thaL setback requirement.
DescripLion and/or drawing of proposed development:
(To be filled in by individual proposing development.)
P (� 6Af`f S, o
�2.0' i
Date y
�aaT �A���l Lrr1�RAq�6
IN U6A ��=ACv2iN�j
tZ'i.1 Y 250' '��Wov+•lej
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SPoicC - 1-01-AL of
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c.J i P\'-\ 2': I V
:P1 111� , u e P n
Print Name
Phone Number