6640_MACKENZIE, R W_19901109

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CAMA AND DREDGE AND
GENERAL F
Nov s �� 4 6 4 0 -6
PERMIT r...
as authorized by the State of North Carolina, w���,��;.F.
Department of Natural Resources and Comnii�ii yT�Severopment and the Coastal Resources Commission i
in an area of environmental concern pursuant to 15 NCAC 1�a \IQ6
Applicant Name ► •'w ��QPhone Number 9%°�
Address , n J. +*h
City - � r %-e-c v+\\ . State Zip IN-Y :1 t1 J k
Project Location (County,- +State Road, Water Body, etc.) ''''
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Type of Project Activity 0 ,r; pc) ta c cVc­Z­\r _, r.. L1U 1 c.e"
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PROJECT DESCRIPTION SKETCH \ ��
Pier (dock) length
Groin length
number i
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
i
Boat ramp dimensions
PL
Other
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This permit is subject to compliance with this application, site
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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 -
applicant's signature
come null and void. (--, \ ' n i . \Nt\
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.
permit officer's signature
� NU�►C1���'i1,_i••. 1`��iU g � �lU�ataRY !`i° , I
issuing date expiration date
attachments 0C
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.