19798_WILSON, RACHEL_19990105

CAMA AND DREDGE AND FILL --�
GENERAL . f119798
PERMIT
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as authorized by the State of North Carolina �jjQp
Department of Environment, Health, and Natur'�I'Aes 2 r1ceI'qqa 9 the -Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name Vv i 5 �` Phone Number
City
Project Location (County, State Road, Water Body, etc.) L
Type of Project Activity X
o Q`
PROJECT DESCRIPTION SKETCH
Pier (dock) length"rt t 'Y
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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State `-
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VV ry
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All
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_ Zip
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any 44
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be- r
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. s l�
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local issuing date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that C__ n 0 D
this project is consistent with the North Carolina Coastal application tee �`✓
Management Program.
appiicant-s signature
permit officer's signature
` expiration date