17750_GALLOP, ALLEN_19970729

Applicant Name
Address
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
r��,A4 4 1997
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 r I j� � 1't%1'
Phone Number 5_6ei &
City U0 Z:6t C( iy State C_ zip
Project Location (County, State Road, Water Body, etc.)
i�' kj kA ki <t L LL.1 L714 < C -L1 C: 21/0 C ) n!
Type of Project Activity �!��_��
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PROJECT DESCRIPTION SKETCH �������— ��•---ti,----� (SCALE: ) It ' 11! ' }
Pier (dock) length C.,�
Groin length
111V
number
Bulkhead length
{
max. distance offshore I
k 2E , nn
Basin, channel dimensions
M ti/w L
cubic yards
Boat ramp dimensions � _• .` - � � �
Other
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i nis permit is suolect to compliance wiLn tnis appuUauun, s[Lt;
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.
applicant's signature
J,
permit officer's signature
istuing date a piration date
attachments
=
application fee
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