14741_MILLER, DON_19950626

CAMA AND DREDGE AND FILL /
• GENERAL 14 7 _ I
PERMIT
as authorized by the State of North Carolina r
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 1 SA NCAC !Y / `
Applicant Name Phone Number
Address
City State Zip J f/
Project Location (County, State Road, Water Body, etc.)
T pe of Project Activity
If
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
`< Lt., (SCALE:
1
i
Groin length
y:
number
Bulkhead length
1
1
/ G'
i
-�4 -
f :�.
�( ! % r CA 1
`
I
1 —�-
max. distance offshore
Basin, channel dimensions
cubic yards
fi
r
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 certify i ng that they have no
objections to the proposed work.
"0' f
applicant's signature
permit officer's signature
issuing date expiration date
%t -2 r
attachments 4'
In issuing this permit the State of North Carolina certifies that �t ,
this project is consistent with the North Carolina Coastal application fe
Management Program,

ISSUING BRANCH
DATE June 20
MINT
BRANCH BANKING AND TRUST COMPANY AUTHORIZED SI ATURE
WILSON, NORTH CAROLINA 27693 % r (�/� Jy/ [1
F2755-000' fl�u3YiPY1l / I !"� L7 i l �' / ! 7
MEMO _ r.edging hermit/July=Sept,
III 30t, 2 3 5 2114 4053101120:101901.009711n
E "'iTHE-ORIGINAL" DOCUMENT, HAS AAREFCECTIVE'WATERMARK`ON THE BACK. HOLD`AT AN ANGLE TO VIEW'WHEN=CHECKING' THE%ENDORSEMENT.` "s
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