23593_MCCLELLAN, DOROTHY H_19991022

` CAMA and DREDGE AND FILL
G E N E R A L 359-C
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 Phone Number
Address
City State zip
Project Location (County, State Road, Water Body, etc.) n `r
Type of Project Activity rem,-o�- f?)- sc,t
erg
PROJECT DESCRIPTION SKETCH (SCALE: 7%��.,,�,,,. )
Pier (dock) Length # J I c. e �C _ �4+ ': `_ f _._°` ist _'1 :...,.. ._
Groin Length
number
r
Bulkhead Length
max. distance offshore 0
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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 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.
.N
a —
A
applicant's signature
permit officer's signature
issuing date expiration date
Ar;,�
attachments
r, application fee

MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512
Pay to the
lG�
HR�S1I' CITIZENS-
it
v '�I FlretCitizone Benk d 28511 Company
l� AUantiit Baach, N.C. T u I
For
L
1:0 v 2N I:oo i 3 iV 606
66-30/531
133
Date
1900
7
Dollars ffl=—=..M
,
At�e.Q_ _ IM
73 01900
OQarlr<Rmntan GUARtNANASAFETY BLUE 1yG8L

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby t'.f gat I own property adjacent to
fj► /vJ�CLEGGAn� _,7
's property
located at —f O� �y14'QL�SS' �Oyi on
'130Q0L S'vUh//] (Lot, Block, Road, etc.)
,A (2C& SS i n /Lr �1�/ULL � -1�2� 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 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.)
00 �c��GrJALL %xr�L S', 'i2�-✓J�ei�(x/g lo'x �o' `xlST(tlGj�T
�oeta, {�lgrN7ENA��.� �WJcfrj✓� o� 3v i (-/reF'4ZcfiF
!�� 4 ve r U g l 3 w x Sly � j ��X �'.A U� r (N � �u�J • Z ' flE(Gi �t o
I rIS,
7vC1;-
yv' NSW 0r��L I W
so' g
nature
Print Name
_ ';�' 47 c-a G.0
Date Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I her '.fy that I own property adjacent to
's property
located at / O'�- I. on
30(gvc (Lot, Block, Road, etc.)
,A Ce& Ss in ' 14fif—f- �1\/C>LL ��-) D2� , 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 set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
z 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.)
'���4�e�/�Etl� ©F O�T��I �yzia'� AID S'��1 �J� � �viT/i vti✓yL
f64,r,vA Lc_ �(�L 4 , �4� ,�6e�1Ng `x iST14'1) -004T-
1'�o elm , `4A1,U76NA14e€ "DQ606?'t-/q OG`LEF4
Z'
ev, yaS,
i qS
.SD
Date # 17
i
Print Name
_ irSZ 2
Pho e Number
NEw L)�W�(L
!�6A u)A U-
I ��y