14201_WASHINGTON ACRES HOA & BATCHELOR, WILLIAM_19950303

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CAMA AND-9REDGE AND FILL}
GENERAL 14201-D
AR 0 9 5995 1PERM ITr}1
as authorized by th4JJtJL-=NU&#h�rWihxr'4+"'
Department of Envi;Qaca k#eakfiptirrid"P"tA esources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC c is
� t Applicant Name Phone Number ��i i -
Address
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City State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH R: "-
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Pier (dock) length
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Groin length.
number
Bulkhead length]
max, distance offshore I _
Basin, channel dimensions
cubic yards Fi
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Boat ramp dimensions -.
Other
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drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine, f
imprisonment or civil action; and may cause the permit to be- } '� / plicant's signature
come null and void. ) �l
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. s�
The applicant certifies by signing this permit that 1) this pro 3 4 j
ject is consistent with the local land use plan and all local ! issuing date expiration date j
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments — IT Ir-t
In issuing this permit the State of North Carolina certifies that
this project --' is consistent with )
P 1 i the North Carolina Coastal application fee--'.,
Management Program.