17953_DUBOSE, CHARLES_19970520

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 NCAC I`' -
Applicant Name rill 1-1 �`t` U_* Phone Number
Address4-V4n^ `� 1 I n '
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity ►C"r, rl0C -
O JUN 0 5 7
1997I rQ
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PROJECT DESCRIPTION SKETCH —' .� (SCALE: 'o -r L}
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Pier (dock) lengthzoly 0
Groin length
�lt�clrJw(���
number
Bulkhead length
max. distance offshore E
� f
Basin, channel dimensions
cubic yards
Boat ramp dimensions—
imensions
Other
Other
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A_St,td,�ers PL_
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,
ant's signature
imprisonment or civil action; and may cause the permit to be
-� _?PPIi
%
come null and void.
This permit must be on the project site and accessible to thepermit
1��--�
officer's signature
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
issuing date b expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
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.