27224_BRODERSEN, CINDY_20010502

CAMA and DREDGE AND FILL
G E N E R A L MAY D 2722 °-
P E R M I T COASTAL ANA`-- ---•. _ ___ _ ____.
as authorized by the State of North Carolina MOREHE.gpEMENT
Department of Environment and Natural Resources and the Coasta urces Commission
in an area of environmental concern pursuant to 15 NCAC 6 -j,q // G
Applicant Name i Q 0 /Z G fj 0./a ' IF Q Phone Number '755 4-VC /449 1
Address J. 17 Luc. 1�.d=4,k 0 },,`��? a L,PF
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City ?!F <,/I State Zip 131�
Project Location (County, State Road, Water Body, etc.) L.- GW R t` <: © { t. y/, Iti,Q/1 L F,jOr 5L ?
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Type of Project Activity t: Ec: 7 ON c r- S TC N F f� It'14 P el �
i"r9l4JA+Ait—! G/ 4%1,U L,
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
(SCALE:
/v 0Ul-
)
Groin Length
numberMod
BolkheidCength
max. distance offshore
C.
Basin, channel dimensions
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rV
L
€
u/!
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cubic yards
1
Boat ramp dimensions
Other
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is
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
r applicant's signature
permit officer's signature
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that this project K JVt--, �, /06
is consistent with the North Carolina Coastal Management Program. application fee