13443_EVERETT, CLARENCE_19941128

X3413
CAMA AND DREDGE AND FILLS f r
GENERAL
DEC 06134
PERMITlI
,^ as authorized by the State of North Carolinas,�,,,�;y�i�a.+YiAa�w����!�
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC Ir L01-
Applicant
�Applicant Name Phone �' rhf -, �'' Phone Number
Address Ri, -)-
City t:td r� � a/
Project Location (County State
Type of Project) Activity
Water Body, etc.
State
PROJECT DESCRIPTION I SKETCH ij,,,,�
Pier (dock) length
1�
t
Groin length
number
13�J'kheed length �
max. distance offshore
Basin, channel dimensions_'
n
i
cubic yards
Boat ramp dimensions
Other
This 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 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.
zip
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t.0 r irl L � w� LtY'
/ applicant's signature
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permit officer's signature
J issuing date expiration date
attachments XC. IA, - )rt- I_I Ot J
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.