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CAMA AND DREDGE AND FI
GENERAL s� JUL 0 6 1994
PERMIT
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as authorized by the State of North Carotin
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Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC `•�
ApplicantN"ame\Vi3\Phone Number
Address 0
City L_o �n��+:., State NQ_ zip
Project Location (County, State Road, Water Body, etc.) •r,--�i� • ? ��\ I"� a.� `jc-e L { �V t� : �,��:r��4_
Type of Project Activity 6. (- ;.,; ;c rL 0 1�+ e: 1.1-') c. C,
11 C C. IPJ i �1
PROJECT DESCRIPTION SKETCH (SCALE- NONE )
Pier (dock) length's
Groin length )_
number
Bulkhead length
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f
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max. distance offshore
Basin, channel dimensions
cubic yards
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Boat ramp dimensionsin. 3 �
G
Other 1 r•
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I his 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.
This permit must -bea'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.
applicant's signature
J permit officer's signature
issuing date expiration date
attachments `_ \A
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee?`' % �r
Management Program.