14675_WAFF, PAUL_19950801

ND FILL
14675
Carolina
i, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 2A, W'd - - i 410 - ,,4 L1Zl
Applicant Name kA L. ✓+ Phone Number Wei- i"?,A j � b 21
Address 13(;X 42
City— 'a` ; ; , < State . f"y Zip :W 2
Project Location (Count`y, State Road, Water Body etc.) 6.T,i,rayr (` r r s ;41c �! ,�hu � ,�r;e�cLg ✓.'ldr �71"
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Type of Project Activity •, L i"
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PROJECT DESCRIPTION
Pier (dock) length
MIN
MIM
IMMEMEMEM
mom
MEN
max. distance offshore X
UP
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N
Basin, channel dimensions_
ME
mom
0
M
■
Boat ramp dimensions
Other 11.re
MID
NEES
-WIN Al
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 i) 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.
1
fapplicant's signature
/ permit officer's signature
Zz
j issuing date T expiration date
attachments AM. 1.11l 11140Cf ZOO
If
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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