14053_LANGDON, CLARK_19950906

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CAMA AND DREDGE AND FILL '57
GENERAL O
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SEP 2 0 195
PERMIT
as authorized by the State of North Carolina�,����.,.....,....•.
Department of Environment, Health, and Natural Resources and the Coastal Resources CC.9mmission
in an area of environmental concern pursuant to 15A NCAC !I • iloo ' > 5O
Applicant Name k- r in C L.-YI �""i r Phone Number
Address t C, A f+i1A
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Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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Ir PROJECT DESCRIPTION
SKETCH
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Pier (dock) length
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1 applicant's signature
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Groin length.
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number
This permit must be on the project site and accessible to the
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permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
Bulkhead length 2`'e€'
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ject is consistent with the local land use plan and all local
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issuing date
expiration date
ordinances, and 2) a written statement has been obtained from
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max. distance offshore
Basin, channel dimensions
3�ii X -;4 14• X
cubic yards
Boat ramp dimensions _
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In issuing this permit the State of North Carolina certifies that
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Other -480 �1�1+
application fee
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Management Program.
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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,
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1 applicant's signature
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imprisonment or civil action; and may cause the permit to be-
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come null and void.
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This permit must be on the project site and accessible to the
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permit officer's signature
permit officer when the project is inspected for compliance.
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
expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have nos��
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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
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Management Program.