14453_STEWART, HARRY_19950623

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CAMA AND DREDGE AND FILL�.-:�"�?,� ,�
GENERAL
PERMIT W 3
as authorized by the State of North Carolina .......�iM
Department of Environment, Health, and Natural Resources and the Coastal Rey8rces Commission
in an area of environmental concern pursuant to 15A NCAC `
Applicant Name t'J a d
Address
City
Project Location (County, St -
Type of Project Activity
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Road, Water Bpdy, etc.)
Phone Number lig—
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State "I" Zip :��
PROJECT DESCRIPTION
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Pier (dock) length
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applicant's signature
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cubic yards
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objections to the proposed work.
attachments 1
Groin length
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number
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Bulkhead length
max. distance offshore
violation of these terms may subject the permittee to a fine,
Basin, channel dimensions,
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applicant's signature
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cubic yards
Boat ramp dimensions
Other
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
issuing date expiration date
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This permit is subject to compliance with this application, site
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drawing and attached general and specific conditions. Any
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violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be -
applicant's signature
come null and void.
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This permit must be on the project site and accessible to the
permit officer's signature
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
issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
1-4' 14c- Jtf � f &0
objections to the proposed work.
attachments 1
In issuing this permit the State of North Carolina certifies that
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this project is consistent with the North Carolina Coastal
application fee
Management Program.
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