14736_WILLIS, R.D._19950906

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CAMA AND DREDGE AND FILL
GENERAL
y�
PERMIT 67.1 t-� 7 `e
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
Applicant Name_• r'�' ° t j' > � Phone Number ' 'j %n r
Addressr�
City
K _ State ��•� C zip -,
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Project Location (County, State Road, Water Body, etc.) ` -7 ' "' -r
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Type of Project Activity ' "? I
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PROJECT DESCRIPT•
Pier (dock) length
MINE
MOEN
NO
■�■■■■■■
■C■■'M■■■■■■■■■■■■■■■
number■■■■ONS
1XI
ME■1N�■■■■■■■■■NNOON
■
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ON
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max. distance offshore
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■■■c�.r■a■
Basin channel dimensions
•
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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.
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applicant's signature
l permit officer's signature
-5' ik���
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee��'t^ ` 'G�`��

PAY TO THE
ORDER OF,
JOHN C. WYATT, JR. 2-89
PEGGY R. WYATT
P.O. BOX 266
CANDOR, NC 27229
A- The Fidelity Bank
P.O. Box 729, Candor, NC 27229
MEMO C-_j PC, 11417J
1:053103SIB 5l:088831 2543um
KEY
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66-358
531
716
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