15613_BUNDY, E.J._19960312 (2)

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
1'1
rMA 971 96 f
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as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC i•11 1 �` t' L
Applicant Name t'-' �J ' t CkY\C., y Tr • Phone Number 1 800 662 .1772-9
Add C:� q� - A r r (- fIS I ' I 1 9 r',Ar -
ress
City MT G !;'
Project Location (County, S
Type of Project Activity —
Vr 0 00 sr- c;i JUc V,
Road, Water Body, etc.)
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La I! ,-I I) i e
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PROJECT DESCRIPTION SKETCH
Pier (dock) length".
441 6)id
Groin length ' Cr%3�`=�� first
4 a or
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
State I&I(�) Zip
t.r A An° I
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F7
6
I'. • 1
1 %rl'"C,
(SCALE:
lUc.7r- T-6 5 I
Boat ramp dimensions 1
Other LA
dock, ,
ifs°x i1 '�
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N
(a� a ik I (n ' SSE 0 < �
310 A 0 i r e�Svn
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of thee_`ms 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: --W C nff�i
! issuing this permit the State of North Carolina certifies that
project is consistent with the North Carolina Coastal
gement Program.
PL_
47 n_,=z
applicant's signature
iYn
( permit officer's signature
suing date expiration date
attachments1-+
application fee '6w4kf fA