28582_WATERHOUSE, RODNEY_20010907

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P E R M I T
as authorized by the State of North Carolina 0 1 33 2001
Department of Environment and Natural Resourceiand the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC;4751k18 6
Applicant Name Phone Number �
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Address
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city State zip /
Project Location (County, State Road, Water Body, etc.)
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Type of Project Activity
PROJECT DESCRIPTION SKETCH JEi__
P 7—
(SCALE:
41fo)V
Pier (dock) Length
Groin Length
number
BulkheadLength
max. distance offshore ;11
FL
Basin, channel dimensions
cubic yards
Boat ramp dimensions
LL
A
other
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At
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This permit issubject tocompliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
may subject the permitteeUuafine, imprisonment mcivil action; and
may cause the permit 8obecome null and void.
This permit must beonthe project site and accessible 0othe permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1)this project isconsistent with the local
land use plan and all local ordinances, and 2)awritten statement has
been obtained from adjacent riparian landowners certifying that they
have noobjections tothe proposed work.
|nissuing this permit the State ofNorth Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
permit officer's signature
issuing date expiration date
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application fee