28500_PENDLETON, G B_20010725

CAMA and DREDGE AND FILL
G E N E R A L
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Re!
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2 500A
�s Commission
in an area of environmental concern pursuant to 15 NCAC
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Applicant Name 1 t.� :'y f) , �F 7`0 Phone Number
Address / ej /' A4 l / G & ; j.:, 00 / (" C
City A4 0 �/0 c: �<
State zip
Project Location (County, State Road, Water Body, etc.) i_ U'ex) I i tU rw
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Type of Project Activity (� l5 N T ; v�'i /F G ! r4 ♦ G G , c: f c, c. .H,F4
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PROJECT DESCRIPTION SKETCH E fr
(SCALE:
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Pier (dock) Length
Groin Length
number
%
Bulkhead Length
max, distance offshore %
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Basin, channel dimensions
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cubic yards
Boat ramp dimensions
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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 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.
applicant's signature
permit officer's signature
issuing date 1 expiration date
1�Ct trl
)'LF T c Al attachments
In issuing this permit the State of North Carolina certifies that this project u k' ,-�* /00 `-V
is consistent with the North Carolina Coastal Management Program. application fee