28816_WILLIS, CHARLES_20010807

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CAMA and DREDGE AND FILL
G E N E R A L �
-PERM 1 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;_
Address
City
Phone Number
State zip
Project Location (County, State Road, Water Body, etc.)
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Type of Project Activity
E
PROJECT DESCRIPTION SKETCH , _
(SCALE:
)
Pier (dock) Length r - -'
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Groin Length
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number
Bulkhead Length
—
max. distance offshore
I
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Basin, channel dimensions
7
cubic yards
Boat ramp dimensions
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Other r;
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,
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law
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.
(�✓,`�'L/�� applicant's signature
issuing date
1 �
permit officer's signature
expiration date
1
attachments
application fee

JENNIFER C WILLIS
2296
NCDL 1742840 PH 919-489-6201
1034 W FOREST HILLS BLVD
88 1521531
DURHAM, NC 27707
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PAY TO THE
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Wechovia Bank N.A.
D-bh , NC 27702
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MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMTITE
LOCATION
PHONE: (i ) VC4 .,--(_0 -W
DATE OF INSPECTION o I
1) Do measured dimensions of the development differ from those indicated in the permit and workplat?
YES NU ircle one].
E' S AME: U� )V� S PERMIT #
FIELD REP.
C,
DATE REPORTEDLY COMPLETE: D (
COMMENT:
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/NO [circle one]
COMMENT:
3) FUTURE MOWTORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES [circle one].
COMMENT: