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CAMA AND DREDGE AND FIL b iE.!_
GENERAL
APR 1 6 1993 , r p
PERMIT 1X�
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources al tl�e Coast I Re ources Commission
in an area of environmental co ursuant to 15 NCAC 11
Applicanx am e �� r r. �% Pone Numbe(�
Address
t City —
- C : State zip -
Project Loc tion (County, State Road, Water Body, etc.) j ► "
Type of Project Activity
PROJECT DESCRIPTION SKETCHES ; ,—jT� tr,- ,� (SCALE: )
Pier (dock) length
Groin length.
number
Bulkhead length,
max. distance offshpre _�—
�1 4 v[p '
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
S •�`� `? 1A t v C <'TC:-'t --
This permit is subject to compliance with this application, �ite
drawing and attached general and specific conditions. AYyZ
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.
1 / t
applicant's signature
✓ V permit officer's signature
issuing date expiration date
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attachments -
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application fee
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