12782_WRAY, DONALD_19931105

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CAMA AND DREDGE AND FILL
GENERAL
D
` NOV 1 ® 1993
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural R *»++- arnttTu-0uasrT—R6Murces Commission
in an area of environmental concern pursuant to 15 NCAC / 7 _ 17 /
Applicant Name '
Address / /�� - /
City
Project Location (County, State Road, Water Body, etc.)
`�-
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) length _.
Groin length
number ! !
Bulkhead length_
max. distance offshore
II Basin, channel dimensions
Phone Number
State 1 r Zip
r
i
J
% - (SCALE: )
o
i
cubic yards
_ I
Boat ramp dimensions i —; —CAl A
Other
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any �( t
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come
e pplicant's signature
come null and void.
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
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.
/ — C7 l�
issuing date expiration date
attachments
application fee '