7408_PERRY, BOBBY_19910721

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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6 1991
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6717 7Qos
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as authorized by the State of North Carolina— "`------
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC W i ( (=)::� �)
Applicant Name v
Address
City�iti
Projectocation (County„$
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Type of Project Activity
ate Road, Water Body, etc.)
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PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length•
number
Bulkhead length,
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max. distance offshore
Basin, channel dimensions
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cubic yards
Boat ramp dimensions e
Other [[��
Phone Number '�,f 6 )1 Y­lK
State ip
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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, ZIzC n
imprisonment or civil action; and may cause the permit to be- applicant's sit ature
come null and void.
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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
permit officer's signature
IC),�l(-7/
expiration date
attachments
In issuing this permit the State of North Carolina certifies that _{f'
this project is consistent with the North Carolina Coastal application fee
Management Program.