14466_WHITE, D.G. & WHITE, WR._19950330

CAMA AND DREDGE AND Flt rr�17Mr"r,
GENERAL ► ''�
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APR 2 5 1
PERMIT _ - r
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as authorized by the State of North Caroling .....,..............•.+.w
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
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Applicant Name _':4 �� �s - ��� C �Z . ; �� Phone Number W 212% • -10i
Address
City `\; State N L Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock)length
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max. distance offshore
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Basin, channel dimensions_
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This permit.is subject to compliance with this application, site
drawing an attached general and specific conditions. Any
violation o,? 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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments _) �A . \~0U
application fee ��a` I r ���i1n 7:) ��