21495_RICE, BRAD_19990315 (2)

12
s
C A AND DREDGE AND FILL
GE ERAL
_G
Y
RMIT
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s a horized by the State of North Carolina
of Environment, Health, and Natural Resources and the Coastal Resources Commission
n
ep ment
t to 15A NCAC C -7r1.
concern pursuant
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area of environmental P
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Phone Number
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76 1(
Applicant Name
Address �7
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A�x3rJT`( (_LI r� �
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' Fl � �,,, �, State fJL
City
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Road, Water Body, etc.)
Project Location (County,
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State
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Type of Project Activity
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AZ
l.ati�iWi.) CP-
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PROJECT DESCRIPTION SKETCH (SCALE:_
1
Pier (dock) length ------
r'�> - - - -
Groin length ---- — — }
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u ber
n m u
_ I
} 2 i`� . T . , CLAY i ii>Z�N
Bulkhead length _
�; i � ca .t E.. r.•L--r-- I
max. distance offshore
Basin channel dimensions_!
i I
� IN -
1 _
cubic yards
i
Boat ramp dimensions
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,
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
ro
objections to the proposed ed w
ork.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
1
applicant's signature
1 1
c�`-%J1 � n v� z
permit officer's signature
issuing date expiration date
attachments l:L? 4'
application fee