26494_NC DOT_20010302

i
CAMA and DREDGE AND FILL your project is subject to the T,apantlico
River Basin Buffer Rules due to its 2 6 4 9 4-
G E N E R A L r�
�1 location within theTar1Patnlico Basin.
Please contact Deborah Sawyer at (252)
PERMIT 946-6481.
as authorized by the State of North Carol la"
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC _)\ , - a_100
Applicant Name1y :, Phone Number :;tw,
Address
City
zip Z11 3 c;
Project Location (County, State Road, Water Body, etc.)�-
Type of Project Activity Q roC-A^c '�:% j:�A.{�
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other .5
State 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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
(SCALE: NONk-
applicant's signature
f permit officer's signature
issuing date expiration date
attachments
application fee

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NORTH CAROLINA DEPARTMENT OF
AS ENVIRONMENT AND NATURAL RESOURCES
f
DIVISION OF COASTAL MANAGEMENT
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NCDENR
JAMES B. HUNT JR.
GOVERNOR
BILL HOLMAN
SECRETARY
DONNA D. MOFFITT
DIRECTOR
WASHINGTON REGIONAL OFFICE
943 WASHINGTON SQUARE MALL, WASHINGTON, NC 27889
PHONE: [phone] FAX: [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED / 10% POST -CONSUMER PAPER
DENR TOLL FREE HOTLINE: [phone]

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NCDENR
JAMES B. HUNT JR.
GOVERNOR
BILL HOLMAN
SECRETARY
DONNA D. MOFFITT
DIRECTOR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF COASTAL MANAGEMENT
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WASHINGTON REGIONAL OFFICE
943 WASHINGTON SQUARE MALL, WASHINGTON, NC 27889
PHONE: [phone] FAX: [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED / 10% POST -CONSUMER PAPER
DENR TOLL FREE HOTLINE: [phone]

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NORTH CAROLINA DEPARTMENT OF
A
ENVIRONMENT AND NATURAL RESOURCES
.1
DIVISION OF COASTAL MANAGEMENT
.�,�.�
NC®ENR
JAMES B. HUNT JR.
GOVERNOR
BILL HOLMAN
SECRETARY
DONNA D. MOFFITT
DIRECTOR
WASHINGTON REGIONAL OFFICE
943 WASHINGTON SQUARE MALL, WASHINGTON, NC 27889
PHONE: [phone] FAX; 252-975-3716
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED / 10% POST -CONSUMER PAPER
DENR TOLL FREE HOTLINE: [phone]

BOX CULVERT
CROSS SECTION OF
CULVERT CROSSING
DATE 02.02- n 1
ROAD SR • 19 A-(o
ROAD NAME
COUNTY Pf-ALWOI
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AND RACKFILLED 1
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NORTH CAROLINA DEPARTMENT OF
© ENVIRONMENT AND NATURAL RESOURCES
�•!
DIVISION OF COASTAL MANAGEMENT
..
NCDEN
JAMES B. HUNT JR.
GOVERNOR
BILL HOLMAN
SECRETARY
DONNA D. MOFFITT
DIRECTOR
WASHINGTON REGIONAL OFFICE
943 WASHINGTON SQUARE MALL, WASHINGTON, NC. 27889
PHONE: [phone] FAX: [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED / 10% POST -CONSUMER PAPER
DENR TOLL FREE HOTLINE: [phone]