17128_EVANS JR, H G_19961121

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CAMA AND DREDGE AND FIL
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Nat
in an area of environmental concern pursuant to 15A NCAC '21:?
Applicant Name ix C_ V. Phone Number
Address ' � NC.)
City
1N,\ZrT::h N\ State CVS Zip "►� 1
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity fi. �.� C tir �r -. c �t �, �'; �,wl1ir nr, -o QD a
PROJECT DESCRIPTION
SKETCH
(SCALE:
)
length
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Pier (dock)
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Groin length
number
Bulkhead length
max. distance offshore
041
Basin, channel dimensions
L
cubic yards
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Boat ramp dimensions "
Other
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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,
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 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.
aL 01 A ZA M1
tR^ Ivor
applicant's signature
r"
permit officer's signature
issuing date expiration date
attachments
_ a
application fee �''�`� \`1 i