27598_CLARK, JOHN_20010316

CAMA and DREDGE AND FILL ((J'9__(
G E N E R A L �-:.
P E R M I T ,
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 ►�X_,f�
Applicant Name Phone Number
Address
Citv State
Project Location (County, State Road, Water Body, etc.)
Zip
^yam
Type of Project Activity -;
PROJECT DESCRIPTION SKETCH
(SCALE:
t,-L) WE
)
Pier(dock)Length �qT'rT71".I.
Groin Length
number
t
!-
p_
, �;
Bulkhead Length _
max. distance offshore
F
. -
,
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
applicant's signature
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-
permit officer's signature
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
issuing date expiration date
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.
attachments
_
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee

MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512
2589
Date (I _ ( 66-30/531
Pay to the 133
Order of
Dollars
FIRST CITIZENS u, ram' M me�
R,(� NK Fust-C1t)zons Bank 8 Trust Company
1J` Mantic Bassc�h.N..C. 28512
Fore__,
j 003001.001312 L60673u' 02589 ' N
GUARDIAN®BAFETY t1W E Y.;D

' ADJACENT ;ZIPARIAN PROPERTY OT,NER STATEMENT
I hereby certify that I own property adjacent to
:?-C{o-Is property
located at 6z- �� (���y�� on
(Lot, Block/ Road, •2tc.)
0o PP�2S' M 1Y��� c��j in I�a_f0�- N.C.
(water Body) (Town ar /or County) Z9,�Z
He has described to me as indicate:' below the development
he is proposing at that location and ' have no objections
to his proposal. I understand that ~.ier, pilings
dredging must be set back a minumum 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.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual pr<posing development.)
i 2 ` x 0 / s2 it oU < ug 2 /�5/ / O��I � � 1� r
To L o i 4 ev, yd�; TFo Of
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V
FZ4 .1/ /
Zd, � t - M
Sic nature
Pr nt Name
Date Phcne Number

ADJACENT RIPARIAN PROPERTY O',:NER STATEMENT
I hereby certifyy� that I own property adjacent to
-�D-�Zd 15 property
located at 46 _ ��-b �JG on
(Lot, Block, Road, etc.)
in �l�j� I ,DLL S'j2L— N . C .
(Water Body) f (Town and/or County)
He has described to me as indicate: oelow the development
he is proposing at that location and I have no objections
to his proposal. 1 understand that :pier, pilings and
dredging must be set back a minumum dl:,tance 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 t:o waive that setba<:!c requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
`(- Lr FT 14,.0 -
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cgoA'T -D o C
2/ G
Date
Phoi-ie Number