16833_DEW, JIMMY_19970923

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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 NCACCJ
Applicant Name 1-3 k��,i =l �La a �+i at,i tu-[ Phone Number S=
tLI A= <---T-
Address
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City Y _ U
Project Location (County, State
Type of Project Activity
PROJECT DESCRIPTION SKE
r.
f _
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
L
Water Bgdy, etc.) 'S
O
State Zip
(SCALE: Ill 4/D ' )
This permit is subject to compliance with this application, site
Idrawing
and attached general and specific conditions. Any
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violation of these terms may subject the permittee to a fine,
' applicant's
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's
permit officer when the project is inspected for compliance.
Z'D,
�l%The
applicant certifies by signing this permit that 1) this pro -_1
ject is consistent with the local land use plan and all local
issuing date expira'
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
4—� .�
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.
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