10662_James B Bushardt III_19950822

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CAMA AND DREDGE AND FILL
GENERAL
FOAUG 2 5 IN5UPERMIT0 10662LMU =�
as authorized by the State of North Carolina "00906 0000"M
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC . II O-)
Applicant Name } 1/0NS �tI-A %"S 'E3.�l2M4d fdl � Phone Number
Address � C 1 q�
City, V—i-1 9 1411 ! Ultl-S-1 N_- State IiJ zip Z $ Li QS_
Project Location (County, State Road, Water Body, etc.) ll -ACI m tl�V_j4 to U 0 A f
Type of Project Activity
PROJECT DESCRIPTION SKETCH
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Pier (dock) length
Groin length
number' C` u
Bulkhead length Y�O
max. distance offshore
Basin, channel dimensions
cubic yards °r
Boat ramp dimensions
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Other
1`,
10
This permit is subject to compliance with this application, site x
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 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
orflinances, 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.
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issuing date
signature
permit offise!'s—signature
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expiration date
attachments -
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application fee Cj C� f' v �C1 t 1'4"