8813_AHRENHOLZ, DEAN_19910621

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CAMA AND DREDGE AND FILL C 8813
GENERAL w
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Developmentand the oastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 7 // 00 V_ / a o 0
Applicant N ale
Address
City
Project Location (Coup
e of Project Activity
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PROJECT DESCRIPTION I SKETCH
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'ier (dock) length 7, L% I Zt,
Groin length
number
Bulkhead length
6—e
max. distancf offshore
10,6W 4
Basin, channel dimensions
cubicyards
Boat ramp dimensions
Other
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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.
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Phone Number 7; f ` -g & i
Zip a �_
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V applicant's signature
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permit officer's signature
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issuingdate expiration date
attachments C A G % IL) // a 0 Y/ a D o
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee SD. DO
Management Program.

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
s property located at
Name of Property Owner
(Lot, Block, Road, etc.)
on pcs�;s Lo�� „t f��� far in N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is
proposing at that location, and, I have no objections to his
proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
Print or Type Name
Telephone Number

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