171782_URBACK, ALBERT & JUNE_19970214

77
CAMA AND DREDGE AND FILL O
GENERAL
PERMIT P�
HAS R 1 0 1991
0171$2
as authorized by the State of North Carolina ,.pww.�_____.__s_. .,R.•
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC : s eF
k
Applicant Name
drawing and attached general and specific conditions. Any
Phone Number
Address
imprisonment or civil action; and may cause the permit to be-
applicant's signature
come null and void.
City 4 t-�enfliI P
permit officer's signature
State
zip_ 5
roject Location (County, State
Pll
Road, Water.Body/1 etc.) ,fjr�[ E'
issuing date I expiration date
- 7— 11ZT
Gin {t ,� e�-s � s Ids �+
r
/
objections to the proposed work.
attachments �y � psi r-�
,06
Q �' s t P t� }
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this project is consistent with the North Carolina Coastal
application fee �� •'����d r''k
Type o Project Activity _—
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PROJECT DESCRIPTION
SKETCH f7— r reCL
(SCALE:
it
Pier (dock) length
d)+wde
X
Groin length
number
Bulkhead length
""""�-�-�-•
max. distance offshore
°jAan
Basin channel dimensions
ye h4 X JA
cubic yards . ,
y
Boat ramp dimensigns
Other
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PL
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P r�P' f>
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lock
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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-
applicant's signature
come null and void.
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-
ject is consistent with the local land use plan and all local
issuing date I expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
,j�,,rjev r
11 `�. 6
objections to the proposed work.
attachments �y � psi r-�
,06
In issuing this permit the State of North Carolina certifies that
BG,
this project is consistent with the North Carolina Coastal
application fee �� •'����d r''k
Management Program.