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HomeMy WebLinkAbout17904_BAYSHORE FIVE_19970401CAMA AND DREDGE AND FILL GENERAL - .��.: l �- (; APR '0 7 1997' PERMIT IL as authorized by the State of North Carolina Q 1 Department of Environment, Health, and Natural Resources and't' e'Loas?gMsources Commission in an area of environmental concern pursuant to 15A NCAC I ' Applicant,L\J_ame 1401 112, AT K Phone Number'110 –S Address- City ddress City ,1 F Projec,,,t,� ocation (County, S't1te Road, Water Body, etc.) Type of Project Activity`' PROJECT DESCRIPTION SKETCH Pier (dock) length f Groin length ' �+ number— Bulkhead length `7_ (SCALE: max. distance offshore Basin, channel dimensions— cubic imensions cubic yards Boat ramp dimensions Pots M USr f/) Wt C �} (5 OtherWar tin r ' This permit is subject to compliance with this application, site �� r 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 e applicant's signature come null and void. (-7 This permit must be on the project site and accessible to the /permit officer's signature permit officer when the project is inspected for compliance. y The applicant certifies by signing this permit that 1) this pro- ject is consistent with the local land use plan and all local issuing date expiration date ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no ,� 1 objections to the proposed work. attachments In issuing this permit the State of North Carolina certifies that 7^ } C4 this project is consistent with the North Carolina Coastal application fee �•�� Management Program.