14421_WOOD, DON_19950314

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CAMA AND DREDGE AND FILL
GENERAL r,b�'' t 4421. — 9
PERMIT
as authorized by the State of North Carolina ;
Department of Environment, Health, and Nt' i�1�-R_eso4rcert al Resources Commission
in an area of environmental concern pursu A'.-�("�
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Applicant Name C.+"' Phone Number,l• � `lam
Address 2E'6' %70 X 3 q 2.
City CSE iz.4 C'c•;r -- State A/C Zip e, �
Project Location (County, State Road, Water Body, etc.) dyDr ec, r,f r 1-36 2- "Al t% ja-,a 67 -r x VAX
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Type
Type of Project Activity n6 n! 5 1-12 v !/ loo ewes. .-t/ li o ± ii 17 Berl f A fA1A.r73'n1 A J1J(C i`)Y_(A VA nvoQ
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PROJECT DESCRIPTION
SKETCH
(SCALE: A10"1 )
Pier (dock) length
t-
I
Groin length
I �
{g`
S
O `
number
Bulkhead length
max. distance offshore
%�''+
I
il
Y
• "S
% S
Basin, channel dimensions
10
`
cubic yards
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i
Boat ramp dimensions
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t
Other
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IT
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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- applicant's signature
come null and void., ;'� % 1 I l
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.
permit officer's signature
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that � „ ,t
this project is consistent with the North Carolina Coastal application fee 4 .tIc 1: �,' �) �✓�
Management Program. f