25671_BEAMON, JUDY; DICK DOLGAS_20000629

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CAMA and DREDGE AND FILL
G E N E R A L
j
PERMIT 14
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 (SCALE: )
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Tk: ...:t : 1 ;: + t -.,l;­L iitk tkic annl;r tinn cito Arn%Atina
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. 66-301531 33 2251
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(252)726-2191
ATLANTIC BEACH, NC 28512 Date
Pay to the �/ ` , /�
C`tN
Order of i
4ll Dollars (]
4R `I CITIZENS -
3 A AI K Flrstnitlzonz Bank & Trust Company
j�t1t �1� Atl.ntlo By�ch,J�I.C.
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GUARMNS SAFETY BLUE V

, h4 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER / UNCO VERED BC,,! T LIFT) Uzi le'51 o N
I hereby certify that I own property adjacent to �� V D�. is y�83
property located at Is- 2i
"'�qoc S60�10
on A Q c6Ss (214ti/4 L-
(NVaterbody)
(Name ,cf Property Owner)
(Lot, Block, Road, etc.) HI
JUN 2 1 2000
in � t` I z,41-1T/C �L e14, �T_C
�mAtqA65W
(Town and/or Cotn_REHEAD
He/She has described to me, as shown below, the devolopment he/she is proposing at
that location and I have no objections to his/her proposal.
-----------------------------------------------------------------------------------I----------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be felled in by ;ndividual proposing ,,!,:velopment)
Ift�%aLLA�o�/ oh �Ds}� LIFi /,\ifoi K6tJtCcCiNc� Lxi�rr</C�
�Xr����C�lti/53 Dock—, 6o i DTo tCOfJ1 �l TCi �('�
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Telephone Nurnber
Date: G - 7 a -- t'-Z
&CPS
----------------------------------
S�bnlaure v `-
Print or Type :\:ame
10
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1111

s
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A F(ER / UNCOVERED BG. -'LIFT) qzi
I' I hereby certify that I own property adjacent to �� U Dg °/v I z-283
property located at
(Nan ;� vfProperty Owner)
S 2 -? 14o E
on AC7e6SQ 'C A," L
(Waterbody)
(Lot, Block, Road, etc.) iu
u JUN 2 1
2000
in AFz, -h/T/e _� CA4 COASTA M
MEMOR(Town and/or CounEHEAD
He/She has described to me, as sl.ov✓n below, the dev,, '.Opment lie/site is proposing at
that location and I have no objections to his/her proposal.
----------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPC`.7,1:,D DEVELOPMENT:
(To be filled in by Individual proposing d 2velopment)
IN -,TA&ZAT `Oi/ Oh "904i C�1 Fi /� f✓J i261O�CiCIc/G� E51 �r�c/l�
X �. n/ i
k�. O/aT rD0 CY�� lam— ' C7 /k/�' �UCi� GJ ; C: f� rGU/N �j TC� rC7
irlQ,�li �26i"Jq/�lOj A �a' x IS,' AZell
4o _ 3 pEprp of SPo,/-.s , DOTAL OR ZZ`f cu. yp5 To 13E C�'RPodXto.
zo
1 �96A r_ '7 0 C �
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Telephone Number
Date: G/,/ r/oa
Signature
Print or Type Name

1 U .- 1:► 63 Kelm I U 0 H-PLIA-WIVIDIC
DIVISION OF COASTAL MAh AGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NCB":'IFICATION/WAIVER FORM
Name of Individual applying for Permit:
Address of Property: �Zi (,Z 14vc_�
/-/Tfe 12,--A-2 , 1-(e
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on t"le attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
/�L Z I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, Hwy. 24, Morehea., City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian :access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
A4I do wish to waive the 15' setback requirem: nt.
I do not wish to waive the 15' setback requi r ment.
P6/
Signature Date
N FIZ,4,vr , ,v s /A-/
Print Name
Telephone Number With Area Code