HomeMy WebLinkAbout26960_HOUSTON, JOAN_20001016CAMA and DREDGE AND FILL
269
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
zip
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
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t
(SCALE:
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r�
.
Basin, channel dimensions
cubic yards
Boat ramp dimensions
other
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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.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee
MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512
2768
66-30/531
Date 133
Pay to Order of ,k(a ,6Ek ilo - I $ �2-o7 i,
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7 u _ a r s 8
FIRS-F CITIZENS- `m
KFirel-Clllzem Benk6Tru lCompeny -'��
Atlemic Beech, N.C. 28512 —
..bar+� ttiXL4/ �a1w� `
For l� (o9�z,f�(o466 'fkz<s3G�„ -- - 1M
1:0 5 3 L00 3001:00 L 3 L 2 L 60 6 7 311' 0 2 7 68
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
17A4 U f r-LL PA
}" I hereby certify that I own property adjacent to S7o�2�s_7go8
Or)� pox/ 's property
located at �� _. on
(Lot, Block, Road, etc.)
g�
aDq Jc; 5'0 u„ /�o
'I; C/L'ES'S' CNAN�� L in
�1!(� i�nlpLL �f�e�;"�Q� , N.C.
(Water Body) (Town and/or County)
d4
�i.
�. He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. understand that a pier, pilings and
dredging must be sc.'r 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.
velo
ment:
Description and/or drawing of proposed development:
�I. (To be filled in by individual proposing development.)
C>o.rs,.evc i �oN DF �1��7
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r1 Ex�S41N'� ' p
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Iicnature
Pri :t . Name
9 '% — (Ice
Date umber
ADJACENT RIPARIAN PROPERTY CV'. -,'ER STATEMENT
2 hereby certify that I own property adjacent to
n; .>
s property
U p �OcJS? Dx�
2,
on
located at � Lot, Block Road, etc-)
:;�•
QOCj Jc: 5'0 u c/o �l�r�� �NoLL ,� N.C.
i-
a"
eNAf1A/� L in —
(Town and/or County)
(Water F3ody)
.,
He has de scr ib ed t o me as indicated below the development
have no objections
;..
_ and ,�
he is proposing at that location a
flings and
2. understand that a pier, pilings
<':•
to his proposal.
be set back a minumum d:-stance of fifteen feet
h.
dredging g must
of riparian access unless waived by me.
from my area
'
'••
2 do not wish to waive that setback requirement.
�=
�..•,
_
_.. '-�t�t.
do wish to waive that setback requirement.
Y<�:
nn �f proposed development:
tp ion and/or drawing
i '
Descri
in by individual proposing development.)
.,
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(To be filled
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Signature
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Pho.)e Number
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