27892_JACKSON, JAMES_20010406

CAMA and DREDGE AND FILL
G E N E R A L ��rs9�
�1 �' ; i '�
PERMIT `
as authorized by the State of North Carolina F' b I�
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC ; 5i�c
Applicant Name Phone Number "7. 17 7- t 7 7 `/
Address
City State zip
Project Location (County, State Road, Water Body, etc.) 1
T
Type of Project Activity •J f , i r o.
[PROJECT DESCRIPTION SKETCH ;, i t,,r TT
Pier (dock) Length f _;T c t 1 S L
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards4 U i
Boat ramp dimensions
Other
I ItIJ VCllllll IJ au VJGl.I iv �vMf.rnai n.c V—L'. o _ .., ua.,,,b
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: /o, i�. e )
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
I PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512
Pay
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collars
�KCITIZENS 133
FintLiNzena Bank 6 iruat Company
Allanlio Beach, N.C. 28512
For
l:0 5 3 L00 300�:00 L 3 L 2 L 60 6 7 311•
0608
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___ -. - GUAgDIANA SAFETVBWE WDBL
55-30/531
133

ADJACENT ];IPARIAN PROPERTY O'INER STATEMENT
I hereby certify that I own property adjacent to
D 32--Zf-" ' s property
located at / 1 {�T/C � C' CA ion
(Lot, Block, Road, etc.)
A ec6C�' 2AlA966- 74-in � i� 7 l � ��� C' �-7 � N.C.
(Water Body) (Town ar d/or County) ;?gS/z_
He has described to me as indicates 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 ser back a minumum distance of fifteen feet
(15') from my area of riparian access inless waived by me.
I do not wish to waive that s(! back requirement.
I do wish to waive that setbacK requirement.
Description and/or drawing of proposed development.
(To be filled in by individual pru-)osing development.)
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Prirt Name
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Phone Number

ADJACENT RIPARIAN PROPERTY OtiNER STATEMENT
I hereby certify that I own property adjacent to
i c),Ae��D/-� y2L - s property
c 1A Pt�
located at i ,Q 1L,-f/JTI C 1564C L4- CAu.A a on
(Lot, Block, Road, etc.)
A-2cEC( in _ � ; iC ���L'H � N.C.
(Water Body) (Town and/or County) �gS-/z
He has described to me as indicates 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.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual prcposing development.)
�. Zo''au x 30' AAS ''CA To 3c rJ kSr E-�D , �El�at7isfg ArJc
D&A"' T4 o S,OoILS , c 0TAL o F' �5 • y,D�. o x� G�1ocJE1��
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Pr i - t Name
Date Phone Number