27543_CROOM, FRANCIS_20010213

Applicant Name
Address
CAMA and DREDGE AND FILL -,ad
(e
4-
G E N E R A L P/ 11-.,,F"', 4
PERMIT
as authorized by the State of North Carol ina Z�Z
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
t Fat,; f
City A I Ir-k., 1 P/c. r t
Phone Number
State ,A)-( Zip Z8514
Project Location (County, State Road, Water Body,( etc.) r' t, r r 4 ?U6 k', n
Type of Project Activity rar ;It Jt, r 4, )OW, ra --,P,f f( ff4E w 'i(G i! ,}! ' i
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
AI
ES
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>'
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It
(SCALE:
N,-.4e
)
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Groin Length
number
Bulkhead Length
max. distance offshore
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ofr
i ✓
{
1
id
Is
�11t
Basin, channel dimensions
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r1
t� t
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t
1
7 t
r y
cubic yards
Boat ramp dimensions
Other
°
6
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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
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.
X
f
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8o39839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512
Pay to the
2552
Date^ 66-30/531
133
Rb`I CIT Dollars
IZENS
RQ NK FI:1,gizens Ba k d Trust Compe ry
a� �' All anhc Boach, N.0 20512
i
For
':053 1003001:0013 12 73u■`fir
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GUARDWyg�;

ADJACENT RIPARIAN PROPERTY O•dNER STATEMENT
I hereby certify that I own property adjacent to.
!� �� d o l�i�l ' property
located at
on
�oQ V67SDUti(,d (Lot, Block, Road., etc.)
e C C"SS (2-[-4,4 AIA 6Z — in .A I G-4 NT (z N.C.
(Water Body) (Town and/or County) Z$�y
He has described to me as indicated below the development
he is proposing at that location and 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 sl�tback requirement.
!/ I do wish '-o waive that setba..k requirement.
Description and/or drawing of p:-oposed development:
(To be filled in by individual proposing development.)
L�GS-T-4LL/aTION OP !*fIV-60,46-6%2- 5Ut,4o2i SCf�T��/� To �XISiINy
A�B�'Sios 5�,•4trJ,.� .L , ';R-DEek--i4,0t� of c,J4Ltcc�,¢r� �N�
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Date
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Sig lature
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Pri it Name
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Phc. •e ,Number
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rn
70

ADJACENT RIPARIAN PROPERTY OINER STATEMENT
I hereby certify that I own proper'-:y adjacent to.
C?1�'s property
located at �OCv p�( l�Uc on
(Lot, Block, Road, etc.
'90gvC 5'06)AJe
Al eC CSS �-' h+,,}A/AJ6Z— in _A 1 Lei 1117- C-- 191f--,4CH N . C .
(water Body) (Town aid/or County) Z'�2
He has describeu to me as indicate('. 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 d%stance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
j/ I do wish to waive that setback requirement.
Description and/or drawinq of 2roposed development:
(To be filled in by individual proposing development.)
tkt5-r4GLaTco/i o! 041V-6oA`6,22- S(,,,:,,ac< rycTEAh io C-XICT-bgy
A<; i o S S�,�a L r_ i ke ? OP wA L1 < 4t) ,4 t( AN-0
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Date
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Si5,ature
Print Name
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Phone Number