21836_SLAYMAKER, DARLENE_19990518

CAMA AND DREDGE AND FILL
GENERAL JUN 11 1999
PERMIT
SOS 21$36 A
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC q" � �:Xf k- -) Ilk
Applicant Name'�'t
Address
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Phone Number j f - Ll �,A -
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City L"i l gyt A.,
Project Location (County, State Road, Water Body, etc.)
State s
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Zip 22
Type of Project Activity
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imprisonment or civil action; and may cause the permit to be-
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This permit must be on the project site and accessible to the
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permit officer when the project is inspected for compliance.
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The applicant certifies by signing this permit that 1) this pro-
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PROJECT DESCRIPTION
SKETCH
issuing date
4 expiration date
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(SCALE: 11 / )
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
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. Anyl
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violation of these terms may subject the permittee to a fine,
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's signature
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permit officer when the project is inspected for compliance.
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The applicant certifies by signing this permit that 1) this pro-
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ject is consistent with the local land use plan and all local
ject
issuing date
4 expiration date
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ordinances, and 2) a written statement has been obtained from
landowners that they have no
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adjacent riparian certifying
attachments
objections to the proposed work.j,14
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In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee
Management Program.