21755_WILSON, WILLIAM_19990414

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`- ' ` AND ^^'`�^~`'^ ^~ FILL �GEWEA4| 02 55
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PERMIT
MAY 2 4 199,) auauthorized bythe State ofNorth Carolina
Department ofEnvironment, Health, and Natural Resources and the Coastal ReaouncVo Commissionin an area of environmental concern pursuant to 15A NCAC
Applicant Name Phone Number
Address
City State Zip
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Project Location (County, State Road, Water Body, etc.)
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Type of Project Activity C_so,_ <77- k F -
This permit is subject mcompliance with this application, site
drawing and attached 8enom| and specific conditions. Any
violation of tbu*u terms may subject the permittee to a fine'
imprisonment or civil action; and may cause the pxnniz to be-
come null and void.
e'comenuUandvuid.
~
This permit must be on the project site and accossib(u to the
permit officer when the project is inspected for compliance.
The applicant currUios by signing this permit that l) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a whccnn statement has been obtained from
adjacent riparian landowners certifying that they have no
objections uothe proposed work.
\ .
applicant's signature
---- .
permit officer's signature
attachments
[ ' ,
issuing date
expiration date
'
In issuing this permit the State ofNorth tam|inacrrdfies that U \ �
this project is consistent with the North Carohnu Coastal application fee.
cy � � — ��
Management Program. ��—��---
PROJECT DESCRIPTION
SKETCH
(SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
This permit is subject mcompliance with this application, site
drawing and attached 8enom| and specific conditions. Any
violation of tbu*u terms may subject the permittee to a fine'
imprisonment or civil action; and may cause the pxnniz to be-
come null and void.
e'comenuUandvuid.
~
This permit must be on the project site and accossib(u to the
permit officer when the project is inspected for compliance.
The applicant currUios by signing this permit that l) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a whccnn statement has been obtained from
adjacent riparian landowners certifying that they have no
objections uothe proposed work.
\ .
applicant's signature
---- .
permit officer's signature
attachments
[ ' ,
issuing date
expiration date
'
In issuing this permit the State ofNorth tam|inacrrdfies that U \ �
this project is consistent with the North Carohnu Coastal application fee.
cy � � — ��
Management Program. ��—��---