27999_GRANT, CHARLIE_20010515

CAMA and DREDGE AND FILL 27999 _ t
G E N E R A L
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.)
1, N- "� rc` i 0 r d,
Type of Project Activity A-'v%l'
PROJECT DESCRIPTION SKETCH hf r, F : i']
Pier (dock) Length tr ? c 1 ni i
g
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
►t
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.
issuing date
(SCALE: - k'
applicant's signature
permit officer's signature
expiration date
Attachments
application fee

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MUD BUCKET DREDGING, INC. 2664
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191 55-30/531
ATLANTIC BEACH, NC 28512 Date �� �'D 1 133
Pay to the
Order of $ Z477-) s�
Dollars 8"
FIRST CITIZENS 1-
A N �I First-Citizons Bank 8 Trust Company
%`'fir,• , l�Atlntic Baa h, N.C. T" I
For `�^r1.�oa<f+���
1:053L003001:0O13L2L60673nm 02664
iawe/wwesron GUARDIAM SAFETY BLUE WDE

Pox R$ 245-
r - ADJACENT RIPARIAN PROPERTY O' 1NER STATEMENT QAc6tgI414C- 276-Z4-
-- q(q- 5-5& - 023$
I hereby certify that I own property adjacent to
's property
located at _%il7 .�_ 0yyG 'DW/ts)Z- on
(Lot, Block, Road, etc.)
�r oQvE SouNo
Aqg-4A/&E -- in �G/�}�.17 r� 'I'3c:A(Zq N.C.
(Water Body) (Town and/or County)
He has described to me as indicatec below the development
he is .:proposing at.that location and _C have no objections
to his proposal. I understand that a pier, pilings and
dredging must be se'- back a minumum distance of fifteen feet
'(15') from my area of riparian access ::nless waived by me.
I do not wish to waive that sr*_back requirement.
i/ I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled ir, by individual prcposing development.)
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ADJACENT RIPARIAN PROPERTY 0:4NER STATEMENT
I hereby certify that I own property adjacent to
's property
located at _%fib ��c�t>�cjl' -DgIIJ,!E�- on
(Lot, Block, Road, etc.)
�r c�QvE Souuo 285� 2 N.C.
/-�c�e�=�S eNANcJEL__ in _f�rG/�}�•lT�c. ��,�eH
(Water Body) (Town and/or County)
He has described to me as indicatecil below the development
he is proposing at that location and I nave 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 sFtbaGk requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
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