19932_DENNIS, HARRIETT_19980630

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CAMA AND DREDGE AND FILL
GENERAL A f09932 -
PERMIT-
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
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity4.�
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PROJECT DESCRIPTION
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Pier (dock) length
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Groin length
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Bulkhead length
max. distance offshore
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Basin, channel dimensions
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cubic yards
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Boat ramp dimensions -
Other
1.
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.
attachments
issuing date
applicant's signature
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permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

HARRIETT H. DENNIS 66-112/531 4048
PH. 728-7258 NC 694113 243-64-6420 1223049334
P.O. BOX 331, 128 WALLACE RD. �a
BEAUFORT, NC 28516-0331 C�
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