16704_BLACK, DARY_19970603

CAMA AND DREDGE AND FILL k,;:.
GENERAL U � >1
JUN 1 2 1997
PERMIT �
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as authorized by the State of North Carolina --------
Department of Environment, Health, and Natural Resources and the oastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name ',I (� , Phone Number 1 Iy
Address is 6 7N c! r ,
City ) A �' + : .� - T State /'�`
Zip
Project Location (County, State goad, ater Body, etc. 49 ✓ f 0n 1 W i '"s - k
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Type of Project Activity �
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PROJECT DESCRIPTION S KJUC H --�, (SCALE:�,�
Pier (dock) length ..--
.
Groin length
IL
number
Bulkhead length �/�
max. distance offshore fi
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Basin, channel dimensionsufJ i
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cubic yards
Boat ramp dimensions
Other L—h (",I w x.�✓ :� I
i
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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, G/ /
imprisonment or civil action; and may cause the permit to be- —� applicant's signature
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
( + permit orrrcer-s signature
issuing date expiration date
attachments ntl
�t ,-)�
application fee