17257_ANDREW, BOB_19970703

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CAMA AND DREDGE AND FILLr
GENERAL `� ` 017257'3 .
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
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in an area of environmental concern pursuant to 15A NCAC �� �10(-)
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Applicant Name (- D Phone Number
Address to
City a2 c� p��F State V -k zip �a748Z, 1
Project Location (County, SKte Road, Water Body, etc.)
Type of Project Activity tTbol-t< \r- �i\._ u �^i `s r, i;! . n
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PROJECT DESCRIPTION SKETCH i (SCALE:U )
Pier (dock) length
Groin length
number
R6*ikfiead length )�
max. distance offshore
Basin, channel dimensions
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cubic yards l -- - - - C.Ad
- 1_T_
1 i I I
Boat ramp dimensions�-
i
Other
1 �
This permit is subject to compliance with this application, si
drawing and attached general and specific conditions. Ar
violation of these terms may subject the permittee to a fin
imprisonment or civil action; and may cause the permit to b
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.
permit officer's signature
\G,C�, -.1, OC\ t,�-Clcl 1
issuing date expiration date
attachments --,iW- �\U,)
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In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.