11909_SELIG, JULIAN_19930629

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CAMA AND DREDGE AND FILL
GENERALJUL I S M3
PERMIT�-
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 15 NCAC PL )?o G
Applicant Name
Address
City Ell? Q
Project Location (County, State Road, Water Body, etc.) —
Phone Number :'' — Z � ii
_ State zip
Type of Project Activity 41' 7 6'cr
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
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T- 7
17 (SCALE: ly )
it
( { i
i t I< 1
I
4
Groin length
number
Bulkhead length
a i I
,
max. distance offshore
Basin, channel dimensions
`
cubic yards
Boat ramp dimensions
Othe 7
f
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.
Thispermit must be on the project site and accessible to the (� �j permit officer's signature
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.
issuing date expiration date
G
attachments _P/ /
YP6 C��� 31
application fee — -4, �,
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