16581_VARNAM, JACQUELINE S_19970206

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Applicant Name
Address --i
City
Project L¢cati ,
CAMA AND DREDGE AND FILL� ()jj(1
GENERAL�t"
PERMIT MAR 1 2 1997
Type of Project Activity
as authorized by the State of North Carolina u 60—
Department
0—Department of Environment, Health, and Natural burces Commission
in an area of environmental concern pursuant to 15A NCAC � ?-t~i ) 1 U C
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G? u..�I_ �` 1fat N:)I. PhoneNumbe� `� - �%'
Zip I_Z� `t' b �..
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length
number
Bulkhead length Y ` �S
max. distange offshore
" :) A, -VG.
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
tibl�fa a
ism NJ
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 certifying that they have no
objections to the proposed work.
BUS
applicant's signature
permit otticer's signature
issuing date (� expiration date
attachments T{ V
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee.✓'
Management Program.