13725_ROSE, RICHARD_19950112

Applicant Name
Address
CAMA AND DREDGE AND FILL rJAN
GENERAL t75,
1 7 il�
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC U ; /� • r'S 0 c , "rd'. / 50 a .
I C_"4A r' 1) S, R o5E- Phone Number `flQ• q'7. -.`'7/©a'
U f3ox ;35
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City ,. _ 1,. '� ,/^, o tr ,17- State IQ C. Zip 7pQod''s-
Project Location (County, State Road, Water Body, etc.) DC1 RAtel i"5 15 I-AAJ 0 To/ -A /%AA i,d 1.1 C R6+E
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Type of Project Activity ple4 : C AJ 7- 0 '_S A U TH r A 0 Sao Tr, Rg, E44c 70' '
t= (11t::G0r_-h1 8U4-k1194Q Ati0 AA4at:r+:ft0-C(' +��'GAL-A
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r 19' k, 'G N Lo>" -C,- Tc 161 /.00 &14
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
FS EW P T W
(SCALE: A//, 1
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.
! 11 applicant's signature
permit officer's signature
l? Gr�-G at,troles"'10,0 .
issuing date expiration date
attachments r1 ✓r, c f �j 7"/, / y d) 0
J U =ti �_i I < L,&, G GL�I%i
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.