21259_TOWN OF NAGS HEAD_19981124

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CAMA
AND DREDGE AND D
FILL
GENERAL
021259 j
-�� DEC 16 199.8
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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 %"%1 14 .
Applicant Name ('='�'� �1x{� �" Phone Number//Z-Z--
Address •PDd
City tt5- State . Zip 7--7r10
Project Location (County, State Road, Water Body, etc.) yffgj df
Type'of Project Activity IST 5�41pj, 'a.), R/W.
PROJECT DESCRIPTION SKETCHY (SCALE:�y^� )
Pier (dock) length rt`• ��,`--�~"' ��y ii//
Groin length
.�.,.-� off..•
number -
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
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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,
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-
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ject is consistent with the local land use plan and all local
issuing date
expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee t` �` t�: Ott. C
ice{ IT -
Management Program.
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