16778_GREGORY, DONALD_19971003

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CAMA AND DREDGE AND FILL ,.
GENERAL 0166
i
PERMIT
as authorized by the State of North Carolina
r Department of Environment, Health, and Natural Resources and the Coastal Resources Commission t�
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in an area of environmental concern pursuant to 15A NCAC f `_ ` 'e .!t,! + VU
Applicant Name c
Address
City
Project Location (County, State
Type of Project Activity
f -
Water Body,_, tc.)
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
+
33 max. distance offshore
iTr,r`-.k
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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State
(r .n
t sir A)
Phone Number 91 be 3C9 -C t �(�
zip r- ),? -S L l
ni
(SCALE:
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 bey
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.
14'
! L.J ® i applicant's signature
permit o icer's signature
i suing date expiration date
attachments q { , f 3 o
G
In issuing this permit the State of North Carolina certifies that t"'M
this project is consistent with the North Carolina Coastal application fee
Management Program.
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