25571_DOREMUS, RICHARD_20000515

r
CAMA and DREDGE AND FILL
E N E R A L `'5571
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.)
Type of Project Activity 1'
PROJECT DESCRIPTION SKETCH
(SCALE:
Pier (dock) Length
Groin Length
M
_
number
Bulkhead Length
i
t
max. distance offshore -
�,
k , y
r
y
- %
i
r ; Y, , .
Ili
=
3
Basin, channel dimensions (
cubic yards
}
Boat ramp dimensions q
i
y
' !
\
1 1
i..•
Other
_
I
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.
I
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

— '✓V` 66-30/531 2187
MUD BUCKET DREDGING, INC.
133
ATLANTIC BEACH CAUSEWAY NCDL $039839
PO BOX 3355 PH(252)726-2191 Date
ATLANTIC BEACH, NC 28512
Pay to the $
Ord of r X Dollars
F
IRST CITIZENS,33
t
Frs[Citlzens eaN a285/2 ampany ,, ,j
� ' C, 100 300':00 13 12 1606 7 311- 0 2 187 BW

ADJACENT RIPARIAN PROPERTY O`VNER STATEMENT
(FOR A PIER / UNCO VF'RED BOA T LIFT)
7
I hereby certify that I own property adiacent to is
(Name of Property Owner)
property located at
on ,d e C 6 SS C A"11,4 C,
(Waterbody)
(Lot, /Block, Road, etc.)
(Town and/or County)
, N.C.
He/She has described to me, as shown below, the developinent he/she is proposing at
that location and 1 have no objections to his/her proposal.
---------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPUSED DEVELOPMENT:
(To be filled in by individual proposing development)
2t✓'G.4eFl��!✓1' vi— !OS C.1,4 PT- C'i� ��'TE' ��,s1;�"L�� AS'��a— oSIC04C,-&
-'-�ZaaLc �;T�+ v�<- y� s'E �� ��� ��t� ; A10 c�>�,�sT �vQT� DhI of
IL(EW T�.e�19�1Ny vF A
rxw7-1-+ OF Pn011-4 70 ev- Vo3 T1"r44„
�. �%/%T�711 '' a/%/
i T I k GI' S EA0A'L i-
Te;ephone Number
Date: 4
To/-2 0 1 E- zci
F C U4tilEr' S Efi L-
�
J
I
e-L�` Q� e
4J4 Lc_ i ✓�''�vef
z'i L I �/t� SCrT
-----------------------------------------
A-:
Signature
Print or Type 1 ame

r
i
i
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER / UNCOVERED BOAT LIFT)
7��-sbQ7
I hereby certify that I own property adiacent to T (C q.4 40 s
(Name of Property Owner)
property located at l L,5>�5- E) -L-q / 0 (5-
goQu'-�- SoUva
(Way terbody)
(Lot, Block, Road, etc.)
(Town and/or County)
, N.C.
He/She has described to me, as shown below, the development lie/she is proposing at
that location and 1 have no objections to his/her proposal.
----------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
2rrot-4 eF 1� C!✓ 1' v i- 10s & 114 PT 0, P &T E (Zt D � .si.'r4. A5 �C ; o SlCo v e t'ETri k(Etc) ocill-- 'voe k--- . �+«rr. 0AC601t,ug o/- 4 15 ,f (oa ' A
26*110v,.N9 2' Dd-Or" 70 c- Nv.- T-drQC-.
Telephone Number
Date: ao a�-a—tj
E� " " 4 -,-a -, � 6
Signs re
� LLZ �T)i iZ Sc%�L/ nv �v2
Print nr TvnP 3-•1n,r,P