8829_ELLIS, WILLIAM S_19910614

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Applicant N
Address --.,e
City
Proiect Low
CAMA AND DREDGE AND FILL L 8 8 2
GENERAL
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development d oasta c mission
in an area of envir nmentaI concern pursuant to 15 NCAC
Phonui er
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
°ier (dock) length
Groin length.
number
§Ikhead length
"Tnax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
I
T
40
( i'
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 complian
T pplicant certifies by signing this permit that 1) this pro -
consistent with the local land use plan and all local
o antes, and 2) a written statement has been obtained from
adjacent riparian landowners certif in t they have no
o I Ions to the propose wor .
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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attachments
(SCALE:
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V.
plicant's signature
)� lj7' permit offic 's signature
issuing dXe expiration date
application fee C` `
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