15616_BALLARD, RAY_19960322

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CAMA AND DREDGE AND FILL f'; wt_
APR ® 015616-b
GENERAL
PERMIT MAN.il�l.�. y
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and th Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC �f9 I�02
Applicant Name Phone Number
Address '+
City +, !r + �'-7 C'"` StateWET
Zip �t6i�3
Project Location (County, State Road, Water Body etc.) �k`Y- � AA. 27 19 �oi,4k hors �1
G;VM Wq__J k c l�Acvrer
Type of Project Activity L� {i �+a �0C n a Ly_�_ ` 00007%,'V'
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PROJECT DESCRIPTION SKETCH i S { _ (SCAL.PfjUZ Tu
Pier (dock) length
lOoAc, IF
Groin length
number
Bulkhead length _7
max. distance offshore
i
Basin, channel dimensions
a
cubic yards
Boat ramp dimensions r!
Other C�tL�Ci�— + �J V �� �� �f v
c) 5�,� a h S .ore f E -
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. tG
The applicant certifies by signing this permit that 1) this pro-(!�e%� as \ tq
ject is consistent with the local land use plan and all local issuing date
ordinances, and 2) a written statement -has-been obtained from
- �QU
adjacent riparian landowners -certifying _f at they -have no I
objections to the proposed`w`o`rk'-- f +=U A. attachments
In issuing this permit the State of North Carolina certifies that\
this project is consistent with the North Carolina Coastal application fee
Management Program.
applicant's signature
permit otticer's signature
expiration date