27894_SKINNER, ALSTINE_20010412

CAMA and DREDGE AND FILL 27894 -_r
G E N E R A L'
PERM I T "7
as authorized by the State of North Carolina ti
Department of Environment and Natural Resources and the Coash_&Resotwces Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name "< ' Y* <' Phone Number ' 2t 59,p s el) 7.?k 5yd
Address - ' ` u
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City State N� Zip y ao
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity !, < is `1� t h ' ` } 4 • j
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
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Groin Length
number
Bulkhead Length
max. distance offshore
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Basin, channel dimensions
cubic yards
Boat ramp dimensions"
Other
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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.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
Y
/ applicant's signature
permit officer's signature
u 12-a1 7 -�2 ct
issuing date expiration date
attachments
application fee

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U.S. DOLLARS AND CENTS
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ADJACENr RAP"tM A COPERTY O'v*,Wlt SfATEM4WI,
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lowedat4.�wF via.t �a�wi.l�w•. s� .�+..-«.. as�+..,sww+.ds.,!
(CA, foul Rand, dc.)
1111
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(Town sower Caa fty)
He his deactibA tier ere, to *owns below, W deva opr "it he ;a lu+aposing at that
location, wd, I have ".o :+j;o:datis to his propoul. I usadasoud L4.t a ptedutmovend bw lft
must be at bark a - •-4-4a► sn dance of !Rees f6d (13') from my WOR ru •-Jpwiw wrens +WIM
waived by me.
I Ap 441 +ram .,h m wCve the sedWk Wit.
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