14167_KILBY, R.C._19950713

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CAMA AND DREDGE AND FILL
GENERAL JUL 2 w 141677-'
PERMIT
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as authorized b the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Cgmmission
in an area of environmental concern pursuant to 15A NCAC X# .'"" °� •t �'�
Applicant Name 'i '- - /,.fiPhone Number
Address -' 1:�' L! of
City k! 1¢ State [,tri Zip
Project Location (County, State Road, Water Body, etc.) ," 4
Type of Project Activity i
PROJECT DESCRIPTION I SKETCH I f 7" 6 S
Pier (dock) length
Groin length
number
Bulkhead length l;
max. distance offshore . -It"
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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This permit is subject to compliance with this application, site
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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.
f:, applicant's signature
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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-
d 3 t j /3 h 5
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
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this project is consistent with the North Carolina Coastal
application fee
Management Program.