27968_GARVEY, TOM_20010430

CAMA and DREDGE AND FILL �,
� G E N E R A L
P E R M I T �`l) -/,
as authorized by the State of North Carolina ; rs +'t z0f "1 A
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address L
City
Project Location (County, State Road, Water Body, etc.)
l,. ­r, Vi,, ,. (. i ! . • "L , MbIA nnr. [IF fAU. (.
Type of Project Activity ..y, I Pat: f (n ill".
State
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.
Phone Number ' f
Zip
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

'MUD BUCKET DREDGING, INC. 2644
ATLANTIC BEACH CAUSEWAY NCDL 8039839 i 66-30/531
PO BOX 3355 PH(252)726-2191 Date 33HJ
ATLANTIC BEACH, NC 28512
Pay to th $
Order ozLca
Dollars 8 "
000 HIL7 ■ CITIZENS tC
^,INK Firstti.B ns Bank &Trust Company
1KJ'H_I'r Atlantic Beach, N.C. 2 12
For- -- -- - --
i:053L003 0i:00L3L2L60673II0 02644
GUARDIAN® SAFETY BLUE WDBL
O(iaA<An¢�kan

i
` ADJACENT RIPARIAN PROPERTY O4NER STATEMENT
I hereby certify that I own property adjacent to
s property
located at z(� it ►�T(e �L�i ��QU� 4G/ on
'12 (Lot, Block, Road, .etc.)
�c Ui4o
Agcc-SS cLA6 cL- in (/C _'L e�1 N.C.
(Water Body) (Town a.T/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 pr-)posed development:
(To be filled in by individual proposing development.)
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-
Date
IJ
Sign �ture
T -(DoL-4 S�
Prir . Name
Phone_Number

ADJACENT RIPARIAN PROPERTY OVNER STATEMENT
I hereby certify that I own property adjacent to
'76 --Z9-7-7
��14�_I s property
located at Z/ (/th/Tl e ZXA- L�4 C'46IQ6V 46/ on
(Lot, Block, Road,.etc.)
�QCESS N€L_ in A-
1/C_/te e N.C.
(Water Body) (Town ai-d/or County)
He has described 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 sez back a minumum distance of fifteen feet
(15') from my area Df riparian access -inless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description a;pd/or drawing of pi: _posed development:
(To be filled in by individual proposing development.)
(/,/ST4LL4 ioM oot=S'�gwgLL-
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Prii i• N e
r
PhonE: Number
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
0
I hereby certify that I own property adjacent to
z� � -G9�
p ��� o (% 7is property
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located at C4oC6246/ on
vE S'ovut� (Lot, Block, Road, etc.)
�oQ
�QCC-SS C6"'q L in ,H7/46� (/C 1��Z-54C14 , 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.)
(//ST4LL,Q i io�l or Z�v •G/��iar� FACT oP L%�fl�L �c4e 4L.L
' To 12 tS,,oZ,4 C-� - i E ZZ 1 042, ���� GPI c�o•��� �' v�{L�-
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Date
Date
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7.3 .
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Signature
Si gQ �-
Print - Name
P r i,}a� N
Phone Number
Phone Number
I.

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