23156_LEITHA, ROSS_19990726

CAMA AND DREDGE AND FILL
GENERAL lN? 23156-C
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
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
State
Type of Project Activity r •- `� �'
Phone Number
Zip
PROJECT DESCRIPTION
SKETCH
(SCALE:
Pier (dock) length
Groin length
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number
r
}'�= 7 Yt ; o -,
}
Bulkhead length
K .. .- i� �i �,X ? F`7 :
i
. s: ➢. t? _ . C
t
max. distance offshore
i \I� s J41
fv
Basin, channel dimensions
cubic yards
�y
Boat ramp dimensions
Other
Un
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.
issuing date
attachments J7 4-1-
,;kL
applicant's signature
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

LINDA OR WAVERLY D. SHORE 6721
DBA PAMLICO MARINE CONST.
�I�
HER NCDL 4789098 HIS 3266479 DATE 66-7796/2531
PH. 919-745-7992
P.O. BOX 163, DIXON RD.
VANDEMERE, NC 28587 $/s'
PAY TO THE
ORDER OF
DOLLARS 8Yo."5
Wlnslon 'Salem, NC I�% _`�
fYP
MEMO
1:253 1779681: 001?90611' 7 21

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P=t-or Type -Name
Telephsie Number
Date=
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