21548_BOE, NATHAN_19990322

CAMA AND DREDGE AND FILL
GENERAL i i 021548 �""C-
PERMIT
v
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 Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCHEIX 1�71) , (SCALE: )
Pier (dock) length f + ',
Groin length
number
i
Bulkhead length I
max. distance offshore`
37
Basin, channel dimensions ^�
cubic yards
Boat ramp dimensions
Other ilk
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
y
j I applicant's signature
7 `� r
permit officer's signature
issuing date expiration date
attachments
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application fee

30
MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(919)726-2191
ATLANTIC BEACH, NC 28512
66-30/133 1592
Date—i4d 20t1 % l
Pay to ,/�6�� I � ©' �
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FIRS CITIZENS -
-Citizens
K FiM-Citizens Bank & Trust Company
Atlantic Beach, N.C. 28512
For t�8�v+��� —,
1:05310030111:001312160673118 0L592
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MAR-22-99 07:45 AM SUNDOWNERMOTEL&MUDDUCKET 919 726 6112
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own propert adjacent to
61k�,Ahl �k' S Property
located at _ �o.3 Aopel-I die-� / on
'Roq(Lot, Block, Road, etc.)
(Water Body) (Town and/or County)
He has describc.d 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 tct back a minumum distance of fifteen feet
(15') .From my area of riparian access unles$ waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawin of ro used develo meat:
(To be filled in by individual proposing development.)
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ADJACENT RIPARIAN PROPERTY OWNnR STATEMENT
I hereby certify that I own property adjacent to
rye L��AJy� Sa� us property
located at _ _ 4! Aop,,''.,( x-,� , on
, ,Oo p (Uot, Black, Road,
AQC6_9S' (2AAai46f—� in _ �t�IL h�b�� i-1 O N.C.
(Water' Body) (Town and/Or County)
He has described to me as indicated below the developgient
he is proposing at that location and I have no objections
to his proposal. i understand that a pier, piling: and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian acce;N unless waived by one,
I do not wish to waive thaL- 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.) a
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