26673_LAWRENCE, STEPHEN & ALYCE_20000914

CAMA and DREDGE AND FILL Y cr,)
G E N E R A L
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
zip
PROJECT DESCRIPTION SKETCH
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Pier (dock) Length
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Groin Length
number
Bulkhead Length
max. distance offshore
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Basin, channel dimensions
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cubic ards
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Boat ramp dimensions
Other
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lift
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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 i
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

MUD BUCKET DREDGING, INC. 66-30/531
ATLANTIC BEACH CAUSEWAY NCDL 8039839 133 2368
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512 Date
Pay
Pay to the r —
Order of
$ 26blx
Dollars
FIRST CITIZENS 133
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DUA DIANOWETY BLUEWDBL

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that I own property adjacent to
' s property
located at
(Lot, Block, Road, etc.)
in �� e /� &V/0 veer , N.C.
(Water Body) (Town nel/
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.
Date
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that I own property adjacent to7.59 Z33Z�
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1 o c a t e d a t Spec Q, 5 �loc /V� �o�/ Z J' S��te� �Li tea/ o n
(Lot, Block, Road, etc.)
N . C .
(Water Body) (Town d'�
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.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
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Pri t Name
Phone Number