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CAMA AND DREDGE AND FILL�w )n
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GENERAL � No �
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PERMIT
as authorized by the State of North Carolina -�--- ---------------
Department
-- ---- -Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name C r.1 P r 1' / r Phone Number _W, P Z / %
Address / - �-A %, 1`
City P /! State �] �: zip
Project Location (County, State Road, Water Body, etc.)� !`" 1 �1,�� f
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/fir f2�r G"!y G'r ri /[An e'^ /1 tF, V
Type of Project Activity lop
PROJECT DESCRIPTION SKETCH (SCALE:/
Pier (dock) lengthI
, t
Groin length
number ' ..i..a f 5.
Bulkhead length
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max` distance offshore
Basin, channel dimensions ?
cubic yards t
Boat ramp dimensions ( ) 1
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Other ,
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any ° V
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.
attachments
issuing date
applicant's signature
permit officer's signature
' expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.