23530_ROEBUCK, FRANK_19991202

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AMA and DREDGE AND FILL
G E N E R A L
P E R M I T
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
PROJECT DESCRIPTION r",T I
I Pier (dock) Length
Groin Length
number
Bulkhead Length
max, distance offshore
Basin, channel dimensions
cubic yards
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
/r/ A 1 -
applicant's signature
permit officer's signature
expiration date
attachments
application fee

..,•• __ �a� rto Drat _
N -®4—DQ 09 �4 !►M OUNAQWIJRRMQTITL�MUDDIJCK[T 9& 9 726 l,, l t 2
ADJACI:NZ' RIPARIAN Pt2A MY ° Ej1
x hereby vectify thgt I own property and atcr,t tc•
�dq N t� � �- ��✓�,� � A� �,',✓a a r� ��'� � ��G - r 9�
�.�. ...—•---....,. ' e Property
located at $c� rLX
aqua 'Saeje-eo ( o iOck, i osd, on
in e2w/ 4OL.e— N rya' _ N.C.
-(Town
an or oun y
Nc has described to me ac inaicatcd below the dwAiopment
ha is
Proposing At that location And I hAVQ no objoctiona
to his proposal, x underatane that a pier, pilingv and
dredging must be &ct back a minum{im dir►tanco of fj.ttecn feet
(15')
.trom my Area of riparian ac�cooa unless waivod by mo.
I do not wish to waivo L•11at ctlback re�t{i re,nenl.
I do wish 1:0 w,oivc thou setl)ack requirement.
D `cri2tiorand or dr0%WLn� Qf »Xopnn�ig dev�lo ment:
(Try bo filled in by indivi0val proposing development.)
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N cieved Time Nov,11. 3:58PM

jIIWD0WNER
.MOTEL
P.O. Box 3355 • 93 Old Causeway Road • Atlantic Beach, NC 28512 • 919/726-2191

919 726 6112
@4-99 09:54 PM SUNDOWNERMOTEL&MUDDUCKET 919 726 6112 P.01
ADJACENT RIPARIAN PIOPERTY OWNER STATEMENT
i hereby certify th,.IL I o:n property adjacent tc,
.. .____-----�— � � GEC � e✓� C !C ,
- s propc;rty
located at 280 64�ZC_r,41= �je►06-
v6,
(Lot, Bloc*};, - on S Road, etc. ).
Q dt�i�0
•� P �E S S L Ft� l� /E L in �i�/6 fE-1^►v 0 C -L S E-1
N.C.
{T�.,,n •anti County)
He has described to me ao indicated below the development
he is Proposing at t1lat location and I have no objections
to his proposal, .I under:ta,16 that a pier, pilings dnd
dredging must be Sct back a rriil)umum distance of fifteen feet
(15') from n;y al'ca of riparian accc: — unless waived by me.
do not. wisrt to w�jiv(01,)t OeLback requi.rernent.
Y do with t.o waivc tha_ seLback requirement.
Dcscripti_on and/or draw,i_rjci of proop(-)sed dcvelopment:
(To be filled in by individual F)ropc,sing development.)
e2El3014.0Waj 01PNU:E'rErC4�/� F4vc�r� UESr4�y�D
'goq.r •'roc K .
L-VI 1 ",10 Sit: d4JALL
r--
)1igna4ture
,h-Wi„4 -meop —Print Name
a and Phone tumber
Jh (� .
Sicg-atLlir
Print N,,,mc
PIK)nc Number

I�r
5IINDOW-NLER
0TE
P.O. Box 3355 • 93 Old Causeway Road • Atlantic Beach, NC 28512 • 919/726-2191