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8404_ADAMS, JACK_19911107
O CAMA AND DREDGE AND FILL 04A, GENERAL PERMIT as authorized by the State of North Carolina, g,. Department of Natural Resources and Community Development an the Coma Resources Commission "" in an area of environmental concern pursuant to 15 NCAC o�i • ����` Applicant Name ��� C K /4 ID A MS Phone Number 301- 72G -g q 72_ _ Address o o Z2 S _ City. 9=11(�L4uR.4E[ tate Zip _�,�_a707 Project Location (County, State Road, Water Body, etc.) _ D g eo o.eFl ow} ���r - ;'c�a . &Ar,5 f1FW72 1 ,4RT/9C .) 7 �lTGANT/c pCI-':*AAI Type of Project Activity PROJECT DESCRIPTION Pier (dock) length Groin length number Bulkhead length max. distance offshore Basin, channel dimensions cubic yards Boat ramp dimensions Other SKETCH 0 " Iw 1VA1_kC CANZ)waR0 ra G''vJvPt 7-101J-6 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. (SCALE: ///1 ) W,04K 594t(- 13E GA1(11ED C v7 / ?,, A w 12 -11 G- r_- )vF, A- ( R F--D 5f FE-C/Fic COPP/7-/V,-5 ©/= `1-/ .54 0 71� . / B 0 0 , �} & oP l% Vr- 1s A7-TaC,#t_D o applicant's signature fficer's signature Lli issuing d expiration date attachments D ,� iq •18o0 00 application fee