HomeMy WebLinkAbout23102_WILLIS, ALEX_19990712O
CAMA AND DREDGE AND FILL (of
GENERAL _N? 23192 -� M
PERMIT
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 / i` ! 12I' `r
Applicant Name Phone Number `3 7)+ U
Address -
City State zip
Project Location (County, State Road, Water Body, etc.)
hype of Project Activity OFS'
PROJECT DESCRIPTION SKETCH (SCALE: `! )
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
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 a t e ave no
objections t9 the nronosed j;irk
IIM
applicant's signature
J
permit officer's signature
�_ r ?- f ) /'• / v
issuing date expiration date
attachments /�`` A ,�- ! !/9
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee gevs r/ l ! C d c'1 ', ! / d
INTEGRATED PAYMENT SYSTEMS INC. -
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___ ___ _ _ _ ____-}�__AUTHORIZED REPRESENTATIVE
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