7350_BURGESS, JOHN B_19910711

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CAMA AND DREDGE AND FILL 7350
GENERAL
_Y JUL 1 81991
PERMIT
as authorized by the State of North Carolina,���N.���NNN����+
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 0.14
Applicant Name Vk �, 5 - t r C— �-
Address t L 0 a c wt trd u r
City C'c. 0
Project Location (County, State Road, Water Body, etc.)
rr- 7 . Vr ) / o 7 6
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Phone Number V V 3 - KtIr Ill..?
State zip 2
C11
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(SCALE: Na 0. ii�
Pier (dock) length
k__ a u
Groin length S� /r�
(1 e
number / _e
Bulkhead length
max. distant offshore
Basin, channel dimensions \ �zc %
cubic yards
i
Boat ramp dimensions
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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.
applicant's signature
-Dix, <4 k.
permit officer's signature
issuing date expiration date
NL_ A< 2//l � - my or -)attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee � � -