13752_WHITE, ROBERT_19950119

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Applicant Name
Address
City
Project Location
LAN
CAMA AND DREDGE AND FILLGENERAL 2 3 1995UUXV
PERMIT •.......................moi.
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal ResPources Commission
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in an area of environmental concern pursuant to 15A NCAC �1l
�a >" �� 71 Phone Number�-
(County, State Road, Water Body,
of"Project Activ
State
zip
PROJECT DESCRIPTION SKETCH 7-- (SCALE:
Pier (dock) length
Groin length V
number)
Bulkhead length
ff
max. distance offshore
Basin, ch�xnnel dimensgoni
XIS '
cubic yards
Boat ramp dimensions
er
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.
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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,
applicant's signature
i
/ C permit officer's signature
issuing date expiration date
attachments 2/ / /
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application fee