12840_CAROLINA TELEPHONE + TELEGRAPH_19940608

CAMA AND DREDGE AND FILLS
GENERAL HI JUN 1 5 �24 N°
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
Applicant Name Phone Number
Address
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH +
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Zip
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IHIS PVIIIIII IS SUU)CUL LV (.VIIIPIIaIN.0 WIU1 LIM, aNNlwauvil, nuc
drawing and attached general and specific conditions. Any x
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.+L
This permit must be on the project site and accessible to the 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 issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no j
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that ' - ` -.
this project is consistent with the North Carolina Coastal application fee 7. J / ! ?� %&
Management Program. f