27930_UNC MARINE LAB_20010601

CAMA and DREDGE AND FILL c
G E N E R A L � � 02d9 3o-�_
PERMIT
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
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PKVJLLI UtNCKINIIVN
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
T �•./ ,applicant's signature
issuing date
permit officer's signature
expiration date
attachments
application fee

RICHARD A LUETTICH JR •_..
R-726-6841
NC IMS
MOREHEAD CITY, NC 28557 0222
Pay To The Z 66-152/531 CC
Order Of
WTAC
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.Ilorehend N.A.
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5468 197762u, 0222
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:1 �NatlOnal IBlBnd 42'382 /00 SHEETS EYE -EASE' 5 SQUARE
/ 42-389 200 SHEETS EYE -EASE' 5 SQUARE
+ 42-392 100 RECYCLED WHITE 5SQUARE
42J08 200 RECYCLED WHITE 5SQUARE
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