HomeMy WebLinkAbout21545_SMITH, CHARLES_19990319Fri
O
CAMA AND DREDGE AND FILL �j-b ��� �4�
OL d
GENERAL
PERMIT
as authorized by the State of North Carolina
a
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name '
Address -
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH tt.
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
.7
cubic yards
Boat ramp dimensions
r--
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.
Phone Number
State '� r, Zip ��-
l )-0
(SCALE:
t �
applicant's signature
/ A
permit officer's signature
issuing date expiration date
attachments �� � 7 P �' (� I / irr''
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
MUD BUCKET DREDGING, INC.
ATLANTIC BEACH CAUSEWAY NCDL 8039839
PO BOX 3355 PH(919)726-2191
ATLANTIC BEACH, NC 28512
66-30/531
133
1584
Date Iq(��
Pay to the
Orderof r7 hS /✓il
CITIZENS 133
RAKAllizans Bank .b Trus1tC
l.-BaN,C285m day
For —� -- � JT
1*053L003001:00L3L2LC30673118 0L584
GUARDIAN® SAFETY BLUE WDBL
MAR-19-99 09:02 AM OUNDOWNER.MOTEL&MUDDUCKET 919 726 6112
' ADJACENT RIPARIAN PROPIMTY OWNER STATEMENT
P. 01
I hernby certify them_ I own property adjacr:�nr to
located at (< rfq Toa '4 on
(Lot, Block, Read, etc.)
17 v r•f
in —ATZA110—ie- 24F412e4 N.C.
(Water Body) (Town and/ot Coonty)
He }gas described to rnc` indicated below the development
he ju �-.)i5o osinq at ttiat I,oc:ation and I have no Cbiocti.on
to his propo! adl. I underutand that a pier, pilintjs and
dredging must be seL L)) icck a minurnum distance of fi.ftr-clz fret
(15') fiorn my area oC riparian ac::cess unZcws waived by me.
I do not wish to waive that setback rcgUii amer,b.
_- _ I do wish to waive that setback rcquiremenC.
DQ,It Cr•i tion rand/(�)r drawinq of proposed development:
(To be filled in by individual. proposing deveiopn-iCrit.)
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PlIcIne Number
ADJACENT PIPARIAN PROPERTY OWNER STATEMENT
I heref)y certify that I oven property adjacent to
Fs s propr ty
located at ���15' i drl Ut __, on
— (Lost , Biock, Read, etc:)
(water Body) (Town and/ur County)
He has described to rile as indicated below the devea_opment
he is proposing at that lacation and I have no objections
to his prQpos4. I understand that a pi or r pilings and
dredging nitist be sct back a minumum distance of fifteen feet
(l51) from my area of riparian access unless waived by me.
_ X do not wish to waive that setback requirement.
-- I do wish to waive that setback requirement.
Description and/or drawing of propi�ser7 C3eveloprricnt:
0� (To be .filled in by individual proposing devei.opmerit.) _
or- 4F-6-2i 1 ) aodT
,n
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a
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Signature
Pr 1 n' t NaVe