16444_HILLADA, RALPH_19960823

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CAMA AND DREDGE AND F -111Y.1 � 1 d ��
GENERAL �—►�. ��.�����6
PERMIT
as authorized by the State of North Caro Iirwoome .O"""R%"****w-4
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name
Phone Number
Address• l/a ✓
City State (Y Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
(SCALE: ,
i � •'7 pi, f l^ ',/� ' p ' Y Jit
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•-wxitZeC. statement has_been-obtained-fr�.m
adjacent. -riparian --Ian down ers--"rti.tyi�.that_.they.__have no
objections to the proposed -work. Gr✓I
In issuing this permit the State of North Carolina certifies that
`his project is consistent with the North Carolina Coastal
lanagement Program.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee