8206_JACKSON, IDA M_19910625

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CAMA AND DREDGE AND FILL
GENERAL
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 2fl //lJ e
Applicant Na e 4 1)
Address , />GR
City 6A li u
Project Location (County, S
Type of Project Activity
Road, Water Body, etc.)
State
Phone Number
Zip 2 ') 5—
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PROJECT DESCRIPTION SKETCH / S— PT (SCALE:
°ier (dock) length , I
Groin length
number /� P4
Bulkhead length; gd
max. distance offshore /v } /��/ 1�' % fS�rit
Basin, channel dimensions 1 j
cubic yards V
Boat ramp dimensions
U-X/ ' -,
Other
Cc 1A (j Yu C n /
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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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
app ji�Vssignature
AU"f
permit officer's signature
issuing date 1 expiration date
attachments Z�G 0
application fee C