27030_VAUGHAN, THELMA_20001212

CAMA and DREDGE AND FILL,��,
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
La
(SCALE:
r
)
rt
—
Groin Length
number
Bulkhead Length
max. distance offshore
KI
(
t
Basin, channel dimensions
y
3
cubic yards_
Boat ramp dimensions
—
Other
_7 ..; .
c
i
;
t
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
2491
Date d7� 66-30/531
v 133
Pay to the
Order of
iFiRs-r CITIZENS 1J3 UAAA 1-m Company
, .. 28512
For
1:0 S 3 100 10 01:0 0 13 L 2 L606 7 3um
021,91
rip
Dollars 8
w
GUARD-OSAFM BLUE WDBL

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
,k�q
�4k �SLIn
OkA ,I
I hereby certify that I own property adjacent to
"q9- �3/6. 's property
located at 1 7S Z-09(,o L4-q 021 u 6:7 on
(Lot, Block, Road, etc.)
in 1 I/�I� �/v,7LL �i-Eol�'E� 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 1 have no objections
to his proposal. ]: 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.
T I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
(!(S i.Q&&A! ro&I Of- l� /_(�/�� FLEA o%
1kjT&(�7(,vCK(44/ U(1-fyL Scolt%�!L
"t o'2F,P�
c
WASL
! 1 —'0 - r-v
Date
471
�� t-1 tic f�c�Q
I..{ i L) CA GJ q ('
S nature
Prix'•_ Name `
Phori Number

ADJACENT RIPARIAN PROPERTY OV'NER STATEMENT
I hereby certify that I own property adjacent to
1/Y��S • ' �-�. 1 (440�) 1-fA14 Is property
located at I -7 'D.21 L)c on
(Lot, Block, Road, etc.)
HOOPE4s'
y in �WE Ate/ 01_ LN. 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 hale no objections
to his proposal. ]. understand that a pier, pilings and
dredging must be set back a minumum di -stance of fifteen feet
(151) from my area,of riparian access ;.unless waived by me.
I do not wish to waive that sEtbar_k requirement.
I do wish to waive that setbac:•k requirement.
Description and/or drawing of_J2rooposed develo mp ent:
(To be filled in by individual proposing development.)
QLCA i ►O,,( 0(: l`� %I/�"�Q� F4--E'r or-
1,�j-F&'Z c.oC- re I"cj J r,-Jq L Sc.1A1,: ALA"-,
(- '7_� -oo
Date
eo
��z
Q
V
u Ex�s SEaela
`y
Sic�.-�ture
Print Name
Phcn Number