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Applicant Name
Address
City
CAMA and DREDGE AND FILL
G E N E R A L 2"?93- <
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 J
in an area of environmental concern pursuant to 15 NCAC . _,
Phone Number 1, ` c
State N c
zip ?' lIrIi
Project Location (County, State Road, Water Body, etc.) 'r ) f et", 43 q`. 4
Type of Project Activity
V
PROJECT DESCRIPTION SKETCH%
Pier (dock) Length 1 r _ A!
Groin Length
number
Bulkhead Length
max. distance offshore
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.
(SCALE: n); v( )
applicant's signature
f
permit officer's signature
issuing date expiration date
attachments
application fee
r_i n�ra-t�i.a+uwrx,nmmeum�.cnamnntixcarrrow.�_
MUD BUCKET DREDGING, INC. 2701
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191 7 66-30/133
31
Date
ATLANTIC BEACH, NC 28512
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Pay tothe $
Order of—/
Dollars 8 0
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H AR�S1T CITIZENS 133
JEJ V -■I FiAtlrel-Citizonsh. k82851 Company
I� Fi, -Cit Boach. N.C. T—t
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MAY-31-01 10:31 AM SUNDOWNR NOTEL'.MUDDUCKET 25272661122252 33 P.01
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT lw2" S W
2nW4
I hereby certify t;iat I own property adjacent to l.,�-��15��76^.SSyYj
,Cie Grx� � ��1'OiR�� M�L1 _ � s Yropc;c ty
located at IZ.% 3_ 44V16w %Lb on
Mock, Izoad, etc.) --�^—
t5a
(water Body) (Town and/or County)
He has described to me as .indicates below the development
he is proposing at that location and I have nc} objections
to his proposal. I undc:c-stand that a vier, pi]-ings and
dredging must he set back a minumum distance of fiftccri feet
(15') from my area of ripariari accca ; unless waived by me.
NE-7 � uOJ"
Datc
I do not wi sh to waive that setback reclui cement .
I do wish to waive that setback requirc-ment.
Description and/or drawing oC prz)po::ed development:
(To be filled in by individual prcposing development.)
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Phone; Number
1550 Aerial Avenue Telephone: (919) 528-2535
Atec® I Creedmoor, North Carolina
Altec Industries, Inc. 27522
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f1AY-31-01 10:31 AM SUNDOWNR NOTEL&MUDBUCY.ET' 25272661122252 33 P.01
1'�Lsw
r STATEMENT
WN �'FZ STATL
ADJACENT F., P.aRIAN PROPERTY 0 �
I hereby certify tli t I own property adjacent to CSic��7
6
-SSya
� Cis to��MF°t{1l� _�-.�►N�t�� —M�L�- -- s Ycvpc; is ty
located at ow 1' Lb ---- on
Block, Road, eLc.)
0
Ai-i 1 C. _a if.�l '� . — , N.C.
(Water Body) (Town anc/or County}
t
He has described to me 0!; indicatec, below the development
he is proposing at Lh�l location and I have no ObjectionG
an
to his proposal. I unde:rst-incl that a ?: -er, pi
dredging must be s--L back a minumum dir,,ance of fifteen feet
(15') from my area of riparian ac=c!; u'tless w;:rived by mc.
r` I do not wish tc) waive that setback requirement .
I do wish t.o waive Char. setbac : requirement.
Description sand/or drawing oC pr;,moo=ed d,_vclopmet�t:
(To be filled in by individual proposing development.)
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