17552_BLACK DOG PRODUCTIONS_19971201

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� �CAMA AND DREDGE AND FILL i,�..GENERAL 01 75J2-D
0 1997PERMIT ANAGEMENTEHEAD
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC -7N , /Mo
Applicant Name AL&K 016 PdMlelt)A/5, 2 VC % Do,nl9 A47t o�_- ty Phone Number /51� 3U
Address D-2'} /VaR-tI.
City lti/ !1l9, NGyTI r`✓ State NC zip
Project Location (County, State Road, Water Body, etc.) —1.R'7 F.St1t-k Alit PARK MCI hi,V �Q 1
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Type of Project Activity 4L.44,�7M4^ I t Yj%ljeAd114R
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
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.X
a
(SCALE:
)
Groin length
number
Bulkhead length
6
max. distance offshore
Basin, channel dimensions
—'
717
i
cubic yards
Boat ramp dimensions
Other 2-did4lFVV Cup S-QN(��'•
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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-
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.
applicant's signature
A
f permit officer's signature
issuing date expiration date
attachments -%14 ./go
Ll IT 5 �
application fee
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.

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