12227_WINDLEY, HEBER_19931115

CAMA AND DREDGE AND FILL
GENERAL
PERMITNUV2
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as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resource Co.astalj&sUau mission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Numbers
Address
City State 4 Zip^�1'-s-
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity �.� 4'"��— T,
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PROJ ECT DESCRIPTION
Pier (dock) length
Groin length
(SCALE: N �� )
number
"Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
- l -
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any f <
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be % applicant's signature
come null and void.
This permit must be on the project site and accessible to the \ permit otticer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- t1' N6w0 ivgi,,
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
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
Management Program.
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application fee cV? H Z_S�. �.��