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CAMA AND DREDGE AND FILL �� t
GENERAL N 22293 -
PERM I T
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
SKETCH
I I<
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
Phone Number
4& 0 V
G�1 y,'It e'r
Zip
(SCALE:
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applicant's signa
I
t officer's signature
� f
issuing date expiration date
attachments
application fee
6967
ROBERT S. WARREN -JR.
3504 WILLI Fi�COURT
RALEIGH, NC 27609
PAY TO THE � ' 'e—, 9, R
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FIRST CITIZENS BANK
d TRUST COMPANY
RALEIGH, NC 27602
66-30/531
JI
LLARS
S-nily loalums
t included.
Delails on back.
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119006967118 i:053 L003001:08666 L554011■
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residing at
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grant permission to Robert S. Warren to construct an electric
boat lift at his dock at 118 Edwards Drive, Morehead City, NC.
(Signatui
(Date)%./ 2, /�'s9
L&* residing at
grant permission to Robert S. Warren to construct an electric
boat lift at his dock at 118 Edwards Drive, Morehead City, NC.
(Signature)
(Date)
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