17974_WAGONER, EDWARD_19970422

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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APR 3 0 1997
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01704-D i
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and thr•e� Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name` ` or Phone Number
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Address _
City l �+" State Zip
Project, Location (County, State Road, Water Body, etc.) 3? c�hr f
Type of ProjeX Activity l a,9 ? ; 4 y / ; F .- ��. r ' �. /%� C )(/0 �i-
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any-*
PROJECT DESCRIPTION
SKETCH
violation of these terms may subject the permittee to a fine,
(SCALE:
Pier (dock) length3 a� X 1441
applicant's signature
imprisonment or civil action; and may cause the permit to be-
(3loin.length-F
come null and void.
number
B,y1khead_4ength:-"
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.
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max. distance offshore
t
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
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Basin, channel dimensions
cubic yards
attachments
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Boat ramp dimensions
In issuing this permit the State of North Carolina certifies that
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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,
applicant's signature
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's signature
permit officer when the project is inspected for compliance.
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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
expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
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objections to the proposed work.
attachments
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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.