14255_FAIRCLOTH, EARL_19950425

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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MAY 43 M
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as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Wastal Resources Commission
in an area pf environmental concern pursuant to 15A NCAC +
Applicant Name r ArEk---K-,l r- Phone Number
Address . tV_N �"Mr6,et _
City 6tkr
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State !�.�`� -' _Zip
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PROJECT DESCRIPTION
SKETCH
drawing and attached general and specific conditions. Any
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(SCALE: / )
Pier (dock) length
imprisonment or civil action; and may cause the permit to be-
come null and void.
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This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
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permit officer's signature
Groin length
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The applicant certifies by signing this permit that 1) this pro-
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ject is consistent with the local land use plan and all local
number
Bulkhead length
ordinances, and 2) a written statement has been obtained from
landowners have
adjacent riparian certifying that they no
objections to the proposed work.
attachments
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max. distance offshore
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application fee
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Basin, channel dimensions
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CSF
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cubic yards
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Boat ramp dimensions
Other �t)(if rill`s:'
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
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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.
YN
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
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permit officer's signature
The applicant certifies by signing this permit that 1) this pro-
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ject is consistent with the local land use plan and all local
issuing date
expitation date
ordinances, and 2) a written statement has been obtained from
landowners have
adjacent riparian certifying that they no
objections to the proposed work.
attachments
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In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee
Management Program.