26934_MARSHBURN, KIRBY_20001024

"Ox J86,- COD
CAMA and DREDGE AND FILL r� ,6934
,.� G E N E R A L;a,
PERMIT
as authorized by the State of North Carolina Iap_S Fug I IGZy 13 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
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH ", t + s - E'S i>T
Pier (dock) Length T . 1. ___ .�1
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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.
Phone Number
zip
issuing date
(SCALE:
applicant's signature
permit officer's signature
expiration date
attachments
application fee

MUD BUCKET DREDGING, INC. 2402
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512 Date ZIZ' 66-30/53
133
Pay to the
Order of
Dollars
FIRST CITTZENS,33
BANKBAN First Cilizons Bank m Trust Company
Allaralc Beach. WC. 28512
For'
':0 5 3 L00 3001:00 L 3 L 2 L 60 6 7 31i' 021,02
QCiort<Ame.kan - --
—ABUTAWSAFETY BLUE WDBL

t'�b6b4(
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Z2Z - o3Zz is property
located at 2 / � s��7- on
ei- g yOdND (Lot, Block, Road, etc. )
A2(255!�, <2J44N1/eL in rQT4-,4,gTiN.C.
(Water Body) i (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,rier, pilings and
dredging must be set back a minumum distance of fifteen feet
(151) from my area of riparian access dn]_ess 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.)
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Date
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Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own propert;.', adjacent to
Is property
on
located at T
(Lot, Block, Road, etc.)
,-QC'.655 ' �{AA/,c/C L in _ A-rZ-, �NT I c �j�A¢l i 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
l
to his proposal. I understand that a,pier, pilings
daglmust
rset
ofback
ripariannumum access1urfeet
.less waived tbynme.
(15) from my aea
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of prc��osed develo mp ent:
(To be filled in by individual proposing development.)
2c,dcQCe ��lT eF /o' c.r.1, P i •, of kTc oeIT�:12 S'EAt.,y¢c �•JiTN
COCA-(Ajl c�IKy� cL '91 /6457,
Date
S gr.ature
Prir.,: Name
Phone Number