17491_DANIELS, MELVIN R_19970307

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GENERAL 7'-L
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PERMIT
as authorized bythe State ofNorth Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission �
inanarea ofenvironmental concern pursuant to15ANCAC ' ?
Applicant Name Phone Number `
Address
City � ' State Zip '
Project Location (County, State Road, Water Body, mzj
Type of Project Activity
PROJECT DESCRIPTION �|�
SKETCH 19T
Pier (dock) |onum
Groin length
number
max. distance offshore
_____
Basin, channel ximonsions
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cvoicvams
Boat ramp dimensions
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Other
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This permit is subject to compliance with this application, site
drawing and attached Qonea| 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 null and void.
This permit must be on the project site and accessible cothe
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that l) this pro-
ject is consistent with the local {and use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections tothe 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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applicant's signature
permit officer's signature
issuing date expiration date
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This permit is subject to compliance with this application, site
drawing and attached Qonea| 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 null and void.
This permit must be on the project site and accessible cothe
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that l) this pro-
ject is consistent with the local {and use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections tothe 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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applicant's signature
permit officer's signature
issuing date expiration date