7434_DEWAR, S D_19910717

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Applicant Name
Address��kD
City — I 0; -
CAMA AND DREDGE AND FILLE6AU
7777' 60 7 4 3 4 - C3
GENERAL 0 6
1 `
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 1H►Oct
5 S. tom. 2�a W Phone Number QWS-
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State Zip
Project Location (County, State Road, Water Body, etc.) _
Type of Project Activity topoIK C cQ
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PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
r
Bulkheatl length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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(SCALE:
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any f
violation of these terms may subject the permittee to a fine Q`
—y � applicant's signature
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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issuing date expiration date
attachments ,\-\ , 1 �L)(_)
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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application feeL� 1