17677_BLULOCK, DAVID_19970916

CAMA AND DREDGE AND FILL
GENERAL 017677 -b -I
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P RMIT
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
PC I
Applicant Na ✓f Phone Number
Address
City
Project Location (County, State Road, Water Body, etc.) _
Type of Project Activity %^ Yi1' �5 0
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length��^-^��
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
AA
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114C Zip_
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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,
applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void. 0 f
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This permit must be on the project site and accessible to the permitofficer'ssignature
permit officer when the project is inspected for compliance. 7/ 1 f f U.... (.v ?
The applicant certifies by signing this permit that 1) this pro- "1 j (1� j f
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 '7� WV
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.