17499_GARDNER, RICK_19970331

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Applicant Name
Address
City
Project Location
Type of Pro1ect
CAMA AND DREDGE AND FILL17 T
GENERAL AN 11 1937 E` '!I `, 0174" �
i
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 ;t�► 7 to �-.
nor
1r Pi State
`nty, State Road, Water Body, etc.
ity
Phone Number
�- Zip
21,f:
PROJECT DESCRIPTION SKETCH L �(SCALE: , )
Pier (dock) length
Groin length
number
N/
Bulkhead length
max. distance offshore �jt (-rAK
i s\�
Basin, channel dimensions
cubic yards AJ L
Boat ramp dimensions
Other k
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1
ti
i k
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finis PeriniL n !1up)CLL w wniNnance wiui um aNNiieauuii'sl c r f
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine, �...a` -'
applicant's signature
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 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
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.
3'/ ly9> A / ;!
issuing date expiration date
attachments .1r7
cL
application fee