21540_SAUNDERS, RICK_19990412

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CAMA AND DREDGE AND FILL
GENERAL �} A., 021 "340 "C
PERMIT ellel
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name r S
Address 7u + -7
State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity P 'h 1
Phone Number
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Zip --Ir i
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PROJECT DESCRIPTION
SKETCH
(SCALE:
)
Pier (dock) length
0
d 1
� l' •y � C` . t_-' ( �.r.•
Groin length
number
Bulkhead length
IJ
% +,
max. distance offshore
! a
Basin, channel dimensions
is
cubic yards
•, t 4 I ,}. r
Boat ramp dimensions
Other
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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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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.
�a.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that I �~- J i
this project is consistent with the North Carolina Coastal application fee'
Management Program.

•
MUD BUCKET DREDGING, INC-
ATLANTIC 'BEACH CAUPEWA N 2 L 8039839
Po BOX
ATLANTIC BEACH, NC 28512
FIRST CITIZENS 133
r V First CiHzons Bank. Trust Company
1� Nlartio Baech, N.C. 285/7�2,�
For+ee a►`5461 a1�F�13
1:0 5 3 100 3001:00 13 12 L 606 7
66-30/531
133
Date
0 L 6 2 5
1625
GUARG,A 4SAFM BLUE WDSL

r* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
s property
located at _ /0& on
yve(UE 5 0C)jJd (Lot, Block, Road, etc.)
&C c!FS S C 44.4 N k t L�: i n -Pi'J&C 4z^1 D Z-z- S F-E &C�0 , 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
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
I do wish
to waive that
setback requirement.
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~y
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Description
and/or drawing
of proposed development:
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(To be filled
in by individual proposing development.)
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Signature
Print Name
90 � — 7�,,-�
Date
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
qin -&O 'Z-%,9ZY
Is property
located at i /[�Cv wyz-/J�� el- , on
�UCrv� 3001JJ;9 (Lot, Block, Road, etc.)
CC CFS S e kt 41-1 a L:5 L in '-Pi d (zl'i o [.4 S �-F IJ�"--cc S , 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
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
G� I do wish
to waive that setback requirement.
Description
and/or drawing of proposed development:
R
(To be filled
in by individual proposing development.)
r,
I%is�AGL.Ai lc7�I
�F O•(I i-1 Gr- ALb.JO 5110 01--
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Print Name
Date Phone Number