28666_SMITH, STEVE M_20011019

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CAMA and DREDGE AND FILL a
,.� G E N E R A L NOV U 6 2001 MOP '
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission j
in an area of environmental concern pursuant to 15 NCAC
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Applicant Name Phone Number j
Address
City State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH ;;
(SCALE:
)
Pier (dock) Length
Groin Length
~�l
number
t
t
Bulkhead Length
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max. distance offshore
Basin, channel dimensions
t
cubic
yards
€
dimensions
Boat ramp
Other
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S
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This permit is subject to compliance with this application, site drawingL
and attached general and specific conditions. Any violation of these terms
applicant's signature
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
issuing date expiration date
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.
attachments
In issuing this permit the State of North Carolina certifies that this project
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is consistent with the North Carolina Coastal Management Program.
application fee