28364_PRESTAGE, BILL_20010913

CAMA and DREDGE AND FILL
G E N E R A L 2^;4_.'
P E R M I T °°'
as authorized by the State of North Carolina'
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number
Address
J
City State •: Zip•
Project Location (County, State Road, Water Body, etc.) _'>ftc� , _ A iA4(71,:�,
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Type of Project Activity _(% -, {-A
PROJECT DESCRIPTION SKETCH F (SCALE:
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Ot, r
r
This permit is subject to compliance with this application, site drawing `
and attached general and specific conditions. Any violation of these terms T
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
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applicant's signature
This permit must be on the project site and accessible to the permit of- permit officer's signature
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 issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has _ f l been obtained from adjacent riparian landowners certifying that they 1 C
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project'';
is consistent with the North Carolina Coastal Management Program. fee