14014_RUSSELL, TOM & HOLDEN, GREG_19950728

CAMA AND DREDGE AND FILL Q
GENERALAU6 0 1"9 14014-,_O
PERMIT
Applicant KI e iyrY', s~ x� 1­1s_A LsC it't"rW a -%'r^
Address IIQc-a� r � �•
City - k� br- , 0 t
Project Location (County, State Road, w4eer� y, etc
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Type of Project Activity u r
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d the Coastal Resources Commission f/
_Phone Numbed oc? 0
State _�Q A
Zip
PROJECT DESCRIPTION
SKETCH
� r� tSCALE:
Pier Length—
(dock)
-
a
Groin length
I
number
Bulkhead length
max. distance offshore
�
Basin, channel dimensions
cubic yards
Boat ramp dimensions
i
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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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.
issuing date
i applicant's signature
it offickr's signature
expiration date
attachments —7 t D,
�f'"
application fee