19223_ADAMS, JANIS_19970820

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
^ as authorized by the State of North Carolina
►Y✓�� jy Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
'
in an area of environmental concern pursuant to 15A NCAC
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Applicant Name Aji 4d�4A-i6 Phone Number
Address f-. `-' 6G X 13 H Ab.1WV i4a6'
City C )VZro .J State Alf
Project Location (County, State Road, Water Body, etc.) pe-kilete J& W Ai AP) P14T t_ A'&,l 0 = ' E
L.27- _ 6VI-R'S SY9Di L)j5JbN
Type of Project Activity
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PROJECT DESCRIPTION SKETCH ) F77— L (SCALE:
Pier (dock) length /�
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Groin length r"'I +4 r v- / ` I V eN "f—
_—cam
number
Bulkhead length
max, distance offshore
Basin, channel dimensions
cubic yards
I Boat ramp dimensions
I Other
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/Ft f�LriC'E�1t itN"r
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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.
F_` XI STiFV6-
i
applicant's signature
` permit officer's signature
issuing date expiration date
attachments 9
In issuing this permit the State of North Carolina certifies that L '
this project is consistent with the North Carolina Coastal application fee -� ' "'�^� �� AE°,
Management Program.